Great River Medical Center — Pricing

803 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 803 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 803
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 803 procedures

Procedures with negotiated rates only

These 803 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM $166,060 – $276,958 · median $202,392 14 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM $80,105 – $132,575 · median $104,791 14 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPA $127,210 – $199,133 · median $139,485 14 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNO $79,178 – $135,120 · median $88,334 14 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $67,714 – $112,245 · median $75,439 14 plans
006 LIVER TRANSPLANT WITHOUT MCC $30,231 – $47,324 · median $34,796 14 plans
007 LUNG TRANSPLANT $75,791 – $120,120 · median $81,060 14 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $34,424 – $55,016 · median $38,033 14 plans
010 PANCREAS TRANSPLANT $25,340 – $40,805 · median $27,473 14 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR $30,844 – $50,826 · median $35,150 14 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR $21,469 – $38,469 · median $26,830 14 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR $17,571 – $27,830 · median $19,067 14 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $70,359 – $110,139 · median $79,106 14 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $38,247 – $59,871 · median $47,784 14 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $27,470 – $43,002 · median $35,374 14 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER I $227,209 – $355,669 · median $269,809 14 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH H $44,848 – $70,204 · median $50,893 14 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI $55,299 – $91,544 · median $72,359 14 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI $40,179 – $66,806 · median $52,805 14 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI $25,664 – $42,888 · median $33,900 14 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP $36,028 – $56,397 · median $42,023 14 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP $24,788 – $38,856 · median $27,982 14 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE $28,542 – $44,679 · median $31,482 14 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE $19,006 – $29,751 · median $21,434 14 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE $15,686 – $24,555 · median $17,600 14 plans
028 SPINAL PROCEDURES WITH MCC $31,558 – $57,835 · median $40,762 14 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATO $21,483 – $33,629 · median $23,078 14 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $12,973 – $23,037 · median $16,498 14 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $25,905 – $40,551 · median $31,186 14 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $12,645 – $20,216 · median $15,516 14 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $9,725 – $16,713 · median $12,055 14 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $25,140 – $39,354 · median $27,847 14 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $14,356 – $22,473 · median $16,908 14 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $11,822 – $18,506 · median $13,460 14 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $21,203 – $33,190 · median $23,811 14 plans
038 EXTRACRANIAL PROCEDURES WITH CC $10,281 – $16,093 · median $12,290 14 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $7,246 – $11,343 · median $7,974 14 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM $23,814 – $37,278 · median $27,054 14 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM $12,616 – $23,007 · median $16,448 14 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM $11,034 – $18,201 · median $13,308 14 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $11,191 – $17,518 · median $13,733 14 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $4,771 – $10,064 · median $7,955 14 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $8,719 – $13,648 · median $10,128 14 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $6,338 – $9,922 · median $7,312 14 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $10,495 – $21,951 · median $15,662 14 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $7,284 – $12,807 · median $8,919 14 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $9,048 – $16,977 · median $12,165 14 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $6,601 – $11,252 · median $7,891 14 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT C $5,543 – $8,918 · median $6,424 14 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN $16,584 – $28,857 · median $20,238 14 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN $12,052 – $18,865 · median $13,998 14 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN $9,727 – $15,557 · median $11,968 14 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT $12,396 – $19,404 · median $14,217 14 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT $6,389 – $10,001 · median $7,557 14 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT $4,391 – $6,873 · median $5,272 14 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT $8,343 – $13,915 · median $9,981 14 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT $5,681 – $8,892 · median $6,586 14 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,016 – $7,851 · median $5,510 14 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $10,838 – $17,447 · median $12,444 14 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $6,720 – $10,519 · median $7,178 14 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/M $4,853 – $7,596 · median $5,718 14 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $9,425 – $15,714 · median $10,765 14 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $6,137 – $10,072 · median $7,133 14 plans
075 VIRAL MENINGITIS WITH CC/MCC $7,759 – $17,958 · median $12,054 14 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $4,179 – $9,715 · median $6,894 14 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $9,833 – $15,392 · median $10,730 14 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $6,053 – $9,769 · median $6,653 14 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,613 – $7,222 · median $5,400 14 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $8,235 – $20,072 · median $14,668 14 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,180 – $8,841 · median $5,729 14 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $14,240 – $22,291 · median $16,773 14 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $8,475 – $13,266 · median $9,742 14 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $5,095 – $9,018 · median $6,339 14 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $14,682 – $22,983 · median $16,182 14 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $8,170 – $12,789 · median $8,922 14 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $4,995 – $8,584 · median $6,045 14 plans
088 CONCUSSION WITH MCC $9,909 – $15,511 · median $10,782 14 plans
089 CONCUSSION WITH CC $6,879 – $11,490 · median $7,523 14 plans
090 CONCUSSION WITHOUT CC/MCC $5,174 – $8,099 · median $6,116 14 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $10,858 – $16,998 · median $11,986 14 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $6,250 – $9,784 · median $6,922 14 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,808 – $7,526 · median $5,475 14 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY $22,463 – $35,163 · median $26,953 14 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY $15,598 – $25,159 · median $18,577 14 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY $14,260 – $22,478 · median $16,329 14 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V $18,663 – $38,260 · median $26,323 14 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V $13,101 – $20,509 · median $15,652 14 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V $7,214 – $13,761 · median $9,813 14 plans
100 SEIZURES WITH MCC $9,863 – $18,903 · median $13,135 14 plans
101 SEIZURES WITHOUT MCC $5,093 – $8,871 · median $6,219 14 plans
102 HEADACHES WITH MCC $7,228 – $11,315 · median $8,543 14 plans
103 HEADACHES WITHOUT MCC $5,032 – $8,192 · median $5,807 14 plans
113 ORBITAL PROCEDURES WITH CC/MCC $12,684 – $22,094 · median $16,258 14 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $6,766 – $12,820 · median $10,133 14 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $6,843 – $14,948 · median $10,235 14 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $9,204 – $18,563 · median $13,179 14 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $5,588 – $9,769 · median $7,714 14 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $5,921 – $12,057 · median $8,382 14 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,797 – $6,797 · median $4,783 14 plans
