Regional Medical Center — Pricing

764 procedures published in this hospital's Machine-Readable File (MRF) — 166 with a comparable price, 598 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 764
Lowest published price $2,680
Average published price $13,043
Highest published price $96,394

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 764 procedures

Published charges

Showing all 166 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above. Cash-pay prices not published for this hospital.

Across 47 procedures, this hospital's negotiated rates average ≈109% of what Medicare pays.

DRG Description Published price vs. AL median vs. National median vs Medicare
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $96,394 $302,721 −68% $248,521 −61% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $47,621 $174,192 −73% $148,832 −68% ≈110% of Medicare
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $44,463 $108,736 −59% $71,464 −38% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $44,036 $86,661 −49% $116,058 −62% ≈106% of Medicare
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $34,663 $76,983 −55% $93,390 −63% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $34,432 $68,020 −49% $93,172 −63% ≈113% of Medicare
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $33,531 $34,039 −1% $53,451 −37% —
245 AICD GENERATOR PROCEDURES $33,438 $66,564 −50% $72,076 −54% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $32,882 $12,555 +162% $15,837 +108% —
374 DIGESTIVE MALIGNANCY WITH MCC $29,650 $48,306 −39% $39,958 −26% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $29,034 $57,570 −50% $77,990 −63% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $27,248 $28,020 −3% $34,459 −21% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $26,750 $81,522 −67% $75,573 −65% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $26,620 $108,123 −75% $77,817 −66% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $24,153 $27,164 −11% $34,273 −30% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $23,921 $90,009 −73% $71,014 −66% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,884 $78,181 −69% $68,653 −65% —
252 OTHER VASCULAR PROCEDURES WITH MCC $23,826 $92,352 −74% $68,508 −65% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $23,645 $77,989 −70% $70,132 −66% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $23,293 $64,111 −64% $38,836 −40% —
913 TRAUMATIC INJURY WITH MCC $23,258 $31,567 −26% $24,198 −4% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $22,734 $49,519 −54% $65,788 −65% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $22,311 $162,433 −86% $101,510 −78% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $22,196 $40,640 −45% $49,710 −55% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $21,378 $32,199 −34% $60,407 −65% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $21,162 $54,042 −61% $59,031 −64% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $21,159 $26,848 −21% $27,617 −23% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $20,516 $73,272 −72% $65,653 −69% ≈107% of Medicare
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $19,957 $61,404 −67% $49,839 −60% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $19,886 $100,617 −80% $81,706 −76% ≈109% of Medicare
380 COMPLICATED PEPTIC ULCER WITH MCC $19,381 $40,365 −52% $39,627 −51% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $18,980 $76,660 −75% $62,264 −70% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $18,920 $41,200 −54% $44,546 −58% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $18,785 $38,027 −51% $52,405 −64% —
253 OTHER VASCULAR PROCEDURES WITH CC $18,334 $81,275 −77% $57,454 −68% —
593 SKIN ULCERS WITH CC $17,897 $19,063 −6% $22,886 −22% —
551 MEDICAL BACK PROBLEMS WITH MCC $17,856 $25,341 −30% $34,017 −48% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $17,059 $121,723 −86% $80,793 −79% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $16,545 $33,885 −51% $19,815 −17% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $16,154 $40,531 −60% $40,108 −60% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $15,845 $29,127 −46% $43,943 −64% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $15,605 $47,596 −67% $39,973 −61% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $15,605 $50,143 −69% $46,283 −66% ≈106% of Medicare
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $15,189 $30,610 −50% $25,970 −42% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $15,150 $60,758 −75% $58,280 −74% ≈109% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $15,084 $47,606 −68% $38,666 −61% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $14,985 $53,909 −72% $49,351 −70% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $14,722 $58,910 −75% $52,751 −72% ≈108% of Medicare
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $14,474 $27,767 −48% $36,431 −60% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $13,958 $29,659 −53% $35,628 −61% ≈108% of Medicare
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $13,803 $28,621 −52% $40,213 −66% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $13,779 $60,500 −77% $39,955 −66% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,703 $28,264 −52% $42,881 −68% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $13,477 $60,169 −78% $42,126 −68% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $13,392 $57,088 −77% $50,607 −74% ≈112% of Medicare
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $13,219 $26,792 −51% $37,842 −65% ≈106% of Medicare
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $12,995 $36,779 −65% $40,552 −68% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $12,880 $70,162 −82% $58,809 −78% ≈114% of Medicare
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,811 $55,956 −77% $43,477 −71% —
504 FOOT PROCEDURES WITH CC $12,514 $37,327 −66% $38,960 −68% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $12,441 $25,998 −52% $31,951 −61% ≈105% of Medicare
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,140 $41,451 −71% $32,944 −63% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $12,011 $34,851 −66% $32,496 −63% ≈87% of Medicare
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $11,967 $64,874 −82% $90,775 −87% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,937 $26,548 −55% $33,876 −65% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $11,902 $35,876 −67% $32,628 −64% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,744 $24,497 −52% $30,828 −62% ≈112% of Medicare
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,579 $24,997 −54% $33,707 −66% ≈113% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,373 $43,627 −74% $41,955 −73% —
186 PLEURAL EFFUSION WITH MCC $11,333 $31,640 −64% $33,834 −67% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $11,288 $66,136 −83% $33,633 −66% —
813 COAGULATION DISORDERS $11,203 $30,969 −64% $33,296 −66% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $10,947 $23,307 −53% $32,877 −67% —
398 APPENDIX PROCEDURES WITH CC $10,813 $38,439 −72% $40,162 −73% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $10,775 $82,005 −87% $76,001 −86% —
637 DIABETES WITH MCC $10,612 $22,095 −52% $30,100 −65% ≈115% of Medicare
602 CELLULITIS WITH MCC $10,518 $20,094 −48% $30,598 −66% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,462 $38,607 −73% $32,100 −67% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,176 $21,483 −53% $30,959 −67% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,644 $32,283 −70% $24,552 −61% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,631 $18,313 −47% $25,463 −62% ≈108% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,562 $20,296 −53% $27,275 −65% ≈125% of Medicare
291 HEART FAILURE AND SHOCK WITH MCC $9,505 $18,066 −47% $26,776 −65% ≈106% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,483 $32,197 −71% $26,051 −64% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,367 $19,865 −53% $28,050 −67% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $9,073 $16,640 −45% $20,727 −56% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,020 $28,922 −69% $26,580 −66% ≈103% of Medicare
