CommonSpirit Holy Cross Hospital - Salt Lake — Pricing

793 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 793 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 793
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 793 procedures

Procedures with negotiated rates only

These 793 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
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $3,428 – $25,514 · median $8,158 26 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $3,428 – $42,871 · median $18,377 26 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $3,428 – $25,205 · median $8,073 26 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,428 – $20,329 · median $7,317 26 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $3,428 – $37,607 · median $12,426 26 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $3,428 – $24,711 · median $8,491 26 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $3,428 – $21,055 · median $7,324 26 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $3,428 – $29,710 · median $8,862 26 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $3,428 – $22,533 · median $7,632 26 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $3,428 – $22,533 · median $7,312 26 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $3,428 – $23,226 · median $8,214 26 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $3,428 – $16,840 · median $5,812 26 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $3,428 – $14,832 · median $5,222 26 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $19,294 – $74,519 · median $29,052 25 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,940 – $54,567 · median $18,121 25 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,268 – $50,536 · median $16,938 25 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $4,245 – $224,610 · median $76,392 24 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $4,245 – $167,395 · median $51,265 24 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $4,245 – $167,395 · median $49,149 24 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $4,245 – $180,075 · median $60,660 24 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $4,245 – $145,875 · median $41,846 24 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $4,245 – $139,341 · median $37,837 24 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $4,245 – $167,269 · median $39,119 24 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $4,245 – $128,359 · median $27,989 24 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $4,245 – $197,213 · median $66,499 24 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $4,245 – $156,570 · median $47,919 24 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $4,245 – $181,911 · median $60,866 24 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $4,245 – $131,138 · median $42,424 24 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $4,245 – $136,943 · median $46,269 24 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $4,245 – $95,701 · median $32,694 24 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $4,245 – $145,125 · median $29,177 24 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $4,245 – $92,156 · median $22,082 24 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $4,245 – $73,320 · median $17,717 24 plans
245 AICD GENERATOR PROCEDURES $4,245 – $113,731 · median $37,296 24 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $4,245 – $65,950 · median $22,739 24 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $4,245 – $62,742 · median $15,356 24 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $4,245 – $100,267 · median $29,337 24 plans
253 OTHER VASCULAR PROCEDURES WITH CC $4,245 – $91,600 · median $24,857 24 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $4,245 – $71,695 · median $16,960 24 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $4,245 – $65,292 · median $26,796 24 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $4,245 – $40,907 · median $17,562 24 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $4,245 – $79,272 · median $29,236 24 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $4,245 – $52,436 · median $18,395 24 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $4,245 – $57,169 · median $14,924 24 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $4,245 – $155,175 · median $53,254 24 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $4,245 – $96,832 · median $33,023 24 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $4,245 – $133,514 · median $40,957 24 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $4,245 – $114,752 · median $29,395 24 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $4,245 – $95,990 · median $24,023 24 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $3,249 – $57,141 · median $15,914 24 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $3,249 – $44,815 · median $9,830 24 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,249 – $37,786 · median $8,122 24 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,245 – $34,395 · median $8,333 24 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,245 – $30,626 · median $5,913 24 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $4,245 – $54,565 · median $20,325 24 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $3,249 – $36,848 · median $11,115 24 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $4,909 – $41,554 · median $17,511 24 plans
103 HEADACHES WITHOUT MCC $6,354 – $30,140 · median $9,404 23 plans
176 PULMONARY EMBOLISM WITHOUT MCC $6,125 – $30,140 · median $9,105 23 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,272 – $30,381 · median $13,753 23 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,132 – $30,140 · median $9,178 23 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,835 – $30,140 · median $6,984 23 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,138 – $30,140 · median $7,757 23 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $20,336 – $65,247 · median $30,140 23 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $30,140 – $91,004 · median $32,526 23 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $24,307 – $72,635 · median $30,140 23 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $14,722 – $58,169 · median $22,007 23 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $20,026 – $70,526 · median $28,946 23 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $12,719 – $47,449 · median $16,496 23 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,037 – $45,371 · median $11,109 23 plans
291 HEART FAILURE AND SHOCK WITH MCC $9,626 – $44,673 · median $14,332 23 plans
292 HEART FAILURE AND SHOCK WITH CC $6,447 – $30,140 · median $9,561 23 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $30,140 – $229,996 · median $42,247 23 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,955 – $37,086 · median $17,831 23 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $30,140 – $141,105 · median $38,195 23 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $17,766 – $69,026 · median $26,480 23 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,912 – $31,191 · median $14,130 23 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,410 – $30,140 · median $10,982 23 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,217 – $30,140 · median $6,209 23 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,939 – $30,140 · median $8,770 23 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,081 – $30,140 · median $10,459 23 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,607 – $41,465 · median $18,248 23 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $10,225 – $30,665 · median $14,659 23 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,390 – $30,140 · median $9,547 23 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $30,140 – $142,819 · median $41,039 23 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $19,688 – $75,451 · median $31,773 23 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $30,140 – $118,567 · median $42,377 23 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $26,024 – $83,544 · median $31,849 23 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $20,331 – $79,721 · median $29,801 23 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $22,417 – $76,072 · median $30,140 23 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $14,342 – $50,361 · median $21,395 23 plans
471 CERVICAL SPINAL FUSION WITH MCC $9,005 – $113,044 · median $35,911 23 plans