123 NEUROLOGICAL EYE DISORDERS $4,990 – $7,811 · median $5,602 14 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTI $5,358 – $13,783 · median $9,814 14 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,523 – $8,483 · median $5,859 14 plans
129 MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEV $12,861 – $22,527 · median $16,025 14 plans
130 MAJOR HEAD & NECK PROCEDURES W/O CC/MCC $8,473 – $14,225 · median $10,119 14 plans
131 CRANIAL/FACIAL PROCEDURES W CC/MCC $15,691 – $26,463 · median $18,825 14 plans
132 CRANIAL/FACIAL PROCEDURES W/O CC/MCC $9,084 – $15,641 · median $11,127 14 plans
133 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W $7,521 – $21,126 · median $15,028 14 plans
134 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/ $6,166 – $11,898 · median $8,464 14 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $14,019 – $24,115 · median $15,881 14 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $6,832 – $11,417 · median $8,789 14 plans
137 MOUTH PROCEDURES WITH CC/MCC $6,883 – $14,756 · median $10,568 14 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $4,948 – $8,702 · median $5,996 14 plans
139 SALIVARY GLAND PROCEDURES $5,864 – $12,374 · median $8,639 14 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $3,057 – $40,898 · median $27,845 14 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $2,618 – $21,969 · median $15,443 14 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $10,108 – $17,958 · median $11,892 14 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES $6,273 – $31,218 · median $21,757 14 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES $3,995 – $17,804 · median $12,331 14 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES $2,613 – $11,885 · median $8,572 14 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $9,088 – $19,820 · median $14,288 14 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $7,613 – $11,917 · median $9,108 14 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/ $5,139 – $8,045 · median $5,831 14 plans
149 DYSEQUILIBRIUM $4,617 – $7,429 · median $5,159 14 plans
150 EPISTAXIS WITH MCC $8,600 – $13,572 · median $9,301 14 plans
151 EPISTAXIS WITHOUT MCC $4,092 – $7,587 · median $5,169 14 plans
152 OTITIS MEDIA AND URI WITH MCC $5,176 – $11,785 · median $7,774 14 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $3,497 – $6,795 · median $4,992 14 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH M $5,922 – $14,789 · median $10,828 14 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH C $4,492 – $9,046 · median $6,367 14 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOU $3,811 – $6,708 · median $4,609 14 plans
157 DENTAL AND ORAL DISEASES WITH MCC $10,509 – $16,451 · median $11,678 14 plans
158 DENTAL AND ORAL DISEASES WITH CC $5,840 – $9,142 · median $6,301 14 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,417 – $7,379 · median $4,828 14 plans
163 MAJOR CHEST PROCEDURES WITH MCC $29,466 – $47,662 · median $35,048 14 plans
164 MAJOR CHEST PROCEDURES WITH CC $15,142 – $25,414 · median $18,589 14 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $10,671 – $18,961 · median $13,416 14 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $23,043 – $36,071 · median $26,548 14 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $11,906 – $18,707 · median $13,475 14 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT C $8,401 – $13,949 · median $9,481 14 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $8,780 – $13,745 · median $11,114 14 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,139 – $8,045 · median $6,452 14 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,098 – $17,514 · median $13,700 14 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,455 – $10,727 · median $8,649 14 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT C $4,937 – $7,728 · median $6,249 14 plans
180 RESPIRATORY NEOPLASMS WITH MCC $10,648 – $16,668 · median $12,891 14 plans
181 RESPIRATORY NEOPLASMS WITH CC $7,126 – $11,156 · median $8,299 14 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,226 – $8,733 · median $5,868 14 plans
183 MAJOR CHEST TRAUMA WITH MCC $9,443 – $14,782 · median $10,912 14 plans
184 MAJOR CHEST TRAUMA WITH CC $6,012 – $10,285 · median $7,286 14 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,746 – $7,429 · median $5,424 14 plans
186 PLEURAL EFFUSION WITH MCC $9,597 – $15,024 · median $10,807 14 plans
187 PLEURAL EFFUSION WITH CC $6,518 – $10,292 · median $7,438 14 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,551 – $7,124 · median $5,405 14 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $7,587 – $11,877 · median $8,583 14 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $6,823 – $10,681 · median $7,876 14 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,432 – $8,504 · median $6,552 14 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/M $4,099 – $6,417 · median $4,970 14 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $8,164 – $12,779 · median $9,721 14 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,282 – $8,268 · median $6,401 14 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,034 – $6,315 · median $4,661 14 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $10,923 – $17,099 · median $12,400 14 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $6,183 – $9,679 · median $7,407 14 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,469 – $7,184 · median $5,508 14 plans
199 PNEUMOTHORAX WITH MCC $10,788 – $17,305 · median $12,530 14 plans
200 PNEUMOTHORAX WITH CC $6,006 – $10,548 · median $7,536 14 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $3,903 – $7,163 · median $4,967 14 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,802 – $9,110 · median $6,769 14 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,946 – $6,564 · median $4,949 14 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $4,230 – $7,965 · median $5,555 14 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $8,404 – $17,525 · median $11,844 14 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,034 – $8,791 · median $6,202 14 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO $39,034 – $64,608 · median $42,499 14 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO $14,221 – $25,585 · median $17,814 14 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $64,766 – $101,383 · median $78,227 14 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE $61,238 – $95,860 · median $74,381 14 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE $39,909 – $62,472 · median $46,599 14 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE $36,200 – $58,437 · median $42,765 14 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE $48,247 – $79,982 · median $56,403 14 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE $33,234 – $53,481 · median $37,837 14 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE $29,458 – $46,559 · median $32,059 14 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE $48,129 – $75,341 · median $55,657 14 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE $32,805 – $51,352 · median $41,525 14 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE $44,563 – $69,758 · median $52,634 14 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE $31,793 – $49,768 · median $39,325 14 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH $40,236 – $62,985 · median $45,955 14 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH $31,560 – $49,404 · median $36,485 14 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $30,979 – $48,494 · median $39,214 14 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $20,749 – $32,481 · median $25,496 14 plans
230 OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC $20,694 – $42,330 · median $30,113 14 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $50,313 – $82,589 · median $61,011 14 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $36,822 – $57,641 · median $43,343 14 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP $46,795 – $76,210 · median $55,456 14 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP $32,601 – $51,033 · median $37,352 14 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI $34,638 – $58,942 · median $42,729 14 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI $25,637 – $40,131 · median $28,679 14 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT $29,231 – $45,757 · median $34,773 14 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT $17,061 – $26,708 · median $19,522 14 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT $9,120 – $15,241 · median $11,147 14 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $21,834 – $34,179 · median $26,561 14 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $14,734 – $23,065 · median $18,651 14 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $11,950 – $18,707 · median $14,443 14 plans
