Flagstaff Medical Center — Pricing

766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 766
Lowest published price —
Average published price —
Highest published price —

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 766 procedures

Procedures with negotiated rates only

These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $5,000 – $582,660 · median $285,538 25 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $5,000 – $432,419 · median $216,209 25 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $5,000 – $149,722 · median $73,399 25 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $5,000 – $115,735 · median $56,745 25 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $5,000 – $79,373 · median $38,798 25 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 25 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $5,000 – $307,429 · median $96,003 25 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $5,000 – $309,460 · median $105,879 25 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $5,000 – $269,093 · median $71,453 25 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $5,000 – $225,192 · median $57,160 25 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $5,000 – $175,845 · median $77,114 25 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $5,000 – $145,720 · median $52,654 25 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $5,000 – $194,875 · median $61,193 25 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $5,000 – $106,994 · median $33,971 25 plans
028 SPINAL PROCEDURES WITH MCC $5,000 – $166,091 · median $80,853 25 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $5,000 – $111,238 · median $45,925 25 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $5,000 – $69,107 · median $29,563 25 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $5,000 – $140,412 · median $60,303 25 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $5,000 – $76,288 · median $28,699 25 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $5,000 – $55,257 · median $22,403 25 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $5,000 – $107,029 · median $52,100 25 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $5,000 – $79,925 · median $32,190 25 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $5,000 – $71,433 · median $26,168 25 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $5,000 – $90,373 · median $44,317 25 plans
038 EXTRACRANIAL PROCEDURES WITH CC $5,000 – $50,929 · median $21,861 25 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $5,000 – $37,829 · median $15,847 25 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $5,000 – $105,995 · median $51,972 25 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $5,000 – $66,908 · median $29,610 25 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $5,000 – $53,054 · median $23,274 25 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $3,060 – $49,723 · median $24,399 25 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $4,997 – $38,553 · median $13,206 25 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $5,000 – $43,152 · median $20,573 25 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $5,000 – $34,009 · median $13,750 25 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $5,000 – $89,132 · median $37,121 25 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $5,000 – $72,887 · median $23,671 25 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $5,000 – $65,055 · median $18,917 25 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $5,000 – $55,205 · median $27,085 25 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $5,000 – $41,924 · median $13,624 25 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,000 – $34,649 · median $9,241 25 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $5,000 – $40,318 · median $19,790 25 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,000 – $23,729 · median $11,662 25 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,000 – $25,516 · median $10,780 25 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $5,000 – $45,701 · median $22,428 25 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $5,000 – $35,039 · median $13,836 25 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,000 – $26,823 · median $10,206 25 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $5,000 – $44,040 · median $21,614 25 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,000 – $28,297 · median $13,900 25 plans
075 VIRAL MENINGITIS WITH CC/MCC $4,599 – $52,638 · median $25,827 25 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $4,118 – $25,043 · median $11,135 25 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $5,000 – $62,743 · median $30,779 25 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $5,000 – $48,938 · median $18,810 25 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $5,000 – $40,776 · median $12,891 25 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $4,590 – $62,367 · median $30,594 25 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,000 – $29,001 · median $12,338 25 plans
088 CONCUSSION WITH MCC $5,000 – $37,109 · median $18,218 25 plans
089 CONCUSSION WITH CC $4,148 – $30,158 · median $14,812 25 plans
090 CONCUSSION WITHOUT CC/MCC $2,510 – $22,598 · median $11,108 25 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $5,000 – $48,210 · median $23,658 25 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,000 – $22,170 · median $10,746 25 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $5,000 – $96,612 · median $47,375 25 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $5,000 – $70,803 · median $34,728 25 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,000 – $70,803 · median $34,728 25 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $5,000 – $99,149 · median $48,618 25 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $5,000 – $62,998 · median $30,904 25 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $5,000 – $44,778 · median $18,361 25 plans
100 SEIZURES WITH MCC $5,000 – $53,168 · median $26,087 25 plans
101 SEIZURES WITHOUT MCC $5,000 – $24,778 · median $12,176 25 plans
102 HEADACHES WITH MCC $5,000 – $30,770 · median $15,112 25 plans
103 HEADACHES WITHOUT MCC $5,000 – $22,958 · median $11,284 25 plans
113 ORBITAL PROCEDURES WITH CC/MCC $5,000 – $64,541 · median $31,660 25 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $5,000 – $37,142 · median $18,234 25 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $5,000 – $42,135 · median $20,681 25 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $5,000 – $49,635 · median $24,356 25 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $5,000 – $29,782 · median $14,628 25 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $2,324 – $31,934 · median $15,682 25 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,791 – $21,571 · median $10,605 25 plans
123 NEUROLOGICAL EYE DISORDERS $5,000 – $26,990 · median $10,777 25 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $5,000 – $36,321 · median $17,832 25 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,000 – $21,077 · median $10,363 25 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $5,000 – $59,569 · median $29,224 25 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $5,000 – $31,007 · median $13,692 25 plans
137 MOUTH PROCEDURES WITH CC/MCC $5,000 – $40,990 · median $20,120 25 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,000 – $24,327 · median $11,955 25 plans
139 SALIVARY GLAND PROCEDURES $5,000 – $33,922 · median $16,656 25 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $5,000 – $117,088 · median $57,408 25 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $5,000 – $59,874 · median $29,373 25 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $5,000 – $43,823 · median $21,508 25 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $5,000 – $102,849 · median $50,431 25 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $5,000 – $47,570 · median $23,344 25 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $5,000 – $33,005 · median $16,207 25 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $5,000 – $58,125 · median $28,516 25 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $5,000 – $34,904 · median $17,138 25 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,000 – $25,019 · median $10,757 25 plans