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,971 $23,685 −62% $22,458 −60% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,594 $18,383 −53% $23,617 −64% ≈110% of Medicare
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,332 $17,269 −52% $23,319 −64% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,245 $17,770 −54% $24,386 −66% ≈110% of Medicare
199 PNEUMOTHORAX WITH MCC $8,143 $26,106 −69% $33,787 −76% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $8,109 $42,244 −81% $36,505 −78% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $8,074 $25,881 −69% $33,555 −76% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,048 $31,056 −74% $32,021 −75% ≈129% of Medicare
184 MAJOR CHEST TRAUMA WITH CC $7,901 $17,057 −54% $22,432 −65% —
088 CONCUSSION WITH MCC $7,855 $21,503 −63% $24,402 −68% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,845 $17,089 −54% $20,422 −62% ≈106% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,811 $16,935 −54% $24,914 −69% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $7,781 $16,872 −54% $23,488 −67% ≈104% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,771 $16,392 −53% $23,940 −68% ≈128% of Medicare
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,703 $16,723 −54% $23,141 −67% —
644 ENDOCRINE DISORDERS WITH CC $7,640 $16,607 −54% $23,198 −67% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,624 $16,575 −54% $22,888 −67% ≈108% of Medicare
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $7,554 $29,012 −74% $39,106 −81% ≈106% of Medicare
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,550 $16,429 −54% $22,506 −66% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,536 $16,402 −54% $25,303 −70% —
920 COMPLICATIONS OF TREATMENT WITH CC $7,524 $16,379 −54% $22,468 −67% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,524 $16,382 −54% $19,264 −61% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,386 $16,070 −54% $22,024 −66% ≈120% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $7,344 $20,015 −63% $28,226 −74% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,322 $16,538 −56% $22,098 −67% ≈118% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,318 $18,301 −60% $20,895 −65% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,190 $15,741 −54% $17,724 −59% ≈112% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,160 $15,684 −54% $21,363 −66% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,129 $13,747 −48% $21,396 −67% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,090 $17,408 −59% $18,316 −61% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,031 $13,818 −49% $17,934 −61% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,887 $16,184 −57% $20,463 −66% ≈109% of Medicare
101 SEIZURES WITHOUT MCC $6,886 $15,157 −55% $20,461 −66% —
638 DIABETES WITH CC $6,858 $15,098 −55% $19,661 −65% —
914 TRAUMATIC INJURY WITHOUT MCC $6,852 $10,952 −37% $15,855 −57% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $6,852 $31,123 −78% $27,285 −75% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,754 $15,172 −55% $20,488 −67% ≈114% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,750 $14,675 −54% $15,452 −56% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,720 $14,795 −55% $19,842 −66% —
683 RENAL FAILURE WITH CC $6,687 $14,731 −55% $19,130 −65% ≈112% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,657 $14,344 −54% $18,807 −65% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,644 $14,358 −54% $19,096 −65% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $6,643 $16,171 −59% $20,957 −68% —
603 CELLULITIS WITHOUT MCC $6,612 $14,626 −55% $18,530 −64% ≈103% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,536 $14,480 −55% $19,305 −66% —
312 SYNCOPE AND COLLAPSE $6,508 $14,502 −55% $19,342 −66% ≈110% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $6,478 $13,653 −53% $16,371 −60% —
682 RENAL FAILURE WITH MCC $6,478 $22,687 −71% $29,064 −78% ≈105% of Medicare
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $6,475 $14,644 −56% $16,699 −61% —
103 HEADACHES WITHOUT MCC $6,404 $15,688 −59% $21,280 −70% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,220 $13,978 −55% $18,204 −66% ≈120% of Medicare
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $6,197 $19,043 −67% $24,127 −74% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,176 $13,791 −55% $18,126 −66% —
534 FRACTURES OF FEMUR WITHOUT MCC $6,161 $13,759 −55% $17,559 −65% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,086 $13,044 −53% $21,056 −71% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,084 $13,505 −55% $17,674 −66% ≈108% of Medicare
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $6,050 $19,694 −69% $27,543 −78% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,047 $13,542 −55% $17,700 −66% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,993 $13,506 −56% $17,921 −67% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,939 $13,059 −55% $17,038 −65% ≈117% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,933 $12,642 −53% $17,322 −66% ≈120% of Medicare
313 CHEST PAIN $5,896 $11,135 −47% $16,440 −64% ≈109% of Medicare
151 EPISTAXIS WITHOUT MCC $5,800 $12,677 −54% $13,032 −55% —
149 DYSEQUILIBRIUM $5,712 $20,694 −72% $18,096 −68% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,657 $12,789 −56% $17,303 −67% ≈107% of Medicare
303 ATHEROSCLEROSIS WITHOUT MCC $5,525 $11,921 −54% $14,927 −63% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,035 $10,876 −54% $14,368 −65% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,817 $10,110 −52% $15,183 −68% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $4,812 $18,845 −74% $26,770 −82% ≈104% of Medicare
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $4,757 $16,963 −72% $23,551 −80% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,456 $9,995 −55% $13,384 −67% ≈146% of Medicare
885 PSYCHOSES $4,400 $20,878 −79% $21,729 −80% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,360 $12,055 −64% $17,578 −75% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $3,850 $14,504 −73% $21,986 −82% ≈113% of Medicare
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $3,680 $13,658 −73% $16,846 −78% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,314 $12,605 −74% $19,227 −83% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $3,300 $24,871 −87% $26,682 −88% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $2,684 $50,468 −95% $47,711 −94% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,680 $11,355 −76% $13,275 −80% —

Procedures with negotiated rates only

These 598 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
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $18,421 – $23,744 · median $20,461 12 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $5,965 – $169,070 · median $145,696 9 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $3,562 – $40,889 · median $35,236 9 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $3,562 – $31,759 · median $27,368 9 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $2,652 – $21,298 · median $18,353 9 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 9 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $4,430 – $63,388 · median $54,625 9 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $5,965 – $67,028 · median $57,761 9 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $5,965 – $48,701 · median $41,968 9 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $5,965 – $31,107 · median $26,806 9 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $4,430 – $44,954 · median $38,739 9 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $3,562 – $30,045 · median $25,891 9 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $4,430 – $35,019 · median $30,177 9 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $5,965 – $23,418 · median $20,181 9 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $9,942 – $19,293 · median $16,626 9 plans