245 AICD GENERATOR PROCEDURES $29,646 – $47,980 · median $37,925 14 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E $18,829 – $29,475 · median $23,148 14 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E $12,003 – $18,789 · median $14,619 14 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR $18,920 – $29,616 · median $22,135 14 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR $11,420 – $17,876 · median $13,882 14 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT $15,210 – $23,810 · median $18,684 14 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT $10,217 – $17,098 · median $12,287 14 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $21,016 – $32,898 · median $23,280 14 plans
253 OTHER VASCULAR PROCEDURES WITH CC $16,690 – $26,312 · median $18,575 14 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $11,352 – $17,992 · median $12,929 14 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST $16,127 – $25,246 · median $18,186 14 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST $9,052 – $16,061 · median $11,509 14 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST $6,483 – $10,319 · median $8,156 14 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $17,721 – $28,057 · median $22,177 14 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $12,212 – $19,622 · median $14,624 14 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME $15,098 – $34,426 · median $24,971 14 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME $12,011 – $18,802 · median $13,957 14 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME $7,604 – $16,500 · median $11,943 14 plans
263 VEIN LIGATION AND STRIPPING $10,260 – $27,414 · median $17,513 14 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $20,805 – $32,567 · median $22,775 14 plans
265 AICD LEAD PROCEDURES $21,260 – $33,280 · median $23,559 14 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM $36,571 – $64,951 · median $49,335 14 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM $2,386 – $50,780 · median $39,186 14 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO $8,211 – $68,101 · median $48,743 14 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO $2,737 – $42,079 · median $30,206 14 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $1,692 – $50,308 · median $36,309 14 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $2,442 – $34,281 · median $24,958 14 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/M $15,960 – $25,549 · median $19,368 14 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT $25,226 – $39,488 · median $27,569 14 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT $21,118 – $33,057 · median $23,678 14 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH $10,098 – $15,807 · median $11,906 14 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH $5,774 – $9,039 · median $6,895 14 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH $4,505 – $7,052 · median $5,380 14 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $12,060 – $18,879 · median $13,816 14 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,623 – $7,236 · median $5,360 14 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MC $3,197 – $5,331 · median $3,665 14 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT $13,333 – $20,871 · median $14,954 14 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT $6,916 – $10,826 · median $8,045 14 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $16,950 – $29,956 · median $19,896 14 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $9,668 – $15,814 · median $12,177 14 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,099 – $11,864 · median $7,608 14 plans
291 HEART FAILURE AND SHOCK WITH MCC $8,045 – $12,593 · median $9,397 14 plans
292 HEART FAILURE AND SHOCK WITH CC $5,424 – $8,490 · median $6,398 14 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,522 – $5,513 · median $4,371 14 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $5,291 – $11,360 · median $8,980 14 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,650 – $8,715 · median $6,889 14 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $10,298 – $16,121 · median $11,819 14 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,000 – $8,944 · median $5,063 14 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $2,877 – $4,807 · median $3,422 14 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $7,179 – $15,134 · median $10,728 14 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $5,624 – $10,146 · median $7,307 14 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,205 – $7,047 · median $5,202 14 plans
302 ATHEROSCLEROSIS WITH MCC $6,910 – $11,865 · median $7,664 14 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,159 – $6,653 · median $4,743 14 plans
304 HYPERTENSION WITH MCC $6,906 – $10,810 · median $7,679 14 plans
305 HYPERTENSION WITHOUT MCC $4,185 – $7,337 · median $5,179 14 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $6,770 – $14,522 · median $10,552 14 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT $5,355 – $8,968 · median $6,167 14 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH M $7,371 – $11,538 · median $8,406 14 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH C $4,637 – $7,258 · median $5,254 14 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOU $3,465 – $5,424 · median $3,914 14 plans
311 ANGINA PECTORIS $3,794 – $6,574 · median $4,890 14 plans
312 SYNCOPE AND COLLAPSE $4,974 – $8,391 · median $5,871 14 plans
313 CHEST PAIN $4,039 – $7,118 · median $5,050 14 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $13,091 – $20,493 · median $14,593 14 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,088 – $9,530 · median $6,928 14 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,893 – $6,711 · median $5,064 14 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH M $27,071 – $42,377 · median $31,108 14 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOU $14,563 – $24,319 · median $17,331 14 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH M $32,177 – $50,369 · median $37,214 14 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH C $16,100 – $25,203 · median $17,953 14 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOU $9,890 – $16,312 · median $11,668 14 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $29,062 – $45,493 · median $34,203 14 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $15,435 – $24,161 · median $17,845 14 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ $10,610 – $16,815 · median $11,974 14 plans
332 RECTAL RESECTION WITH MCC $23,908 – $49,309 · median $30,833 14 plans
333 RECTAL RESECTION WITH CC $13,605 – $21,974 · median $14,989 14 plans
334 RECTAL RESECTION WITHOUT CC/MCC $10,501 – $16,871 · median $11,627 14 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $23,156 – $36,249 · median $27,395 14 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $13,370 – $20,930 · median $16,039 14 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $9,018 – $15,503 · median $11,461 14 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS $16,699 – $26,140 · median $19,581 14 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS $10,236 – $16,023 · median $12,576 14 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS $7,543 – $11,807 · median $8,598 14 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS $10,748 – $22,229 · median $16,257 14 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS $8,438 – $14,299 · median $10,030 14 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS $6,498 – $10,752 · median $7,760 14 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $16,548 – $25,904 · median $19,729 14 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $9,312 – $15,267 · median $11,052 14 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ $7,467 – $12,307 · median $8,928 14 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $11,694 – $24,976 · median $17,253 14 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $7,857 – $13,589 · median $9,437 14 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $5,299 – $9,812 · median $6,855 14 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $12,269 – $23,193 · median $17,184 14 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $9,242 – $14,467 · median $10,449 14 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/ $6,928 – $10,845 · median $7,731 14 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH $18,027 – $28,219 · median $21,174 14 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH $10,345 – $17,240 · median $12,494 14 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH $8,152 – $13,503 · median $9,521 14 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $23,662 – $41,549 · median $30,155 14 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $13,642 – $22,103 · median $15,880 14 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/ $8,381 – $13,650 · median $9,444 14 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $10,808 – $17,261 · median $13,644 14 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,191 – $10,057 · median $7,540 14 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,920 – $7,367 · median $5,237 14 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN $10,635 – $16,647 · median $12,826 14 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN $6,399 – $10,017 · median $7,416 14 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN $4,564 – $7,144 · median $5,212 14 plans
