AHMC Anaheim Regional Medical Center — Pricing

764 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 764 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 764
Lowest published price —
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 764 procedures

Procedures with negotiated rates only

These 764 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
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $2,500 – $222,912 · median $97,645 78 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $2,500 – $195,902 · median $85,817 78 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $2,500 – $180,817 · median $79,212 78 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $2,500 – $123,544 · median $54,132 78 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $2,495 – $52,260 · median $22,918 78 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $4,000 – $149,647 · median $65,563 77 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $4,000 – $179,006 · median $78,419 77 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $4,000 – $123,005 · median $53,896 77 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $4,000 – $106,850 · median $46,822 77 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $4,000 – $141,635 · median $62,054 77 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $4,000 – $54,538 · median $23,915 77 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $4,000 – $37,330 · median $16,380 77 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $947 – $26,632 · median $11,695 77 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $947 – $30,768 · median $13,507 76 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $947 – $23,692 · median $10,408 76 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $947 – $23,692 · median $10,408 76 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $947 – $24,376 · median $10,708 76 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $947 – $18,080 · median $7,951 76 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $2,500 – $244,564 · median $107,126 75 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $4,000 – $136,485 · median $59,799 75 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $4,000 – $95,826 · median $41,995 75 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $4,000 – $53,166 · median $23,314 75 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $4,000 – $42,885 · median $18,812 75 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $2,500 – $26,480 · median $11,629 75 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $2,320 – $43,743 · median $19,188 75 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $2,320 – $26,326 · median $11,562 75 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $2,320 – $21,520 · median $9,457 75 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $2,320 – $38,553 · median $16,916 75 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $2,320 – $25,840 · median $11,349 75 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $2,320 – $22,235 · median $9,770 75 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $4,000 – $137,978 · median $60,453 74 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $2,495 – $119,249 · median $52,252 74 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $4,000 – $65,847 · median $28,867 73 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $4,000 – $41,807 · median $18,340 73 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $2,500 – $109,422 · median $47,949 73 plans
471 CERVICAL SPINAL FUSION WITH MCC — 72 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $4,000 – $115,814 · median $50,748 71 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $4,000 – $72,749 · median $31,890 71 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $4,000 – $79,304 · median $34,760 71 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $2,500 – $39,138 · median $17,172 71 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $4,000 – $79,630 · median $34,903 70 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $4,000 – $45,367 · median $19,746 70 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $4,000 – $79,848 · median $32,037 70 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $2,500 – $54,589 · median $23,937 70 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $2,500 – $67,146 · median $29,436 70 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $2,495 – $23,719 · median $8,209 70 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $2,495 – $23,719 · median $8,884 70 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $1,500 – $16,100 · median $7,084 70 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $2,500 – $110,551 · median $48,443 70 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 70 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC — 70 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $947 – $27,990 · median $12,290 70 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $4,000 – $91,196 · median $39,967 69 plans
253 OTHER VASCULAR PROCEDURES WITH CC $4,000 – $60,054 · median $26,331 68 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $4,000 – $138,930 · median $60,870 68 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $4,000 – $154,459 · median $67,670 68 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $4,000 – $96,941 · median $42,483 68 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $4,000 – $80,506 · median $35,286 68 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $4,000 – $58,888 · median $25,820 68 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $2,500 – $163,623 · median $71,682 68 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,500 – $28,164 · median $12,366 68 plans