472 CERVICAL SPINAL FUSION WITH CC $9,005 – $84,975 · median $24,099 23 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $9,005 – $55,097 · median $22,122 23 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $20,506 – $81,504 · median $27,731 23 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $23,834 – $74,923 · median $30,140 23 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $15,528 – $58,363 · median $22,419 23 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,691 – $36,776 · median $17,246 23 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $13,173 – $47,478 · median $22,301 23 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,405 – $40,245 · median $13,816 23 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $26,749 – $81,935 · median $30,140 23 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $13,429 – $61,334 · median $22,186 23 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,074 – $48,178 · median $15,234 23 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $21,002 – $58,762 · median $28,650 23 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $9,656 – $30,140 · median $15,125 23 plans
506 MAJOR THUMB OR JOINT PROCEDURES $10,104 – $48,890 · median $16,327 23 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $13,447 – $56,737 · median $21,993 23 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $10,735 – $53,510 · median $14,644 23 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $9,005 – $83,410 · median $29,812 23 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $9,005 – $50,013 · median $16,402 23 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $9,005 – $37,738 · median $11,921 23 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $21,225 – $74,059 · median $30,140 23 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $15,723 – $59,432 · median $23,578 23 plans
603 CELLULITIS WITHOUT MCC $6,607 – $30,140 · median $9,876 23 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $22,321 – $66,726 · median $30,140 23 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,202 – $35,126 · median $16,654 23 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,951 – $30,140 · median $13,797 23 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $30,140 – $129,738 · median $46,370 23 plans
654 MAJOR BLADDER PROCEDURES WITH CC $20,706 – $83,304 · median $30,140 23 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $15,715 – $53,146 · median $23,529 23 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $13,619 – $49,804 · median $20,587 23 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $11,585 – $36,765 · median $16,526 23 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $18,817 – $88,580 · median $28,900 23 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,903 – $44,979 · median $15,024 23 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,810 – $33,849 · median $11,649 23 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,894 – $30,140 · median $11,851 23 plans
683 RENAL FAILURE WITH CC $6,643 – $30,140 · median $10,056 23 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,158 – $30,140 · median $9,007 23 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $14,865 – $45,164 · median $21,901 23 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $11,457 – $34,502 · median $16,281 23 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $16,597 – $52,557 · median $24,642 23 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,995 – $33,031 · median $15,876 23 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $14,062 – $43,183 · median $20,246 23 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $15,813 – $48,938 · median $23,860 23 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $10,077 – $30,140 · median $13,774 23 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,976 – $35,303 · median $15,233 23 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $26,435 – $96,191 · median $33,113 23 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $13,470 – $42,317 · median $19,948 23 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,666 – $31,968 · median $14,504 23 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $13,654 – $42,513 · median $19,891 23 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,311 – $30,140 · median $12,971 23 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $10,383 – $31,705 · median $15,458 23 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $19,012 – $60,329 · median $28,100 23 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,726 – $30,140 · median $14,632 23 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $3,090 – $41,952 · median $13,554 23 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $4,161 – $138,353 · median $44,146 23 plans
791 PREMATURITY WITH MAJOR PROBLEMS $3,090 – $94,486 · median $30,225 23 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $3,090 – $57,012 · median $18,334 23 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $3,090 – $97,060 · median $31,042 23 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $3,090 – $34,356 · median $11,144 23 plans
795 NORMAL NEWBORN $959 – $30,140 · median $1,718 23 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $30,140 – $130,272 · median $41,601 23 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $14,442 – $51,239 · median $22,132 23 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,721 – $36,720 · median $11,497 23 plans
946 REHABILITATION WITHOUT CC/MCC $1,631 – $25,984 · median $8,713 23 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $4,245 – $246,573 · median $73,793 22 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $29,635 – $160,235 · median $31,341 22 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $30,140 – $316,284 · median $84,394 22 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $30,140 – $231,316 · median $56,322 22 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $30,140 – $160,235 · median $43,777 22 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $30,140 – $316,284 · median $68,086 22 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $30,140 – $161,135 · median $44,173 22 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $30,140 – $200,180 · median $52,684 22 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $30,140 – $128,721 · median $32,767 22 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $30,140 – $200,180 · median $41,225 22 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $23,858 – $128,721 · median $27,905 22 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $9,005 – $315,541 · median $62,316 22 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $9,005 – $209,707 · median $44,290 22 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $9,005 – $148,645 · median $31,064 22 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,562 – $30,140 · median $7,335 22 plans
881 DEPRESSIVE NEUROSES $1,562 – $30,140 · median $7,192 22 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,562 – $30,140 · median $8,174 22 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $1,562 – $43,146 · median $14,767 22 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,562 – $38,871 · median $12,127 22 plans
885 PSYCHOSES $1,562 – $32,806 · median $10,560 22 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,562 – $41,810 · median $15,572 22 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,562 – $30,140 · median $8,152 22 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,197 – $30,140 · median $4,799 22 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $3,197 – $33,697 · median $10,699 22 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $3,197 – $41,445 · median $13,133 22 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $3,197 – $30,140 · median $6,763 22 plans
945 REHABILITATION WITH CC/MCC $2,061 – $35,526 · median $11,681 22 plans
100 SEIZURES WITH MCC $14,400 – $46,204 · median $16,514 21 plans
101 SEIZURES WITHOUT MCC $6,839 – $30,140 · median $7,667 21 plans
102 HEADACHES WITH MCC $8,435 – $30,140 · median $9,645 21 plans
113 ORBITAL PROCEDURES WITH CC/MCC $17,429 – $52,518 · median $18,770 21 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $9,833 – $30,140 · median $10,236 21 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $11,462 – $35,631 · median $12,735 21 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $13,459 – $38,833 · median $13,879 21 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,172 – $30,140 · median $8,972 21 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,745 – $30,140 · median $9,676 21 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,642 – $30,140 · median $6,046 21 plans