374 DIGESTIVE MALIGNANCY WITH MCC $12,530 – $19,614 · median $15,364 14 plans
375 DIGESTIVE MALIGNANCY WITH CC $7,572 – $11,853 · median $8,947 14 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $5,518 – $8,638 · median $6,292 14 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $11,177 – $17,496 · median $13,099 14 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $6,192 – $9,692 · median $6,955 14 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,984 – $6,237 · median $4,460 14 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $9,543 – $18,736 · median $13,206 14 plans
381 COMPLICATED PEPTIC ULCER WITH CC $6,635 – $10,386 · median $7,415 14 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,839 – $7,575 · median $5,380 14 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $8,549 – $13,382 · median $9,267 14 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,667 – $8,872 · median $6,250 14 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,238 – $16,026 · median $11,627 14 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,222 – $9,740 · median $6,966 14 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,347 – $6,805 · median $5,089 14 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $9,224 – $14,439 · median $11,159 14 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,073 – $7,942 · median $5,884 14 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,555 – $5,565 · median $4,082 14 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG $7,547 – $12,635 · median $8,744 14 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG $4,945 – $7,750 · median $5,361 14 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $10,129 – $15,855 · median $11,628 14 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $5,928 – $9,279 · median $6,586 14 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,054 – $6,346 · median $4,726 14 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $34,836 – $54,532 · median $40,424 14 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $18,416 – $28,828 · median $20,166 14 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MC $12,017 – $21,901 · median $14,826 14 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO $23,066 – $36,108 · median $26,270 14 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO $12,805 – $20,973 · median $14,840 14 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO $10,240 – $16,705 · median $11,179 14 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $19,891 – $33,241 · median $26,737 14 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $12,243 – $22,590 · median $15,943 14 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $9,329 – $15,945 · median $12,116 14 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. $19,759 – $34,781 · median $25,398 14 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. $12,572 – $19,680 · median $14,222 14 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. $8,532 – $13,544 · median $9,956 14 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH M $13,034 – $23,397 · median $16,970 14 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH C $10,441 – $16,344 · median $11,823 14 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOU $8,203 – $12,841 · median $9,207 14 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $20,500 – $32,090 · median $25,949 14 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $11,185 – $17,826 · median $14,133 14 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $7,968 – $13,634 · median $10,175 14 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI $24,716 – $39,203 · median $31,013 14 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI $13,946 – $23,307 · median $15,989 14 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI $8,993 – $14,077 · median $11,383 14 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $11,869 – $18,580 · median $13,667 14 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $6,536 – $10,232 · median $7,209 14 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,946 – $6,177 · median $4,468 14 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT $10,010 – $17,202 · median $12,274 14 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT $6,917 – $10,828 · median $8,234 14 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT $5,317 – $8,324 · median $6,638 14 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $10,418 – $16,309 · median $11,838 14 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,468 – $8,559 · median $6,262 14 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC $3,812 – $5,967 · median $4,492 14 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR $11,911 – $18,645 · median $13,925 14 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR $5,947 – $9,309 · median $6,890 14 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR $4,098 – $6,415 · median $4,676 14 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $9,496 – $16,381 · median $11,701 14 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $6,301 – $10,820 · median $7,543 14 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,525 – $7,987 · median $5,716 14 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH $57,547 – $90,083 · median $68,074 14 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH $38,287 – $59,934 · median $45,144 14 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH $30,097 – $47,114 · median $35,078 14 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR $49,884 – $83,140 · median $60,200 14 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR $37,947 – $59,402 · median $45,471 14 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR $29,643 – $47,361 · median $37,101 14 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $40,898 – $65,269 · median $47,135 14 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $23,673 – $37,057 · median $27,515 14 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO $35,863 – $63,126 · median $44,609 14 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO $18,622 – $29,378 · median $21,990 14 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M $32,949 – $51,577 · median $39,789 14 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M $18,778 – $29,394 · median $22,048 14 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M $12,239 – $19,608 · median $12,909 14 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $32,971 – $51,612 · median $37,420 14 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $20,208 – $35,679 · median $25,043 14 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $16,610 – $27,447 · median $19,617 14 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME $20,313 – $31,797 · median $21,785 14 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME $12,018 – $18,813 · median $14,049 14 plans
471 CERVICAL SPINAL FUSION WITH MCC $26,767 – $49,564 · median $35,138 14 plans