500 SOFT TISSUE PROCEDURES WITH MCC $2,500 – $74,180 · median $32,516 68 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $947 – $79,848 · median $14,641 68 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $2,500 – $647,768 · median $283,685 67 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 67 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $4,000 – $45,367 · median $15,930 67 plans
245 AICD GENERATOR PROCEDURES $4,000 – $113,600 · median $49,778 66 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $4,000 – $41,616 · median $18,257 66 plans
265 AICD LEAD PROCEDURES $4,000 – $83,324 · median $36,520 65 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $4,000 – $23,719 · median $9,942 65 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $4,000 – $64,035 · median $28,074 65 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $4,000 – $62,562 · median $16,726 65 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $947 – $20,212 · median $8,884 65 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $947 – $27,887 · median $12,245 65 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $4,000 – $83,709 · median $36,689 64 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $4,000 – $62,562 · median $15,367 64 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $4,000 – $80,185 · median $35,146 63 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $3,000 – $102,266 · median $44,815 63 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $4,000 – $44,739 · median $19,624 63 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $4,000 – $57,652 · median $25,279 63 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,000 – $18,115 · median $7,966 62 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $4,000 – $46,343 · median $20,327 62 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,000 – $18,846 · median $8,126 62 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,000 – $18,846 · median $6,321 62 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $4,000 – $79,848 · median $23,306 62 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $4,000 – $40,240 · median $17,654 62 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $4,000 – $64,149 · median $28,124 61 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $4,000 – $50,424 · median $16,522 61 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $4,000 – $50,424 · median $10,517 61 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $4,000 – $66,795 · median $29,282 61 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $4,000 – $42,988 · median $18,858 61 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $4,000 – $56,004 · median $24,557 61 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $4,000 – $39,528 · median $17,343 61 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $4,000 – $31,709 · median $13,919 61 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $4,000 – $94,800 · median $41,546 61 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $4,000 – $204,793 · median $89,711 61 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $4,000 – $141,810 · median $62,131 61 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $4,000 – $107,148 · median $46,953 61 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $4,000 – $195,794 · median $85,770 61 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $4,000 – $133,162 · median $58,344 61 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $4,000 – $100,550 · median $44,063 61 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $4,000 – $153,649 · median $67,315 61 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $4,000 – $85,405 · median $37,431 61 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $4,000 – $142,278 · median $62,336 61 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $4,000 – $67,185 · median $29,453 61 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $4,000 – $118,368 · median $51,866 61 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $4,000 – $80,066 · median $35,093 61 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $4,000 – $61,667 · median $27,037 61 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $4,000 – $76,475 · median $33,521 61 plans
472 CERVICAL SPINAL FUSION WITH CC $4,000 – $67,951 · median $29,789 61 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $4,000 – $55,795 · median $24,466 61 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $4,000 – $68,956 · median $30,229 61 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $4,000 – $49,084 · median $21,527 61 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $4,000 – $37,876 · median $16,619 61 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $4,000 – $46,721 · median $20,492 61 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $4,000 – $34,361 · median $15,080 61 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $4,000 – $68,353 · median $29,965 61 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $4,000 – $49,846 · median $21,861 61 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $4,000 – $107,187 · median $46,970 61 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $4,000 – $68,389 · median $29,981 61 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $4,000 – $92,880 · median $40,705 61 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $4,000 – $132,375 · median $57,999 60 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $4,000 – $88,704 · median $38,876 60 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $4,000 – $53,671 · median $23,536 60 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $4,000 – $43,537 · median $19,098 60 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $4,000 – $88,025 · median $38,579 60 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $4,000 – $118,010 · median $51,709 60 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $4,000 – $126,034 · median $55,222 60 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $4,000 – $81,812 · median $35,858 60 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $4,000 – $49,580 · median $21,744 60 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $4,000 – $37,066 · median $16,265 60 plans