123 NEUROLOGICAL EYE DISORDERS $6,078 – $30,140 · median $6,681 21 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,913 – $30,346 · median $10,846 21 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,853 – $30,140 · median $6,868 21 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $16,105 – $56,114 · median $20,056 21 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,663 – $30,140 · median $8,137 21 plans
137 MOUTH PROCEDURES WITH CC/MCC $11,157 – $32,550 · median $11,634 21 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,719 – $30,140 · median $6,788 21 plans
139 SALIVARY GLAND PROCEDURES $9,274 – $31,954 · median $11,421 21 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $30,140 – $98,426 · median $31,749 21 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $16,186 – $50,002 · median $17,871 21 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,911 – $36,594 · median $13,079 21 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $27,465 – $76,845 · median $27,917 21 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,909 – $40,884 · median $14,612 21 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $9,030 – $30,140 · median $9,855 21 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $15,721 – $53,391 · median $19,082 21 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,536 – $30,140 · median $10,354 21 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,067 – $30,140 · median $6,660 21 plans
149 DYSEQUILIBRIUM $5,735 – $30,140 · median $6,218 21 plans
150 EPISTAXIS WITH MCC $9,975 – $32,168 · median $11,497 21 plans
151 EPISTAXIS WITHOUT MCC $5,606 – $30,140 · median $6,305 21 plans
152 OTITIS MEDIA AND URI WITH MCC $8,883 – $30,140 · median $9,439 21 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,637 – $30,140 · median $5,920 21 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,671 – $37,849 · median $13,528 21 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,940 – $30,140 · median $7,766 21 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,292 – $30,140 · median $5,593 21 plans
157 DENTAL AND ORAL DISEASES WITH MCC $12,792 – $38,110 · median $13,621 21 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,891 – $30,140 · median $7,824 21 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,420 – $30,140 · median $5,487 21 plans
163 MAJOR CHEST PROCEDURES WITH MCC $30,140 – $107,270 · median $33,348 21 plans
164 MAJOR CHEST PROCEDURES WITH CC $18,694 – $58,578 · median $20,936 21 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $14,235 – $43,381 · median $15,505 21 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $27,567 – $89,608 · median $30,140 21 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $13,425 – $42,524 · median $15,199 21 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,230 – $31,509 · median $11,262 21 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $22,001 – $71,416 · median $25,525 21 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,282 – $32,794 · median $11,721 21 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,665 – $37,621 · median $13,446 21 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,375 – $30,140 · median $8,252 21 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,760 – $30,140 · median $6,402 21 plans
180 RESPIRATORY NEOPLASMS WITH MCC $13,151 – $40,677 · median $14,538 21 plans
181 RESPIRATORY NEOPLASMS WITH CC $8,070 – $30,140 · median $9,235 21 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,751 – $30,140 · median $6,966 21 plans
183 MAJOR CHEST TRAUMA WITH MCC $11,425 – $36,941 · median $13,203 21 plans
184 MAJOR CHEST TRAUMA WITH CC $8,019 – $30,140 · median $8,884 21 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,990 – $30,140 · median $6,469 21 plans
186 PLEURAL EFFUSION WITH MCC $11,634 – $36,771 · median $13,142 21 plans
187 PLEURAL EFFUSION WITH CC $7,471 – $30,140 · median $8,351 21 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,483 – $30,140 · median $6,107 21 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,338 – $30,140 · median $9,341 21 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,403 – $30,140 · median $7,146 21 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,933 – $30,140 · median $5,383 21 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,850 – $30,667 · median $10,961 21 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $14,038 – $43,849 · median $15,672 21 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,179 – $30,140 · median $8,235 21 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,476 – $30,140 · median $5,826 21 plans
199 PNEUMOTHORAX WITH MCC $13,138 – $41,084 · median $14,684 21 plans
200 PNEUMOTHORAX WITH CC $8,277 – $30,140 · median $9,212 21 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,468 – $30,140 · median $5,632 21 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,340 – $30,140 · median $8,041 21 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,143 – $30,140 · median $6,746 21 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $13,627 – $43,935 · median $15,703 21 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,120 – $30,140 · median $7,534 21 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $30,140 – $150,511 · median $47,774 21 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $30,140 – $253,534 · median $80,567 21 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $30,140 – $117,224 · median $36,598 21 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $21,081 – $67,776 · median $24,224 21 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $10,361 – $35,140 · median $12,559 21 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $19,961 – $60,894 · median $21,764 21 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,654 – $39,417 · median $14,088 21 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,419 – $30,140 · median $8,310 21 plans
263 VEIN LIGATION AND STRIPPING $22,310 – $62,421 · median $22,826 21 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $24,664 – $81,341 · median $29,072 21 plans
265 AICD LEAD PROCEDURES $26,694 – $83,019 · median $29,672 21 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $30,140 – $204,432 · median $45,511 21 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $30,140 – $162,023 · median $35,409 21 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $30,140 – $164,470 · median $52,913 21 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $30,140 – $144,162 · median $44,612 21 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $30,140 – $108,264 · median $34,358 21 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $30,140 – $116,442 · median $41,359 21 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $26,607 – $74,576 · median $26,882 21 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,378 – $30,140 · median $4,564 21 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,659 – $38,130 · median $13,628 21 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,875 – $30,140 · median $5,859 21 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,567 – $30,140 · median $3,674 21 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $12,177 – $37,646 · median $13,455 21 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,044 – $30,140 · median $8,905 21 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,501 – $30,140 · median $5,934 21 plans
302 ATHEROSCLEROSIS WITH MCC $8,988 – $30,140 · median $9,676 21 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,161 – $30,140 · median $5,593 21 plans
304 HYPERTENSION WITH MCC $8,940 – $30,140 · median $9,772 21 plans
305 HYPERTENSION WITHOUT MCC $5,760 – $30,140 · median $6,244 21 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,761 – $34,849 · median $12,455 21 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,916 – $30,140 · median $7,706 21 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,042 – $30,140 · median $10,031 21 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,618 – $30,140 · median $6,150 21 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,378 – $30,140 · median $4,654 21 plans
311 ANGINA PECTORIS $5,371 – $30,140 · median $5,808 21 plans
312 SYNCOPE AND COLLAPSE $6,612 – $30,140 · median $7,247 21 plans
313 CHEST PAIN $5,504 – $30,140 · median $5,934 21 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $15,485 – $50,118 · median $17,913 21 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,283 – $30,140 · median $8,004 21 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,227 – $30,140 · median $5,679 21 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $30,140 – $102,234 · median $33,209 21 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $17,826 – $53,872 · median $19,255 21 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $20,132 – $66,254 · median $23,680 21 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $13,129 – $44,040 · median $15,049 21 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $30,140 – $99,129 · median $32,208 21 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $23,278 – $74,360 · median $26,577 21 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $23,712 – $66,610 · median $23,957 21 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $18,110 – $56,509 · median $20,197 21 plans
