West Tennessee Healthcare Henry County Hospital — Pricing

772 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 772 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 772
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 772 procedures

Procedures with negotiated rates only

These 772 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
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $1,469 – $32,728 · median $17,225 22 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $1,469 – $15,620 · median $8,303 22 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $1,469 – $14,365 · median $7,750 22 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $1,147 – $22,848 · median $12,025 22 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $1,147 – $16,315 · median $8,673 22 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $1,147 – $14,378 · median $7,756 22 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $783 – $26,447 · median $13,401 22 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,279 – $87,221 · median $40,933 22 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,279 – $59,566 · median $28,405 22 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $783 – $35,942 · median $17,703 22 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $1,279 – $61,189 · median $29,140 22 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $364 – $21,659 · median $11,232 22 plans
795 NORMAL NEWBORN $266 – $5,070 · median $2,695 22 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $1,469 – $16,931 · median $8,911 22 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $1,469 – $14,888 · median $7,836 22 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $1,469 – $14,357 · median $7,556 22 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $1,542 – $15,854 · median $8,344 22 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $1,542 – $11,866 · median $6,401 22 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $1,409 – $10,888 · median $5,874 22 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $1,147 – $311,479 · median $142,529 21 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $1,147 – $203,268 · median $93,506 21 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $1,147 – $80,039 · median $37,680 21 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $1,147 – $61,870 · median $29,449 21 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $1,147 – $42,290 · median $20,579 21 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $1,147 – $633,705 · median $288,506 21 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $1,147 – $115,474 · median $53,733 21 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $1,147 – $77,686 · median $36,614 21 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $1,147 – $45,127 · median $22,544 21 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $1,147 – $84,092 · median $39,516 21 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $1,147 – $57,407 · median $27,427 21 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $1,147 – $66,723 · median $31,647 21 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $1,147 – $45,627 · median $22,090 21 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $1,147 – $37,023 · median $18,193 21 plans
028 SPINAL PROCEDURES WITH MCC $1,147 – $88,171 · median $41,364 21 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $1,147 – $50,065 · median $24,101 21 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $1,147 – $32,214 · median $16,014 21 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $1,147 – $65,751 · median $31,207 21 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $1,147 – $31,272 · median $15,587 21 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $1,147 – $24,403 · median $12,475 21 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $1,147 – $56,802 · median $27,153 21 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $1,147 – $35,080 · median $17,312 21 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $1,147 – $28,510 · median $14,336 21 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $1,147 – $48,311 · median $23,306 21 plans
038 EXTRACRANIAL PROCEDURES WITH CC $1,147 – $23,812 · median $12,207 21 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $1,147 – $17,250 · median $9,235 21 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $1,147 – $56,663 · median $27,090 21 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $1,147 – $32,266 · median $16,037 21 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $1,147 – $25,354 · median $12,906 21 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $1,147 – $26,133 · median $13,462 21 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $1,147 – $14,628 · median $7,930 21 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $1,147 – $22,407 · median $11,571 21 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $1,147 – $15,123 · median $8,198 21 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $1,147 – $34,091 · median $16,864 21 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $1,147 – $19,013 · median $10,033 21 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $1,147 – $25,087 · median $12,785 21 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $1,147 – $18,210 · median $9,670 21 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $1,147 – $13,899 · median $7,535 21 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $1,147 – $40,460 · median $19,750 21 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $1,147 – $25,787 · median $13,102 21 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $1,147 – $20,601 · median $10,753 21 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $1,147 – $29,511 · median $14,789 21 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $1,147 – $15,009 · median $8,137 21 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $1,147 – $11,013 · median $5,970 21 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $1,147 – $21,553 · median $11,184 21 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $1,147 – $13,220 · median $7,167 21 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $1,147 – $12,416 · median $6,731 21 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $1,147 – $24,431 · median $12,488 21 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $1,147 – $15,202 · median $8,241 21 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $1,147 – $11,893 · median $6,447 21 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $1,147 – $23,543 · median $12,086 21 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $1,147 – $15,261 · median $8,273 21 plans
075 VIRAL MENINGITIS WITH CC/MCC $1,147 – $28,139 · median $14,168 21 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $1,049 – $12,739 · median $6,906 21 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $1,147 – $26,562 · median $13,453 21 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $1,091 – $13,603 · median $7,374 21 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $1,147 – $33,541 · median $16,615 21 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $1,147 – $20,483 · median $10,699 21 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $1,147 – $14,341 · median $7,774 21 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $1,147 – $33,340 · median $16,524 21 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $1,147 – $19,117 · median $10,081 21 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $1,147 – $13,837 · median $7,501 21 plans
088 CONCUSSION WITH MCC $1,147 – $19,838 · median $10,407 21 plans
089 CONCUSSION WITH CC $1,147 – $16,122 · median $8,724 21 plans
090 CONCUSSION WITHOUT CC/MCC $1,147 – $12,715 · median $6,893 21 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $1,147 – $25,772 · median $13,095 21 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $1,147 – $15,165 · median $8,221 21 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,147 – $12,385 · median $6,714 21 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $1,147 – $51,647 · median $24,818 21 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $1,147 – $37,850 · median $18,567 21 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,147 – $37,850 · median $18,567 21 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $1,147 – $53,003 · median $25,432 21 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $1,147 – $33,678 · median $16,677 21 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $1,147 – $19,993 · median $10,477 21 plans
