UVA Health Culpeper Medical Center — Pricing

766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 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 766
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 766 procedures

Procedures with negotiated rates only

These 766 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
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $19,500 – $526,782 · median $372,519 16 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $9,532 – $363,208 · median $78,016 16 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $9,532 – $127,402 · median $32,858 16 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $9,532 – $98,953 · median $25,080 16 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $9,532 – $66,358 · median $18,662 16 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $19,500 – $910,309 · median $643,734 16 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $19,500 – $208,842 · median $147,685 16 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $19,500 – $151,742 · median $107,306 16 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $19,500 – $96,922 · median $61,175 16 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $19,500 – $140,065 · median $99,048 16 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $19,500 – $93,614 · median $59,086 16 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $19,500 – $109,111 · median $68,868 16 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $19,500 – $72,965 · median $46,054 16 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $16,453 – $60,112 · median $37,941 16 plans
028 SPINAL PROCEDURES WITH MCC $19,500 – $148,893 · median $105,291 16 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $19,500 – $84,704 · median $53,463 16 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $15,422 – $57,298 · median $36,165 16 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $19,500 – $101,713 · median $64,198 16 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $14,504 – $53,216 · median $33,589 16 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $11,269 – $40,099 · median $25,309 16 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $19,500 – $96,396 · median $60,842 16 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $15,310 – $56,816 · median $35,861 16 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $12,121 – $44,677 · median $28,199 16 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $19,500 – $83,404 · median $52,642 16 plans
038 EXTRACRANIAL PROCEDURES WITH CC $10,855 – $39,530 · median $24,950 16 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $7,454 – $28,192 · median $19,295 16 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $19,500 – $95,138 · median $60,049 16 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $15,375 – $55,116 · median $34,788 16 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $12,441 – $42,987 · median $27,132 16 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $12,129 – $48,045 · median $30,324 16 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,436 – $24,308 · median $17,405 16 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $8,954 – $36,407 · median $22,077 16 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $6,835 – $26,517 · median $18,728 16 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $14,365 – $59,151 · median $37,334 16 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $8,294 – $33,682 · median $21,154 16 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $11,371 – $42,693 · median $26,947 16 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $7,377 – $29,333 · median $19,682 16 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,005 – $22,173 · median $15,876 16 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $18,919 – $69,252 · median $43,710 16 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $13,011 – $46,246 · median $29,189 16 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $11,188 – $36,736 · median $22,188 16 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $12,556 – $49,490 · median $31,237 16 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $6,674 – $25,113 · median $17,982 16 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,656 – $19,500 · median $12,163 16 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $9,330 – $35,009 · median $21,603 16 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,817 – $21,521 · median $15,409 16 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,150 – $19,734 · median $14,130 16 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $10,991 – $44,215 · median $27,907 16 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $6,621 – $26,235 · median $18,632 16 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,050 – $19,500 · median $13,852 16 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $9,507 – $37,383 · median $23,595 16 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $6,668 – $25,355 · median $18,155 16 plans
075 VIRAL MENINGITIS WITH CC/MCC $10,646 – $47,286 · median $29,846 16 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,445 – $22,793 · median $16,320 16 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $10,031 – $37,331 · median $23,562 16 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $6,216 – $25,126 · median $17,990 16 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,769 – $19,500 · median $13,106 16 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $13,711 – $54,573 · median $34,445 16 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,060 – $22,472 · median $16,090 16 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $14,814 – $56,292 · median $35,530 16 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $8,795 – $33,514 · median $21,097 16 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $5,926 – $22,724 · median $16,271 16 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $15,127 – $56,156 · median $35,444 16 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $8,340 – $32,543 · median $20,768 16 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,651 – $21,896 · median $15,678 16 plans
088 CONCUSSION WITH MCC $9,522 – $37,897 · median $23,920 16 plans
089 CONCUSSION WITH CC $6,959 – $28,412 · median $19,369 16 plans
090 CONCUSSION WITHOUT CC/MCC $5,592 – $23,097 · median $16,538 16 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $10,802 – $44,208 · median $27,903 16 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $6,471 – $25,353 · median $18,153 16 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,118 – $19,500 · median $13,700 16 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $19,500 – $89,510 · median $56,496 16 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $16,407 – $58,909 · median $37,182 16 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $15,264 – $53,856 · median $33,992 16 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $19,500 – $89,861 · median $56,717 16 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $13,823 – $53,233 · median $33,599 16 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $9,173 – $32,620 · median $20,794 16 plans
100 SEIZURES WITH MCC $12,278 – $48,984 · median $30,917 16 plans
101 SEIZURES WITHOUT MCC $5,813 – $22,474 · median $16,092 16 plans
102 HEADACHES WITH MCC $7,545 – $29,813 · median $19,844 16 plans
103 HEADACHES WITHOUT MCC $5,428 – $20,814 · median $14,903 16 plans
113 ORBITAL PROCEDURES WITH CC/MCC $14,359 – $61,950 · median $39,101 16 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $9,473 – $30,435 · median $20,055 16 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $9,531 – $38,653 · median $24,397 16 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,320 – $45,235 · median $28,551 16 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $6,813 – $29,610 · median $19,775 16 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $7,791 – $31,656 · median $20,468 16 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,224 – $19,500 · median $13,171 16 plans
123 NEUROLOGICAL EYE DISORDERS $5,018 – $19,865 · median $14,224 16 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,174 – $32,662 · median $20,808 16 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,477 – $19,705 · median $14,109 16 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $14,026 – $65,528 · median $41,360 16 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,215 – $25,803 · median $18,475 16 plans