332 RECTAL RESECTION WITH MCC $26,712 – $80,727 · median $28,853 21 plans
333 RECTAL RESECTION WITH CC $17,364 – $49,462 · median $17,678 21 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,215 – $38,601 · median $13,796 21 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $26,348 – $84,327 · median $30,139 21 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $15,657 – $49,160 · median $17,570 21 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $11,462 – $35,726 · median $12,769 21 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $19,123 – $62,709 · median $22,413 21 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,241 – $34,647 · median $12,383 21 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $17,024 – $55,083 · median $19,687 21 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $9,809 – $30,140 · median $10,472 21 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,605 – $30,140 · median $7,327 21 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $18,459 – $56,290 · median $20,119 21 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $11,386 – $35,014 · median $12,514 21 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,778 – $30,140 · median $9,171 21 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $21,457 – $68,260 · median $24,397 21 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,540 – $39,590 · median $14,150 21 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,073 – $31,028 · median $11,090 21 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $30,140 – $99,276 · median $32,691 21 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $17,242 – $52,411 · median $18,732 21 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,460 – $31,537 · median $11,272 21 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,878 – $38,866 · median $13,891 21 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,552 – $30,140 · median $8,464 21 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,363 – $30,140 · median $5,806 21 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $13,203 – $40,681 · median $14,540 21 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,704 – $30,140 · median $8,562 21 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,558 – $30,140 · median $6,034 21 plans
374 DIGESTIVE MALIGNANCY WITH MCC $15,876 – $49,139 · median $17,563 21 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,083 – $30,140 · median $10,220 21 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,997 – $30,140 · median $7,345 21 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $13,605 – $42,315 · median $15,124 21 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,849 – $30,140 · median $5,296 21 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $14,586 – $44,784 · median $16,006 21 plans
381 COMPLICATED PEPTIC ULCER WITH CC $8,161 – $30,140 · median $9,059 21 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,093 – $30,140 · median $6,233 21 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $10,334 – $30,140 · median $10,516 21 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,489 – $30,140 · median $7,233 21 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,808 – $37,814 · median $13,515 21 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,378 – $30,140 · median $8,256 21 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,221 – $30,140 · median $5,576 21 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,037 – $34,209 · median $12,227 21 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,014 – $30,140 · median $6,668 21 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,513 – $30,140 · median $10,684 21 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,933 – $38,540 · median $13,775 21 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,985 – $30,140 · median $5,294 21 plans
397 APPENDIX PROCEDURES WITH MCC $17,750 – $57,666 · median $20,610 21 plans
398 APPENDIX PROCEDURES WITH CC $11,306 – $35,217 · median $12,587 21 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,609 – $30,140 · median $9,348 21 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $30,140 – $126,342 · median $40,652 21 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $21,444 – $65,360 · median $23,360 21 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $16,468 – $49,706 · median $17,766 21 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $26,309 – $81,486 · median $29,124 21 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $16,159 – $48,792 · median $17,439 21 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,848 – $36,099 · median $12,902 21 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $22,761 – $63,684 · median $24,643 21 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $15,612 – $49,609 · median $17,731 21 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,380 – $38,691 · median $13,829 21 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $26,287 – $81,544 · median $29,145 21 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $15,350 – $46,036 · median $16,454 21 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,207 – $31,889 · median $11,397 21 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $17,687 – $55,308 · median $19,768 21 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $25,150 – $82,142 · median $29,358 21 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,943 – $38,112 · median $13,622 21 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,472 – $34,197 · median $12,222 21 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $30,140 – $94,661 · median $30,919 21 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $16,236 – $53,139 · median $18,992 21 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,209 – $35,975 · median $12,858 21 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $14,630 – $45,594 · median $16,296 21 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,962 – $30,140 · median $8,899 21 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,449 – $30,140 · median $5,793 21 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $13,668 – $42,464 · median $15,177 21 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,509 – $30,140 · median $9,380 21 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,478 – $30,140 · median $6,545 21 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $12,159 – $38,719 · median $13,839 21 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,783 – $30,140 · median $5,116 21 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $13,361 – $43,995 · median $15,724 21 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,297 – $30,140 · median $8,037 21 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,355 – $30,140 · median $5,845 21 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $12,456 – $39,201 · median $14,011 21 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,241 – $30,140 · median $9,021 21 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,288 – $30,140 · median $6,632 21 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $30,140 – $125,697 · median $42,343 21 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $23,012 – $68,623 · median $24,526 21 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $13,573 – $40,404 · median $14,441 21 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $30,140 – $104,372 · median $31,953 21 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $16,878 – $50,207 · median $17,944 21 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,868 – $30,140 · median $9,675 21 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $25,498 – $80,036 · median $28,606 21 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $18,220 – $54,426 · median $19,452 21 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,831 – $41,328 · median $14,771 21 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $21,533 – $68,446 · median $24,463 21 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $15,553 – $48,289 · median $17,259 21 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $12,164 – $36,920 · median $13,196 21 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $27,084 – $82,647 · median $29,539 21 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $18,782 – $55,878 · median $19,972 21 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $14,910 – $43,879 · median $15,683 21 plans