100 SEIZURES WITH MCC $1,147 – $28,422 · median $14,296 21 plans
101 SEIZURES WITHOUT MCC $1,147 – $13,689 · median $7,421 21 plans
102 HEADACHES WITH MCC $1,147 – $16,449 · median $8,872 21 plans
103 HEADACHES WITHOUT MCC $1,144 – $12,875 · median $6,980 21 plans
113 ORBITAL PROCEDURES WITH CC/MCC $1,147 – $34,502 · median $17,050 21 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $1,147 – $19,855 · median $10,415 21 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $1,147 – $22,525 · median $11,624 21 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $1,147 – $26,534 · median $13,441 21 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $1,147 – $15,924 · median $8,633 21 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $1,103 – $17,071 · median $9,154 21 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $874 – $12,256 · median $6,644 21 plans
123 NEUROLOGICAL EYE DISORDERS $1,147 – $12,413 · median $6,729 21 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $1,147 – $19,416 · median $10,216 21 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $1,054 – $12,035 · median $6,524 21 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $1,147 – $31,040 · median $15,847 21 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $1,147 – $15,071 · median $8,170 21 plans
137 MOUTH PROCEDURES WITH CC/MCC $1,147 – $21,913 · median $11,347 21 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $1,147 – $13,487 · median $7,312 21 plans
139 SALIVARY GLAND PROCEDURES $1,147 – $17,774 · median $9,635 21 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $1,147 – $62,593 · median $29,776 21 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $1,147 – $32,008 · median $15,920 21 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $1,147 – $23,427 · median $12,033 21 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $1,147 – $54,981 · median $26,328 21 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $1,147 – $25,430 · median $12,941 21 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $1,147 – $17,644 · median $9,413 21 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $1,147 – $31,073 · median $15,497 21 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $1,147 – $18,659 · median $9,873 21 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $1,147 – $12,395 · median $6,719 21 plans
149 DYSEQUILIBRIUM $1,007 – $11,837 · median $6,417 21 plans
150 EPISTAXIS WITH MCC $1,147 – $19,540 · median $10,272 21 plans
151 EPISTAXIS WITHOUT MCC $1,008 – $11,621 · median $6,300 21 plans
152 OTITIS MEDIA AND URI WITH MCC $1,147 – $17,349 · median $9,279 21 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $760 – $11,672 · median $6,328 21 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $1,147 – $22,944 · median $11,814 21 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $1,147 – $13,859 · median $7,513 21 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $1,147 – $11,095 · median $6,015 21 plans
157 DENTAL AND ORAL DISEASES WITH MCC $1,147 – $25,194 · median $12,834 21 plans
158 DENTAL AND ORAL DISEASES WITH CC $1,147 – $13,777 · median $7,469 21 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $1,147 – $11,308 · median $6,130 21 plans
163 MAJOR CHEST PROCEDURES WITH MCC $1,147 – $65,770 · median $31,216 21 plans
164 MAJOR CHEST PROCEDURES WITH CC $1,147 – $37,040 · median $18,200 21 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $1,147 – $28,091 · median $14,146 21 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $1,147 – $54,851 · median $26,269 21 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $1,147 – $26,465 · median $13,409 21 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,147 – $20,052 · median $10,504 21 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $1,147 – $43,678 · median $21,208 21 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $1,147 – $20,158 · median $10,552 21 plans
176 PULMONARY EMBOLISM WITHOUT MCC $1,147 – $12,492 · median $6,772 21 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $1,147 – $22,933 · median $11,809 21 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $1,147 – $14,589 · median $7,909 21 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $1,147 – $11,878 · median $6,439 21 plans
180 RESPIRATORY NEOPLASMS WITH MCC $1,147 – $25,916 · median $13,161 21 plans
181 RESPIRATORY NEOPLASMS WITH CC $1,147 – $15,754 · median $8,540 21 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $1,147 – $11,864 · median $6,431 21 plans
183 MAJOR CHEST TRAUMA WITH MCC $1,147 – $22,451 · median $11,591 21 plans
184 MAJOR CHEST TRAUMA WITH CC $1,147 – $15,669 · median $8,494 21 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $998 – $12,265 · median $6,649 21 plans
186 PLEURAL EFFUSION WITH MCC $1,147 – $22,871 · median $11,781 21 plans
187 PLEURAL EFFUSION WITH CC $1,147 – $14,749 · median $7,996 21 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $1,147 – $11,415 · median $6,188 21 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $1,147 – $18,129 · median $9,633 21 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $1,147 – $16,255 · median $8,784 21 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $1,147 – $12,958 · median $7,024 21 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $1,109 – $10,493 · median $5,688 21 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $1,147 – $19,289 · median $10,158 21 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $1,147 – $12,503 · median $6,778 21 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $987 – $10,327 · median $5,598 21 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $1,147 – $27,695 · median $13,966 21 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $1,147 – $14,259 · median $7,730 21 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $1,147 – $11,403 · median $6,181 21 plans
199 PNEUMOTHORAX WITH MCC $1,147 – $25,888 · median $13,148 21 plans
200 PNEUMOTHORAX WITH CC $1,147 – $16,132 · median $8,728 21 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $1,147 – $11,389 · median $6,174 21 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $1,138 – $14,530 · median $7,877 21 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $770 – $10,836 · median $5,874 21 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $1,079 – $12,521 · median $6,788 21 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $1,147 – $26,870 · median $13,593 21 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $1,147 – $14,161 · median $7,677 21 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $1,147 – $94,429 · median $44,199 21 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $1,147 – $40,337 · median $19,694 21 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $1,147 – $159,577 · median $73,713 21 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $1,147 – $146,118 · median $67,616 21 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $1,147 – $143,562 · median $66,458 21 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $1,147 – $96,492 · median $45,134 21 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $1,147 – $96,492 · median $45,134 21 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $1,147 – $112,679 · median $52,467 21 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $1,147 – $78,259 · median $36,873 21 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $1,147 – $73,965 · median $34,928 21 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $1,147 – $72,603 · median $34,311 21 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $1,147 – $46,219 · median $22,358 21 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $1,147 – $123,708 · median $57,463 21 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $1,147 – $88,968 · median $41,725 21 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $1,147 – $112,193 · median $52,247 21 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $1,147 – $80,165 · median $37,737 21 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $1,147 – $86,121 · median $40,435 21 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $1,147 – $61,470 · median $29,268 21 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $1,147 – $72,226 · median $34,140 21 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $1,147 – $41,831 · median $20,371 21 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $1,147 – $20,316 · median $10,624 21 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $1,147 – $46,854 · median $22,646 21 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $1,147 – $31,271 · median $15,587 21 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $1,147 – $26,525 · median $13,437 21 plans