137 MOUTH PROCEDURES WITH CC/MCC $9,879 – $37,178 · median $23,466 16 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,605 – $21,390 · median $15,316 16 plans
139 SALIVARY GLAND PROCEDURES $8,075 – $29,346 · median $19,686 16 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $19,500 – $93,349 · median $58,919 16 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $14,436 – $51,188 · median $32,308 16 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $10,503 – $38,174 · median $24,094 16 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $19,499 – $82,169 · median $51,863 16 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $11,527 – $42,757 · median $26,987 16 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,013 – $30,171 · median $19,965 16 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $13,356 – $52,159 · median $32,921 16 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,514 – $30,534 · median $20,088 16 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,150 – $21,983 · median $15,740 16 plans
149 DYSEQUILIBRIUM $4,823 – $19,500 · median $13,175 16 plans
150 EPISTAXIS WITH MCC $8,687 – $32,479 · median $20,746 16 plans
151 EPISTAXIS WITHOUT MCC $4,832 – $19,500 · median $13,635 16 plans
152 OTITIS MEDIA AND URI WITH MCC $7,070 – $29,358 · median $19,690 16 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $4,667 – $19,500 · median $13,000 16 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $10,122 – $38,006 · median $23,988 16 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,951 – $23,389 · median $16,747 16 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,308 – $19,500 · median $11,597 16 plans
157 DENTAL AND ORAL DISEASES WITH MCC $10,314 – $42,177 · median $26,621 16 plans
158 DENTAL AND ORAL DISEASES WITH CC $5,891 – $23,188 · median $16,603 16 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,339 – $19,500 · median $11,945 16 plans
163 MAJOR CHEST PROCEDURES WITH MCC $19,500 – $116,464 · median $73,509 16 plans
164 MAJOR CHEST PROCEDURES WITH CC $17,377 – $63,015 · median $39,773 16 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $12,541 – $46,362 · median $29,262 16 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $19,500 – $100,260 · median $63,281 16 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $11,901 – $44,964 · median $28,380 16 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,863 – $33,497 · median $21,091 16 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,116 – $34,665 · median $21,487 16 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,809 – $20,152 · median $14,429 16 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $12,100 – $41,915 · median $26,455 16 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,903 – $24,379 · median $17,456 16 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,711 – $19,500 · median $13,504 16 plans
180 RESPIRATORY NEOPLASMS WITH MCC $11,385 – $42,947 · median $27,107 16 plans
181 RESPIRATORY NEOPLASMS WITH CC $7,329 – $27,206 · median $18,961 16 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,183 – $19,737 · median $14,132 16 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,201 – $38,903 · median $24,554 16 plans
184 MAJOR CHEST TRAUMA WITH CC $6,811 – $25,990 · median $18,550 16 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,071 – $19,500 · median $13,369 16 plans
186 PLEURAL EFFUSION WITH MCC $10,102 – $38,349 · median $24,205 16 plans
187 PLEURAL EFFUSION WITH CC $6,759 – $24,617 · median $17,626 16 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,774 – $19,500 · median $13,207 16 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,023 – $30,440 · median $20,056 16 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,362 – $27,228 · median $18,969 16 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,787 – $20,977 · median $15,020 16 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,552 – $19,500 · median $11,354 16 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $8,585 – $32,778 · median $20,848 16 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,653 – $20,315 · median $14,546 16 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,357 – $19,500 · median $11,068 16 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $11,377 – $46,832 · median $29,559 16 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $6,589 – $24,646 · median $17,647 16 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,865 – $19,500 · median $13,768 16 plans
199 PNEUMOTHORAX WITH MCC $11,713 – $43,834 · median $27,667 16 plans
200 PNEUMOTHORAX WITH CC $7,044 – $26,611 · median $18,760 16 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $4,643 – $19,500 · median $12,492 16 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $6,328 – $23,658 · median $16,940 16 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,626 – $19,500 · median $12,294 16 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,193 – $20,332 · median $14,558 16 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $11,025 – $44,729 · median $28,232 16 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,798 – $22,571 · median $16,161 16 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $19,500 – $170,683 · median $120,700 16 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $16,652 – $66,805 · median $42,166 16 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $19,500 – $252,387 · median $178,478 16 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $19,500 – $239,799 · median $169,576 16 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $19,500 – $157,274 · median $111,218 16 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $19,500 – $140,754 · median $99,536 16 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $19,500 – $190,528 · median $134,734 16 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $19,500 – $129,584 · median $91,636 16 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $19,500 – $114,858 · median $72,495 16 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI HF OR SHOCK WITH MCC $19,500 – $189,179 · median $133,780 16 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI HF OR SHOCK WITHOUT MCC $19,500 – $128,944 · median $91,184 16 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI HF OR SHOCK WITH MCC $19,500 – $175,160 · median $123,866 16 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI HF OR SHOCK WITHOUT MCC $19,500 – $124,966 · median $88,371 16 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $19,500 – $158,153 · median $111,840 16 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $19,500 – $124,051 · median $87,724 16 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $19,500 – $124,496 · median $88,039 16 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $19,500 – $78,562 · median $49,586 16 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $19,500 – $200,510 · median $141,793 16 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $19,500 – $146,978 · median $103,937 16 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $19,500 – $192,713 · median $136,279 16 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $19,500 – $128,430 · median $90,820 16 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $19,500 – $145,298 · median $102,749 16 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $19,500 – $99,850 · median $63,023 16 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $19,500 – $118,766 · median $74,962 16 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $18,249 – $69,410 · median $43,809 16 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $10,420 – $34,443 · median $21,412 16 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $19,500 – $85,369 · median $53,882 16 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $16,480 – $56,275 · median $35,519 16 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $13,501 – $45,203 · median $28,531 16 plans
245 AICD GENERATOR PROCEDURES $19,500 – $111,962 · median $70,667 16 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $19,500 – $74,010 · median $46,713 16 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $12,912 – $47,180 · median $29,779 16 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $19,500 – $74,366 · median $46,938 16 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $12,261 – $44,887 · median $28,331 16 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $16,502 – $58,084 · median $36,661 16 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $10,852 – $39,209 · median $24,748 16 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $19,500 – $82,866 · median $52,303 16 plans