028 SPINAL PROCEDURES WITH MCC $9,942 – $47,787 · median $41,180 9 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $9,942 – $27,186 · median $23,427 9 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $9,942 – $18,390 · median $15,847 9 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $9,942 – $32,645 · median $28,131 9 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $9,942 – $17,080 · median $14,718 9 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $9,942 – $12,870 · median $11,090 9 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $9,942 – $30,938 · median $26,661 9 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $9,942 – $18,235 · median $15,714 9 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $9,942 – $14,339 · median $12,357 9 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $5,965 – $26,769 · median $23,068 9 plans
038 EXTRACRANIAL PROCEDURES WITH CC $5,965 – $12,687 · median $10,933 9 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $5,965 – $9,048 · median $7,797 9 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $4,430 – $30,534 · median $26,313 9 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $3,562 – $17,689 · median $15,244 9 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $5,965 – $13,797 · median $11,889 9 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $3,562 – $15,420 · median $13,288 9 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $2,652 – $7,802 · median $6,723 9 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $1,996 – $11,685 · median $10,069 9 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $1,996 – $8,510 · median $7,334 9 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $2,652 – $13,702 · median $11,808 9 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $1,996 – $9,415 · median $8,113 9 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $1,996 – $7,116 · median $6,133 9 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $4,430 – $14,843 · median $12,791 9 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $4,430 – $11,790 · median $10,160 9 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $1,996 – $5,452 · median $4,698 9 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $2,652 – $11,236 · median $9,683 9 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $1,996 – $6,907 · median $5,952 9 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $2,652 – $6,209 · median $5,351 9 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $2,652 – $11,998 · median $10,339 9 plans
075 VIRAL MENINGITIS WITH CC/MCC $2,652 – $15,176 · median $13,078 9 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $2,652 – $7,315 · median $6,304 9 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $2,652 – $11,981 · median $10,325 9 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $2,652 – $8,064 · median $6,949 9 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $2,652 – $5,875 · median $5,062 9 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $2,652 – $17,515 · median $15,094 9 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $2,652 – $7,212 · median $6,215 9 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $4,430 – $18,067 · median $15,569 9 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $2,652 – $7,293 · median $6,285 9 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $2,652 – $18,023 · median $15,532 9 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $2,652 – $10,445 · median $9,001 9 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $2,652 – $7,028 · median $6,056 9 plans
089 CONCUSSION WITH CC $2,652 – $9,119 · median $7,858 9 plans
090 CONCUSSION WITHOUT CC/MCC $4,430 – $7,413 · median $6,388 9 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $2,652 – $14,188 · median $12,227 9 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,996 – $6,141 · median $5,292 9 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $3,562 – $28,728 · median $24,756 9 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $3,562 – $18,907 · median $16,293 9 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,562 – $17,285 · median $14,895 9 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $4,430 – $28,841 · median $24,853 9 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $1,996 – $17,085 · median $14,723 9 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $2,652 – $10,469 · median $9,022 9 plans
100 SEIZURES WITH MCC $4,430 – $15,721 · median $13,548 9 plans
102 HEADACHES WITH MCC $2,652 – $9,568 · median $8,246 9 plans
113 ORBITAL PROCEDURES WITH CC/MCC $4,430 – $19,883 · median $17,134 9 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $4,430 – $9,768 · median $8,418 9 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $3,562 – $12,406 · median $10,691 9 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $3,562 – $14,518 · median $12,511 9 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $4,430 – $9,503 · median $8,189 9 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $2,652 – $10,160 · median $8,755 9 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $1,996 – $5,904 · median $5,088 9 plans
123 NEUROLOGICAL EYE DISORDERS $1,996 – $6,376 · median $5,494 9 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $2,652 – $10,483 · median $9,033 9 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $2,652 – $6,324 · median $5,450 9 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $9,942 – $21,031 · median $18,124 9 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $5,965 – $8,281 · median $7,136 9 plans
137 MOUTH PROCEDURES WITH CC/MCC $3,562 – $11,932 · median $10,283 9 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $3,562 – $6,865 · median $5,916 9 plans
139 SALIVARY GLAND PROCEDURES $5,965 – $9,418 · median $8,116 9 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $9,942 – $29,960 · median $25,818 9 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $9,942 – $16,429 · median $14,157 9 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $9,942 – $12,252 · median $10,558 9 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $9,942 – $26,372 · median $22,726 9 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $9,942 – $13,723 · median $11,826 9 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $5,965 – $9,683 · median $8,345 9 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $2,652 – $9,800 · median $8,445 9 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $3,562 – $7,055 · median $6,080 9 plans
150 EPISTAXIS WITH MCC $2,652 – $10,424 · median $8,983 9 plans
152 OTITIS MEDIA AND URI WITH MCC $2,652 – $9,422 · median $8,120 9 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $2,652 – $5,827 · median $5,021 9 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $2,652 – $12,198 · median $10,512 9 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $3,562 – $7,507 · median $6,469 9 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $1,996 – $5,198 · median $4,479 9 plans
157 DENTAL AND ORAL DISEASES WITH MCC $2,652 – $13,537 · median $11,665 9 plans
158 DENTAL AND ORAL DISEASES WITH CC $1,996 – $7,442 · median $6,413 9 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $2,652 – $5,354 · median $4,614 9 plans
163 MAJOR CHEST PROCEDURES WITH MCC $4,430 – $37,379 · median $32,211 9 plans
164 MAJOR CHEST PROCEDURES WITH CC $4,430 – $20,225 · median $17,429 9 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $3,562 – $14,880 · median $12,823 9 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $3,562 – $14,431 · median $12,436 9 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,430 – $10,751 · median $9,264 9 plans
176 PULMONARY EMBOLISM WITHOUT MCC $2,652 – $6,468 · median $5,574 9 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $1,996 – $6,053 · median $5,216 9 plans
180 RESPIRATORY NEOPLASMS WITH MCC $1,996 – $13,784 · median $11,878 9 plans
181 RESPIRATORY NEOPLASMS WITH CC $2,652 – $8,732 · median $7,525 9 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $1,996 – $6,334 · median $5,459 9 plans
183 MAJOR CHEST TRAUMA WITH MCC $3,562 – $12,486 · median $10,760 9 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $2,652 – $5,993 · median $5,164 9 plans
187 PLEURAL EFFUSION WITH CC $2,652 – $7,901 · median $6,808 9 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $1,996 – $5,920 · median $5,101 9 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $1,996 – $4,961 · median $4,275 9 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $2,652 – $15,031 · median $12,953 9 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $1,996 – $7,910 · median $6,817 9 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $1,996 – $6,171 · median $5,318 9 plans