245 AICD GENERATOR PROCEDURES $1,147 – $66,953 · median $31,752 21 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $1,147 – $32,028 · median $15,930 21 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $1,147 – $21,932 · median $11,356 21 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $1,147 – $51,191 · median $24,611 21 plans
253 OTHER VASCULAR PROCEDURES WITH CC $1,147 – $38,090 · median $18,676 21 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $1,147 – $26,146 · median $13,265 21 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $1,147 – $39,584 · median $19,353 21 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $1,147 – $24,917 · median $12,708 21 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $1,147 – $16,028 · median $8,681 21 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $1,147 – $46,110 · median $22,309 21 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $1,147 – $29,674 · median $14,863 21 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $1,147 – $47,735 · median $23,045 21 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $1,147 – $27,743 · median $13,988 21 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $1,147 – $23,919 · median $12,256 21 plans
263 VEIN LIGATION AND STRIPPING $1,147 – $44,867 · median $21,746 21 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $1,147 – $49,023 · median $23,629 21 plans
265 AICD LEAD PROCEDURES $1,147 – $53,097 · median $25,474 21 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $1,147 – $89,934 · median $42,163 21 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $1,147 – $69,864 · median $33,071 21 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $1,147 – $100,933 · median $47,145 21 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $1,147 – $61,975 · median $29,497 21 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $1,147 – $77,429 · median $36,498 21 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $1,147 – $52,188 · median $25,063 21 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $1,147 – $37,465 · median $18,393 21 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $1,147 – $60,541 · median $28,847 21 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $1,147 – $48,306 · median $23,304 21 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $1,147 – $104,638 · median $48,824 21 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $1,147 – $88,146 · median $41,353 21 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $1,147 – $67,776 · median $32,125 21 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $1,147 – $81,684 · median $38,425 21 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $1,147 – $52,924 · median $25,396 21 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $1,147 – $23,540 · median $12,084 21 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $1,147 – $13,891 · median $7,530 21 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $1,147 – $11,487 · median $6,227 21 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $1,147 – $29,068 · median $14,589 21 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $1,147 – $11,108 · median $6,022 21 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $1,147 – $9,964 · median $5,402 21 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $1,147 – $32,473 · median $16,131 21 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $1,147 – $15,743 · median $8,534 21 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $1,147 – $39,713 · median $19,411 21 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $1,147 – $25,049 · median $12,768 21 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $1,147 – $14,021 · median $7,601 21 plans
291 HEART FAILURE AND SHOCK WITH MCC $1,147 – $18,840 · median $9,955 21 plans
292 HEART FAILURE AND SHOCK WITH CC $1,147 – $13,031 · median $7,064 21 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $1,147 – $9,561 · median $5,183 21 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $1,147 – $22,921 · median $11,804 21 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $1,147 – $10,395 · median $5,635 21 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $1,147 – $8,201 · median $4,446 21 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $1,147 – $23,960 · median $12,274 21 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $1,147 – $15,711 · median $8,517 21 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $1,147 – $11,446 · median $6,205 21 plans
302 ATHEROSCLEROSIS WITH MCC $1,147 – $17,560 · median $9,375 21 plans
303 ATHEROSCLEROSIS WITHOUT MCC $1,147 – $10,875 · median $5,896 21 plans
304 HYPERTENSION WITH MCC $1,147 – $17,463 · median $9,331 21 plans
305 HYPERTENSION WITHOUT MCC $953 – $11,880 · median $6,440 21 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $1,147 – $23,125 · median $11,896 21 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $1,147 – $13,819 · median $7,491 21 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $1,147 – $17,669 · median $9,424 21 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $1,147 – $11,642 · median $6,311 21 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $1,147 – $9,562 · median $5,184 21 plans
311 ANGINA PECTORIS $822 – $11,227 · median $6,086 21 plans
312 SYNCOPE AND COLLAPSE $1,147 – $13,308 · median $7,215 21 plans
313 CHEST PAIN $981 – $11,449 · median $6,207 21 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $1,147 – $30,600 · median $15,283 21 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $1,147 – $14,433 · median $7,824 21 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $1,147 – $10,984 · median $5,955 21 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $1,147 – $98,124 · median $45,873 21 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $1,147 – $65,493 · median $31,090 21 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $1,147 – $35,298 · median $17,411 21 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $1,147 – $39,928 · median $19,508 21 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $1,147 – $25,872 · median $13,141 21 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $1,147 – $63,504 · median $30,189 21 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $1,147 – $46,241 · median $22,368 21 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $1,147 – $47,112 · median $22,763 21 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $1,147 – $73,190 · median $34,577 21 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $1,147 – $35,868 · median $17,669 21 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $1,147 – $23,514 · median $12,072 21 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $1,147 – $67,453 · median $31,978 21 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $1,147 – $35,179 · median $17,357 21 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,147 – $24,696 · median $12,608 21 plans
332 RECTAL RESECTION WITH MCC $1,147 – $53,134 · median $25,491 21 plans
333 RECTAL RESECTION WITH CC $1,147 – $34,372 · median $16,991 21 plans