472 CERVICAL SPINAL FUSION WITH CC $17,177 – $30,219 · median $21,376 14 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $13,552 – $24,945 · median $17,773 14 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI $25,753 – $40,314 · median $28,533 14 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI $12,181 – $21,857 · median $15,374 14 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI $7,375 – $12,079 · median $8,122 14 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE $21,390 – $33,484 · median $24,886 14 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE $14,765 – $23,113 · median $16,509 14 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE $11,116 – $17,401 · median $12,667 14 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH M $18,644 – $29,185 · median $22,156 14 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH C $13,279 – $20,786 · median $14,673 14 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOU $10,177 – $16,198 · median $11,521 14 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPP $14,820 – $23,199 · median $17,676 14 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT $17,423 – $31,990 · median $23,867 14 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT $13,113 – $20,526 · median $15,488 14 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT $8,268 – $15,783 · median $11,481 14 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF $9,730 – $22,329 · median $14,264 14 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF $8,097 – $13,082 · median $9,087 14 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, $21,912 – $34,301 · median $24,290 14 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, $13,762 – $23,378 · median $16,281 14 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, $9,238 – $18,586 · median $12,962 14 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE $23,349 – $36,550 · median $25,493 14 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE $10,455 – $20,661 · median $13,905 14 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE $7,687 – $14,974 · median $10,161 14 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE $13,040 – $25,221 · median $18,086 14 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE $6,187 – $12,976 · median $8,438 14 plans
500 SOFT TISSUE PROCEDURES WITH MCC $20,143 – $31,532 · median $22,327 14 plans
501 SOFT TISSUE PROCEDURES WITH CC $8,879 – $17,297 · median $12,279 14 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $7,378 – $13,525 · median $9,330 14 plans
503 FOOT PROCEDURES WITH MCC $15,924 – $24,928 · median $18,484 14 plans
504 FOOT PROCEDURES WITH CC $11,156 – $17,464 · median $12,425 14 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $8,495 – $17,385 · median $12,425 14 plans
506 MAJOR THUMB OR JOINT PROCEDURES $7,443 – $13,872 · median $10,385 14 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/M $8,983 – $18,251 · median $14,426 14 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT C $8,929 – $14,250 · median $9,868 14 plans
509 ARTHROSCOPY $8,938 – $14,936 · median $11,806 14 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO $15,705 – $28,419 · median $19,206 14 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO $10,978 – $19,473 · median $13,772 14 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO $7,663 – $15,808 · median $10,882 14 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO $7,122 – $15,685 · median $11,004 14 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO $5,933 – $10,162 · median $6,994 14 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE $19,598 – $30,679 · median $21,984 14 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE $12,784 – $20,013 · median $14,542 14 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE $9,491 – $14,857 · median $10,259 14 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH $23,432 – $36,681 · median $25,842 14 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH $12,568 – $19,673 · median $14,121 14 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH $9,302 – $14,561 · median $10,218 14 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR $18,979 – $29,709 · median $22,090 14 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR $13,659 – $21,381 · median $15,774 14 plans
533 FRACTURES OF FEMUR WITH MCC $8,966 – $14,035 · median $10,673 14 plans
534 FRACTURES OF FEMUR WITHOUT MCC $3,539 – $7,832 · median $5,531 14 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $6,114 – $12,689 · median $8,630 14 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $4,569 – $7,647 · median $5,402 14 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS $6,009 – $9,775 · median $6,548 14 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS $4,376 – $6,851 · median $5,062 14 plans
539 OSTEOMYELITIS WITH MCC $12,546 – $19,640 · median $13,634 14 plans
540 OSTEOMYELITIS WITH CC $8,465 – $13,251 · median $9,644 14 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $4,932 – $8,049 · median $5,902 14 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON $11,491 – $22,953 · median $13,404 14 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON $6,845 – $10,716 · median $7,744 14 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON $4,891 – $7,657 · median $5,762 14 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $15,769 – $24,730 · median $18,545 14 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $7,578 – $11,863 · median $8,456 14 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,386 – $9,002 · median $5,835 14 plans
548 SEPTIC ARTHRITIS WITH MCC $12,194 – $19,089 · median $14,356 14 plans
549 SEPTIC ARTHRITIS WITH CC $6,343 – $11,923 · median $8,749 14 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $4,030 – $10,315 · median $6,512 14 plans
551 MEDICAL BACK PROBLEMS WITH MCC $10,519 – $16,466 · median $11,392 14 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $4,811 – $9,451 · median $6,604 14 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $8,246 – $13,047 · median $8,901 14 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,926 – $8,071 · median $5,548 14 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C $5,299 – $13,099 · median $9,580 14 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C $4,566 – $7,951 · median $5,661 14 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $7,568 – $14,090 · median $10,185 14 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,436 – $8,551 · median $6,030 14 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T $10,284 – $17,564 · median $13,057 14 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T $4,512 – $10,781 · median $7,532 14 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T $3,998 – $7,776 · median $5,547 14 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE $9,195 – $14,394 · median $10,460 14 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE $5,082 – $8,474 · median $6,105 14 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE $9,764 – $15,763 · median $11,288 14 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE $6,162 – $9,716 · median $7,065 14 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE $3,377 – $7,308 · median $5,263 14 plans
570 SKIN DEBRIDEMENT WITH MCC $18,337 – $28,704 · median $20,473 14 plans
571 SKIN DEBRIDEMENT WITH CC $10,363 – $16,222 · median $11,782 14 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $7,456 – $11,843 · median $7,957 14 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $18,228 – $57,766 · median $40,681 14 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $12,073 – $35,469 · median $22,726 14 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC $6,576 – $20,168 · median $13,064 14 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT $28,502 – $55,586 · median $37,181 14 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT $15,066 – $25,768 · median $17,847 14 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT $9,284 – $16,851 · median $11,166 14 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU $16,362 – $31,013 · median $22,014 14 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU $10,045 – $17,084 · median $12,102 14 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU $8,811 – $13,889 · median $9,638 14 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $11,356 – $19,038 · median $12,162 14 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $9,497 – $14,866 · median $10,791 14 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO $12,101 – $21,016 · median $13,426 14 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO $10,014 – $18,116 · median $12,177 14 plans
592 SKIN ULCERS WITH MCC $7,466 – $17,555 · median $12,553 14 plans
593 SKIN ULCERS WITH CC $6,008 – $11,335 · median $7,984 14 plans
594 SKIN ULCERS WITHOUT CC/MCC $4,865 – $7,615 · median $5,712 14 plans
595 MAJOR SKIN DISORDERS WITH MCC $13,461 – $21,071 · median $14,230 14 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $4,799 – $10,743 · median $6,963 14 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $9,110 – $16,571 · median $11,508 14 plans
598 MALIGNANT BREAST DISORDERS WITH CC $5,672 – $10,510 · median $7,843 14 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,402 – $7,356 · median $4,700 14 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $5,776 – $10,244 · median $6,978 14 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,292 – $6,926 · median $4,808 14 plans
602 CELLULITIS WITH MCC $8,580 – $14,181 · median $10,150 14 plans
603 CELLULITIS WITHOUT MCC $4,576 – $8,677 · median $5,975 14 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST $7,662 – $14,851 · median $10,345 14 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST $5,294 – $8,958 · median $6,327 14 plans