200 PNEUMOTHORAX WITH CC $1,996 – $8,541 · median $7,360 9 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $1,996 – $5,599 · median $4,825 9 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $2,652 – $5,511 · median $4,749 9 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $2,652 – $6,526 · median $5,623 9 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $1,996 – $14,356 · median $12,371 9 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $2,652 – $7,244 · median $6,243 9 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES $9,942 – $85,412 · median $73,603 9 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $9,942 – $81,003 · median $69,805 9 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $5,965 – $76,963 · median $66,323 9 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $5,965 – $50,477 · median $43,498 9 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $9,942 – $45,175 · median $38,929 9 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $9,942 – $61,150 · median $52,696 9 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $9,942 – $41,590 · median $35,840 9 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $9,942 – $36,863 · median $31,767 9 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $9,942 – $39,957 · median $34,433 9 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $9,942 – $25,214 · median $21,728 9 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $9,942 – $64,354 · median $55,457 9 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $5,965 – $47,172 · median $40,651 9 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $5,965 – $61,851 · median $53,300 9 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $5,965 – $41,219 · median $35,521 9 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $5,965 – $46,633 · median $40,186 9 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $5,965 – $32,047 · median $27,616 9 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $3,562 – $22,277 · median $19,197 9 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $2,652 – $11,054 · median $9,526 9 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $9,942 – $18,061 · median $15,564 9 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $9,942 – $14,508 · median $12,502 9 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $5,965 – $18,642 · median $16,065 9 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $9,942 – $12,584 · median $10,844 9 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $3,562 – $21,787 · median $18,775 9 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $2,652 – $7,859 · median $6,772 9 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $4,430 – $21,479 · median $18,510 9 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $5,965 – $14,802 · median $12,756 9 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $4,430 – $26,290 · median $22,655 9 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $5,965 – $13,047 · median $11,243 9 plans
263 VEIN LIGATION AND STRIPPING $4,430 – $22,404 · median $19,306 9 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $5,965 – $25,899 · median $22,319 9 plans
265 AICD LEAD PROCEDURES $9,942 – $28,025 · median $24,151 9 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $9,942 – $49,532 · median $42,684 9 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $9,942 – $38,700 · median $33,350 9 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $9,942 – $54,358 · median $46,843 9 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $9,942 – $32,978 · median $28,418 9 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $5,965 – $40,101 · median $34,557 9 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $9,942 – $19,345 · median $16,671 9 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $5,965 – $30,903 · median $26,631 9 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $9,942 – $25,700 · median $22,147 9 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $9,942 – $55,794 · median $48,080 9 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $9,942 – $49,247 · median $42,438 9 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $9,942 – $37,924 · median $32,681 9 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $5,965 – $35,371 · median $30,481 9 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $5,965 – $25,381 · median $21,872 9 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $3,562 – $5,866 · median $5,055 9 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,272 – $3,875 · median $3,415 9 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $2,652 – $20,562 · median $17,720 9 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $2,652 – $11,718 · median $10,098 9 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $2,652 – $8,605 · median $7,415 9 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $1,996 – $4,453 · median $3,837 9 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $1,996 – $8,673 · median $7,474 9 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $1,996 – $6,321 · median $5,447 9 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $2,652 – $12,713 · median $10,956 9 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,430 – $5,778 · median $4,979 9 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $2,944 – $3,562 · median $3,073 9 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $2,652 – $12,499 · median $10,771 9 plans
302 ATHEROSCLEROSIS WITH MCC $2,652 – $8,890 · median $7,661 9 plans
304 HYPERTENSION WITH MCC $2,652 – $9,112 · median $7,852 9 plans
305 HYPERTENSION WITHOUT MCC $1,996 – $5,975 · median $5,149 9 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $1,996 – $12,187 · median $10,502 9 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $1,996 – $7,475 · median $6,441 9 plans
311 ANGINA PECTORIS $2,652 – $5,536 · median $4,771 9 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $1,996 – $5,493 · median $4,734 9 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $5,965 – $34,590 · median $29,808 9 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $9,942 – $17,652 · median $15,212 9 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $9,942 – $20,969 · median $18,070 9 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $5,965 – $19,804 · median $17,066 9 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $5,965 – $12,667 · median $10,915 9 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $4,430 – $35,818 · median $30,866 9 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $4,430 – $18,811 · median $16,210 9 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,562 – $13,259 · median $11,426 9 plans
332 RECTAL RESECTION WITH MCC $3,562 – $28,979 · median $24,972 9 plans
333 RECTAL RESECTION WITH CC $4,430 – $16,490 · median $14,211 9 plans
334 RECTAL RESECTION WITHOUT CC/MCC $4,430 – $12,728 · median $10,969 9 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $3,562 – $28,350 · median $24,430 9 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $4,430 – $16,695 · median $14,387 9 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $3,562 – $11,866 · median $10,226 9 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $4,430 – $12,217 · median $10,528 9 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $2,652 – $10,212 · median $8,800 9 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $3,562 – $20,214 · median $17,420 9 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $3,562 – $10,320 · median $8,893 9 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $2,652 – $7,738 · median $6,668 9 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $3,562 – $19,032 · median $16,401 9 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $4,430 – $8,794 · median $7,579 9 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $3,562 – $23,190 · median $19,984 9 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $5,965 – $10,805 · median $9,312 9 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $5,965 – $33,930 · median $29,239 9 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $3,562 – $17,421 · median $15,012 9 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,430 – $10,159 · median $8,755 9 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $1,996 – $5,898 · median $5,082 9 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $1,996 – $8,265 · median $7,123 9 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $1,996 – $5,682 · median $4,896 9 plans