149 DYSEQUILIBRIUM $5,000 – $20,632 · median $10,145 25 plans
150 EPISTAXIS WITH MCC $5,000 – $36,551 · median $17,945 25 plans
151 EPISTAXIS WITHOUT MCC $5,000 – $20,149 · median $9,908 25 plans
152 OTITIS MEDIA AND URI WITH MCC $5,000 – $32,453 · median $15,937 25 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $4,312 – $20,265 · median $9,964 25 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $5,000 – $42,920 · median $21,066 25 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,000 – $25,159 · median $12,363 25 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,895 – $19,474 · median $9,331 25 plans
157 DENTAL AND ORAL DISEASES WITH MCC $4,612 – $47,128 · median $23,128 25 plans
158 DENTAL AND ORAL DISEASES WITH CC $5,000 – $25,024 · median $12,273 25 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,324 – $21,287 · median $9,565 25 plans
163 MAJOR CHEST PROCEDURES WITH MCC $5,000 – $167,643 · median $83,821 25 plans
164 MAJOR CHEST PROCEDURES WITH CC $5,000 – $86,910 · median $33,985 25 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $5,000 – $74,612 · median $25,783 25 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $5,000 – $104,150 · median $50,311 25 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $5,000 – $76,978 · median $24,293 25 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $5,000 – $57,948 · median $18,414 25 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $5,000 – $84,450 · median $40,071 25 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $5,000 – $41,816 · median $18,511 25 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,000 – $32,417 · median $10,863 25 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $4,936 – $57,179 · median $21,055 25 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $4,517 – $45,419 · median $13,163 25 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $4,936 – $37,030 · median $10,190 25 plans
180 RESPIRATORY NEOPLASMS WITH MCC $5,000 – $55,695 · median $23,789 25 plans
181 RESPIRATORY NEOPLASMS WITH CC $5,000 – $47,016 · median $14,441 25 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,000 – $41,027 · median $10,174 25 plans
183 MAJOR CHEST TRAUMA WITH MCC $5,000 – $41,998 · median $20,614 25 plans
184 MAJOR CHEST TRAUMA WITH CC $5,000 – $31,037 · median $14,348 25 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,000 – $23,565 · median $10,614 25 plans
186 PLEURAL EFFUSION WITH MCC $5,000 – $42,783 · median $20,998 25 plans
187 PLEURAL EFFUSION WITH CC $5,000 – $34,467 · median $13,339 25 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,000 – $28,114 · median $9,682 25 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $4,998 – $41,688 · median $16,652 25 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $4,944 – $33,289 · median $14,935 25 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,000 – $28,109 · median $11,374 25 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,768 – $24,343 · median $8,670 25 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $5,000 – $36,082 · median $17,715 25 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,000 – $24,955 · median $10,875 25 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,510 – $20,918 · median $8,489 25 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $4,710 – $51,806 · median $25,420 25 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $5,000 – $77,706 · median $38,111 25 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,000 – $24,427 · median $9,668 25 plans
199 PNEUMOTHORAX WITH MCC $5,000 – $48,427 · median $23,764 25 plans
200 PNEUMOTHORAX WITH CC $5,000 – $33,264 · median $14,822 25 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $3,947 – $26,566 · median $9,654 25 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,000 – $26,661 · median $13,098 25 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,000 – $18,392 · median $9,047 25 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,000 – $22,164 · median $10,895 25 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $4,482 – $50,263 · median $24,664 25 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,000 – $25,834 · median $12,694 25 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $5,000 – $220,915 · median $110,458 25 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $5,000 – $75,456 · median $37,008 25 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $5,000 – $298,509 · median $146,304 25 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $5,000 – $424,158 · median $133,968 25 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $5,000 – $278,255 · median $131,625 25 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $5,000 – $226,730 · median $88,480 25 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $5,000 – $205,147 · median $88,480 25 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $5,000 – $240,387 · median $103,317 25 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $5,000 – $184,519 · median $71,767 25 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $5,000 – $174,982 · median $67,831 25 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $5,000 – $215,674 · median $66,583 25 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $5,000 – $170,206 · median $42,399 25 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $5,000 – $203,274 · median $81,584 25 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $5,000 – $227,913 · median $102,871 25 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $5,000 – $179,137 · median $73,514 25 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $5,000 – $184,096 · median $78,974 25 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $5,000 – $133,669 · median $56,379 25 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $5,000 – $135,107 · median $66,237 25 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $5,000 – $79,985 · median $38,377 25 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $5,000 – $65,918 · median $18,656 25 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $5,000 – $109,612 · median $42,982 25 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $5,000 – $85,717 · median $28,698 25 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $5,000 – $71,872 · median $24,348 25 plans
245 AICD GENERATOR PROCEDURES $5,000 – $125,244 · median $61,404 25 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $5,000 – $80,448 · median $29,392 25 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $5,000 – $51,782 · median $20,137 25 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $5,000 – $95,759 · median $46,956 25 plans
253 OTHER VASCULAR PROCEDURES WITH CC $5,000 – $75,095 · median $34,949 25 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $5,000 – $55,937 · median $24,001 25 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $5,000 – $74,047 · median $36,318 25 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $5,000 – $52,176 · median $22,873 25 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $5,000 – $43,329 · median $14,726 25 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $5,000 – $86,255 · median $42,300 25 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $5,000 – $55,833 · median $27,234 25 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $5,000 – $89,294 · median $43,789 25 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $5,000 – $44,743 · median $21,959 25 plans
263 VEIN LIGATION AND STRIPPING $5,000 – $83,930 · median $41,160 25 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $5,000 – $91,704 · median $44,970 25 plans
265 AICD LEAD PROCEDURES $5,000 – $109,390 · median $48,704 25 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $5,000 – $262,720 · median $82,469 25 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $5,000 – $241,866 · median $64,073 25 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $5,000 – $97,625 · median $47,871 25 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $5,000 – $70,083 · median $34,376 25 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $5,000 – $113,250 · median $55,527 25 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $5,000 – $300,519 · median $95,947 25 plans
276 NON-MALIGANT BREAST DISORDERS $5,000 – $181,464 · median $80,830 25 plans