500 SOFT TISSUE PROCEDURES WITH MCC $23,379 – $73,745 · median $26,357 21 plans
501 SOFT TISSUE PROCEDURES WITH CC $13,021 – $41,535 · median $14,845 21 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,080 – $32,517 · median $11,622 21 plans
503 FOOT PROCEDURES WITH MCC $20,646 – $61,594 · median $22,014 21 plans
504 FOOT PROCEDURES WITH CC $13,906 – $40,844 · median $14,598 21 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $13,347 – $40,844 · median $14,598 21 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $22,324 – $66,517 · median $23,774 21 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $15,443 – $45,643 · median $16,313 21 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $12,343 – $37,418 · median $13,374 21 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,750 – $35,040 · median $12,524 21 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,714 – $30,140 · median $8,481 21 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $23,540 – $71,969 · median $25,723 21 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $15,433 – $46,818 · median $16,733 21 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $11,475 – $34,740 · median $12,416 21 plans
533 FRACTURES OF FEMUR WITH MCC $11,702 – $35,489 · median $12,684 21 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,133 – $30,140 · median $6,771 21 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,613 – $30,951 · median $11,062 21 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,144 – $30,140 · median $6,745 21 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,217 – $30,140 · median $7,644 21 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,506 – $30,140 · median $5,586 21 plans
539 OSTEOMYELITIS WITH MCC $14,641 – $47,067 · median $16,822 21 plans
540 OSTEOMYELITIS WITH CC $9,717 – $30,140 · median $10,764 21 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,996 – $30,140 · median $7,277 21 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $13,155 – $43,406 · median $15,514 21 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,756 – $30,140 · median $8,825 21 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,757 – $30,140 · median $6,286 21 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $18,384 – $58,809 · median $21,019 21 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,672 – $30,140 · median $9,630 21 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,207 – $30,140 · median $6,419 21 plans
548 SEPTIC ARTHRITIS WITH MCC $14,357 – $46,886 · median $16,757 21 plans
549 SEPTIC ARTHRITIS WITH CC $9,066 – $30,140 · median $10,024 21 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,630 – $30,140 · median $7,171 21 plans
551 MEDICAL BACK PROBLEMS WITH MCC $9,005 – $39,713 · median $12,623 21 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,268 – $30,140 · median $8,017 21 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,717 – $30,395 · median $10,863 21 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,309 – $30,140 · median $6,942 21 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,904 – $31,339 · median $11,201 21 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,312 – $30,140 · median $6,792 21 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,111 – $36,066 · median $12,890 21 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,770 – $30,140 · median $7,185 21 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,875 – $43,202 · median $15,441 21 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,473 – $30,140 · median $9,472 21 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,117 – $30,140 · median $6,801 21 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,657 – $34,060 · median $12,173 21 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,787 – $30,140 · median $7,435 21 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $11,525 – $36,520 · median $13,053 21 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,364 – $30,140 · median $8,482 21 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,718 – $30,140 · median $6,223 21 plans
570 SKIN DEBRIDEMENT WITH MCC $21,743 – $70,056 · median $25,039 21 plans
571 SKIN DEBRIDEMENT WITH CC $12,592 – $38,966 · median $13,927 21 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,621 – $30,140 · median $9,502 21 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $30,140 – $143,320 · median $48,636 21 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $25,620 – $80,639 · median $28,821 21 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,378 – $46,469 · median $16,609 21 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $30,140 – $125,565 · median $36,446 21 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $19,620 – $61,971 · median $22,149 21 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,985 – $39,341 · median $14,061 21 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $23,918 – $75,856 · median $27,112 21 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,874 – $41,263 · median $14,748 21 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $10,791 – $33,495 · median $11,971 21 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $14,326 – $40,756 · median $14,566 21 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,847 – $38,231 · median $13,664 21 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $15,891 – $47,649 · median $17,030 21 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $14,344 – $46,199 · median $16,512 21 plans
592 SKIN ULCERS WITH MCC $14,389 – $47,856 · median $17,104 21 plans
593 SKIN ULCERS WITH CC $8,913 – $30,140 · median $10,170 21 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,577 – $30,140 · median $7,059 21 plans
595 MAJOR SKIN DISORDERS WITH MCC $15,745 – $49,225 · median $17,593 21 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,154 – $30,140 · median $8,993 21 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $12,428 – $40,884 · median $14,612 21 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,511 – $30,140 · median $8,974 21 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,865 – $30,140 · median $7,111 21 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,855 – $30,140 · median $7,957 21 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,663 – $30,140 · median $4,987 21 plans
602 CELLULITIS WITH MCC $10,631 – $34,193 · median $12,221 21 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,003 – $34,577 · median $12,358 21 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,937 – $30,140 · median $7,683 21 plans
606 MINOR SKIN DISORDERS WITH MCC $11,303 – $37,477 · median $13,394 21 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $6,866 – $30,140 · median $7,188 21 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $8,187 – $53,039 · median $16,432 21 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $8,187 – $33,350 · median $10,578 21 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $25,737 – $89,950 · median $30,140 21 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,914 – $44,954 · median $16,067 21 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,357 – $30,140 · median $10,719 21 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $26,262 – $87,088 · median $30,140 21 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,355 – $44,517 · median $15,911 21 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,344 – $30,140 · median $9,489 21 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $27,488 – $91,828 · median $30,140 21 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $16,170 – $52,343 · median $18,708 21 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,910 – $32,612 · median $11,656 21 plans
637 DIABETES WITH MCC $10,744 – $33,892 · median $12,114 21 plans
638 DIABETES WITH CC $6,792 – $30,140 · median $7,629 21 plans
639 DIABETES WITHOUT CC/MCC $4,781 – $30,140 · median $5,212 21 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $10,005 – $30,907 · median $11,046 21 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,929 – $30,140 · median $6,500 21 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $10,323 – $30,140 · median $10,747 21 plans
643 ENDOCRINE DISORDERS WITH MCC $12,275 – $38,570 · median $13,785 21 plans
644 ENDOCRINE DISORDERS WITH CC $7,734 – $30,140 · median $8,596 21 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,857 – $30,140 · median $6,477 21 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $30,140 – $107,226 · median $34,970 21 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $27,334 – $80,815 · median $28,884 21 plans