253 OTHER VASCULAR PROCEDURES WITH CC $17,364 – $63,033 · median $39,784 16 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $11,883 – $42,871 · median $27,059 16 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $16,590 – $67,883 · median $42,846 16 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $10,759 – $40,514 · median $25,571 16 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,625 – $24,486 · median $17,532 16 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $19,500 – $66,924 · median $42,241 16 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $13,671 – $46,120 · median $29,110 16 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $19,500 – $81,912 · median $51,701 16 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $13,047 – $46,496 · median $29,347 16 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $11,165 – $40,652 · median $25,658 16 plans
263 VEIN LIGATION AND STRIPPING $15,137 – $69,805 · median $44,059 16 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $19,500 – $80,696 · median $50,933 16 plans
265 AICD LEAD PROCEDURES $19,500 – $87,321 · median $55,114 16 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $19,500 – $154,329 · median $109,135 16 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $19,500 – $120,580 · median $76,107 16 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $19,500 – $169,366 · median $119,769 16 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $19,500 – $102,751 · median $64,853 16 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $19,500 – $124,946 · median $88,357 16 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $19,500 – $85,396 · median $53,899 16 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $17,591 – $60,275 · median $38,044 16 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $19,500 – $96,287 · median $60,774 16 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $19,500 – $80,074 · median $50,540 16 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $10,515 – $39,199 · median $24,741 16 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,089 – $22,558 · median $16,152 16 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,751 – $19,500 · median $12,704 16 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $12,202 – $48,709 · median $30,744 16 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,734 – $19,500 · median $13,086 16 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,237 – $19,500 · median $8,646 16 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $13,979 – $53,261 · median $33,617 16 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,297 – $26,724 · median $18,798 16 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $17,572 – $64,068 · median $40,438 16 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $10,755 – $36,511 · median $22,112 16 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,720 – $26,811 · median $18,827 16 plans
291 HEART FAILURE AND SHOCK WITH MCC $8,299 – $31,723 · median $20,490 16 plans
292 HEART FAILURE AND SHOCK WITH CC $5,650 – $21,162 · median $15,153 16 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,860 – $19,500 · median $9,934 16 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $8,394 – $27,023 · median $18,899 16 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,440 – $19,695 · median $14,102 16 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $10,438 – $39,612 · median $25,002 16 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,626 – $19,500 · median $12,890 16 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,199 – $19,500 · median $7,779 16 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $10,029 – $38,945 · median $24,581 16 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $6,830 – $26,363 · median $18,676 16 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,863 – $19,500 · median $12,557 16 plans
302 ATHEROSCLEROSIS WITH MCC $7,164 – $27,700 · median $19,129 16 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,434 – $19,500 · median $11,643 16 plans
304 HYPERTENSION WITH MCC $7,178 – $28,389 · median $19,362 16 plans
305 HYPERTENSION WITHOUT MCC $4,842 – $19,500 · median $13,331 16 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $9,864 – $37,971 · median $23,966 16 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,696 – $23,290 · median $16,676 16 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $7,858 – $29,704 · median $19,807 16 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,911 – $19,500 · median $13,175 16 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,659 – $19,500 · median $9,783 16 plans
311 ANGINA PECTORIS $4,571 – $19,500 · median $12,350 16 plans
312 SYNCOPE AND COLLAPSE $5,488 – $21,335 · median $15,277 16 plans
313 CHEST PAIN $4,721 – $19,500 · median $12,802 16 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $13,641 – $51,726 · median $32,648 16 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,370 – $23,900 · median $17,113 16 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,734 – $19,500 · median $12,255 16 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $19,500 – $107,774 · median $68,024 16 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $15,741 – $55,000 · median $34,714 16 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $19,500 – $125,492 · median $88,743 16 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $16,782 – $61,706 · median $38,947 16 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $10,908 – $39,466 · median $24,910 16 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $19,500 – $111,601 · median $70,439 16 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $16,682 – $58,610 · median $36,993 16 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,193 – $41,312 · median $26,075 16 plans
332 RECTAL RESECTION WITH MCC $19,500 – $90,290 · median $56,989 16 plans
333 RECTAL RESECTION WITH CC $14,012 – $51,380 · median $32,430 16 plans
334 RECTAL RESECTION WITHOUT CC/MCC $10,526 – $39,659 · median $25,032 16 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $19,500 – $88,331 · median $55,752 16 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $14,993 – $52,018 · median $32,832 16 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $10,714 – $36,973 · median $22,268 16 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $18,304 – $65,637 · median $41,428 16 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $11,107 – $40,235 · median $25,395 16 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,037 – $29,647 · median $19,788 16 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $15,197 – $55,815 · median $35,229 16 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $9,376 – $35,906 · median $21,907 16 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $7,254 – $26,998 · median $18,891 16 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $18,442 – $67,710 · median $42,737 16 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,331 – $38,065 · median $24,026 16 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,346 – $31,819 · median $20,523 16 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $16,128 – $62,983 · median $39,753 16 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $8,821 – $32,155 · median $20,637 16 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,408 – $24,110 · median $17,263 16 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $16,063 – $59,299 · median $37,428 16 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $9,768 – $35,965 · median $21,927 16 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $7,227 – $27,401 · median $19,027 16 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $19,500 – $72,254 · median $45,604 16 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $11,679 – $42,443 · median $26,789 16 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $8,901 – $33,667 · median $21,149 16 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $19,500 – $105,718 · median $66,726 16 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $14,844 – $54,279 · median $34,259 16 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,828 – $31,653 · median $20,467 16 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $12,754 – $40,818 · median $25,763 16 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,049 – $24,419 · median $17,485 16 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,895 – $19,500 · median $13,157 16 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $11,328 – $43,182 · median $27,255 16 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $6,735 – $25,753 · median $18,440 16 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,872 – $19,500 · median $12,676 16 plans