606 MINOR SKIN DISORDERS WITH MCC $9,648 – $15,103 · median $10,585 14 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $2,982 – $8,346 · median $5,846 14 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $13,587 – $23,123 · median $16,728 14 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $9,277 – $14,522 · median $11,025 14 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA $23,664 – $37,043 · median $29,386 14 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA $12,220 – $19,129 · median $14,591 14 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA $7,373 – $11,541 · median $9,122 14 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $17,027 – $28,454 · median $22,684 14 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $10,596 – $16,586 · median $13,060 14 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $9,775 – $15,301 · median $11,451 14 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N $22,762 – $35,632 · median $25,304 14 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N $10,933 – $18,544 · median $13,101 14 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N $6,217 – $9,732 · median $7,692 14 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W $16,751 – $28,312 · median $19,881 14 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W $8,141 – $15,933 · median $11,570 14 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W $6,413 – $12,555 · median $8,280 14 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR $22,911 – $35,865 · median $27,261 14 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR $12,762 – $22,079 · median $16,417 14 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR $8,827 – $13,817 · median $10,442 14 plans
637 DIABETES WITH MCC $8,773 – $13,734 · median $10,199 14 plans
638 DIABETES WITH CC $4,888 – $8,620 · median $6,156 14 plans
639 DIABETES WITHOUT CC/MCC $3,142 – $5,912 · median $4,267 14 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, $7,558 – $12,451 · median $8,616 14 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, $4,085 – $7,579 · median $5,279 14 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $6,512 – $13,808 · median $9,029 14 plans
643 ENDOCRINE DISORDERS WITH MCC $10,332 – $16,174 · median $11,674 14 plans
644 ENDOCRINE DISORDERS WITH CC $6,152 – $10,028 · median $7,139 14 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $3,732 – $7,307 · median $5,380 14 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $12,818 – $45,696 · median $31,645 14 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $22,291 – $43,632 · median $27,401 14 plans
652 KIDNEY TRANSPLANT $19,393 – $30,357 · median $22,296 14 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $34,929 – $54,678 · median $38,214 14 plans
654 MAJOR BLADDER PROCEDURES WITH CC $17,354 – $27,970 · median $20,320 14 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $10,676 – $21,242 · median $14,562 14 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $20,527 – $32,524 · median $24,339 14 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $11,805 – $18,480 · median $13,799 14 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT $9,685 – $15,537 · median $11,045 14 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH $16,198 – $25,357 · median $18,665 14 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH $8,805 – $13,886 · median $10,426 14 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH $6,776 – $10,607 · median $7,881 14 plans
662 MINOR BLADDER PROCEDURES WITH MCC $19,101 – $29,901 · median $21,762 14 plans
663 MINOR BLADDER PROCEDURES WITH CC $5,769 – $15,006 · median $11,197 14 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $6,945 – $11,087 · median $8,287 14 plans
665 PROSTATECTOMY WITH MCC $19,237 – $30,113 · median $21,292 14 plans
666 PROSTATECTOMY WITH CC $10,824 – $16,944 · median $12,178 14 plans
667 PROSTATECTOMY WITHOUT CC/MCC $5,591 – $9,682 · median $6,983 14 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $14,031 – $27,777 · median $19,644 14 plans
669 TRANSURETHRAL PROCEDURES WITH CC $7,382 – $15,490 · median $10,945 14 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $5,638 – $9,717 · median $6,850 14 plans
671 URETHRAL PROCEDURES WITH CC/MCC $8,421 – $18,022 · median $12,469 14 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $5,530 – $10,250 · median $8,053 14 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $21,963 – $34,381 · median $24,278 14 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $14,062 – $23,326 · median $16,682 14 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT $10,301 – $16,594 · median $12,283 14 plans
682 RENAL FAILURE WITH MCC $9,345 – $14,628 · median $10,911 14 plans
683 RENAL FAILURE WITH CC $5,625 – $8,806 · median $6,443 14 plans
684 RENAL FAILURE WITHOUT CC/MCC $3,802 – $5,951 · median $4,347 14 plans
685 ADMIT FOR RENAL DIALYSIS $5,784 – $10,381 · median $7,385 14 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $10,672 – $16,706 · median $13,509 14 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $6,175 – $10,232 · median $7,351 14 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,154 – $8,525 · median $5,109 14 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $7,211 – $11,287 · median $7,799 14 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $4,593 – $7,829 · median $5,558 14 plans
691 URINARY STONES W ESW LITHOTRIPSY W CC/MCC $7,827 – $15,982 · median $11,369 14 plans
692 URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC $7,107 – $11,125 · median $7,914 14 plans
693 URINARY STONES WITH MCC $7,539 – $14,079 · median $9,349 14 plans
694 URINARY STONES WITHOUT MCC $4,325 – $7,843 · median $5,398 14 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH M $5,812 – $11,299 · median $7,964 14 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOU $4,356 – $6,819 · median $4,904 14 plans
697 URETHRAL STRICTURE $4,176 – $9,765 · median $7,282 14 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $10,073 – $15,769 · median $11,602 14 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $6,362 – $9,959 · median $7,189 14 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT C $4,634 – $7,289 · median $5,226 14 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $12,542 – $19,634 · median $13,455 14 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $9,333 – $14,609 · median $10,438 14 plans
709 PENIS PROCEDURES WITH CC/MCC $8,219 – $23,734 · median $16,211 14 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $8,487 – $14,183 · median $11,211 14 plans
711 TESTES PROCEDURES WITH CC/MCC $12,661 – $20,107 · median $14,921 14 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $5,441 – $12,217 · median $7,805 14 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $6,694 – $14,582 · median $10,454 14 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $5,082 – $9,429 · median $6,502 14 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR $12,660 – $21,975 · median $14,442 14 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR $8,262 – $12,933 · median $9,305 14 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC $11,128 – $17,420 · median $12,604 14 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC $5,842 – $12,487 · median $8,642 14 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $10,672 – $16,705 · median $12,266 14 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $7,244 – $11,340 · median $7,643 14 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MC $4,510 – $7,529 · median $4,809 14 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $7,853 – $12,293 · median $9,254 14 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $2,975 – $7,593 · median $5,213 14 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH $8,796 – $14,138 · median $10,528 14 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHO $3,753 – $8,086 · median $5,640 14 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/M $4,882 – $10,606 · median $7,053 14 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT C $3,982 – $6,453 · median $4,215 14 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI $13,736 – $21,502 · median $15,570 14 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI $7,997 – $12,518 · median $9,895 14 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX $25,432 – $41,970 · median $30,024 14 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX $12,720 – $19,911 · median $14,407 14 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX $8,824 – $13,813 · median $10,331 14 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND $18,414 – $38,399 · median $26,768 14 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND $10,506 – $17,736 · median $12,611 14 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND $7,742 – $12,919 · median $8,959 14 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W $9,078 – $17,733 · median $12,027 14 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W $6,987 – $11,519 · median $7,930 14 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO $7,100 – $18,679 · median $12,568 14 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO $6,705 – $11,324 · median $8,190 14 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $8,150 – $15,384 · median $11,281 14 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $5,804 – $9,629 · median $6,574 14 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDUR $7,153 – $13,945 · median $9,433 14 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W $14,272 – $24,858 · median $18,997 14 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W $7,939 – $14,042 · median $10,247 14 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,918 – $17,091 · median $13,530 14 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,796 – $10,638 · median $7,905 14 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ $4,620 – $9,809 · median $6,475 14 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $8,626 – $13,502 · median $10,919 14 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,006 – $9,402 · median $6,788 14 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ $3,478 – $6,105 · median $4,784 14 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS $4,823 – $9,511 · median $6,512 14 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS $3,280 – $5,566 · median $4,136 14 plans