652 KIDNEY TRANSPLANT $23,852 – $82,904 · median $25,548 21 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $23,518 – $75,823 · median $27,100 21 plans
662 MINOR BLADDER PROCEDURES WITH MCC $22,623 – $72,602 · median $25,949 21 plans
663 MINOR BLADDER PROCEDURES WITH CC $11,354 – $35,547 · median $12,705 21 plans
665 PROSTATECTOMY WITH MCC $23,060 – $79,910 · median $28,561 21 plans
666 PROSTATECTOMY WITH CC $13,029 – $38,338 · median $13,702 21 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,327 – $30,140 · median $8,549 21 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $21,589 – $67,871 · median $24,258 21 plans
669 TRANSURETHRAL PROCEDURES WITH CC $11,587 – $36,015 · median $12,872 21 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,385 – $30,140 · median $7,950 21 plans
671 URETHRAL PROCEDURES WITH CC/MCC $13,363 – $40,116 · median $14,338 21 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,132 – $30,140 · median $9,103 21 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $30,140 – $97,505 · median $31,278 21 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $17,338 – $53,723 · median $19,201 21 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $12,240 – $36,429 · median $13,020 21 plans
682 RENAL FAILURE WITH MCC $11,068 – $34,954 · median $12,493 21 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,628 – $30,140 · median $5,052 21 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $13,427 – $43,886 · median $15,685 21 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,900 – $30,140 · median $8,756 21 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,018 – $30,140 · median $6,080 21 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,723 – $30,140 · median $9,735 21 plans
693 URINARY STONES WITH MCC $10,070 – $34,221 · median $12,231 21 plans
694 URINARY STONES WITHOUT MCC $5,955 – $30,140 · median $6,500 21 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,602 – $30,140 · median $9,381 21 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,277 – $30,140 · median $5,754 21 plans
697 URETHRAL STRICTURE $8,120 – $30,140 · median $8,333 21 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $12,335 – $39,120 · median $13,982 21 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,661 – $30,140 · median $8,484 21 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,284 – $30,140 · median $5,774 21 plans
709 PENIS PROCEDURES WITH CC/MCC $17,254 – $52,297 · median $18,691 21 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,484 – $34,942 · median $12,489 21 plans
711 TESTES PROCEDURES WITH CC/MCC $15,475 – $44,465 · median $15,892 21 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,280 – $30,140 · median $8,897 21 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $11,231 – $33,653 · median $12,028 21 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,816 – $30,140 · median $8,053 21 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $10,059 – $30,140 · median $10,247 21 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $13,471 – $40,237 · median $14,381 21 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,594 – $30,140 · median $9,340 21 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,033 – $30,140 · median $6,060 21 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,795 – $30,140 · median $10,502 21 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,518 – $30,140 · median $6,192 21 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,082 – $34,197 · median $12,222 21 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,170 – $30,140 · median $6,797 21 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,980 – $30,140 · median $9,157 21 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,048 – $30,140 · median $5,206 21 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $26,374 – $91,640 · median $30,140 21 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $15,305 – $46,509 · median $16,623 21 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $15,221 – $45,475 · median $16,253 21 plans
745 D&amp;C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,524 – $30,140 · median $8,644 21 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $12,940 – $38,973 · median $13,929 21 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,525 – $30,140 · median $7,945 21 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,705 – $42,108 · median $15,050 21 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,193 – $30,140 · median $9,234 21 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,262 – $30,140 · median $7,944 21 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,709 – $32,938 · median $11,772 21 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,397 – $30,140 · median $8,479 21 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,091 – $30,140 · median $5,324 21 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,606 – $30,140 · median $8,198 21 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,411 – $30,140 · median $5,273 21 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $11,558 – $32,338 · median $12,724 21 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,571 – $30,140 · median $8,916 21 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,026 – $30,140 · median $5,935 21 plans
779 ABORTION WITHOUT D&amp;C $6,391 – $30,140 · median $7,776 21 plans
799 SPLENIC PROCEDURES WITH MCC $30,140 – $110,658 · median $33,696 21 plans
800 SPLENIC PROCEDURES WITH CC $20,780 – $67,813 · median $24,237 21 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $13,656 – $38,207 · median $14,343 21 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $29,369 – $83,429 · median $29,818 21 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $13,831 – $41,426 · median $14,806 21 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $9,196 – $30,140 · median $10,258 21 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $16,382 – $53,302 · median $19,051 21 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,495 – $30,140 · median $10,302 21 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,892 – $30,140 · median $7,973 21 plans
811 RED BLOOD CELL DISORDERS WITH MCC $10,507 – $32,743 · median $11,703 21 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,953 – $30,140 · median $7,677 21 plans
813 COAGULATION DISORDERS $11,392 – $36,027 · median $12,876 21 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $15,789 – $48,652 · median $17,389 21 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,653 – $30,140 · median $8,452 21 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,860 – $30,140 · median $5,485 21 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $16,921 – $58,999 · median $21,087 21 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,715 – $30,140 · median $10,714 21 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,526 – $30,140 · median $6,792 21 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $30,140 – $135,502 · median $43,564 21 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $16,607 – $51,955 · median $18,569 21 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,042 – $30,140 · median $9,513 21 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $30,140 – $108,906 · median $34,109 21 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $16,804 – $51,187 · median $18,295 21 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $10,105 – $30,140 · median $10,238 21 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $30,140 – $111,140 · median $34,796 21 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $17,138 – $54,922 · median $19,630 21 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,697 – $37,304 · median $13,333 21 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $23,344 – $71,769 · median $25,651 21 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $11,243 – $34,037 · median $12,165 21 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $9,031 – $30,140 · median $9,574 21 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,515 – $30,140 · median $6,217 21 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,063 – $30,140 · median $4,324 21 plans
834 ACUTE LEUKEMIA WITH MCC $30,140 – $128,637 · median $40,795 21 plans