334 RECTAL RESECTION WITHOUT CC/MCC $1,147 – $24,036 · median $12,309 21 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $1,147 – $52,403 · median $25,160 21 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $1,147 – $30,945 · median $15,439 21 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $1,147 – $22,526 · median $11,625 21 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $1,147 – $37,902 · median $18,591 21 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $1,147 – $22,081 · median $11,423 21 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,147 – $17,407 · median $9,306 21 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $1,147 – $33,688 · median $16,682 21 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $1,147 – $19,207 · median $10,121 21 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $1,147 – $13,296 · median $7,208 21 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $1,147 – $36,568 · median $17,987 21 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $1,147 – $22,372 · median $11,555 21 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $1,147 – $17,137 · median $9,184 21 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $1,147 – $42,587 · median $20,713 21 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $1,147 – $24,689 · median $12,605 21 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $1,147 – $19,738 · median $10,362 21 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $1,147 – $64,464 · median $30,624 21 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $1,147 – $34,127 · median $16,880 21 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,147 – $20,514 · median $10,713 21 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $1,147 – $23,361 · median $12,003 21 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $1,147 – $14,885 · median $8,069 21 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $1,116 – $11,214 · median $6,079 21 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $1,147 – $26,020 · median $13,208 21 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $1,147 – $15,141 · median $8,208 21 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $1,147 – $11,540 · median $6,256 21 plans
374 DIGESTIVE MALIGNANCY WITH MCC $1,147 – $31,385 · median $15,638 21 plans
375 DIGESTIVE MALIGNANCY WITH CC $1,147 – $17,751 · median $9,462 21 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $1,147 – $13,955 · median $7,565 21 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $1,147 – $26,826 · median $13,573 21 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $1,147 – $14,646 · median $7,940 21 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $1,147 – $10,350 · median $5,611 21 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $1,147 – $28,795 · median $14,465 21 plans
381 COMPLICATED PEPTIC ULCER WITH CC $1,147 – $15,907 · median $8,623 21 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $1,147 – $12,438 · median $6,743 21 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $1,147 – $20,262 · median $10,599 21 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $1,119 – $13,102 · median $7,103 21 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $1,147 – $23,220 · median $11,939 21 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $1,147 – $14,592 · median $7,911 21 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $1,147 – $10,975 · median $5,949 21 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $1,147 – $21,672 · median $11,238 21 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $1,147 – $12,305 · median $6,671 21 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $1,106 – $9,291 · median $5,037 21 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $1,147 – $18,612 · median $9,852 21 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $1,044 – $12,180 · median $6,603 21 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $1,147 – $23,470 · median $12,052 21 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $1,147 – $14,094 · median $7,641 21 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,147 – $10,578 · median $5,735 21 plans
397 APPENDIX PROCEDURES WITH MCC $1,147 – $35,145 · median $17,342 21 plans
398 APPENDIX PROCEDURES WITH CC $1,147 – $22,212 · median $11,483 21 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $1,147 – $16,798 · median $9,030 21 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $1,147 – $59,001 · median $28,149 21 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $1,147 – $80,279 · median $37,789 21 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $1,147 – $42,560 · median $20,701 21 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $1,147 – $32,573 · median $16,176 21 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $1,147 – $52,325 · median $25,125 21 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $1,147 – $31,952 · median $15,895 21 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $1,147 – $23,299 · median $11,975 21 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $1,147 – $48,476 · median $23,381 21 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $1,147 – $30,854 · median $15,398 21 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $1,147 – $24,368 · median $12,459 21 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $1,147 – $52,281 · median $25,105 21 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $1,147 – $30,329 · median $15,160 21 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $1,147 – $20,006 · median $10,483 21 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $1,147 – $35,020 · median $17,285 21 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $1,147 – $24,824 · median $12,666 21 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $1,147 – $20,043 · median $10,500 21 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $1,147 – $49,999 · median $24,071 21 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $1,147 – $25,498 · median $12,971 21 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $1,147 – $20,538 · median $10,724 21 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $1,147 – $60,945 · median $29,030 21 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $1,147 – $32,107 · median $15,966 21 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $1,147 – $22,017 · median $11,394 21 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $1,147 – $161,735 · median $74,691 21 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $1,147 – $105,933 · median $49,410 21 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $1,147 – $82,503 · median $38,796 21 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $1,147 – $132,215 · median $61,317 21 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $1,147 – $84,632 · median $39,761 21 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $1,147 – $28,883 · median $14,505 21 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $1,147 – $15,572 · median $8,442 21 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,047 – $11,357 · median $6,157 21 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $1,147 – $26,953 · median $13,631 21 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $1,147 – $16,599 · median $8,940 21 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $1,147 – $13,084 · median $7,093 21 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $1,147 – $23,923 · median $12,258 21 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $1,147 – $12,936 · median $7,012 21 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $1,122 – $10,240 · median $5,551 21 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $1,147 – $26,337 · median $13,351 21 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $1,147 – $14,457 · median $7,837 21 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,065 – $11,200 · median $6,072 21 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $1,147 – $24,520 · median $12,528 21 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $1,147 – $16,060 · median $8,696 21 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $1,147 – $12,765 · median $6,920 21 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $1,147 – $98,052 · median $45,840 21 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $1,147 – $62,233 · median $29,614 21 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $1,147 – $78,212 · median $36,852 21 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $1,147 – $47,406 · median $22,896 21 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $1,147 – $123,319 · median $57,287 21 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $1,147 – $87,508 · median $41,064 21 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $1,147 – $61,233 · median $29,160 21 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $1,147 – $78,666 · median $38,138 21 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $1,147 – $39,035 · median $19,104 21 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $1,147 – $83,640 · median $39,311 21 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $1,147 – $45,708 · median $22,127 21 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,147 – $26,763 · median $13,544 21 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $1,147 – $76,389 · median $36,026 21 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $1,147 – $51,753 · median $24,865 21 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $1,147 – $40,327 · median $19,689 21 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $1,147 – $44,512 · median $21,585 21 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $1,147 – $28,306 · median $14,244 21 plans