375 DIGESTIVE MALIGNANCY WITH CC $2,652 – $9,503 · median $8,189 9 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $1,996 – $7,069 · median $6,092 9 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $2,652 – $5,021 · median $4,327 9 plans
381 COMPLICATED PEPTIC ULCER WITH CC $2,652 – $8,509 · median $7,333 9 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $2,652 – $6,004 · median $5,174 9 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $2,652 – $11,088 · median $9,555 9 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $1,996 – $7,705 · median $6,640 9 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $1,996 – $5,425 · median $4,675 9 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $1,996 – $11,526 · median $9,933 9 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $1,996 – $4,433 · median $3,820 9 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $1,996 – $12,843 · median $11,068 9 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $2,652 – $7,430 · median $6,402 9 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,996 – $5,135 · median $4,425 9 plans
397 APPENDIX PROCEDURES WITH MCC $5,965 – $17,816 · median $15,353 9 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $4,430 – $8,827 · median $7,607 9 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $4,430 – $43,656 · median $37,621 9 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $4,430 – $22,897 · median $19,732 9 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $4,430 – $17,057 · median $14,699 9 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $3,562 – $29,517 · median $25,436 9 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $2,652 – $15,521 · median $13,376 9 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $2,652 – $12,412 · median $10,696 9 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $3,562 – $24,110 · median $20,777 9 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $3,562 – $16,384 · median $14,119 9 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $3,562 – $11,971 · median $10,316 9 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $5,965 – $27,955 · median $24,090 9 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $2,652 – $15,668 · median $13,502 9 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $3,562 – $10,620 · median $9,152 9 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $4,430 – $12,963 · median $11,171 9 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $5,965 – $10,414 · median $8,974 9 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $3,562 – $25,382 · median $21,873 9 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $3,562 – $13,557 · median $11,683 9 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $3,562 – $11,189 · median $9,642 9 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $3,562 – $31,013 · median $26,726 9 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $3,562 – $16,904 · median $14,567 9 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $3,562 – $12,703 · median $10,947 9 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $1,996 – $8,176 · median $7,046 9 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,652 – $5,309 · median $4,575 9 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $3,562 – $13,956 · median $12,027 9 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $2,652 – $8,729 · median $7,522 9 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $2,652 – $6,591 · median $5,679 9 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $3,562 – $14,498 · median $12,493 9 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $1,996 – $7,545 · median $6,502 9 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,996 – $5,668 · median $4,884 9 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $9,942 – $70,271 · median $60,556 9 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $9,942 – $48,502 · median $41,797 9 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $9,942 – $36,522 · median $31,473 9 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $9,942 – $66,845 · median $57,604 9 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $9,942 – $48,177 · median $41,517 9 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $9,942 – $35,931 · median $30,963 9 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $9,942 – $52,594 · median $45,323 9 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $9,942 – $29,007 · median $24,997 9 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $5,965 – $54,071 · median $46,595 9 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $9,942 – $22,571 · median $19,451 9 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $4,430 – $44,913 · median $38,704 9 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $5,965 – $23,801 · median $20,511 9 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,965 – $14,835 · median $12,784 9 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $9,942 – $41,130 · median $35,443 9 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $9,942 – $27,646 · median $23,824 9 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $9,942 – $21,170 · median $18,243 9 plans
471 CERVICAL SPINAL FUSION WITH MCC $9,942 – $39,008 · median $33,615 9 plans
472 CERVICAL SPINAL FUSION WITH CC $9,942 – $23,436 · median $20,196 9 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $9,942 – $19,513 · median $16,815 9 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $3,562 – $34,121 · median $29,404 9 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $2,652 – $17,007 · median $14,656 9 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,652 – $9,333 · median $8,043 9 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,562 – $18,903 · median $16,289 9 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,430 – $14,782 · median $12,738 9 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $9,942 – $19,700 · median $16,976 9 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $3,562 – $26,121 · median $22,510 9 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,562 – $12,251 · median $10,557 9 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $5,965 – $16,705 · median $14,396 9 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,287 – $9,942 · median $8,649 9 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $5,965 – $27,454 · median $23,659 9 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $5,965 – $19,045 · median $16,412 9 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $3,562 – $28,399 · median $24,473 9 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $4,430 – $15,761 · median $13,582 9 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $5,965 – $11,319 · median $9,754 9 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $3,562 – $20,705 · median $17,843 9 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $4,430 – $10,228 · median $8,814 9 plans
500 SOFT TISSUE PROCEDURES WITH MCC $4,430 – $25,715 · median $22,160 9 plans
501 SOFT TISSUE PROCEDURES WITH CC $4,430 – $13,764 · median $11,861 9 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $5,965 – $10,965 · median $9,449 9 plans
503 FOOT PROCEDURES WITH MCC $2,652 – $21,267 · median $18,327 9 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $5,965 – $13,526 · median $11,656 9 plans
506 MAJOR THUMB OR JOINT PROCEDURES $3,562 – $11,598 · median $9,995 9 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $3,562 – $16,904 · median $14,567 9 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $5,965 – $11,372 · median $9,799 9 plans