374 DIGESTIVE MALIGNANCY WITH MCC $13,569 – $51,862 · median $32,734 16 plans
375 DIGESTIVE MALIGNANCY WITH CC $7,902 – $29,608 · median $19,774 16 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $5,882 – $22,025 · median $15,770 16 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $11,786 – $44,235 · median $27,920 16 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $6,501 – $24,308 · median $17,405 16 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,170 – $19,500 · median $11,202 16 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $12,345 – $48,144 · median $30,387 16 plans
381 COMPLICATED PEPTIC ULCER WITH CC $6,932 – $26,512 · median $18,726 16 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,029 – $19,500 · median $13,394 16 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $8,589 – $34,547 · median $21,447 16 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,842 – $21,637 · median $15,492 16 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,616 – $38,715 · median $24,436 16 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,512 – $24,006 · median $17,189 16 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,677 – $19,500 · median $12,103 16 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $9,911 – $35,913 · median $21,909 16 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,387 – $19,677 · median $14,090 16 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,816 – $19,500 · median $9,890 16 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $8,174 – $31,520 · median $20,422 16 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,011 – $19,500 · median $13,898 16 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $10,870 – $40,017 · median $25,258 16 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,157 – $23,149 · median $16,575 16 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,263 – $19,500 · median $11,455 16 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $19,500 – $136,022 · median $96,190 16 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $18,851 – $71,342 · median $45,029 16 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $13,859 – $53,147 · median $33,545 16 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $19,500 – $91,968 · median $58,048 16 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $13,849 – $48,361 · median $30,524 16 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $10,262 – $38,673 · median $24,409 16 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $19,500 – $75,122 · median $47,415 16 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $14,903 – $51,049 · median $32,221 16 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $11,326 – $37,299 · median $23,542 16 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $19,500 – $87,101 · median $54,975 16 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $13,295 – $48,818 · median $30,813 16 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $9,307 – $33,089 · median $20,953 16 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $15,864 – $57,268 · median $36,146 16 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $11,052 – $40,390 · median $25,493 16 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $8,607 – $32,447 · median $20,736 16 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $19,500 – $79,085 · median $49,916 16 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,482 – $42,241 · median $26,661 16 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $9,512 – $34,863 · median $21,554 16 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $19,500 – $96,631 · median $60,990 16 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $14,946 – $52,670 · median $33,244 16 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $10,095 – $39,580 · median $24,982 16 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $12,307 – $47,341 · median $29,880 16 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $6,739 – $25,474 · median $18,240 16 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,062 – $19,500 · median $11,844 16 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $11,474 – $43,484 · median $27,446 16 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $7,339 – $27,196 · median $18,958 16 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,862 – $20,535 · median $14,703 16 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $10,455 – $41,233 · median $26,025 16 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,531 – $21,130 · median $15,130 16 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,967 – $19,500 · median $10,891 16 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,299 – $45,171 · median $28,511 16 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,086 – $23,510 · median $16,833 16 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,340 – $19,500 · median $12,644 16 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $10,938 – $40,353 · median $25,470 16 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,051 – $26,853 · median $18,842 16 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,344 – $19,803 · median $14,180 16 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $19,500 – $218,947 · median $142,801 16 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $19,500 – $151,122 · median $98,564 16 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $19,500 – $113,795 · median $78,076 16 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $19,500 – $208,274 · median $135,840 16 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $19,500 – $150,109 · median $97,903 16 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $19,500 – $111,952 · median $76,812 16 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $19,500 – $163,871 · median $106,880 16 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $19,500 – $90,379 · median $62,011 16 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $19,500 – $168,472 · median $109,880 16 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $19,500 – $70,326 · median $48,252 16 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $19,500 – $139,939 · median $98,959 16 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $19,473 – $74,159 · median $46,807 16 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,067 – $46,224 · median $29,175 16 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $19,500 – $128,151 · median $90,623 16 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $19,500 – $86,140 · median $54,369 16 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $18,338 – $65,960 · median $41,632 16 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $19,500 – $82,273 · median $51,928 16 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $12,435 – $46,493 · median $29,345 16 plans
471 CERVICAL SPINAL FUSION WITH MCC $19,500 – $121,539 · median $76,712 16 plans