503 FOOT PROCEDURES WITH MCC $4,000 – $62,201 · median $27,271 60 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $4,000 – $31,030 · median $13,621 60 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $4,000 – $545,771 · median $239,022 60 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $4,000 – $493,202 · median $216,002 59 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $4,000 – $325,675 · median $142,644 59 plans
007 LUNG TRANSPLANT $4,000 – $730,120 · median $319,746 59 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $4,000 – $125,281 · median $54,893 59 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $4,000 – $95,633 · median $41,910 59 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $4,000 – $62,279 · median $27,305 59 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $4,000 – $302,084 · median $132,314 59 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $4,000 – $139,965 · median $61,323 59 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $4,000 – $139,965 · median $61,323 59 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 59 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $4,000 – $183,361 · median $80,326 59 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $4,000 – $186,431 · median $81,670 59 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $4,000 – $128,296 · median $56,213 59 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $4,000 – $82,479 · median $36,150 59 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $4,000 – $104,090 · median $45,614 59 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $4,000 – $71,654 · median $31,410 59 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $4,000 – $58,099 · median $25,475 59 plans
028 SPINAL PROCEDURES WITH MCC $4,000 – $140,965 · median $61,761 59 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $4,000 – $78,494 · median $34,405 59 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $4,000 – $52,537 · median $23,039 59 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $4,000 – $97,627 · median $42,783 59 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $4,000 – $50,477 · median $22,137 59 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $4,000 – $38,085 · median $16,711 59 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $4,000 – $90,700 · median $39,750 59 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $4,000 – $77,672 · median $34,046 59 plans
038 EXTRACRANIAL PROCEDURES WITH CC $4,000 – $38,448 · median $16,869 59 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $4,000 – $27,593 · median $12,116 59 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $4,000 – $53,290 · median $23,369 59 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $4,000 – $41,804 · median $18,339 59 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $4,000 – $47,653 · median $20,900 59 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $4,000 – $22,619 · median $9,938 59 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $4,000 – $35,873 · median $15,742 59 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $4,000 – $26,510 · median $11,642 59 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $4,000 – $58,932 · median $25,839 59 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $4,000 – $32,094 · median $14,087 59 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $4,000 – $43,830 · median $19,226 59 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $4,000 – $29,552 · median $12,974 59 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $4,000 – $21,953 · median $9,647 59 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $4,000 – $63,505 · median $27,842 59 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $4,000 – $42,339 · median $18,573 59 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $4,000 – $33,710 · median $14,795 59 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $4,000 – $47,118 · median $20,666 59 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $4,000 – $24,810 · median $10,897 59 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,000 – $17,270 · median $7,596 59 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $4,000 – $34,859 · median $15,298 59 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $4,000 – $21,703 · median $9,537 59 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $4,000 – $19,836 · median $8,719 59 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $4,000 – $41,373 · median $18,150 59 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $4,000 – $25,659 · median $11,269 59 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $4,000 – $18,691 · median $8,218 59 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $4,000 – $36,940 · median $16,209 59 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $4,000 – $25,395 · median $11,154 59 plans
075 VIRAL MENINGITIS WITH CC/MCC $4,000 – $40,997 · median $17,986 59 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $4,000 – $22,515 · median $9,893 59 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $4,000 – $36,956 · median $16,216 59 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $4,000 – $24,374 · median $10,707 59 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,000 – $16,775 · median $7,379 59 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $4,000 – $47,086 · median $20,652 59 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $4,000 – $22,238 · median $9,771 59 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $4,000 – $54,713 · median $23,992 59 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $4,000 – $33,379 · median $14,650 59 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $4,000 – $23,415 · median $10,287 59 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $4,000 – $53,469 · median $23,447 59 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $4,000 – $31,571 · median $13,858 59 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $4,000 – $21,761 · median $9,562 59 plans