471 CERVICAL SPINAL FUSION WITH MCC $1,147 – $70,861 · median $33,522 21 plans
472 CERVICAL SPINAL FUSION WITH CC $1,147 – $43,234 · median $21,006 21 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $1,147 – $35,826 · median $17,650 21 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $1,147 – $62,998 · median $29,960 21 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $1,147 – $33,396 · median $16,549 21 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,147 – $17,319 · median $9,266 21 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,147 – $50,696 · median $24,387 21 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,147 – $36,089 · median $17,769 21 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,147 – $27,279 · median $13,778 21 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $1,147 – $42,738 · median $20,781 21 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $1,147 – $30,737 · median $15,345 21 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $1,147 – $23,935 · median $12,263 21 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $1,147 – $40,677 · median $19,848 21 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $1,147 – $47,358 · median $22,874 21 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $1,147 – $30,687 · median $15,322 21 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $1,147 – $22,984 · median $11,832 21 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $1,147 – $24,312 · median $13,180 21 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $1,147 – $16,389 · median $8,845 21 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $1,147 – $53,881 · median $25,829 21 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $1,147 – $37,217 · median $18,280 21 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $1,147 – $29,445 · median $14,760 21 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $1,147 – $53,207 · median $25,524 21 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $1,147 – $26,472 · median $13,413 21 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $1,147 – $17,438 · median $9,453 21 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $1,147 – $44,271 · median $21,476 21 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $1,147 – $29,567 · median $14,815 21 plans
500 SOFT TISSUE PROCEDURES WITH MCC $1,147 – $46,443 · median $22,460 21 plans
501 SOFT TISSUE PROCEDURES WITH CC $1,147 – $25,653 · median $13,042 21 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $1,147 – $19,751 · median $10,368 21 plans
503 FOOT PROCEDURES WITH MCC $1,147 – $40,959 · median $19,976 21 plans
504 FOOT PROCEDURES WITH CC $1,147 – $27,430 · median $13,847 21 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $1,147 – $26,309 · median $13,339 21 plans
506 MAJOR THUMB OR JOINT PROCEDURES $1,147 – $19,165 · median $10,390 21 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $1,147 – $26,509 · median $13,429 21 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $1,147 – $22,224 · median $11,488 21 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $1,147 – $44,326 · median $21,501 21 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $1,147 – $30,515 · median $15,244 21 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $1,147 – $24,293 · median $12,425 21 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $1,147 – $23,103 · median $11,886 21 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $1,147 – $15,156 · median $8,216 21 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $1,147 – $46,768 · median $22,607 21 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $1,147 – $30,496 · median $15,236 21 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $1,147 – $22,551 · median $11,636 21 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $1,147 – $54,845 · median $26,266 21 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $1,147 – $29,353 · median $14,718 21 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $1,147 – $21,923 · median $11,352 21 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $1,147 – $42,120 · median $20,502 21 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $1,147 – $31,077 · median $15,499 21 plans
533 FRACTURES OF FEMUR WITH MCC $1,147 – $23,006 · median $11,842 21 plans
534 FRACTURES OF FEMUR WITHOUT MCC $1,147 – $12,505 · median $6,779 21 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $1,147 – $18,813 · median $9,943 21 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $1,147 – $12,523 · median $6,789 21 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $1,147 – $14,323 · median $7,764 21 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $1,004 – $11,453 · median $6,209 21 plans
539 OSTEOMYELITIS WITH MCC $1,147 – $28,905 · median $14,515 21 plans
540 OSTEOMYELITIS WITH CC $1,147 – $19,023 · median $10,038 21 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $1,147 – $12,276 · median $6,655 21 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $1,147 – $25,923 · median $13,164 21 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $1,147 – $15,226 · median $8,254 21 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $1,147 – $11,874 · median $6,437 21 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $1,147 – $36,419 · median $17,919 21 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $1,147 – $16,926 · median $9,088 21 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,147 – $12,874 · median $6,979 21 plans
548 SEPTIC ARTHRITIS WITH MCC $1,147 – $28,336 · median $14,257 21 plans
549 SEPTIC ARTHRITIS WITH CC $1,147 – $17,716 · median $9,446 21 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $1,147 – $13,339 · median $7,231 21 plans
551 MEDICAL BACK PROBLEMS WITH MCC $1,147 – $24,597 · median $12,563 21 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $1,147 – $14,408 · median $7,811 21 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $1,147 – $19,023 · median $10,038 21 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $1,147 – $12,799 · median $6,939 21 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,147 – $19,397 · median $10,208 21 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $1,044 – $12,806 · median $6,942 21 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $1,147 – $21,820 · median $11,305 21 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $1,147 – $13,573 · median $7,358 21 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,147 – $27,367 · median $13,818 21 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,147 – $16,525 · median $8,906 21 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,147 – $12,478 · median $6,764 21 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $1,147 – $20,909 · median $10,892 21 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $1,147 – $13,601 · median $7,373 21 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $1,147 – $22,652 · median $11,682 21 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $1,147 – $14,569 · median $7,898 21 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,147 – $11,809 · median $6,401 21 plans
570 SKIN DEBRIDEMENT WITH MCC $1,147 – $43,160 · median $20,973 21 plans
571 SKIN DEBRIDEMENT WITH CC $1,147 – $24,793 · median $12,652 21 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $1,147 – $16,822 · median $9,041 21 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,147 – $96,141 · median $44,975 21 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $1,147 – $50,943 · median $24,498 21 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $1,147 – $24,657 · median $13,367 21 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,147 – $71,925 · median $34,004 21 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $1,147 – $38,899 · median $19,042 21 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $1,147 – $23,574 · median $12,100 21 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $1,147 – $47,525 · median $22,950 21 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $1,147 – $25,358 · median $12,908 21 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $1,147 – $21,177 · median $11,014 21 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $1,147 – $28,273 · median $14,228 21 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $1,147 – $25,305 · median $12,884 21 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $1,147 – $31,415 · median $15,652 21 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $1,147 – $28,309 · median $14,245 21 plans