509 ARTHROSCOPY $4,430 – $10,833 · median $9,335 9 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $4,430 – $15,811 · median $13,625 9 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $9,942 – $12,797 · median $11,028 9 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $3,562 – $12,855 · median $11,077 9 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $3,562 – $8,259 · median $7,117 9 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $3,562 – $25,071 · median $21,605 9 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $4,430 – $16,184 · median $13,946 9 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $9,942 – $11,851 · median $10,212 9 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $5,965 – $28,959 · median $24,955 9 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $4,430 – $15,611 · median $13,453 9 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $5,965 – $11,352 · median $9,782 9 plans
533 FRACTURES OF FEMUR WITH MCC $2,652 – $12,937 · median $11,148 9 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $2,652 – $6,242 · median $5,379 9 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $2,652 – $7,668 · median $6,608 9 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $2,652 – $5,623 · median $4,846 9 plans
539 OSTEOMYELITIS WITH MCC $1,996 – $15,736 · median $13,561 9 plans
540 OSTEOMYELITIS WITH CC $2,652 – $10,295 · median $8,871 9 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $1,996 – $6,803 · median $5,863 9 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $2,652 – $14,462 · median $12,463 9 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $1,996 – $6,086 · median $5,245 9 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $3,562 – $19,771 · median $17,038 9 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $1,996 – $9,510 · median $8,196 9 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,652 – $6,529 · median $5,626 9 plans
548 SEPTIC ARTHRITIS WITH MCC $2,652 – $15,462 · median $13,324 9 plans
549 SEPTIC ARTHRITIS WITH CC $1,996 – $9,565 · median $8,243 9 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $2,652 – $7,482 · median $6,448 9 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $1,996 – $6,517 · median $5,616 9 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $2,652 – $6,966 · median $6,003 9 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,562 – $14,674 · median $12,646 9 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,996 – $8,978 · median $7,736 9 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $2,652 – $6,187 · median $5,332 9 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $2,652 – $12,059 · median $10,392 9 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $2,652 – $12,386 · median $10,674 9 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $2,652 – $5,951 · median $5,129 9 plans
570 SKIN DEBRIDEMENT WITH MCC $2,652 – $23,173 · median $19,969 9 plans
571 SKIN DEBRIDEMENT WITH CC $2,652 – $13,417 · median $11,562 9 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $2,652 – $9,037 · median $7,788 9 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $3,562 – $49,310 · median $42,492 9 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $3,562 – $27,008 · median $23,274 9 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $2,652 – $16,225 · median $13,982 9 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $4,430 – $45,067 · median $38,836 9 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $4,430 – $21,007 · median $18,103 9 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $5,965 – $12,771 · median $11,006 9 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $4,430 – $26,504 · median $22,839 9 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $4,430 – $13,851 · median $11,936 9 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $5,965 – $10,679 · median $9,203 9 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $5,965 – $13,809 · median $11,899 9 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $9,942 – $12,069 · median $10,400 9 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $4,430 – $15,532 · median $13,384 9 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $5,965 – $13,354 · median $11,508 9 plans
592 SKIN ULCERS WITH MCC $2,652 – $16,574 · median $14,283 9 plans
594 SKIN ULCERS WITHOUT CC/MCC $1,996 – $6,244 · median $5,381 9 plans
595 MAJOR SKIN DISORDERS WITH MCC $2,652 – $17,248 · median $14,863 9 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $1,996 – $8,001 · median $6,895 9 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $2,652 – $12,692 · median $10,937 9 plans
598 MALIGNANT BREAST DISORDERS WITH CC $2,652 – $9,506 · median $8,192 9 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,652 – $5,335 · median $4,598 9 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $1,996 – $8,132 · median $7,008 9 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,996 – $5,024 · median $4,329 9 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $2,652 – $11,944 · median $10,293 9 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $3,562 – $7,207 · median $6,210 9 plans
606 MINOR SKIN DISORDERS WITH MCC $2,652 – $12,575 · median $10,837 9 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $2,652 – $7,085 · median $6,106 9 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $9,942 – $17,862 · median $15,392 9 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $5,965 – $11,666 · median $10,053 9 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $3,562 – $31,385 · median $27,046 9 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $2,652 – $9,211 · median $7,937 9 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $5,965 – $20,638 · median $17,605 9 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $9,800 – $12,864 · median $10,974 9 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $9,800 – $12,032 · median $10,264 9 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $3,562 – $30,337 · median $26,143 9 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $2,652 – $8,838 · median $7,616 9 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $9,942 – $11,831 · median $10,195 9 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $5,965 – $9,801 · median $8,446 9 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $4,430 – $31,835 · median $27,434 9 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $3,562 – $17,944 · median $15,463 9 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $9,349 – $11,073 · median $9,757 9 plans
639 DIABETES WITHOUT CC/MCC $2,652 – $4,936 · median $4,254 9 plans
643 ENDOCRINE DISORDERS WITH MCC $3,562 – $13,046 · median $11,242 9 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $2,652 – $6,034 · median $5,200 9 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $4,430 – $35,665 · median $30,734 9 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $4,430 – $27,425 · median $23,634 9 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $4,430 – $42,930 · median $36,995 9 plans
654 MAJOR BLADDER PROCEDURES WITH CC $5,965 – $21,708 · median $18,707 9 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $4,430 – $16,715 · median $14,404 9 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $4,430 – $24,881 · median $21,441 9 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $4,430 – $14,625 · median $12,603 9 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $5,965 – $11,740 · median $10,117 9 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $3,562 – $20,530 · median $17,692 9 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $5,965 – $10,673 · median $9,197 9 plans
662 MINOR BLADDER PROCEDURES WITH MCC $3,562 – $23,764 · median $20,478 9 plans
663 MINOR BLADDER PROCEDURES WITH CC $3,562 – $11,570 · median $9,970 9 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $5,965 – $8,418 · median $7,255 9 plans
665 PROSTATECTOMY WITH MCC $2,652 – $24,497 · median $21,110 9 plans
666 PROSTATECTOMY WITH CC $3,562 – $13,619 · median $11,736 9 plans
667 PROSTATECTOMY WITHOUT CC/MCC $4,430 – $8,323 · median $7,173 9 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $3,562 – $22,347 · median $19,257 9 plans
669 TRANSURETHRAL PROCEDURES WITH CC $5,965 – $12,169 · median $10,487 9 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $5,965 – $7,633 · median $6,578 9 plans