088 CONCUSSION WITH MCC $4,000 – $33,845 · median $14,854 59 plans
089 CONCUSSION WITH CC $4,000 – $26,076 · median $11,452 59 plans
090 CONCUSSION WITHOUT CC/MCC $4,000 – $21,148 · median $9,294 59 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $4,000 – $43,303 · median $18,995 59 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $4,000 – $25,769 · median $11,317 59 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,000 – $19,588 · median $8,611 59 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $4,000 – $85,193 · median $37,339 59 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $4,000 – $56,479 · median $24,765 59 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,000 – $56,479 · median $24,765 59 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $4,000 – $83,723 · median $36,695 59 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $4,000 – $51,250 · median $22,476 59 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $4,000 – $33,446 · median $14,679 59 plans
100 SEIZURES WITH MCC $4,000 – $47,029 · median $20,627 59 plans
101 SEIZURES WITHOUT MCC $4,000 – $22,626 · median $9,941 59 plans
102 HEADACHES WITH MCC $4,000 – $28,082 · median $12,330 59 plans
103 HEADACHES WITHOUT MCC $4,000 – $20,985 · median $9,223 59 plans
113 ORBITAL PROCEDURES WITH CC/MCC $4,000 – $53,253 · median $23,353 59 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $4,000 – $28,600 · median $12,557 59 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $4,000 – $36,605 · median $16,063 59 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $4,000 – $39,762 · median $17,445 59 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $4,000 – $26,225 · median $11,517 59 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $4,000 – $28,166 · median $12,367 59 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,000 – $17,041 · median $7,496 59 plans
123 NEUROLOGICAL EYE DISORDERS $4,000 – $19,907 · median $8,750 59 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $4,000 – $31,395 · median $13,781 59 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,000 – $20,423 · median $8,977 59 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $4,000 – $56,798 · median $24,905 59 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $4,000 – $23,922 · median $10,509 59 plans
137 MOUTH PROCEDURES WITH CC/MCC $4,000 – $33,567 · median $14,732 59 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $4,000 – $20,143 · median $8,854 59 plans
139 SALIVARY GLAND PROCEDURES $4,000 – $32,980 · median $14,475 59 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $4,000 – $98,512 · median $43,171 59 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $4,000 – $50,773 · median $22,267 59 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $4,000 – $37,555 · median $16,479 59 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $4,000 – $77,237 · median $33,855 59 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $4,000 – $41,784 · median $18,330 59 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $4,000 – $28,662 · median $12,584 59 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $4,000 – $54,114 · median $23,729 59 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $4,000 – $30,039 · median $13,187 59 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $4,000 – $19,849 · median $8,725 59 plans
149 DYSEQUILIBRIUM $4,000 – $18,629 · median $8,191 59 plans
150 EPISTAXIS WITH MCC $4,000 – $33,191 · median $14,568 59 plans
151 EPISTAXIS WITHOUT MCC $4,000 – $18,870 · median $8,296 59 plans
152 OTITIS MEDIA AND URI WITH MCC $4,000 – $27,515 · median $12,082 59 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $4,000 – $17,807 · median $7,831 59 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $4,000 – $38,792 · median $17,020 59 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,000 – $22,899 · median $10,061 59 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,000 – $16,906 · median $7,436 59 plans
157 DENTAL AND ORAL DISEASES WITH MCC $4,000 – $39,049 · median $17,133 59 plans
158 DENTAL AND ORAL DISEASES WITH CC $4,000 – $23,059 · median $10,131 59 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,000 – $16,612 · median $7,308 59 plans
163 MAJOR CHEST PROCEDURES WITH MCC $4,000 – $107,231 · median $46,989 59 plans
164 MAJOR CHEST PROCEDURES WITH CC $4,000 – $59,228 · median $25,969 59 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $4,000 – $44,246 · median $19,408 59 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $4,000 – $89,819 · median $39,364 59 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $4,000 – $43,401 · median $19,039 59 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,000 – $32,542 · median $14,283 59 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $4,000 – $71,884 · median $31,511 59 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $4,000 – $33,808 · median $14,838 59 plans
176 PULMONARY EMBOLISM WITHOUT MCC $4,000 – $20,166 · median $8,864 59 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $4,000 – $38,567 · median $16,922 59 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $4,000 – $24,241 · median $10,648 59 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $4,000 – $19,138 · median $8,414 59 plans
180 RESPIRATORY NEOPLASMS WITH MCC $4,000 – $41,579 · median $18,241 59 plans
181 RESPIRATORY NEOPLASMS WITH CC $4,000 – $26,953 · median $11,836 59 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $4,000 – $20,694 · median $9,095 59 plans
183 MAJOR CHEST TRAUMA WITH MCC $4,000 – $37,897 · median $16,628 59 plans