835 ACUTE LEUKEMIA WITH CC $15,490 – $49,709 · median $17,766 21 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $9,156 – $30,140 · median $10,570 21 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $30,140 – $116,533 · median $35,730 21 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $15,501 – $47,202 · median $16,871 21 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,796 – $31,893 · median $11,399 21 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $23,891 – $74,218 · median $26,526 21 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $12,167 – $36,492 · median $13,043 21 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,627 – $30,140 · median $8,750 21 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $14,824 – $44,063 · median $15,748 21 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $9,140 – $30,140 · median $9,942 21 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,466 – $30,140 · median $6,961 21 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $19,194 – $59,435 · median $21,243 21 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,804 – $30,140 · median $10,570 21 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,450 – $30,140 · median $6,812 21 plans
849 RADIOTHERAPY $20,050 – $62,165 · median $22,218 21 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $14,848 – $46,502 · median $16,620 21 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,186 – $37,833 · median $13,522 21 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $30,140 – $104,998 · median $33,842 21 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $15,897 – $50,710 · median $18,124 21 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $10,424 – $30,140 · median $10,717 21 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $13,573 – $42,792 · median $15,294 21 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,535 – $30,140 · median $8,317 21 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,730 – $30,140 · median $7,470 21 plans
865 VIRAL ILLNESS WITH MCC $11,194 – $34,349 · median $12,277 21 plans
866 VIRAL ILLNESS WITHOUT MCC $6,597 – $30,140 · median $7,360 21 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $15,544 – $49,904 · median $17,836 21 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,778 – $30,140 · median $8,735 21 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,575 – $30,140 · median $5,986 21 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $30,140 – $161,899 · median $51,298 21 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $28,497 – $91,454 · median $30,140 21 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $30,140 – $103,111 · median $31,241 21 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $14,237 – $44,163 · median $15,784 21 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,791 – $30,140 · median $10,140 21 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $27,095 – $89,859 · median $30,140 21 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $11,085 – $38,359 · median $13,710 21 plans
906 HAND PROCEDURES FOR INJURIES $14,601 – $50,793 · median $18,154 21 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $28,310 – $92,713 · median $30,140 21 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $14,827 – $46,944 · median $16,778 21 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,837 – $30,140 · median $10,550 21 plans
913 TRAUMATIC INJURY WITH MCC $12,191 – $37,663 · median $13,461 21 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,714 – $30,140 · median $7,623 21 plans
915 ALLERGIC REACTIONS WITH MCC $12,534 – $40,446 · median $14,456 21 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,111 – $30,140 · median $5,524 21 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $11,707 – $38,161 · median $13,639 21 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,506 – $30,140 · median $7,358 21 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $13,625 – $42,441 · median $15,169 21 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,568 – $30,140 · median $8,450 21 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,273 – $30,140 · median $5,720 21 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $13,030 – $39,317 · median $14,052 21 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,680 – $30,140 · median $8,484 21 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV &gt;96 HOURS WITH SKIN GRAFT $30,140 – $552,101 · median $157,955 21 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $30,140 – $155,438 · median $53,226 21 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $23,788 – $74,017 · median $26,455 21 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $28,712 – $100,700 · median $30,140 21 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $16,402 – $49,939 · median $17,849 21 plans
935 NON-EXTENSIVE BURNS $15,301 – $51,117 · median $18,270 21 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $26,401 – $73,869 · median $27,045 21 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $17,326 – $49,139 · median $17,563 21 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $15,065 – $45,482 · median $16,256 21 plans
947 SIGNS AND SYMPTOMS WITH MCC $9,521 – $30,140 · median $10,699 21 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,092 – $30,140 · median $6,609 21 plans
949 AFTERCARE WITH CC/MCC $8,938 – $30,140 · median $9,030 21 plans
950 AFTERCARE WITHOUT CC/MCC $4,829 – $30,140 · median $4,879 21 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,305 – $30,140 · median $4,716 21 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $8,187 – $158,915 · median $49,963 21 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $27,752 – $88,959 · median $30,140 21 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $30,140 – $173,714 · median $56,529 21 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $30,140 – $95,647 · median $31,369 21 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $21,765 – $61,531 · median $21,992 21 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $20,227 – $63,226 · median $22,598 21 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,445 – $34,912 · median $12,478 21 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,116 – $30,140 · median $7,591 21 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $30,140 – $147,185 · median $45,459 21 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $19,523 – $61,750 · median $22,070 21 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $21,340 – $69,498 · median $24,839 21 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,708 – $33,080 · median $11,823 21 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,839 – $30,140 · median $8,343 21 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $9,727 – $33,557 · median $11,994 21 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $30,140 – $110,638 · median $34,899 21 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $18,215 – $56,979 · median $20,365 21 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,771 – $38,824 · median $13,876 21 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $25,306 – $81,518 · median $29,135 21 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,257 – $39,936 · median $14,274 21 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,007 – $30,140 · median $9,611 21 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $30,140 – $143,976 · median $49,634 20 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $30,140 – $214,389 · median $64,208 20 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $8,187 – $116,430 · median $42,571 13 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $8,187 – $80,293 · median $29,138 13 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $8,187 – $115,342 · median $33,828 13 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $8,187 – $63,161 · median $23,209 13 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,187 – $54,300 · median $18,878 13 plans
028 SPINAL PROCEDURES WITH MCC $9,005 – $119,059 · median $44,624 13 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $9,005 – $68,442 · median $25,443 13 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $9,005 – $40,681 · median $16,457 13 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $8,187 – $82,460 · median $13,004 13 plans
509 ARTHROSCOPY $14,612 – $40,884 · median $26,230 13 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $8,187 – $94,354 · median $58,367 12 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $8,187 – $68,556 · median $39,346 12 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $8,187 – $43,789 · median $23,713 12 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $8,187 – $45,954 · median $33,339 12 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $8,187 – $24,043 · median $15,983 12 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $8,187 – $18,116 · median $12,525 12 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $8,187 – $42,983 · median $28,764 12 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $8,187 – $24,901 · median $16,483 12 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $9,005 – $21,706 · median $13,622 12 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,399 – $10,982 · median $7,475 12 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $205,135 – $302,502 · median $207,250 11 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $83,092 – $136,681 · median $83,948 11 plans