592 SKIN ULCERS WITH MCC $1,147 – $28,400 · median $14,286 21 plans
593 SKIN ULCERS WITH CC $1,147 – $17,409 · median $9,307 21 plans
594 SKIN ULCERS WITHOUT CC/MCC $1,147 – $13,249 · median $7,183 21 plans
595 MAJOR SKIN DISORDERS WITH MCC $1,147 – $31,121 · median $15,519 21 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $1,114 – $15,895 · median $8,617 21 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $1,147 – $24,465 · median $12,503 21 plans
598 MALIGNANT BREAST DISORDERS WITH CC $1,147 – $16,602 · median $8,941 21 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,147 – $12,055 · median $6,535 21 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $1,147 – $15,393 · median $8,345 21 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,142 – $10,039 · median $5,442 21 plans
602 CELLULITIS WITH MCC $1,147 – $20,857 · median $10,869 21 plans
603 CELLULITIS WITHOUT MCC $1,071 – $13,300 · median $7,210 21 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $1,147 – $21,603 · median $11,207 21 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $1,123 – $13,853 · median $7,510 21 plans
606 MINOR SKIN DISORDERS WITH MCC $1,147 – $22,206 · median $11,480 21 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $1,041 – $13,735 · median $7,446 21 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $1,147 – $32,165 · median $15,991 21 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $1,147 – $20,535 · median $10,723 21 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $1,147 – $51,177 · median $24,605 21 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $1,147 – $27,447 · median $13,854 21 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,147 – $20,813 · median $10,849 21 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $1,147 – $42,372 · median $20,616 21 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $1,147 – $23,484 · median $12,059 21 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $1,147 – $22,136 · median $11,448 21 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $1,147 – $52,231 · median $25,082 21 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $1,147 – $26,325 · median $13,346 21 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,147 – $18,372 · median $9,743 21 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $1,147 – $44,320 · median $21,498 21 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $1,147 – $22,004 · median $11,388 21 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $1,147 – $19,493 · median $10,251 21 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $1,147 – $54,691 · median $26,196 21 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $1,147 – $31,974 · median $15,905 21 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $1,147 – $21,418 · median $11,123 21 plans
637 DIABETES WITH MCC $1,147 – $21,083 · median $10,971 21 plans
638 DIABETES WITH CC $1,147 – $13,610 · median $7,378 21 plans
639 DIABETES WITHOUT CC/MCC $930 – $10,238 · median $5,550 21 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $1,147 – $19,600 · median $10,299 21 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $1,041 – $12,163 · median $6,594 21 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $1,147 – $20,869 · median $10,874 21 plans
643 ENDOCRINE DISORDERS WITH MCC $1,147 – $24,156 · median $12,364 21 plans
644 ENDOCRINE DISORDERS WITH CC $1,147 – $15,190 · median $8,234 21 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $1,147 – $12,042 · median $6,528 21 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $1,147 – $68,993 · median $32,676 21 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $1,147 – $54,382 · median $26,057 21 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $1,147 – $76,257 · median $35,966 21 plans
654 MAJOR BLADDER PROCEDURES WITH CC $1,147 – $41,080 · median $20,030 21 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $1,147 – $31,061 · median $15,491 21 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $1,147 – $46,722 · median $22,586 21 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $1,147 – $26,855 · median $13,586 21 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $1,147 – $22,773 · median $11,737 21 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $1,147 – $37,288 · median $18,312 21 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $1,147 – $19,396 · median $10,207 21 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $1,147 – $15,317 · median $8,304 21 plans
662 MINOR BLADDER PROCEDURES WITH MCC $1,147 – $44,927 · median $21,773 21 plans
663 MINOR BLADDER PROCEDURES WITH CC $1,147 – $22,309 · median $11,527 21 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $1,147 – $15,458 · median $8,380 21 plans
665 PROSTATECTOMY WITH MCC $1,147 – $45,803 · median $22,170 21 plans
666 PROSTATECTOMY WITH CC $1,147 – $25,671 · median $13,050 21 plans
667 PROSTATECTOMY WITHOUT CC/MCC $1,147 – $16,233 · median $8,774 21 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $1,147 – $42,851 · median $20,833 21 plans
669 TRANSURETHRAL PROCEDURES WITH CC $1,147 – $22,776 · median $11,738 21 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $1,147 – $14,605 · median $7,917 21 plans
671 URETHRAL PROCEDURES WITH CC/MCC $1,147 – $26,342 · median $13,353 21 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $1,147 – $15,858 · median $8,597 21 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $1,147 – $61,658 · median $29,353 21 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $1,147 – $34,319 · median $16,967 21 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $1,147 – $24,087 · median $12,332 21 plans
682 RENAL FAILURE WITH MCC $1,147 – $21,734 · median $11,266 21 plans
683 RENAL FAILURE WITH CC $1,147 – $13,360 · median $7,242 21 plans
684 RENAL FAILURE WITHOUT CC/MCC $1,147 – $9,981 · median $5,411 21 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $1,147 – $26,469 · median $13,411 21 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $1,147 – $15,469 · median $8,386 21 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $1,147 – $12,311 · median $6,674 21 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $1,147 – $17,027 · median $9,134 21 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $986 – $12,547 · median $6,802 21 plans
693 URINARY STONES WITH MCC $1,147 – $19,730 · median $10,358 21 plans
694 URINARY STONES WITHOUT MCC $1,147 – $12,206 · median $6,617 21 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $1,147 – $16,785 · median $9,024 21 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $1,142 – $11,069 · median $6,001 21 plans
697 URETHRAL STRICTURE $1,147 – $15,837 · median $8,585 21 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $1,147 – $24,278 · median $12,419 21 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $1,147 – $15,067 · median $8,168 21 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $1,147 – $11,080 · median $6,007 21 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $1,147 – $29,354 · median $14,718 21 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $1,147 – $22,514 · median $11,620 21 plans
709 PENIS PROCEDURES WITH CC/MCC $1,147 – $34,150 · median $16,891 21 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $1,147 – $20,563 · median $10,735 21 plans