277 CELLULITIS AGE >17 W CC $5,000 – $156,593 · median $62,159 25 plans
278 CELLULITIS AGE >17 W/O CC $4,069 – $152,800 · median $74,907 25 plans
279 CELLULITIS AGE 0-17 $3,534 – $99,001 · median $48,545 25 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $5,000 – $57,583 · median $21,612 25 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,000 – $43,457 · median $12,398 25 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,000 – $35,152 · median $9,761 25 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $5,000 – $54,376 · median $26,679 25 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,000 – $39,578 · median $9,346 25 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,000 – $34,157 · median $8,091 25 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $5,000 – $60,744 · median $29,799 25 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $5,000 – $37,745 · median $14,429 25 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $5,000 – $74,289 · median $36,436 25 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $5,000 – $53,428 · median $22,994 25 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $5,000 – $45,690 · median $12,540 25 plans
291 HEART FAILURE AND SHOCK WITH MCC $4,586 – $36,108 · median $17,303 25 plans
292 HEART FAILURE AND SHOCK WITH CC $4,634 – $29,075 · median $11,455 25 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,586 – $25,147 · median $7,648 25 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,279 – $22,722 · median $6,156 25 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $5,000 – $44,820 · median $21,996 25 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $5,000 – $29,304 · median $14,394 25 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,000 – $20,100 · median $9,716 25 plans
302 ATHEROSCLEROSIS WITH MCC $5,000 – $32,848 · median $16,130 25 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,000 – $18,480 · median $9,090 25 plans
304 HYPERTENSION WITH MCC $5,000 – $32,667 · median $16,042 25 plans
305 HYPERTENSION WITHOUT MCC $5,000 – $20,728 · median $10,192 25 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $5,000 – $43,258 · median $21,231 25 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,000 – $25,069 · median $12,318 25 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $5,000 – $33,051 · median $16,230 25 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,000 – $24,531 · median $9,931 25 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,632 – $19,183 · median $7,649 25 plans
312 SYNCOPE AND COLLAPSE $5,000 – $23,927 · median $11,759 25 plans
313 CHEST PAIN $5,000 – $19,765 · median $9,720 25 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $5,000 – $57,242 · median $28,083 25 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $5,000 – $32,229 · median $12,992 25 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,000 – $24,959 · median $9,210 25 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $5,000 – $177,121 · median $60,066 25 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $5,000 – $102,608 · median $32,389 25 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $4,547 – $114,979 · median $36,633 25 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $3,318 – $91,227 · median $23,749 25 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY $5,000 – $118,793 · median $58,243 25 plans
324 URINARY STONES W/O CC $5,000 – $86,499 · median $42,419 25 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $5,000 – $88,130 · median $43,218 25 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $5,000 – $146,780 · median $68,550 25 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $5,000 – $93,593 · median $32,912 25 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $5,000 – $51,191 · median $21,588 25 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $5,000 – $131,081 · median $61,863 25 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $5,000 – $84,174 · median $32,280 25 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $5,000 – $53,571 · median $22,672 25 plans
332 RECTAL RESECTION WITH MCC $5,000 – $99,393 · median $48,737 25 plans
333 RECTAL RESECTION WITH CC $5,000 – $67,327 · median $31,540 25 plans
334 RECTAL RESECTION WITHOUT CC/MCC $5,000 – $49,214 · median $22,066 25 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $5,000 – $98,026 · median $48,067 25 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $5,000 – $69,264 · median $28,399 25 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $5,000 – $48,874 · median $20,682 25 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $5,000 – $82,612 · median $34,776 25 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $5,000 – $55,917 · median $20,275 25 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $5,000 – $41,431 · median $15,990 25 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $5,000 – $81,448 · median $40,724 25 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $5,000 – $35,928 · median $17,640 25 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $5,000 – $23,899 · median $11,745 25 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $5,000 – $68,406 · median $33,554 25 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $5,000 – $41,850 · median $20,541 25 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $5,000 – $32,058 · median $15,743 25 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $5,000 – $79,664 · median $39,070 25 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $5,000 – $46,700 · median $22,665 25 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $5,000 – $36,922 · median $18,127 25 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $5,000 – $71,522 · median $31,315 25 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $5,000 – $49,692 · median $18,838 25 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $5,000 – $43,700 · median $21,448 25 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,000 – $30,854 · median $13,489 25 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,000 – $27,207 · median $9,461 25 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $4,658 – $48,674 · median $23,885 25 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,604 – $32,407 · median $9,819 25 plans
374 DIGESTIVE MALIGNANCY WITH MCC $4,901 – $58,710 · median $28,803 25 plans
375 DIGESTIVE MALIGNANCY WITH CC $5,000 – $36,621 · median $16,305 25 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $5,000 – $28,198 · median $12,468 25 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $5,000 – $50,181 · median $24,623 25 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $5,000 – $29,410 · median $13,226 25 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,000 – $24,447 · median $8,514 25 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $5,000 – $53,865 · median $26,429 25 plans
381 COMPLICATED PEPTIC ULCER WITH CC $5,000 – $32,318 · median $14,609 25 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,920 – $27,631 · median $10,804 25 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $5,000 – $37,902 · median $18,607 25 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,000 – $23,515 · median $11,533 25 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $4,266 – $43,436 · median $21,318 25 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $4,473 – $31,234 · median $13,167 25 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,640 – $27,527 · median $9,199 25 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $4,954 – $40,540 · median $19,899 25 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,164 – $27,656 · median $10,658 25 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,908 – $21,061 · median $7,352 25 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $4,731 – $34,817 · median $17,095 25 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,000 – $21,401 · median $10,521 25 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $4,899 – $43,903 · median $21,547 25 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $5,000 – $31,416 · median $12,621 25 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,000 – $24,117 · median $8,765 25 plans