184 MAJOR CHEST TRAUMA WITH CC $4,000 – $25,985 · median $11,412 59 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,000 – $19,322 · median $8,494 59 plans
186 PLEURAL EFFUSION WITH MCC $4,000 – $37,729 · median $16,555 59 plans
187 PLEURAL EFFUSION WITH CC $4,000 – $24,514 · median $10,768 59 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,000 – $18,324 · median $8,057 59 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $4,000 – $29,869 · median $13,113 59 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $4,000 – $27,244 · median $11,963 59 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $4,000 – $21,189 · median $9,312 59 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,000 – $16,327 · median $7,183 59 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $4,000 – $31,711 · median $13,920 59 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $4,000 – $20,292 · median $8,919 59 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,000 – $15,765 · median $6,937 59 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $4,000 – $44,707 · median $19,610 59 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $4,000 – $24,193 · median $10,627 59 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,000 – $17,548 · median $7,718 59 plans
199 PNEUMOTHORAX WITH MCC $4,000 – $41,981 · median $18,417 59 plans
200 PNEUMOTHORAX WITH CC $4,000 – $26,889 · median $11,808 59 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $4,000 – $17,013 · median $7,484 59 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $4,000 – $23,658 · median $10,393 59 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,000 – $17,461 · median $7,679 59 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $4,000 – $20,086 · median $8,829 59 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $4,000 – $44,792 · median $19,647 59 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,000 – $22,261 · median $9,781 59 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $4,000 – $149,861 · median $65,656 59 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $4,000 – $63,055 · median $27,645 59 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $4,000 – $251,427 · median $110,131 59 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $4,000 – $117,044 · median $51,286 59 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $4,000 – $68,295 · median $29,939 59 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $4,000 – $36,121 · median $15,851 59 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $4,000 – $61,511 · median $26,969 59 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $4,000 – $40,338 · median $17,697 59 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $4,000 – $21,942 · median $9,642 59 plans
263 VEIN LIGATION AND STRIPPING $4,000 – $63,016 · median $27,628 59 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $4,000 – $81,669 · median $35,796 59 plans
276 NON-MALIGANT BREAST DISORDERS $4,000 – $143,602 · median $62,915 59 plans
277 CELLULITIS AGE >17 W CC $4,000 – $108,211 · median $47,418 59 plans
278 CELLULITIS AGE >17 W/O CC $4,000 – $116,273 · median $50,949 59 plans
279 CELLULITIS AGE 0-17 $4,000 – $75,000 · median $32,875 59 plans
291 HEART FAILURE AND SHOCK WITH MCC $4,000 – $31,415 · median $13,790 59 plans
292 HEART FAILURE AND SHOCK WITH CC $4,000 – $21,237 · median $9,333 59 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,000 – $14,067 · median $6,194 59 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $4,000 – $29,653 · median $13,018 59 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,000 – $19,599 · median $8,616 59 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $4,000 – $39,069 · median $17,142 59 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,000 – $17,640 · median $7,758 59 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,632 – $11,612 · median $5,118 59 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $4,000 – $38,592 · median $16,933 59 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $4,000 – $26,042 · median $11,437 59 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,000 – $17,846 · median $7,848 59 plans
302 ATHEROSCLEROSIS WITH MCC $4,000 – $28,169 · median $12,368 59 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,000 – $16,906 · median $7,436 59 plans
304 HYPERTENSION WITH MCC $4,000 – $28,433 · median $12,484 59 plans
305 HYPERTENSION WITHOUT MCC $4,000 – $18,702 · median $8,223 59 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $4,000 – $35,834 · median $15,725 59 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $4,000 – $22,733 · median $9,988 59 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $4,000 – $29,146 · median $12,796 59 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,000 – $18,441 · median $8,108 59 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,000 – $14,315 · median $6,302 59 plans
311 ANGINA PECTORIS $4,000 – $17,500 · median $7,697 59 plans
312 SYNCOPE AND COLLAPSE $4,000 – $21,469 · median $9,435 59 plans
313 CHEST PAIN $4,000 – $17,846 · median $7,848 59 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $4,000 – $50,888 · median $22,317 59 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $4,000 – $23,557 · median $10,349 59 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,000 – $17,142 · median $7,540 59 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY $4,000 – $99,205 · median $43,475 59 plans
324 URINARY STONES W/O CC $4,000 – $74,786 · median $32,782 59 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $4,000 – $57,188 · median $25,076 59 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $4,000 – $38,039 · median $16,691 59 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $4,000 – $106,834 · median $46,815 59 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $4,000 – $55,711 · median $24,429 59 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $4,000 – $39,358 · median $17,268 59 plans