472 CERVICAL SPINAL FUSION WITH CC $19,500 – $73,022 · median $46,089 16 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $16,614 – $60,797 · median $38,373 16 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $19,500 – $106,314 · median $67,102 16 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $14,372 – $52,991 · median $33,447 16 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,593 – $29,079 · median $19,595 16 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $19,500 – $83,241 · median $52,540 16 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,432 – $58,896 · median $37,174 16 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $11,841 – $46,056 · median $29,069 16 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $19,500 – $72,861 · median $45,988 16 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $13,716 – $51,267 · median $32,358 16 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $10,769 – $39,246 · median $24,771 16 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $15,611 – $61,380 · median $38,741 16 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $19,500 – $81,388 · median $51,370 16 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $14,065 – $49,621 · median $31,319 16 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,733 – $38,171 · median $24,093 16 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,928 – $52,050 · median $32,852 16 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,495 – $30,581 · median $20,104 16 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $19,500 – $85,542 · median $53,991 16 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $15,219 – $59,341 · median $37,455 16 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $12,117 – $46,184 · median $29,150 16 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $19,500 – $88,484 · median $55,849 16 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $12,998 – $49,107 · median $30,995 16 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,498 – $35,268 · median $21,691 16 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $16,907 – $64,513 · median $40,719 16 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $7,846 – $31,868 · median $20,540 16 plans
500 SOFT TISSUE PROCEDURES WITH MCC $19,500 – $80,123 · median $50,571 16 plans
501 SOFT TISSUE PROCEDURES WITH CC $11,478 – $42,886 · median $27,068 16 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $8,721 – $34,164 · median $21,317 16 plans
503 FOOT PROCEDURES WITH MCC $17,279 – $66,264 · median $41,824 16 plans
504 FOOT PROCEDURES WITH CC $11,615 – $42,673 · median $26,934 16 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $11,615 – $42,144 · median $26,600 16 plans
506 MAJOR THUMB OR JOINT PROCEDURES $9,708 – $36,138 · median $21,985 16 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $13,486 – $52,670 · median $33,244 16 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $9,225 – $35,431 · median $21,746 16 plans
509 ARTHROSCOPY $11,036 – $33,754 · median $21,178 16 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $17,954 – $67,221 · median $42,428 16 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $12,874 – $49,263 · median $31,093 16 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $10,172 – $39,874 · median $25,167 16 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $10,287 – $40,052 · median $25,279 16 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $6,538 – $25,733 · median $18,426 16 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $19,500 – $78,114 · median $49,304 16 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $12,844 – $50,424 · median $31,826 16 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $9,149 – $36,924 · median $22,251 16 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $19,500 – $90,229 · median $56,950 16 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $12,825 – $48,640 · median $30,700 16 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $9,281 – $35,370 · median $21,725 16 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $19,500 – $73,981 · median $46,695 16 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $14,327 – $52,188 · median $32,940 16 plans
533 FRACTURES OF FEMUR WITH MCC $9,267 – $40,309 · median $25,442 16 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,171 – $20,013 · median $14,330 16 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $8,067 – $32,039 · median $20,598 16 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,050 – $19,500 · median $13,925 16 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,121 – $23,893 · median $17,108 16 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,732 – $19,500 · median $12,545 16 plans
539 OSTEOMYELITIS WITH MCC $12,745 – $49,031 · median $30,947 16 plans
540 OSTEOMYELITIS WITH CC $8,517 – $32,076 · median $20,610 16 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,518 – $21,197 · median $15,178 16 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $11,839 – $45,060 · median $28,441 16 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $6,839 – $26,949 · median $18,874 16 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,089 – $19,500 · median $13,578 16 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $16,379 – $61,602 · median $38,881 16 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $7,905 – $29,632 · median $19,783 16 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,455 – $20,342 · median $14,565 16 plans
548 SEPTIC ARTHRITIS WITH MCC $13,420 – $48,176 · median $30,407 16 plans
549 SEPTIC ARTHRITIS WITH CC $8,179 – $29,803 · median $19,840 16 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,751 – $23,312 · median $16,692 16 plans
551 MEDICAL BACK PROBLEMS WITH MCC $10,649 – $42,051 · median $26,541 16 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,173 – $23,875 · median $17,095 16 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $8,320 – $33,393 · median $21,056 16 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,186 – $20,305 · median $14,539 16 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,955 – $34,566 · median $21,453 16 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,292 – $20,369 · median $14,585 16 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $9,155 – $38,465 · median $24,278 16 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $5,637 – $21,704 · median $15,540 16 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,206 – $45,722 · median $28,859 16 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,041 – $27,972 · median $19,221 16 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,185 – $19,500 · median $13,803 16 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $9,238 – $37,573 · median $23,715 16 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $5,707 – $22,128 · median $15,845 16 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $9,970 – $38,591 · median $24,358 16 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,604 – $24,693 · median $17,681 16 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $4,920 – $19,500 · median $13,277 16 plans
570 SKIN DEBRIDEMENT WITH MCC $18,595 – $72,202 · median $45,572 16 plans
571 SKIN DEBRIDEMENT WITH CC $10,701 – $41,803 · median $26,385 16 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $7,227 – $28,157 · median $19,283 16 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $19,500 – $153,637 · median $108,646 16 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $19,500 – $84,151 · median $53,113 16 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,538 – $50,553 · median $31,907 16 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $19,500 – $140,418 · median $99,298 16 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $16,684 – $65,454 · median $41,313 16 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $10,438 – $39,792 · median $25,116 16 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $19,500 – $82,579 · median $52,122 16 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $11,313 – $43,155 · median $27,238 16 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $9,009 – $33,274 · median $21,016 16 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $10,752 – $43,024 · median $27,156 16 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $10,087 – $37,603 · median $23,734 16 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $12,019 – $48,393 · median $30,544 16 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $11,383 – $41,608 · median $26,262 16 plans
592 SKIN ULCERS WITH MCC $11,087 – $51,642 · median $32,595 16 plans
593 SKIN ULCERS WITH CC $7,464 – $29,894 · median $19,871 16 plans
594 SKIN ULCERS WITHOUT CC/MCC $5,340 – $19,500 · median $13,930 16 plans
595 MAJOR SKIN DISORDERS WITH MCC $13,195 – $53,740 · median $33,919 16 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $6,509 – $24,930 · median $17,851 16 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $10,758 – $39,545 · median $24,960 16 plans
598 MALIGNANT BREAST DISORDERS WITH CC $7,282 – $29,620 · median $19,779 16 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,393 – $19,500 · median $11,903 16 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $6,523 – $25,338 · median $18,143 16 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,494 – $19,500 · median $11,208 16 plans