397 COAGULATION DISORDERS $5,000 – $65,743 · median $32,249 25 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $5,000 – $48,563 · median $20,394 25 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $5,000 – $34,226 · median $15,712 25 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $5,000 – $150,173 · median $73,619 25 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $5,000 – $99,793 · median $39,046 25 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $5,000 – $68,959 · median $29,891 25 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $5,000 – $121,110 · median $47,996 25 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $5,000 – $91,528 · median $29,322 25 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $5,000 – $65,346 · median $21,391 25 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $5,000 – $84,687 · median $28,316 25 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $5,000 – $97,798 · median $47,956 25 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $5,000 – $66,672 · median $27,834 25 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $5,000 – $45,128 · median $18,373 25 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $5,000 – $65,510 · median $32,135 25 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $5,000 – $46,437 · median $22,789 25 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $5,000 – $37,493 · median $18,406 25 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $5,000 – $105,742 · median $45,864 25 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $5,000 – $68,441 · median $23,406 25 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $5,000 – $58,958 · median $18,860 25 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $5,000 – $114,005 · median $55,897 25 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $5,000 – $86,638 · median $29,465 25 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $1,528 – $74,282 · median $20,216 25 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $5,000 – $70,935 · median $27,091 25 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $1,526 – $38,114 · median $14,242 25 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,000 – $33,757 · median $9,619 25 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $5,000 – $50,420 · median $24,740 25 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,000 – $37,321 · median $15,249 25 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,000 – $33,861 · median $11,513 25 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $5,000 – $49,737 · median $21,963 25 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $4,311 – $33,777 · median $11,350 25 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,327 – $28,375 · median $8,393 25 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $5,000 – $49,267 · median $24,176 25 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $5,000 – $33,930 · median $13,019 25 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,505 – $28,168 · median $9,446 25 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $5,000 – $45,868 · median $22,510 25 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,000 – $30,043 · median $14,756 25 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,000 – $22,711 · median $11,163 25 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $5,000 – $230,685 · median $113,070 25 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $5,000 – $163,695 · median $80,245 25 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $5,000 – $148,593 · median $56,161 25 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $5,000 – $137,725 · median $35,815 25 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $5,000 – $156,459 · median $76,700 25 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $5,000 – $85,503 · median $41,931 25 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,000 – $64,760 · median $24,566 25 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $5,000 – $142,895 · median $70,053 25 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $5,000 – $96,810 · median $47,472 25 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $5,000 – $84,820 · median $36,999 25 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $5,000 – $90,646 · median $40,835 25 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $5,000 – $71,931 · median $25,981 25 plans
471 CERVICAL SPINAL FUSION WITH MCC $5,000 – $134,832 · median $67,416 25 plans
472 CERVICAL SPINAL FUSION WITH CC $5,000 – $80,874 · median $39,663 25 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $5,000 – $67,017 · median $32,873 25 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $5,000 – $117,846 · median $57,779 25 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $5,000 – $62,926 · median $30,646 25 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,000 – $49,613 · median $15,910 25 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,000 – $67,508 · median $33,114 25 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,000 – $52,309 · median $25,039 25 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $5,000 – $82,360 · median $39,209 25 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $5,000 – $63,365 · median $28,208 25 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $5,000 – $53,625 · median $21,974 25 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $5,000 – $76,092 · median $37,320 25 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $5,000 – $88,588 · median $43,443 25 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $5,000 – $64,937 · median $28,162 25 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $5,000 – $49,357 · median $21,102 25 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $5,000 – $55,124 · median $23,828 25 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $5,000 – $46,449 · median $15,057 25 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $5,000 – $69,619 · median $34,148 25 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $5,000 – $55,081 · median $27,024 25 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $5,000 – $99,530 · median $48,805 25 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $5,000 – $51,767 · median $24,299 25 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $5,000 – $35,793 · median $16,288 25 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $5,000 – $82,815 · median $40,614 25 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $5,000 – $55,309 · median $27,136 25 plans
500 SOFT TISSUE PROCEDURES WITH MCC $5,000 – $86,878 · median $42,605 25 plans
501 SOFT TISSUE PROCEDURES WITH CC $5,000 – $47,988 · median $23,549 25 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $5,000 – $36,947 · median $18,139 25 plans
504 FOOT PROCEDURES WITH CC $5,000 – $51,312 · median $25,178 25 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $5,000 – $49,215 · median $24,150 25 plans
506 MAJOR THUMB OR JOINT PROCEDURES $5,000 – $37,037 · median $18,183 25 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $5,000 – $49,588 · median $24,333 25 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $5,000 – $41,572 · median $20,405 25 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $5,000 – $82,917 · median $40,664 25 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $5,000 – $57,082 · median $28,005 25 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $5,000 – $45,443 · median $22,302 25 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $3,218 – $43,217 · median $21,211 25 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $5,000 – $28,064 · median $13,786 25 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $5,000 – $87,688 · median $42,902 25 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $5,000 – $64,577 · median $27,988 25 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $5,000 – $54,567 · median $20,705 25 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $5,000 – $102,594 · median $50,306 25 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $5,000 – $54,908 · median $26,940 25 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $5,000 – $41,010 · median $20,129 25 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $1,612 – $73,400 · median $28,520 25 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,000 – $23,432 · median $10,878 25 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $3,810 – $22,170 · median $10,898 25 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $5,000 – $26,197 · median $12,871 25 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,000 – $19,773 · median $9,724 25 plans