765 CESAREAN SECTION W CC/MCC $5,681 – $11,582 · median $8,239 14 plans
766 CESAREAN SECTION W/O CC/MCC $4,440 – $8,237 · median $5,860 14 plans
767 VAGINAL DELIVERY W STERILIZATION &/OR D&C $4,631 – $9,162 · median $6,518 14 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERI $6,974 – $11,285 · median $8,187 14 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. P $9,246 – $16,347 · median $11,323 14 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTERO $3,742 – $8,519 · median $6,229 14 plans
774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES $3,245 – $8,171 · median $5,813 14 plans
775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES $2,614 – $6,351 · median $4,518 14 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R $3,687 – $6,859 · median $5,422 14 plans
777 ECTOPIC PREGNANCY $5,520 – $8,641 · median $6,147 14 plans
778 THREATENED ABORTION $3,022 – $5,989 · median $4,260 14 plans
779 ABORTION WITHOUT D&C $2,318 – $10,023 · median $7,413 14 plans
780 FALSE LABOR $1,220 – $4,801 · median $3,415 14 plans
781 OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS $3,396 – $8,477 · median $6,031 14 plans
782 OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIO $2,733 – $6,017 · median $4,281 14 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $11,592 – $18,988 · median $13,508 14 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,563 – $10,273 · median $7,895 14 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,668 – $8,975 · median $6,605 14 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $10,152 – $15,892 · median $11,629 14 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $6,696 – $11,913 · median $7,886 14 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/ $3,628 – $8,584 · median $6,212 14 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CAR $11,477 – $17,966 · median $12,743 14 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROM $5,113 – $59,248 · median $39,705 14 plans
791 PREMATURITY WITH MAJOR PROBLEMS $2,416 – $40,463 · median $27,117 14 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $1,392 – $24,415 · median $16,362 14 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $3,207 – $41,564 · median $27,854 14 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $9,398 – $20,404 · median $10,435 14 plans
795 NORMAL NEWBORN $723 – $1,992 · median $1,335 14 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT $7,496 – $12,920 · median $9,013 14 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT $4,459 – $9,131 · median $6,516 14 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT $5,464 – $9,131 · median $5,982 14 plans
799 SPLENIC PROCEDURES WITH MCC $27,231 – $51,244 · median $36,032 14 plans
800 SPLENIC PROCEDURES WITH CC $16,711 – $26,160 · median $20,677 14 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $10,660 – $17,673 · median $11,788 14 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI $22,446 – $37,510 · median $26,268 14 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI $12,157 – $20,204 · median $13,206 14 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI $7,392 – $12,416 · median $9,561 14 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH $6,321 – $9,895 · median $7,420 14 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH $4,386 – $6,866 · median $5,292 14 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH $3,969 – $6,213 · median $4,627 14 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX $13,458 – $21,067 · median $15,301 14 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX $7,642 – $11,962 · median $8,564 14 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX $4,345 – $9,238 · median $6,732 14 plans
811 RED BLOOD CELL DISORDERS WITH MCC $8,739 – $13,681 · median $10,219 14 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,892 – $8,836 · median $6,162 14 plans
813 COAGULATION DISORDERS $7,992 – $15,401 · median $10,816 14 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MC $11,812 – $27,554 · median $14,016 14 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $6,038 – $10,146 · median $6,954 14 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT $3,946 – $7,173 · median $4,646 14 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI $16,148 – $30,797 · median $19,051 14 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI $9,363 – $15,647 · median $10,035 14 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI $5,585 – $8,743 · median $6,990 14 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W $33,426 – $54,285 · median $42,170 14 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W $13,593 – $21,278 · median $15,968 14 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W $7,575 – $11,857 · median $8,761 14 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU $27,196 – $42,572 · median $33,354 14 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU $13,760 – $22,537 · median $16,551 14 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU $8,276 – $12,955 · median $10,384 14 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA $30,276 – $50,596 · median $35,312 14 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA $15,160 – $23,957 · median $17,504 14 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA $10,732 – $17,113 · median $12,403 14 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA $19,486 – $31,141 · median $22,459 14 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA $8,813 – $14,470 · median $10,374 14 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES $7,035 – $11,757 · median $8,082 14 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES $4,403 – $6,893 · median $5,511 14 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES $3,168 – $4,959 · median $3,869 14 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH $34,762 – $54,415 · median $44,002 14 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH $13,182 – $32,649 · median $15,660 14 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHO $8,215 – $15,437 · median $9,861 14 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG $31,691 – $52,961 · median $40,801 14 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG $13,096 – $21,885 · median $16,746 14 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG $7,587 – $13,527 · median $10,410 14 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $19,531 – $30,718 · median $23,861 14 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $10,025 – $15,693 · median $12,014 14 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $6,938 – $10,860 · median $8,128 14 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE $12,173 – $19,064 · median $14,133 14 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE $7,170 – $11,224 · median $8,561 14 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE $5,315 – $8,320 · median $5,942 14 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D $15,143 – $23,705 · median $19,168 14 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D $6,983 – $11,986 · median $9,353 14 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D $5,471 – $9,142 · median $7,257 14 plans