671 URETHRAL PROCEDURES WITH CC/MCC $3,562 – $13,575 · median $11,699 9 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $4,430 – $7,434 · median $6,407 9 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $2,652 – $18,891 · median $16,279 9 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $5,965 – $12,581 · median $10,842 9 plans
684 RENAL FAILURE WITHOUT CC/MCC $1,996 – $4,825 · median $4,158 9 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $2,652 – $14,586 · median $12,570 9 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $2,652 – $8,289 · median $7,143 9 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $2,652 – $6,193 · median $5,336 9 plans
693 URINARY STONES WITH MCC $2,652 – $11,231 · median $9,679 9 plans
694 URINARY STONES WITHOUT MCC $3,562 – $6,207 · median $5,349 9 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $2,652 – $9,484 · median $8,173 9 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $2,652 – $5,488 · median $4,730 9 plans
697 URETHRAL STRICTURE $2,652 – $8,827 · median $7,607 9 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $2,652 – $8,095 · median $6,976 9 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $1,996 – $5,617 · median $4,840 9 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $9,942 – $15,558 · median $13,407 9 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $9,766 – $11,566 · median $10,005 9 plans
709 PENIS PROCEDURES WITH CC/MCC $4,430 – $17,214 · median $14,835 9 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $8,686 – $10,288 · median $9,065 9 plans
711 TESTES PROCEDURES WITH CC/MCC $3,562 – $16,835 · median $14,507 9 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $3,562 – $9,424 · median $8,121 9 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $3,562 – $17,505 · median $15,085 9 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $5,965 – $11,278 · median $9,719 9 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $3,562 – $14,383 · median $12,394 9 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $3,562 – $9,324 · median $8,035 9 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $2,652 – $14,867 · median $12,812 9 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,652 – $6,419 · median $5,532 9 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $2,652 – $9,840 · median $8,480 9 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $2,652 – $5,796 · median $4,995 9 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $2,652 – $12,855 · median $11,077 9 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $2,652 – $6,345 · median $5,468 9 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $2,652 – $7,961 · median $6,860 9 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,652 – $4,929 · median $4,248 9 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $5,965 – $17,237 · median $14,854 9 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $8,438 – $9,993 · median $8,806 9 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $3,562 – $30,826 · median $26,564 9 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $3,562 – $15,652 · median $13,488 9 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,562 – $10,821 · median $9,325 9 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $4,430 – $28,677 · median $24,713 9 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $5,965 – $14,171 · median $12,212 9 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $8,700 – $10,303 · median $9,079 9 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $5,965 – $9,215 · median $7,941 9 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $2,652 – $14,927 · median $12,864 9 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $4,430 – $8,215 · median $7,079 9 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $3,562 – $13,291 · median $11,454 9 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $5,940 – $7,036 · median $6,063 9 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,407 – $11,141 · median $9,817 9 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $5,965 – $19,961 · median $17,202 9 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,430 – $10,785 · median $9,294 9 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $2,652 – $14,690 · median $12,659 9 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,996 – $8,602 · median $7,412 9 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,652 – $7,848 · median $6,763 9 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $2,652 – $11,828 · median $10,193 9 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,562 – $7,871 · median $6,783 9 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,652 – $5,124 · median $4,416 9 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $1,996 – $4,802 · median $4,138 9 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $3,562 – $12,243 · median $10,551 9 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $4,430 – $6,334 · median $5,458 9 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $2,652 – $5,683 · median $4,898 9 plans
779 ABORTION WITHOUT D&C $3,562 – $7,844 · median $6,760 9 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $2,652 – $12,532 · median $7,982 9 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $2,652 – $7,243 · median $5,478 9 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $1,996 – $6,127 · median $4,950 9 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $2,652 – $12,374 · median $7,907 9 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $2,652 – $7,434 · median $5,569 9 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $1,996 – $6,047 · median $4,912 9 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $785 – $12,869 · median $12,245 9 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $2,228 – $42,439 · median $40,381 9 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,379 – $28,983 · median $27,578 9 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $785 – $17,488 · median $16,640 9 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $1,379 – $29,772 · median $28,329 9 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $785 – $10,538 · median $10,027 9 plans
795 NORMAL NEWBORN $478 – $1,996 · median $1,378 9 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,069 – $10,032 · median $6,089 9 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,069 – $7,044 · median $4,674 9 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,069 – $5,907 · median $4,136 9 plans
799 SPLENIC PROCEDURES WITH MCC $4,430 – $39,290 · median $33,858 9 plans
800 SPLENIC PROCEDURES WITH CC $4,430 – $22,344 · median $19,255 9 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $5,965 – $14,192 · median $12,230 9 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $3,562 – $27,206 · median $23,445 9 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $3,562 – $14,736 · median $12,698 9 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $4,430 – $9,598 · median $8,271 9 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,069 – $7,131 · median $4,715 9 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $1,996 – $4,628 · median $3,530 9 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $2,652 – $17,367 · median $14,966 9 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $2,652 – $16,876 · median $14,543 9 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $1,996 – $5,632 · median $4,853 9 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $5,965 – $22,337 · median $19,249 9 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $5,965 – $11,349 · median $9,780 9 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,965 – $7,194 · median $6,200 9 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $4,430 – $47,950 · median $41,321 9 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $3,562 – $17,701 · median $15,253 9 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,965 – $9,824 · median $8,466 9 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $3,562 – $35,700 · median $30,764 9 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $3,562 – $17,707 · median $15,259 9 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $4,430 – $10,241 · median $8,825 9 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $4,430 – $36,698 · median $31,624 9 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $3,562 – $18,375 · median $15,835 9 