540 OSTEOMYELITIS WITH CC $3,815 – $35,585 · median $17,471 25 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,000 – $26,369 · median $10,626 25 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $4,480 – $48,493 · median $23,796 25 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $5,000 – $32,969 · median $13,863 25 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,000 – $27,779 · median $10,185 25 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $5,000 – $68,126 · median $33,416 25 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $5,000 – $37,572 · median $15,549 25 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,000 – $28,134 · median $11,283 25 plans
548 SEPTIC ARTHRITIS WITH MCC $5,000 – $53,006 · median $26,008 25 plans
549 SEPTIC ARTHRITIS WITH CC $4,994 – $33,139 · median $16,273 25 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $4,197 – $25,058 · median $11,792 25 plans
551 MEDICAL BACK PROBLEMS WITH MCC $5,000 – $46,011 · median $22,580 25 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $5,000 – $26,389 · median $12,965 25 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,000 – $35,585 · median $17,471 25 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,136 – $22,787 · median $11,201 25 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,000 – $22,801 · median $11,207 25 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $3,812 – $40,817 · median $20,035 25 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $3,218 – $24,520 · median $12,049 25 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,467 – $51,194 · median $25,120 25 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,534 – $30,913 · median $15,182 25 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,085 – $22,068 · median $10,848 25 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $5,000 – $24,583 · median $12,080 25 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $5,000 – $42,374 · median $20,798 25 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,000 – $26,749 · median $13,142 25 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,000 – $20,569 · median $10,114 25 plans
570 SKIN DEBRIDEMENT WITH MCC $5,000 – $211,564 · median $103,701 25 plans
571 SKIN DEBRIDEMENT WITH CC $5,000 – $46,379 · median $22,760 25 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $5,000 – $31,467 · median $15,454 25 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $5,000 – $179,845 · median $88,159 25 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $5,000 – $95,295 · median $46,729 25 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $5,000 – $49,330 · median $24,206 25 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $5,000 – $134,545 · median $65,962 25 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $5,000 – $72,765 · median $35,690 25 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $5,000 – $44,098 · median $21,643 25 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $5,000 – $88,901 · median $43,596 25 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $5,000 – $47,436 · median $23,278 25 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $5,000 – $39,615 · median $19,446 25 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $5,000 – $52,888 · median $25,950 25 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $5,000 – $47,337 · median $23,230 25 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $5,000 – $58,765 · median $28,830 25 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $5,000 – $52,956 · median $25,983 25 plans
592 SKIN ULCERS WITH MCC $5,000 – $53,127 · median $26,067 25 plans
593 SKIN ULCERS WITH CC $4,225 – $32,566 · median $15,992 25 plans
594 SKIN ULCERS WITHOUT CC/MCC $4,663 – $23,795 · median $11,694 25 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $2,997 – $29,716 · median $14,596 25 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $5,000 – $45,764 · median $22,459 25 plans
598 MALIGNANT BREAST DISORDERS WITH CC $5,000 – $32,229 · median $15,528 25 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,000 – $21,795 · median $10,384 25 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $3,448 – $28,593 · median $14,045 25 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,149 – $19,139 · median $8,173 25 plans
602 CELLULITIS WITH MCC $4,324 – $39,017 · median $19,153 25 plans
603 CELLULITIS WITHOUT MCC $4,069 – $23,907 · median $11,749 25 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $5,000 – $40,411 · median $19,836 25 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,000 – $25,145 · median $12,356 25 plans
606 MINOR SKIN DISORDERS WITH MCC $5,000 – $41,539 · median $20,389 25 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $3,692 – $24,882 · median $12,227 25 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $5,000 – $90,572 · median $29,517 25 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $5,000 – $67,288 · median $18,857 25 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $5,000 – $95,734 · median $46,944 25 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $5,000 – $61,640 · median $25,192 25 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,000 – $49,027 · median $19,113 25 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $5,000 – $88,822 · median $38,874 25 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $5,000 – $62,034 · median $21,561 25 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $5,000 – $54,261 · median $20,324 25 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $5,000 – $97,705 · median $47,910 25 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $5,000 – $58,475 · median $24,165 25 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,000 – $46,789 · median $16,874 25 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $5,000 – $82,906 · median $40,659 25 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $5,000 – $41,161 · median $20,203 25 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $5,000 – $36,464 · median $17,902 25 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $5,000 – $59,811 · median $29,342 25 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $5,000 – $42,329 · median $19,667 25 plans
637 DIABETES WITH MCC $5,000 – $39,439 · median $19,360 25 plans
638 DIABETES WITH CC $4,709 – $24,602 · median $12,090 25 plans
639 DIABETES WITHOUT CC/MCC $4,451 – $19,301 · median $8,391 25 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $4,608 – $36,664 · median $18,000 25 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,562 – $21,363 · median $10,502 25 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $5,000 – $39,039 · median $19,164 25 plans
644 ENDOCRINE DISORDERS WITH CC $4,743 – $28,138 · median $13,822 25 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $4,987 – $21,968 · median $10,369 25 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $5,000 – $155,573 · median $63,274 25 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $5,000 – $127,720 · median $49,882 25 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $5,000 – $156,787 · median $78,393 25 plans
654 MAJOR BLADDER PROCEDURES WITH CC $5,000 – $99,636 · median $37,689 25 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $5,000 – $84,672 · median $28,505 25 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $5,000 – $87,400 · median $42,861 25 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $5,000 – $62,231 · median $24,650 25 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $5,000 – $54,232 · median $20,908 25 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $5,000 – $77,964 · median $34,213 25 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $5,000 – $57,130 · median $17,813 25 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $5,000 – $38,829 · median $13,962 25 plans
663 MINOR BLADDER PROCEDURES WITH CC $5,000 – $43,250 · median $20,483 25 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $5,000 – $31,520 · median $14,117 25 plans
665 PROSTATECTOMY WITH MCC $5,000 – $85,681 · median $42,018 25 plans
666 PROSTATECTOMY WITH CC $5,000 – $48,021 · median $23,565 25 plans
667 PROSTATECTOMY WITHOUT CC/MCC $5,000 – $30,367 · median $14,914 25 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $5,000 – $80,158 · median $39,312 25 plans