849 RADIOTHERAPY $6,451 – $23,015 · median $17,608 14 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED $30,808 – $48,226 · median $36,806 14 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED $12,922 – $20,227 · median $15,723 14 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED $9,089 – $15,033 · median $11,134 14 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. $27,738 – $43,421 · median $32,991 14 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. $11,910 – $20,753 · median $14,717 14 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. $8,175 – $13,920 · median $9,517 14 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH M $10,288 – $17,998 · median $13,277 14 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOU $5,398 – $9,898 · median $7,080 14 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,332 – $8,346 · median $6,136 14 plans
865 VIRAL ILLNESS WITH MCC $10,345 – $16,460 · median $10,949 14 plans
866 VIRAL ILLNESS WITHOUT MCC $4,782 – $8,853 · median $6,004 14 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES $13,285 – $20,796 · median $16,575 14 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES $5,640 – $10,388 · median $7,462 14 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES $4,519 – $7,289 · median $5,397 14 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $42,688 – $66,822 · median $46,018 14 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W $12,303 – $19,259 · median $13,871 14 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W $6,462 – $10,116 · median $7,184 14 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL $20,092 – $31,452 · median $24,213 14 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNC $4,578 – $8,917 · median $6,245 14 plans
881 DEPRESSIVE NEUROSES $2,336 – $8,418 · median $5,931 14 plans
882 NEUROSES EXCEPT DEPRESSIVE $2,548 – $8,595 · median $6,102 14 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $7,123 – $15,887 · median $11,720 14 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $6,313 – $15,449 · median $10,723 14 plans
885 PSYCHOSES $4,144 – $12,748 · median $8,939 14 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $4,970 – $13,432 · median $9,066 14 plans
887 OTHER MENTAL DISORDER DIAGNOSES $7,559 – $12,758 · median $8,153 14 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,535 – $5,627 · median $3,843 14 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITAT $4,944 – $15,338 · median $11,194 14 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI $10,078 – $17,275 · median $12,462 14 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI $5,351 – $8,377 · median $5,958 14 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $27,650 – $43,282 · median $31,627 14 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $10,767 – $19,501 · median $13,750 14 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $7,641 – $11,962 · median $8,122 14 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $21,303 – $34,951 · median $27,613 14 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $8,069 – $15,349 · median $11,550 14 plans
906 HAND PROCEDURES FOR INJURIES $8,010 – $17,592 · median $12,627 14 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $24,300 – $38,038 · median $29,252 14 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $12,927 – $20,236 · median $14,353 14 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $7,678 – $13,429 · median $9,597 14 plans
913 TRAUMATIC INJURY WITH MCC $7,967 – $14,899 · median $11,470 14 plans
914 TRAUMATIC INJURY WITHOUT MCC $4,983 – $8,749 · median $6,208 14 plans
915 ALLERGIC REACTIONS WITH MCC $9,694 – $17,910 · median $11,897 14 plans
916 ALLERGIC REACTIONS WITHOUT MCC $3,076 – $6,536 · median $4,609 14 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $9,412 – $14,981 · median $10,441 14 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $3,433 – $8,046 · median $5,632 14 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $9,733 – $17,649 · median $12,909 14 plans
920 COMPLICATIONS OF TREATMENT WITH CC $5,863 – $10,055 · median $7,172 14 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,535 – $7,163 · median $4,885 14 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES $9,780 – $15,309 · median $11,767 14 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES $4,524 – $9,281 · median $6,617 14 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 $96,808 – $186,785 · median $151,041 14 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION $30,419 – $60,922 · median $45,721 14 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION $9,657 – $28,918 · median $21,097 14 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 $15,840 – $29,845 · median $19,065 14 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATI $5,456 – $18,460 · median $13,690 14 plans
935 NON-EXTENSIVE BURNS $5,916 – $19,917 · median $13,530 14 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI $19,468 – $42,207 · median $24,644 14 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI $13,850 – $21,680 · median $16,455 14 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI $11,536 – $18,572 · median $13,462 14 plans
945 REHABILITATION WITH CC/MCC $9,462 – $14,811 · median $10,709 14 plans
946 REHABILITATION WITHOUT CC/MCC $4,860 – $11,046 · median $7,883 14 plans
947 SIGNS AND SYMPTOMS WITH MCC $7,641 – $11,962 · median $8,358 14 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,493 – $7,652 · median $5,510 14 plans
949 AFTERCARE WITH CC/MCC $7,019 – $12,674 · median $8,223 14 plans
950 AFTERCARE WITHOUT CC/MCC $4,178 – $9,896 · median $5,484 14 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $2,479 – $5,601 · median $3,917 14 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $37,725 – $66,282 · median $44,025 14 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MU $23,913 – $37,433 · median $28,525 14 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA $46,582 – $72,919 · median $51,946 14 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA $26,216 – $41,038 · median $29,440 14 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA $16,147 – $25,276 · median $19,153 14 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $17,432 – $27,288 · median $20,226 14 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $9,206 – $14,411 · median $10,443 14 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,720 – $8,953 · median $6,761 14 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $39,994 – $71,316 · median $44,963 14 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $18,185 – $30,390 · median $20,921 14 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $18,060 – $28,270 · median $19,934 14 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $8,648 – $13,620 · median $9,499 14 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $5,530 – $10,025 · median $7,036 14 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $6,811 – $12,791 · median $9,270 14 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D $28,792 – $45,071 · median $34,062 14 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D $15,767 – $24,681 · median $17,756 14 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D $8,991 – $16,435 · median $11,566 14 plans
984 PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI $21,441 – $33,563 · median $24,141 14 plans
985 PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI $11,361 – $17,784 · median $13,390 14 plans
986 PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI $6,995 – $10,950 · median $8,090 14 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP $20,859 – $32,653 · median $24,271 14 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP $10,664 – $16,693 · median $11,945 14 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP $6,930 – $10,848 · median $7,865 14 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH $5,059 – $20,118 · median $12,588 6 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES $4,552 – $70,466 · median $37,509 6 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE $46,031 – $46,031 · median $46,031 6 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $40,629 – $40,629 · median $40,629 6 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $31,288 – $31,288 · median $31,288 6 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P $29,182 – $29,182 · median $29,182 6 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P $20,940 – $20,940 · median $20,940 6 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL $18,807 – $18,807 · median $18,807 6 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL $11,929 – $11,929 · median $11,929 6 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN $27,085 – $27,085 · median $27,085 6 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN $19,422 – $19,422 · median $19,422 6 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALU $17,300 – $17,300 · median $17,300 6 plans
397 APPENDIX PROCEDURES WITH MCC $14,698 – $14,698 · median $14,698 6 plans
398 APPENDIX PROCEDURES WITH CC $9,901 – $9,901 · median $9,901 6 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $7,282 – $7,282 · median $7,282 6 plans
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