602 CELLULITIS WITH MCC $9,488 – $36,753 · median $22,194 16 plans
603 CELLULITIS WITHOUT MCC $5,586 – $21,859 · median $15,652 16 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $9,671 – $37,215 · median $23,489 16 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,915 – $22,455 · median $16,078 16 plans
606 MINOR SKIN DISORDERS WITH MCC $9,895 – $39,182 · median $24,731 16 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,419 – $22,077 · median $15,807 16 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $15,637 – $55,652 · median $35,126 16 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,306 – $36,348 · median $22,056 16 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $19,500 – $97,787 · median $61,720 16 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,282 – $49,033 · median $30,948 16 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,528 – $28,698 · median $19,467 16 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $19,500 – $64,303 · median $40,586 16 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,534 – $40,081 · median $25,298 16 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $10,451 – $37,489 · median $23,662 16 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $19,500 – $94,523 · median $59,660 16 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,246 – $45,991 · median $29,029 16 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,191 – $27,537 · median $19,073 16 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $18,585 – $72,177 · median $45,556 16 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $10,816 – $36,862 · median $22,230 16 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $7,740 – $30,539 · median $20,090 16 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $19,500 – $99,190 · median $62,606 16 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $15,347 – $55,909 · median $35,288 16 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $9,222 – $34,500 · median $21,431 16 plans
637 DIABETES WITH MCC $9,008 – $35,809 · median $21,874 16 plans
638 DIABETES WITH CC $5,754 – $22,222 · median $15,912 16 plans
639 DIABETES WITHOUT CC/MCC $3,989 – $19,500 · median $11,013 16 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,054 – $32,496 · median $20,752 16 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,935 – $19,500 · median $13,824 16 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $8,440 – $32,202 · median $20,653 16 plans
643 ENDOCRINE DISORDERS WITH MCC $10,913 – $40,647 · median $25,655 16 plans
644 ENDOCRINE DISORDERS WITH CC $6,673 – $26,232 · median $18,632 16 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,029 – $19,500 · median $13,461 16 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $19,500 – $133,759 · median $94,589 16 plans
654 MAJOR BLADDER PROCEDURES WITH CC $18,995 – $67,638 · median $42,691 16 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $13,613 – $52,080 · median $32,871 16 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $19,500 – $77,524 · median $48,931 16 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $12,660 – $45,566 · median $28,760 16 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $10,325 – $36,578 · median $22,134 16 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $17,448 – $63,967 · median $40,374 16 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,443 – $33,255 · median $21,009 16 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $6,960 – $25,904 · median $18,520 16 plans
662 MINOR BLADDER PROCEDURES WITH MCC $19,220 – $74,042 · median $46,734 16 plans
663 MINOR BLADDER PROCEDURES WITH CC $10,466 – $36,049 · median $21,955 16 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,746 – $26,230 · median $18,631 16 plans
665 PROSTATECTOMY WITH MCC $19,500 – $76,325 · median $48,175 16 plans
666 PROSTATECTOMY WITH CC $11,384 – $42,434 · median $26,783 16 plans
667 PROSTATECTOMY WITHOUT CC/MCC $6,527 – $25,934 · median $18,530 16 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $18,363 – $69,627 · median $43,947 16 plans
669 TRANSURETHRAL PROCEDURES WITH CC $10,231 – $37,917 · median $23,932 16 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $6,403 – $23,784 · median $17,030 16 plans
671 URETHRAL PROCEDURES WITH CC/MCC $11,656 – $42,298 · median $26,697 16 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,528 – $23,164 · median $16,586 16 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $19,500 – $91,370 · median $57,670 16 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $15,595 – $58,859 · median $37,150 16 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $11,482 – $39,199 · median $24,741 16 plans
682 RENAL FAILURE WITH MCC $9,637 – $37,082 · median $23,405 16 plans
683 RENAL FAILURE WITH CC $5,754 – $22,257 · median $15,937 16 plans
684 RENAL FAILURE WITHOUT CC/MCC $3,978 – $19,500 · median $10,765 16 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $12,271 – $45,448 · median $28,685 16 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $6,871 – $25,827 · median $18,493 16 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,488 – $19,500 · median $13,815 16 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $7,291 – $29,017 · median $19,574 16 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,196 – $19,937 · median $14,275 16 plans
693 URINARY STONES WITH MCC $8,739 – $34,994 · median $21,598 16 plans
694 URINARY STONES WITHOUT MCC $5,046 – $19,500 · median $13,847 16 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $7,445 – $29,551 · median $19,755 16 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,528 – $19,500 · median $12,244 16 plans
697 URETHRAL STRICTURE $6,539 – $27,502 · median $19,062 16 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $10,539 – $40,877 · median $25,800 16 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $6,720 – $25,222 · median $18,059 16 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,885 – $19,500 · median $12,531 16 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $12,578 – $48,475 · median $30,596 16 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $9,758 – $36,037 · median $21,951 16 plans
709 PENIS PROCEDURES WITH CC/MCC $15,154 – $53,636 · median $33,854 16 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,480 – $32,054 · median $20,603 16 plans
711 TESTES PROCEDURES WITH CC/MCC $13,948 – $52,453 · median $33,107 16 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $6,936 – $29,363 · median $19,692 16 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $9,772 – $35,844 · median $21,886 16 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $6,078 – $23,683 · median $16,957 16 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $13,229 – $54,543 · median $34,426 16 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $8,348 – $35,140 · median $21,647 16 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $11,782 – $44,813 · median $28,285 16 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $8,079 – $29,052 · median $19,586 16 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $11,207 – $46,323 · median $29,238 16 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $7,145 – $27,532 · median $19,072 16 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,241 – $20,001 · median $14,321 16 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,412 – $30,660 · median $20,131 16 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,873 – $19,500 · median $12,931 16 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $9,298 – $40,052 · median $25,279 16 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,272 – $19,769 · median $14,155 16 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $6,593 – $24,804 · median $17,761 16 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,723 – $19,500 · median $10,997 16 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $14,555 – $53,705 · median $33,897 16 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,250 – $31,137 · median $20,292 16 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $19,500 – $96,045 · median $60,621 16 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $13,467 – $48,769 · median $30,781 16 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,658 – $33,717 · median $21,166 16 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $19,500 – $89,352 · median $56,396 16 