711 TESTES PROCEDURES WITH CC/MCC $1,147 – $30,580 · median $15,273 21 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $1,147 – $16,138 · median $8,731 21 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $1,147 – $22,062 · median $11,415 21 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $1,147 – $15,587 · median $8,450 21 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $1,147 – $32,832 · median $16,294 21 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $1,147 – $21,587 · median $11,199 21 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $1,147 – $27,743 · median $13,988 21 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $1,147 – $19,710 · median $10,349 21 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $1,147 – $26,557 · median $13,451 21 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $1,147 – $16,769 · median $9,017 21 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,147 – $10,661 · median $5,779 21 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $1,147 – $17,173 · median $9,200 21 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $1,147 – $11,474 · median $6,220 21 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $1,147 – $21,761 · median $11,279 21 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $1,008 – $12,568 · median $6,813 21 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $1,147 – $15,603 · median $8,458 21 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,147 – $10,861 · median $5,888 21 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $1,147 – $31,258 · median $15,581 21 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $1,147 – $19,745 · median $10,365 21 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $1,147 – $52,456 · median $25,184 21 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $1,147 – $30,239 · median $15,119 21 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,147 – $21,550 · median $11,183 21 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $1,147 – $51,748 · median $25,239 21 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $1,147 – $26,556 · median $13,451 21 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,147 – $20,928 · median $10,901 21 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $1,147 – $26,926 · median $13,618 21 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $1,147 – $18,207 · median $9,668 21 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $1,147 – $30,070 · median $15,043 21 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $1,147 – $16,693 · median $8,982 21 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $1,147 – $25,492 · median $12,969 21 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $1,147 – $13,162 · median $7,135 21 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $1,147 – $20,359 · median $10,643 21 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $1,147 – $37,679 · median $18,490 21 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,147 – $21,657 · median $11,231 21 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,147 – $27,027 · median $13,664 21 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,147 – $15,963 · median $8,652 21 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,147 – $14,399 · median $7,806 21 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,147 – $21,013 · median $10,940 21 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,147 – $14,625 · median $7,929 21 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,047 – $10,758 · median $5,832 21 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $1,147 – $14,975 · median $8,118 21 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $1,147 – $9,616 · median $5,213 21 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $1,147 – $15,761 · median $8,295 21 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $1,147 – $24,798 · median $12,654 21 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $1,147 – $14,916 · median $8,086 21 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $863 – $10,648 · median $5,773 21 plans
779 ABORTION WITHOUT D&C $942 – $12,937 · median $7,013 21 plans
799 SPLENIC PROCEDURES WITH MCC $1,147 – $66,461 · median $31,529 21 plans
800 SPLENIC PROCEDURES WITH CC $1,147 – $41,228 · median $20,097 21 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $1,147 – $28,013 · median $14,111 21 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $1,147 – $58,466 · median $27,907 21 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $1,147 – $27,279 · median $13,778 21 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $1,147 – $19,899 · median $10,435 21 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $1,147 – $32,401 · median $16,098 21 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $1,147 – $18,577 · median $9,836 21 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $1,147 – $15,454 · median $8,378 21 plans
811 RED BLOOD CELL DISORDERS WITH MCC $1,147 – $20,608 · median $10,756 21 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $1,147 – $13,880 · median $7,524 21 plans
813 COAGULATION DISORDERS $1,147 – $22,384 · median $11,560 21 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $1,147 – $31,209 · median $15,559 21 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $1,147 – $15,055 · median $8,161 21 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $1,147 – $10,370 · median $5,622 21 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $1,147 – $30,600 · median $16,588 21 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $1,147 – $16,835 · median $9,127 21 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,147 – $13,165 · median $7,137 21 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $1,147 – $86,066 · median $40,410 21 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $1,147 – $32,851 · median $16,303 21 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,147 – $17,669 · median $9,424 21 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $1,147 – $67,282 · median $31,900 21 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $1,147 – $33,248 · median $16,482 21 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $1,147 – $19,802 · median $10,391 21 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $1,147 – $68,646 · median $32,519 21 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $1,147 – $33,917 · median $16,785 21 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,147 – $25,003 · median $12,747 21 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $1,147 – $46,373 · median $22,428 21 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $1,147 – $22,086 · median $11,425 21 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $1,147 – $17,647 · median $9,414 21 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $1,147 – $11,469 · median $6,217 21 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,102 – $9,032 · median $4,896 21 plans
834 ACUTE LEUKEMIA WITH MCC $1,147 – $80,564 · median $37,918 21 plans
835 ACUTE LEUKEMIA WITH CC $1,147 – $30,609 · median $15,287 21 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $1,147 – $17,896 · median $9,527 21 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $1,147 – $70,503 · median $33,360 21 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $1,147 – $30,632 · median $15,297 21 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,147 – $21,189 · median $11,019 21 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $1,147 – $47,472 · median $22,926 21 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $1,147 – $23,941 · median $12,266 21 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $1,147 – $15,011 · median $8,137 21 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $1,147 – $29,274 · median $14,682 21 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $1,147 – $17,865 · median $9,513 21 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $1,147 – $13,063 · median $7,082 21 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $1,147 – $38,045 · median $18,655 21 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $1,147 – $19,198 · median $10,117 21 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,147 – $13,036 · median $7,067 21 plans
849 RADIOTHERAPY $1,147 – $39,762 · median $19,433 21 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $1,147 – $127,078 · median $58,990 21 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $1,147 – $72,474 · median $34,253 21 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $1,147 – $29,322 · median $14,704 21 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,147 – $21,971 · median $11,374 21 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $1,147 – $66,752 · median $31,660 21 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $1,147 – $31,426 · median $15,657 21 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $1,147 – $20,441 · median $10,680 21 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $1,147 – $26,763 · median $13,544 21 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $1,147 – $14,857 · median $8,054 21 plans