669 TRANSURETHRAL PROCEDURES WITH CC $5,000 – $42,604 · median $20,911 25 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $5,000 – $26,926 · median $13,181 25 plans
671 URETHRAL PROCEDURES WITH CC/MCC $5,000 – $49,275 · median $24,180 25 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $5,000 – $29,634 · median $14,555 25 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $5,000 – $115,340 · median $56,551 25 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $5,000 – $64,198 · median $31,492 25 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $5,000 – $45,059 · median $22,113 25 plans
682 RENAL FAILURE WITH MCC $5,000 – $43,378 · median $19,956 25 plans
683 RENAL FAILURE WITH CC $3,964 – $33,117 · median $11,815 25 plans
684 RENAL FAILURE WITHOUT CC/MCC $3,964 – $27,276 · median $8,109 25 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $5,000 – $49,514 · median $24,297 25 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $4,473 – $28,763 · median $14,129 25 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,000 – $21,695 · median $10,665 25 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $4,514 – $31,852 · median $15,642 25 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $4,547 – $22,222 · median $10,923 25 plans
693 URINARY STONES WITH MCC $5,000 – $36,908 · median $18,120 25 plans
694 URINARY STONES WITHOUT MCC $5,000 – $21,459 · median $10,549 25 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,000 – $31,399 · median $15,420 25 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,299 – $18,914 · median $9,303 25 plans
697 URETHRAL STRICTURE $5,000 – $29,587 · median $14,532 25 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $4,749 – $45,415 · median $22,288 25 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $5,000 – $31,377 · median $13,688 25 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,874 – $24,950 · median $9,315 25 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $5,000 – $57,327 · median $26,941 25 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $5,000 – $43,802 · median $20,671 25 plans
709 PENIS PROCEDURES WITH CC/MCC $5,000 – $63,882 · median $31,337 25 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $5,000 – $38,465 · median $18,882 25 plans
711 TESTES PROCEDURES WITH CC/MCC $5,000 – $57,203 · median $28,064 25 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $5,000 – $30,188 · median $14,827 25 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $5,000 – $41,270 · median $20,257 25 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $5,000 – $29,027 · median $14,258 25 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $5,000 – $61,417 · median $30,129 25 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $5,000 – $40,381 · median $19,821 25 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $5,000 – $51,897 · median $25,464 25 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $5,000 – $36,870 · median $18,101 25 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $5,000 – $49,679 · median $24,377 25 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $5,000 – $32,027 · median $15,405 25 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,000 – $18,779 · median $8,855 25 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $5,000 – $32,124 · median $15,775 25 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,000 – $19,820 · median $9,746 25 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $5,000 – $40,708 · median $19,981 25 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,206 – $26,078 · median $10,946 25 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $5,000 – $33,264 · median $14,275 25 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,000 – $24,610 · median $9,074 25 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $5,000 – $58,884 · median $28,686 25 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $5,000 – $43,748 · median $18,133 25 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $5,000 – $110,011 · median $48,116 25 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $5,000 – $72,025 · median $27,752 25 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $5,000 – $57,401 · median $19,788 25 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $5,000 – $98,353 · median $48,228 25 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $5,000 – $49,676 · median $24,376 25 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $5,000 – $39,148 · median $19,217 25 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $5,000 – $50,368 · median $24,715 25 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $5,000 – $34,059 · median $16,724 25 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $5,000 – $56,251 · median $27,597 25 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $5,000 – $52,901 · median $25,956 25 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $5,000 – $47,686 · median $23,401 25 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $5,000 – $29,450 · median $11,599 25 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $5,000 – $38,083 · median $18,696 25 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $5,000 – $70,484 · median $34,572 25 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $5,000 – $40,513 · median $19,886 25 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,000 – $50,557 · median $24,808 25 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,376 – $35,285 · median $14,667 25 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,000 – $26,367 · median $12,955 25 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,621 – $26,875 · median $13,203 25 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,352 – $19,045 · median $8,961 25 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,217 – $20,632 · median $7,709 25 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $4,563 – $29,417 · median $14,449 25 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $5,000 – $46,387 · median $22,764 25 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $5,000 – $27,525 · median $13,522 25 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,640 – $17,972 · median $8,841 25 plans
779 ABORTION WITHOUT D&C $3,960 – $23,095 · median $11,351 25 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $5,000 – $67,396 · median $33,059 25 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $5,000 – $29,101 · median $14,294 25 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,000 – $26,293 · median $12,918 25 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $4,980 – $45,281 · median $22,222 25 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $5,000 – $30,658 · median $15,057 25 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $5,000 – $26,320 · median $12,932 25 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $4,154 – $49,473 · median $24,276 25 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $4,154 – $193,938 · median $79,982 25 plans
791 PREMATURITY WITH MAJOR PROBLEMS $4,154 – $111,425 · median $54,633 25 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $4,154 – $67,234 · median $32,979 25 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $4,154 – $114,461 · median $56,121 25 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,154 – $40,515 · median $19,887 25 plans
795 NORMAL NEWBORN $1,347 – $5,485 · median $2,722 25 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $4,603 – $32,036 · median $15,732 25 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $5,000 – $27,462 · median $13,491 25 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $5,000 – $26,274 · median $12,909 25 plans
800 SPLENECTOMY WITH CC $5,000 – $77,122 · median $37,824 25 plans
801 SPLENECTOMY WITHOUT CC/MCC $5,000 – $59,372 · median $25,712 25 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $5,000 – $109,369 · median $53,625 25 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $5,000 – $54,256 · median $25,039 25 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $5,000 – $43,842 · median $18,274 25 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $3,848 – $29,625 · median $14,551 25 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,165 – $20,698 · median $10,177 25 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,288 – $18,508 · median $9,103 25 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $5,000 – $60,610 · median $29,734 25 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $4,690 – $41,491 · median $17,063 25 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $5,000 – $37,040 · median $14,113 25 plans