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $11,789 – $44,153 · median $27,868 16 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $8,375 – $32,103 · median $20,619 16 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $11,243 – $44,027 · median $27,789 16 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $7,413 – $28,711 · median $19,471 16 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $11,748 – $46,510 · median $29,356 16 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $7,656 – $25,595 · median $18,327 16 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $10,545 – $41,413 · median $26,139 16 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,145 – $21,921 · median $15,696 16 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $8,818 – $34,712 · median $21,503 16 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $17,758 – $62,195 · median $39,256 16 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,579 – $33,603 · median $21,127 16 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,950 – $45,772 · median $28,890 16 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,390 – $26,801 · median $18,824 16 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,010 – $24,454 · median $17,509 16 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,977 – $36,854 · median $22,228 16 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,345 – $24,525 · median $17,561 16 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,472 – $19,500 · median $11,432 16 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $6,021 – $24,594 · median $17,610 16 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,866 – $19,500 · median $10,714 16 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $6,906 – $25,486 · median $7,753 16 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $10,585 – $38,147 · median $24,077 16 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $5,822 – $19,734 · median $14,130 16 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,068 – $19,500 · median $12,680 16 plans
779 ABORTION WITHOUT D&C $6,930 – $24,441 · median $17,500 16 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $9,190 – $37,071 · median $12,269 16 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,171 – $21,427 · median $10,298 16 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,999 – $19,500 · median $9,902 16 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $9,190 – $36,605 · median $10,433 16 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $6,965 – $21,992 · median $10,298 16 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $5,807 – $19,500 · median $9,902 16 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,601 – $38,444 · median $11,255 16 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $3,226 – $126,782 · median $37,116 16 plans
791 PREMATURITY WITH MAJOR PROBLEMS $3,226 – $86,584 · median $25,349 16 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $2,601 – $52,244 · median $15,295 16 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $3,226 – $88,943 · median $26,038 16 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,601 – $31,482 · median $9,216 16 plans
795 NORMAL NEWBORN $1,037 – $19,500 · median $1,938 16 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $5,741 – $29,677 · median $7,007 16 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $5,741 – $20,837 · median $6,643 16 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $5,415 – $19,500 · median $6,643 16 plans
799 SPLENIC PROCEDURES WITH MCC $19,500 – $122,418 · median $77,267 16 plans
800 SPLENIC PROCEDURES WITH CC $19,329 – $69,620 · median $43,942 16 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $11,019 – $44,220 · median $27,910 16 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $19,500 – $84,768 · median $53,503 16 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,344 – $45,912 · median $28,979 16 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,938 – $29,907 · median $19,876 16 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $6,739 – $21,095 · median $7,460 16 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,807 – $19,500 · median $7,460 16 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,203 – $19,500 · median $6,643 16 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $14,303 – $54,113 · median $34,155 16 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,005 – $29,758 · median $19,825 16 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $6,293 – $24,819 · median $17,771 16 plans
811 RED BLOOD CELL DISORDERS WITH MCC $9,026 – $34,680 · median $21,492 16 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,760 – $22,255 · median $15,935 16 plans
813 COAGULATION DISORDERS $10,111 – $38,544 · median $24,328 16 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $12,379 – $52,581 · median $33,188 16 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $6,500 – $24,565 · median $17,589 16 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,326 – $19,500 · median $12,565 16 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $15,095 – $69,597 · median $43,928 16 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,898 – $35,360 · median $21,722 16 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,460 – $22,415 · median $16,050 16 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $19,500 – $149,402 · median $105,651 16 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $14,103 – $55,151 · median $34,810 16 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,189 – $30,608 · median $20,113 16 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $19,500 – $111,233 · median $70,207 16 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $15,472 – $55,170 · median $34,822 16 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,171 – $31,908 · median $20,553 16 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $19,500 – $114,341 · median $72,169 16 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $16,363 – $57,253 · median $36,137 16 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $10,954 – $40,531 · median $25,582 16 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $19,500 – $77,924 · median $49,184 16 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $9,698 – $39,068 · median $24,659 16 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $7,341 – $26,569 · median $18,745 16 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,093 – $19,500 · median $13,051 16 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,514 – $19,500 · median $9,055 16 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $19,500 – $138,340 · median $97,829 16 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $13,831 – $55,235 · median $34,863 16 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $7,679 – $34,885 · median $21,561 16 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $19,500 – $119,686 · median $75,542 16 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $14,790 – $49,458 · median $31,217 16 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,732 – $32,197 · median $20,651 16 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $19,500 – $77,217 · median $48,737 16 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $10,611 – $38,878 · median $24,539 16 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,178 – $26,349 · median $18,671 16 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $12,483 – $45,972 · median $29,016 16 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $7,749 – $28,592 · median $19,431 16 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,555 – $21,370 · median $15,301 16 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $17,490 – $60,386 · median $38,114 16 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $8,743 – $29,961 · median $19,894 16 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,755 – $20,661 · median $14,794 16 plans
849 RADIOTHERAPY $16,317 – $66,499 · median $41,972 16 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $19,500 – $123,523 · median $77,964 16 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $13,887 – $50,360 · median $31,786 16 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $9,945 – $42,048 · median $26,540 16 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $19,500 – $109,417 · median $69,061 16 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $13,757 – $52,769 · median $33,306 16 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $8,897 – $31,710 · median $20,486 16 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $12,411 – $45,512 · median $28,726 16 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $6,618 – $24,844 · median $17,789 16 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,735 – $21,812 · median $15,618 16 plans