003 ECMO OR TRACHEOSTOMY WITH MV &gt;96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $155,427 – $237,999 · median $157,029 11 plans
004 TRACHEOSTOMY WITH MV &gt;96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $101,514 – $164,096 · median $102,560 11 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $75,624 – $172,461 · median $76,404 11 plans
006 LIVER TRANSPLANT WITHOUT MCC $34,143 – $53,994 · median $34,495 11 plans
007 LUNG TRANSPLANT $94,924 – $136,930 · median $95,903 11 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $41,217 – $146,910 · median $41,642 11 plans
010 PANCREAS TRANSPLANT $52,704 – $53,734 · median $53,248 11 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $40,117 – $57,560 · median $40,530 11 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $31,065 – $44,707 · median $31,385 11 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $21,310 – $29,980 · median $21,529 11 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $88,108 – $127,938 · median $89,016 11 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $43,594 – $68,954 · median $44,044 11 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $39,957 – $68,954 · median $40,369 11 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $315,969 – $411,275 · median $319,227 11 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $52,404 – $89,231 · median $52,944 11 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $28,540 – $43,551 · median $28,834 11 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $17,717 – $25,669 · median $17,900 11 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $14,444 – $20,185 · median $14,593 11 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $24,309 – $37,682 · median $24,560 11 plans
038 EXTRACRANIAL PROCEDURES WITH CC $12,103 – $17,860 · median $12,228 11 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,834 – $12,737 · median $8,925 11 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $11,403 – $16,449 · median $11,521 11 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,694 – $11,980 · median $7,773 11 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $17,225 – $26,724 · median $17,402 11 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $9,712 – $15,217 · median $9,812 11 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $12,738 – $19,289 · median $12,870 11 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,312 – $13,253 · median $9,408 11 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,964 – $10,018 · median $7,036 11 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $20,398 – $31,288 · median $20,608 11 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $13,087 – $20,894 · median $13,222 11 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,503 – $16,597 · median $10,611 11 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $14,943 – $22,359 · median $15,097 11 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,626 – $11,346 · median $7,705 11 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,243 – $7,675 · median $5,297 11 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,978 – $15,817 · median $11,091 11 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,559 – $9,723 · median $6,627 11 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,080 – $8,916 · median $6,142 11 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $12,412 – $19,976 · median $12,539 11 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $7,741 – $11,853 · median $7,821 11 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,768 – $8,741 · median $5,828 11 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,969 – $16,890 · median $12,093 11 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,776 – $11,455 · median $7,856 11 plans
075 VIRAL MENINGITIS WITH CC/MCC $14,259 – $21,364 · median $14,406 11 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,273 – $10,298 · median $6,337 11 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $13,473 – $24,656 · median $13,612 11 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,788 – $10,153 · median $6,857 11 plans
082 TRAUMATIC STUPOR AND COMA &gt;1 HOUR WITH MCC $16,950 – $25,433 · median $17,125 11 plans
083 TRAUMATIC STUPOR AND COMA &gt;1 HOUR WITH CC $10,445 – $15,141 · median $10,552 11 plans
084 TRAUMATIC STUPOR AND COMA &gt;1 HOUR WITHOUT CC/MCC $7,228 – $10,267 · median $7,302 11 plans
085 TRAUMATIC STUPOR AND COMA &lt;1 HOUR WITH MCC $16,850 – $25,371 · median $17,024 11 plans
086 TRAUMATIC STUPOR AND COMA &lt;1 HOUR WITH CC $9,764 – $14,703 · median $9,865 11 plans
087 TRAUMATIC STUPOR AND COMA &lt;1 HOUR WITHOUT CC/MCC $6,927 – $9,893 · median $6,999 11 plans
088 CONCUSSION WITH MCC $10,123 – $17,122 · median $10,227 11 plans
089 CONCUSSION WITH CC $8,272 – $12,836 · median $8,357 11 plans
090 CONCUSSION WITHOUT CC/MCC $6,258 – $10,435 · median $6,323 11 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $13,080 – $19,973 · median $13,215 11 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,719 – $11,454 · median $7,799 11 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,061 – $8,645 · median $6,124 11 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $25,971 – $40,440 · median $26,239 11 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $19,097 – $26,615 · median $19,294 11 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $19,097 – $24,332 · median $19,294 11 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $26,647 – $40,599 · median $26,922 11 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $17,018 – $24,051 · median $17,194 11 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,201 – $14,737 · median $10,306 11 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $10,215 – $30,140 · median $18,478 11 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,570 – $30,140 · median $11,884 11 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $12,862 – $35,987 · median $23,817 10 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $8,301 – $30,140 · median $15,370 10 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,546 – $30,140 · median $10,269 10 plans
209 COMPLEX AORTIC ARCH PROCEDURES $82,997 – $83,852 · median $83,852 10 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $41,965 – $42,398 · median $42,398 10 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $17,949 – $18,134 · median $18,134 10 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $25,381 – $25,642 · median $25,642 10 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $17,891 – $18,076 · median $18,076 10 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $9,005 – $316,284 · median $111,994 4 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $9,005 – $231,316 · median $77,462 4 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $9,005 – $160,235 · median $54,299 4 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $9,005 – $128,721 · median $42,279 4 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $9,005 – $200,180 · median $74,036 3 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $321,504 – $343,854 · median $332,679 2 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $180,593 – $193,148 · median $186,871 2 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $187,521 – $200,557 · median $194,039 2 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $161,616 – $172,852 · median $167,234 2 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $171,908 – $183,859 · median $177,884 2 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $138,400 – $148,021 · median $143,211 2 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $85,109 – $91,026 · median $88,068 2 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $62,095 – $66,412 · median $64,254 2 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $71,087 – $76,029 · median $73,558 2 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $55,867 – $59,750 · median $57,809 2 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $30,140 – $30,140 · median $30,140 1 plans
999 UNGROUPABLE $30,140 – $30,140 · median $30,140 1 plans
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