811 RED BLOOD CELL DISORDERS WITH MCC $5,000 – $38,550 · median $18,924 25 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,460 – $25,206 · median $12,386 25 plans
813 COAGULATION DISORDERS $5,000 – $41,872 · median $20,552 25 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $5,000 – $31,401 · median $13,674 25 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,000 – $24,516 · median $8,536 25 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $5,000 – $62,633 · median $30,725 25 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $5,000 – $33,787 · median $15,627 25 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,000 – $23,605 · median $11,601 25 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $5,000 – $160,997 · median $78,923 25 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $5,000 – $95,353 · median $30,146 25 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,000 – $56,790 · median $16,230 25 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $5,000 – $125,859 · median $61,706 25 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $5,000 – $78,013 · median $30,510 25 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $5,000 – $50,224 · median $18,186 25 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $5,000 – $147,189 · median $62,957 25 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $5,000 – $89,650 · median $31,123 25 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,000 – $55,902 · median $22,953 25 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $5,000 – $86,746 · median $42,540 25 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $5,000 – $47,282 · median $20,279 25 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $3,675 – $33,010 · median $16,210 25 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,289 – $19,809 · median $9,741 25 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,025 – $14,354 · median $7,068 25 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $5,000 – $150,705 · median $73,880 25 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $5,000 – $105,466 · median $28,091 25 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,000 – $89,660 · median $16,438 25 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $5,000 – $80,670 · median $28,113 25 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,000 – $54,424 · median $19,457 25 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $5,000 – $88,802 · median $43,548 25 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $5,000 – $42,136 · median $13,626 25 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $4,764 – $54,760 · median $26,867 25 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $4,998 – $35,547 · median $16,410 25 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,000 – $27,695 · median $11,490 25 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $5,000 – $71,168 · median $34,907 25 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $5,000 – $35,912 · median $17,632 25 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,000 – $28,183 · median $11,460 25 plans
849 RADIOTHERAPY $5,000 – $74,379 · median $36,481 25 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $5,000 – $109,060 · median $26,911 25 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $4,657 – $74,671 · median $20,174 25 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $5,000 – $124,868 · median $61,220 25 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $5,000 – $65,711 · median $28,840 25 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $4,323 – $50,382 · median $18,771 25 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $4,579 – $50,063 · median $24,566 25 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $4,323 – $30,090 · median $13,458 25 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,000 – $24,369 · median $11,975 25 plans
865 VIRAL ILLNESS WITH MCC $5,000 – $41,130 · median $20,189 25 plans
866 VIRAL ILLNESS WITHOUT MCC $3,599 – $23,872 · median $11,732 25 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $5,000 – $57,461 · median $28,191 25 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $4,652 – $34,714 · median $13,904 25 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,476 – $30,968 · median $9,850 25 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $5,000 – $213,491 · median $93,006 25 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $5,000 – $53,324 · median $26,164 25 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $4,657 – $38,563 · median $13,799 25 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $5,000 – $115,202 · median $56,484 25 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $5,000 – $52,748 · median $25,787 25 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $5,000 – $42,417 · median $15,767 25 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $5,000 – $100,832 · median $49,442 25 plans
906 HAND PROCEDURES FOR INJURIES $5,000 – $53,923 · median $26,457 25 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $5,000 – $105,394 · median $51,678 25 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $5,000 – $61,566 · median $26,872 25 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $5,000 – $39,736 · median $17,692 25 plans
913 TRAUMATIC INJURY WITH MCC $5,000 – $44,872 · median $22,022 25 plans
914 TRAUMATIC INJURY WITHOUT MCC $5,000 – $24,308 · median $11,946 25 plans
915 ALLERGIC REACTIONS WITH MCC $5,000 – $46,162 · median $22,654 25 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,791 – $18,291 · median $8,997 25 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $5,000 – $50,258 · median $24,661 25 plans
920 COMPLICATIONS OF TREATMENT WITH CC $5,000 – $30,771 · median $13,517 25 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,526 – $22,303 · median $9,295 25 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $5,000 – $48,023 · median $23,566 25 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $4,456 – $27,937 · median $13,724 25 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $5,000 – $95,323 · median $43,358 25 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $4,377 – $60,684 · median $29,770 25 plans
935 NON-EXTENSIVE BURNS $5,000 – $56,550 · median $27,744 25 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $5,000 – $99,607 · median $48,842 25 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $5,000 – $64,151 · median $31,469 25 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $5,000 – $55,663 · median $27,310 25 plans
945 REHABILITATION WITH CC/MCC $4,494 – $49,244 · median $20,865 25 plans
946 REHABILITATION WITHOUT CC/MCC $4,287 – $45,389 · median $15,461 25 plans
949 AFTERCARE WITH CC/MCC $2,604 – $32,659 · median $16,038 25 plans
950 AFTERCARE WITHOUT CC/MCC $1,887 – $17,231 · median $8,478 25 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,541 – $15,263 · median $7,514 25 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $5,000 – $75,046 · median $36,808 25 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,000 – $45,961 · median $12,686 25 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $5,000 – $61,990 · median $17,454 25 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $5,000 – $52,019 · median $12,177 25 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $5,000 – $35,624 · median $17,490 25 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $5,000 – $128,796 · median $63,145 25 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $5,000 – $86,279 · median $33,104 25 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $5,000 – $64,755 · median $23,090 25 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $3,848 – $94,114 · median $46,151 25 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $4,165 – $52,605 · median $22,143 25 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,288 – $42,614 · median $16,165 25 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $5,000 – $447,880 · median $165,064 24 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $5,000 – $322,196 · median $138,723 24 plans