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $4,430 – $13,008 · median $11,210 9 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $4,430 – $25,010 · median $21,552 9 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $9,942 – $12,539 · median $10,805 9 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $1,996 – $8,527 · median $7,348 9 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $1,996 – $5,850 · median $5,041 9 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,996 – $4,059 · median $3,497 9 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $3,562 – $44,400 · median $38,262 9 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $2,652 – $17,728 · median $15,277 9 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,996 – $11,196 · median $9,648 9 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $4,430 – $38,413 · median $33,102 9 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $1,996 – $15,873 · median $13,679 9 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,996 – $10,334 · median $8,905 9 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $2,652 – $8,457 · median $7,287 9 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $2,652 – $9,177 · median $7,908 9 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $2,652 – $6,859 · median $5,910 9 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $3,562 – $19,381 · median $16,701 9 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $3,562 – $9,616 · median $8,287 9 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $2,652 – $6,631 · median $5,714 9 plans
849 RADIOTHERAPY $2,652 – $21,343 · median $18,392 9 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,562 – $13,495 · median $11,630 9 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $3,562 – $16,936 · median $14,595 9 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $2,652 – $10,177 · median $8,770 9 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $3,562 – $14,607 · median $12,588 9 plans
864 FEVER AND INFLAMMATORY CONDITIONS $2,652 – $7,001 · median $6,033 9 plans
865 VIRAL ILLNESS WITH MCC $2,652 – $13,004 · median $11,207 9 plans
866 VIRAL ILLNESS WITHOUT MCC $2,652 – $7,277 · median $6,271 9 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $3,562 – $16,592 · median $14,298 9 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $1,996 – $8,608 · median $7,418 9 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $1,996 – $5,477 · median $4,720 9 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $850 – $29,591 · median $25,500 9 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $850 – $7,570 · median $6,523 9 plans
881 DEPRESSIVE NEUROSES $850 – $7,189 · median $6,195 9 plans
882 NEUROSES EXCEPT DEPRESSIVE $850 – $7,449 · median $6,419 9 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $850 – $14,872 · median $12,816 9 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $850 – $13,336 · median $11,492 9 plans
887 OTHER MENTAL DISORDER DIAGNOSES $850 – $10,274 · median $8,854 9 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $850 – $4,556 · median $3,926 9 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $850 – $14,100 · median $12,151 9 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $3,562 – $34,319 · median $29,575 9 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $2,652 – $14,946 · median $12,879 9 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $3,562 – $9,845 · median $8,484 9 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $4,430 – $25,822 · median $22,252 9 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $3,562 – $12,559 · median $10,822 9 plans
906 HAND PROCEDURES FOR INJURIES $4,430 – $14,921 · median $12,858 9 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $5,965 – $15,893 · median $13,695 9 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $5,965 – $10,755 · median $9,269 9 plans
915 ALLERGIC REACTIONS WITH MCC $3,562 – $14,068 · median $12,123 9 plans
916 ALLERGIC REACTIONS WITHOUT MCC $2,652 – $5,224 · median $4,502 9 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $4,430 – $12,655 · median $10,906 9 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $4,430 – $14,470 · median $12,469 9 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $2,652 – $5,534 · median $4,769 9 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $2,652 – $13,837 · median $11,924 9 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $2,652 – $8,020 · median $6,912 9 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $5,965 – $209,024 · median $180,127 9 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $4,430 – $54,873 · median $47,287 9 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $3,562 – $25,499 · median $21,974 9 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $9,942 – $24,044 · median $20,720 9 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $3,562 – $16,594 · median $14,299 9 plans
935 NON-EXTENSIVE BURNS $3,562 – $16,186 · median $13,948 9 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $3,562 – $25,497 · median $21,972 9 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $4,430 – $17,181 · median $14,806 9 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $4,430 – $14,718 · median $12,683 9 plans
945 REHABILITATION WITH CC/MCC $1,996 – $11,970 · median $10,315 9 plans
946 REHABILITATION WITHOUT CC/MCC $1,996 – $8,031 · median $6,920 9 plans
947 SIGNS AND SYMPTOMS WITH MCC $2,652 – $9,925 · median $8,553 9 plans
949 AFTERCARE WITH CC/MCC $2,652 – $8,507 · median $7,331 9 plans
950 AFTERCARE WITHOUT CC/MCC $1,996 – $5,064 · median $4,364 9 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,562 – $4,679 · median $4,032 9 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $5,965 – $48,295 · median $41,618 9 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $4,430 – $30,754 · median $26,502 9 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $5,965 – $57,354 · median $49,424 9 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $5,965 – $32,075 · median $27,641 9 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $4,430 – $20,082 · median $17,306 9 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,562 – $21,683 · median $18,685 9 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $2,652 – $11,903 · median $10,257 9 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,562 – $7,580 · median $6,532 9 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $4,430 – $54,500 · median $46,965 9 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $3,562 – $22,042 · median $18,995 9 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $2,652 – $23,128 · median $19,930 9 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $1,996 – $10,811 · median $9,316 9 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $2,652 – $6,703 · median $5,777 9 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $3,562 – $11,230 · median $9,677 9 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $5,965 – $19,714 · median $16,988 9 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,942 – $12,967 · median $11,174 9 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $2,652 – $26,777 · median $23,075 9 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $2,652 – $13,457 · median $11,597 9 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,562 – $8,567 · median $7,382 9 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $9,942 – $214,892 · median $185,183 8 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $9,942 – $97,096 · median $83,672 8 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $5,965 – $82,076 · median $70,728 8 plans
006 LIVER TRANSPLANT WITHOUT MCC $5,965 – $38,357 · median $33,054 8 plans
007 LUNG TRANSPLANT $5,965 – $97,273 · median $83,824 8 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $4,430 – $41,725 · median $35,957 8 plans
010 PANCREAS TRANSPLANT $4,430 – $38,172 · median $32,895 8 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 8 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 8 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $4,430 – $48,984 · median $42,212 8 plans
652 KIDNEY TRANSPLANT $4,430 – $23,825 · median $20,531 8 plans
← Back to Regional Medical Center profile