865 VIRAL ILLNESS WITH MCC $9,670 – $40,519 · median $25,574 16 plans
866 VIRAL ILLNESS WITHOUT MCC $5,490 – $22,675 · median $16,235 16 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $14,639 – $51,697 · median $32,629 16 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $6,975 – $26,821 · median $18,831 16 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,767 – $19,500 · median $12,220 16 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $19,500 – $172,089 · median $121,694 16 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $12,251 – $48,986 · median $30,919 16 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $6,716 – $25,447 · median $18,220 16 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $19,500 – $92,198 · median $58,193 16 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,657 – $23,586 · median $16,888 16 plans
881 DEPRESSIVE NEUROSES $5,248 – $22,398 · median $16,037 16 plans
882 NEUROSES EXCEPT DEPRESSIVE $5,389 – $23,208 · median $16,618 16 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $10,351 – $46,337 · median $29,247 16 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $9,471 – $43,409 · median $27,399 16 plans
885 PSYCHOSES $8,110 – $33,761 · median $21,181 16 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $8,007 – $41,551 · median $26,226 16 plans
887 OTHER MENTAL DISORDER DIAGNOSES $7,066 – $32,012 · median $20,588 16 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,592 – $19,500 · median $10,164 16 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $10,465 – $39,750 · median $25,089 16 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $11,650 – $43,933 · median $27,729 16 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,412 – $21,140 · median $15,137 16 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $19,500 – $106,931 · median $67,492 16 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,854 – $46,567 · median $29,392 16 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $7,429 – $30,675 · median $20,136 16 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $19,500 – $80,454 · median $50,780 16 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $10,797 – $39,130 · median $24,698 16 plans
906 HAND PROCEDURES FOR INJURIES $11,803 – $46,491 · median $29,344 16 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $19,500 – $91,901 · median $58,006 16 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,417 – $49,517 · median $31,254 16 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $8,971 – $33,511 · median $21,096 16 plans
913 TRAUMATIC INJURY WITH MCC $10,722 – $36,926 · median $22,252 16 plans
914 TRAUMATIC INJURY WITHOUT MCC $5,804 – $22,427 · median $16,059 16 plans
915 ALLERGIC REACTIONS WITH MCC $11,121 – $43,832 · median $27,666 16 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,308 – $19,500 · median $11,655 16 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $9,675 – $39,432 · median $24,888 16 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,180 – $21,271 · median $15,231 16 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $12,067 – $45,085 · median $28,456 16 plans
920 COMPLICATIONS OF TREATMENT WITH CC $6,705 – $25,543 · median $18,289 16 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,567 – $19,500 · median $12,345 16 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $10,393 – $43,113 · median $27,212 16 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,150 – $24,990 · median $17,893 16 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $19,500 – $651,271 · median $460,552 16 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $19,500 – $170,972 · median $120,904 16 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $19,500 – $79,449 · median $50,146 16 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $14,807 – $74,915 · median $47,284 16 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $12,700 – $51,701 · median $32,633 16 plans
935 NON-EXTENSIVE BURNS $12,648 – $50,432 · median $31,831 16 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $19,500 – $79,444 · median $50,143 16 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $14,533 – $53,532 · median $33,788 16 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $12,584 – $45,858 · median $28,944 16 plans
945 REHABILITATION WITH CC/MCC $2,439 – $37,297 · median $9,697 16 plans
946 REHABILITATION WITHOUT CC/MCC $2,439 – $25,022 · median $7,369 16 plans
947 SIGNS AND SYMPTOMS WITH MCC $7,813 – $30,925 · median $20,220 16 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,150 – $19,791 · median $14,171 16 plans
949 AFTERCARE WITH CC/MCC $7,263 – $26,507 · median $18,725 16 plans
950 AFTERCARE WITHOUT CC/MCC $4,844 – $19,500 · median $11,298 16 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,662 – $19,500 · median $10,438 16 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $19,500 – $150,477 · median $106,411 16 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $19,500 – $95,823 · median $60,481 16 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $19,500 – $178,701 · median $126,370 16 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $19,500 – $99,939 · median $63,079 16 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $17,904 – $62,571 · median $39,493 16 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $17,863 – $67,559 · median $42,641 16 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $9,762 – $37,087 · median $23,408 16 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,971 – $23,618 · median $16,911 16 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $19,500 – $169,808 · median $120,082 16 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $19,500 – $68,678 · median $43,348 16 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $17,606 – $72,061 · median $45,483 16 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $8,390 – $33,684 · median $21,155 16 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,214 – $20,886 · median $14,955 16 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $8,666 – $34,989 · median $21,596 16 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $19,500 – $117,126 · median $73,927 16 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $16,598 – $61,424 · median $38,769 16 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,812 – $40,403 · median $25,501 16 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $19,500 – $83,432 · median $52,660 16 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,166 – $41,929 · median $26,465 16 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $7,352 – $26,692 · median $18,787 16 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $19,500 – $75,977 · median $60,185 10 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $19,500 – $266,122 · median $219,841 10 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $19,500 – $173,841 · median $143,608 10 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $19,500 – $153,442 · median $126,756 10 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $19,500 – $118,164 · median $93,604 10 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $19,500 – $110,208 · median $87,301 10 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $19,500 – $79,080 · median $62,644 10 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $19,500 – $71,028 · median $56,265 10 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $19,500 – $45,053 · median $35,689 10 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $19,500 – $102,291 · median $81,030 10 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $19,500 – $73,348 · median $58,103 10 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $19,500 – $65,335 · median $51,756 10 plans
397 APPENDIX PROCEDURES WITH MCC $19,500 – $55,509 · median $43,972 10 plans
398 APPENDIX PROCEDURES WITH CC $19,500 – $37,391 · median $29,619 10 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $14,357 – $27,502 · median $21,786 10 plans
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