864 FEVER AND INFLAMMATORY CONDITIONS $1,040 – $13,506 · median $7,322 21 plans
865 VIRAL ILLNESS WITH MCC $1,147 – $21,987 · median $11,381 21 plans
866 VIRAL ILLNESS WITHOUT MCC $817 – $13,284 · median $7,201 21 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $1,147 – $30,718 · median $15,336 21 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $1,147 – $15,264 · median $8,275 21 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $967 – $11,568 · median $6,271 21 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $1,147 – $101,430 · median $47,371 21 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $1,147 – $28,506 · median $14,334 21 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $1,147 – $15,169 · median $8,223 21 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $1,147 – $61,585 · median $29,320 21 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $1,147 – $28,095 · median $14,148 21 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $1,147 – $17,164 · median $9,196 21 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $1,147 – $53,903 · median $25,839 21 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $1,147 – $21,012 · median $11,282 21 plans
906 HAND PROCEDURES FOR INJURIES $1,147 – $26,709 · median $14,479 21 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $1,147 – $56,342 · median $26,944 21 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $1,147 – $29,279 · median $14,684 21 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $1,147 – $19,264 · median $10,147 21 plans
913 TRAUMATIC INJURY WITH MCC $1,147 – $23,988 · median $12,287 21 plans
914 TRAUMATIC INJURY WITHOUT MCC $1,143 – $13,479 · median $7,307 21 plans
915 ALLERGIC REACTIONS WITH MCC $1,147 – $24,677 · median $12,600 21 plans
916 ALLERGIC REACTIONS WITHOUT MCC $719 – $10,791 · median $5,850 21 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $1,147 – $23,016 · median $11,847 21 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $859 – $13,131 · median $7,118 21 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $1,147 – $26,867 · median $13,591 21 plans
920 COMPLICATIONS OF TREATMENT WITH CC $1,147 – $14,911 · median $8,083 21 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,147 – $11,062 · median $5,997 21 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $1,147 – $25,672 · median $13,050 21 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $1,042 – $15,100 · median $8,186 21 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $1,147 – $270,462 · median $143,362 21 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $1,147 – $105,259 · median $49,105 21 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $1,147 – $47,265 · median $22,832 21 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $1,147 – $56,010 · median $27,309 21 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $1,147 – $32,440 · median $16,116 21 plans
935 NON-EXTENSIVE BURNS $1,147 – $30,230 · median $15,115 21 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $1,147 – $53,248 · median $25,543 21 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $1,147 – $34,294 · median $16,956 21 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $1,147 – $29,756 · median $14,900 21 plans
945 REHABILITATION WITH CC/MCC $400 – $22,726 · median $11,602 21 plans
946 REHABILITATION WITHOUT CC/MCC $400 – $16,829 · median $8,956 21 plans
947 SIGNS AND SYMPTOMS WITH MCC $1,147 – $18,628 · median $9,859 21 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,041 – $12,436 · median $6,742 21 plans
949 AFTERCARE WITH CC/MCC $1,147 – $17,459 · median $9,329 21 plans
950 AFTERCARE WITHOUT CC/MCC $1,147 – $10,317 · median $5,593 21 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,147 – $9,438 · median $5,116 21 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $1,147 – $98,778 · median $46,169 21 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $1,147 – $55,222 · median $26,437 21 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $1,147 – $111,822 · median $52,078 21 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $1,147 – $61,839 · median $29,435 21 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $1,147 – $43,204 · median $20,993 21 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $1,147 – $40,118 · median $19,595 21 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $1,147 – $22,491 · median $11,609 21 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $1,147 – $14,153 · median $7,673 21 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $1,147 – $89,830 · median $42,115 21 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $1,147 – $38,704 · median $18,954 21 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $1,147 – $42,352 · median $20,607 21 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $1,147 – $19,004 · median $10,029 21 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $1,147 – $13,690 · median $7,421 21 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $1,147 – $18,602 · median $10,047 21 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $1,147 – $68,852 · median $32,612 21 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $1,147 – $36,078 · median $17,764 21 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,147 – $25,153 · median $12,815 21 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $1,147 – $50,312 · median $24,213 21 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $1,147 – $24,120 · median $12,347 21 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,147 – $17,598 · median $9,392 21 plans
652 KIDNEY TRANSPLANT $1,147 – $47,393 · median $22,890 19 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $1,147 – $176,362 · median $81,317 18 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $1,147 – $87,018 · median $40,842 18 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $1,147 – $71,002 · median $37,535 18 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $1,147 – $97,254 · median $48,852 18 plans
209 COMPLEX AORTIC ARCH PROCEDURES $1,147 – $166,103 · median $76,669 18 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $1,147 – $83,748 · median $39,360 18 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $1,147 – $35,546 · median $17,523 18 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $1,147 – $50,461 · median $24,280 18 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $1,147 – $35,430 · median $17,471 18 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $1,147 – $28,855 · median $14,492 18 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $1,147 – $20,774 · median $10,831 18 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,147 – $56,717 · median $27,114 17 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,147 – $14,395 · median $7,804 17 plans
881 DEPRESSIVE NEUROSES $1,147 – $14,158 · median $7,675 17 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,147 – $15,788 · median $8,559 17 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,147 – $23,611 · median $12,116 17 plans
885 PSYCHOSES $1,147 – $20,498 · median $10,706 17 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,147 – $30,455 · median $15,217 17 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,147 – $15,752 · median $8,540 17 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $1,147 – $10,185 · median $5,521 17 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $1,147 – $25,609 · median $13,022 17 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,147 – $13,446 · median $7,289 17 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $1,147 – $411,249 · median $187,727 16 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $1,147 – $166,293 · median $76,756 16 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $1,147 – $151,306 · median $69,966 16 plans
006 LIVER TRANSPLANT WITHOUT MCC $1,147 – $68,048 · median $32,248 16 plans
007 LUNG TRANSPLANT $1,147 – $190,043 · median $87,515 16 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $1,147 – $82,247 · median $38,680 16 plans
010 PANCREAS TRANSPLANT $1,147 – $90,619 · median $48,410 16 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,147 – $1,147 · median $1,147 1 plans
999 UNGROUPABLE $1,147 – $1,147 · median $1,147 1 plans
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