006 LIVER TRANSPLANT WITHOUT MCC $5,000 – $241,580 · median $120,790 24 plans
007 LUNG TRANSPLANT $5,000 – $1,012,083 · median $495,955 24 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $5,000 – $259,240 · median $117,281 24 plans
010 PANCREAS TRANSPLANT $5,000 – $199,804 · median $96,556 24 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $5,000 – $329,907 · median $161,689 24 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $5,000 – $229,273 · median $79,796 24 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $5,000 – $156,987 · median $73,105 24 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $5,000 – $145,281 · median $41,857 24 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $5,000 – $46,928 · median $23,029 24 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,000 – $34,064 · median $16,726 24 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $5,000 – $26,576 · median $12,407 24 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $5,000 – $42,448 · median $20,834 24 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $5,000 – $27,394 · median $13,458 24 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,936 – $18,302 · median $9,003 24 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $5,000 – $38,745 · median $17,558 24 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $5,000 – $28,083 · median $13,795 24 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $5,000 – $239,525 · median $113,427 24 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $5,000 – $51,897 · median $25,464 24 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $5,000 – $214,064 · median $107,032 24 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $5,000 – $115,932 · median $56,842 24 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $5,000 – $144,842 · median $71,007 24 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $5,000 – $90,362 · median $44,312 24 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $4,709 – $33,710 · median $16,553 24 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,709 – $21,681 · median $10,658 24 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $5,000 – $42,876 · median $21,044 24 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,000 – $29,445 · median $8,563 24 plans
311 ANGINA PECTORIS $5,000 – $19,268 · median $9,476 24 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $5,000 – $120,588 · median $59,837 24 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,000 – $38,100 · median $13,768 24 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $5,000 – $109,552 · median $44,468 24 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $5,000 – $65,080 · median $22,370 24 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $5,000 – $273,656 · median $119,231 24 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $5,000 – $167,901 · median $82,306 24 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $5,000 – $146,158 · median $61,985 24 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $5,000 – $182,066 · median $89,247 24 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $5,000 – $100,414 · median $49,238 24 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $5,000 – $170,398 · median $74,325 24 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,000 – $94,833 · median $46,503 24 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $5,000 – $100,790 · median $49,422 24 plans
503 FOOT PROCEDURES WITH MCC $5,000 – $76,619 · median $37,578 24 plans
509 ARTHROSCOPY $5,000 – $136,253 · median $23,664 24 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC — 24 plans
533 FRACTURES OF FEMUR WITH MCC $5,000 – $43,035 · median $21,122 24 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $5,000 – $35,193 · median $17,279 24 plans
539 OSTEOMYELITIS WITH MCC $5,000 – $54,071 · median $26,529 24 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,000 – $36,285 · median $17,814 24 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $5,000 – $39,113 · median $19,200 24 plans
595 MAJOR SKIN DISORDERS WITH MCC $5,000 – $58,216 · median $28,561 24 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $5,000 – $102,306 · median $50,164 24 plans
643 ENDOCRINE DISORDERS WITH MCC $5,000 – $45,188 · median $22,177 24 plans
652 KIDNEY TRANSPLANT $5,000 – $110,100 · median $43,475 24 plans
662 MINOR BLADDER PROCEDURES WITH MCC $5,000 – $84,042 · median $41,215 24 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,000 – $39,308 · median $19,295 24 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $5,000 – $27,657 · median $13,587 24 plans
799 SPLENECTOMY WITH MCC $5,000 – $124,324 · median $60,954 24 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $5,000 – $58,381 · median $28,641 24 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $5,000 – $172,662 · median $86,331 24 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $5,000 – $56,854 · median $21,979 24 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $5,000 – $156,879 · median $66,465 24 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $5,000 – $43,058 · median $19,988 24 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $5,000 – $586,100 · median $287,224 24 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $5,000 – $196,900 · median $96,516 24 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $5,000 – $106,901 · median $52,416 24 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $5,000 – $218,799 · median $90,576 24 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $5,000 – $135,562 · median $50,651 24 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $5,000 – $209,176 · median $102,531 24 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $5,000 – $135,976 · median $56,717 24 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,000 – $112,298 · median $39,636 24 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $5,000 – $55,434 · median $20,650 24 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $5,000 – $307,708 · median $153,854 24 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $5,000 – $111,110 · median $40,149 24 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $5,000 – $83,267 · median $38,855 24 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $5,000 – $769,294 · median $376,989 23 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $2,337 – $63,772 · median $4,762 22 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $1,760 – $35,566 · median $4,004 22 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $1,760 – $49,687 · median $4,200 22 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $1,543 – $24,585 · median $4,004 22 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $3,948 – $106,097 · median $5,028 22 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,572 – $26,359 · median $3,561 22 plans
881 DEPRESSIVE NEUROSES $1,543 – $25,829 · median $2,420 22 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,514 – $29,477 · median $2,604 22 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $1,770 – $53,978 · median $2,805 22 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,572 – $44,166 · median $2,813 22 plans
885 PSYCHOSES $1,543 – $38,344 · median $2,449 22 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $2,025 – $56,970 · median $4,147 22 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,528 – $29,398 · median $2,957 22 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $1,314 – $16,935 · median $2,290 22 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $5,000 – $140,549 · median $63,564 22 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $4,866 – $82,660 · median $42,406 22 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,535 – $24,234 · median $2,505 22 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $1,885 – $43,055 · median $4,321 22 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $1,808 – $23,529 · median $4,246 22 plans
947 SIGNS AND SYMPTOMS WITH MCC $1,950 – $34,847 · median $3,912 22 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,760 – $21,975 · median $3,650 22 plans
999 UNGROUPABLE $2,017 – $21,765 · median $19,197 7 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $5,000 – $11,378 · median $10,138 6 plans
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