332 RECTAL RESECTION WITH MCC $4,000 – $81,064 · median $35,531 59 plans
333 RECTAL RESECTION WITH CC $4,000 – $50,241 · median $22,034 59 plans
334 RECTAL RESECTION WITHOUT CC/MCC $4,000 – $39,533 · median $17,345 59 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $4,000 – $84,613 · median $37,085 59 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $4,000 – $49,942 · median $21,903 59 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $4,000 – $36,699 · median $16,104 59 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $4,000 – $63,300 · median $27,752 59 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $4,000 – $35,635 · median $15,638 59 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $4,000 – $30,050 · median $13,192 59 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $4,000 – $55,782 · median $24,460 59 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $4,000 – $30,362 · median $13,329 59 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $4,000 – $21,689 · median $9,531 59 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $4,000 – $56,973 · median $24,981 59 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $4,000 – $35,997 · median $15,796 59 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $4,000 – $26,776 · median $11,759 59 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $4,000 – $68,773 · median $30,148 59 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $4,000 – $40,508 · median $17,772 59 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $4,000 – $32,067 · median $14,075 59 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $4,000 – $99,350 · median $43,538 59 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,000 – $32,569 · median $14,295 59 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $4,000 – $39,794 · median $17,459 59 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $4,000 – $24,826 · median $10,905 59 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,000 – $17,493 · median $7,694 59 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $4,000 – $41,584 · median $18,243 59 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $4,000 – $25,094 · median $11,022 59 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,000 – $18,122 · median $7,969 59 plans
374 DIGESTIVE MALIGNANCY WITH MCC $4,000 – $49,922 · median $21,894 59 plans
375 DIGESTIVE MALIGNANCY WITH CC $4,000 – $29,669 · median $13,025 59 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $4,000 – $21,738 · median $9,552 59 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $4,000 – $43,195 · median $18,948 59 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $4,000 – $24,099 · median $10,586 59 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,000 – $16,087 · median $7,078 59 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $4,000 – $45,629 · median $20,014 59 plans
381 COMPLICATED PEPTIC ULCER WITH CC $4,000 – $26,466 · median $11,623 59 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $4,000 – $30,484 · median $13,382 59 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $4,000 – $21,430 · median $9,418 59 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $4,000 – $38,757 · median $17,005 59 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $4,000 – $24,250 · median $10,652 59 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,000 – $16,857 · median $7,415 59 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $4,000 – $35,203 · median $15,449 59 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,000 – $19,870 · median $8,734 59 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,000 – $14,033 · median $6,178 59 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $4,000 – $30,950 · median $13,586 59 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,000 – $19,381 · median $8,520 59 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $4,000 – $39,473 · median $17,318 59 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $4,000 – $23,075 · median $10,138 59 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,000 – $16,080 · median $7,075 59 plans
397 COAGULATION DISORDERS $4,000 – $58,328 · median $25,575 59 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $4,000 – $36,197 · median $15,884 59 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $4,000 – $27,262 · median $11,972 59 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $4,000 – $65,914 · median $28,897 59 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $4,000 – $50,482 · median $22,139 59 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $4,000 – $64,262 · median $28,173 59 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $4,000 – $50,385 · median $22,097 59 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $4,000 – $39,622 · median $17,384 59 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $4,000 – $81,869 · median $35,883 59 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $4,000 – $46,863 · median $20,555 59 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $4,000 – $32,916 · median $14,447 59 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $4,000 – $82,459 · median $36,141 59 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $4,000 – $39,051 · median $17,134 59 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $4,000 – $35,192 · median $15,444 59 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $4,000 – $53,866 · median $23,621 59 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $4,000 – $36,945 · median $16,211 59 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $4,000 – $46,427 · median $20,364 59 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $4,000 – $26,023 · median $11,429 59 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,000 – $17,459 · median $7,678 59 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $4,000 – $43,342 · median $19,012 59 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $4,000 – $27,352 · median $12,011 59 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $4,000 – $19,494 · median $8,570 59 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $4,000 – $39,650 · median $17,396 59 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $4,000 – $21,214 · median $9,323 59 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,000 – $15,591 · median $6,861 59 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $4,000 – $44,851 · median $19,673 59 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $4,000 – $23,647 · median $10,388 59 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,000 – $17,601 · median $7,741 59 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $4,000 – $40,125 · median $17,604 59 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $4,000 – $26,361 · median $11,577 59 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,000 – $19,771 · median $8,691 59 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $4,000 – $125,398 · median $54,944 59 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $4,000 – $69,130 · median $30,305 59 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,000 – $41,311 · median $18,123 59 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $4,000 – $104,375 · median $45,738 59 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $4,000 – $50,975 · median $22,355 59 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,000 – $80,382 · median $35,232 59 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $4,000 – $55,135 · median $24,177 59 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,000 – $42,222 · median $18,522 59 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $4,000 – $59,944 · median $26,282 59 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $4,000 – $75,341 · median $33,025 59 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $4,000 – $50,140 · median $21,989 59 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $4,000 – $37,734 · median $16,557 59 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $4,000 – $46,572 · median $20,427 59 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $4,000 – $29,892 · median $13,123 59 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $4,000 – $82,956 · median $36,359 59 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $4,000 – $56,566 · median $24,803 59 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $4,000 – $44,737 · median $19,623 59 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $4,000 – $82,254 · median $36,052 59 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $4,000 – $46,746 · median $20,503 59 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $4,000 – $32,283 · median $14,170 59 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $4,000 – $59,409 · median $26,048 59 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $4,000 – $28,111 · median $12,343 59 plans
501 SOFT TISSUE PROCEDURES WITH CC $4,000 – $42,426 · median $18,612 59 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $4,000 – $33,535 · median $14,718 59 plans
504 FOOT PROCEDURES WITH CC $4,000 – $41,745 · median $18,313 59 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $4,000 – $41,745 · median $18,313 59 plans
506 MAJOR THUMB OR JOINT PROCEDURES $4,000 – $35,873 · median $15,742 59 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $4,000 – $45,948 · median $20,154 59 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $4,000 – $31,089 · median $13,647 59 plans
509 ARTHROSCOPY $4,000 – $41,784 · median $18,330 59 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $4,000 – $67,054 · median $29,396 59 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $4,000 – $46,476 · median $20,385 59 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $4,000 – $38,367 · median $16,834 59 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $4,000 – $36,022 · median $15,807 59 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $4,000 – $24,872 · median $10,925 59 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $4,000 – $72,430 · median $31,750 59 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $4,000 – $47,634 · median $20,892 59 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $4,000 – $35,726 · median $15,678 59 plans
533 FRACTURES OF FEMUR WITH MCC $4,000 – $36,465 · median $16,001 59 plans
534 FRACTURES OF FEMUR WITHOUT MCC $4,000 – $20,154 · median $8,859 59 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $4,000 – $31,991 · median $14,042 59 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $4,000 – $20,083 · median $8,828 59 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $4,000 – $22,564 · median $9,914 59 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,000 – $16,885 · median $7,427 59 plans
539 OSTEOMYELITIS WITH MCC $4,000 – $47,880 · median $21,000 59 plans
540 OSTEOMYELITIS WITH CC $4,000 – $31,170 · median $13,683 59 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $4,000 – $21,552 · median $9,471 59 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $4,000 – $44,271 · median $19,419 59 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $4,000 – $25,819 · median $11,340 59 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $4,000 – $18,817 · median $8,273 59 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $4,000 – $59,455 · median $26,068 59 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $4,000 – $28,040 · median $12,312 59 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,000 – $18,599 · median $8,178 59 plans
548 SEPTIC ARTHRITIS WITH MCC $4,000 – $47,701 · median $20,921 59 plans
549 SEPTIC ARTHRITIS WITH CC $4,000 – $29,128 · median $12,788 59 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $4,000 – $21,258 · median $9,342 59 plans
551 MEDICAL BACK PROBLEMS WITH MCC $4,000 – $40,630 · median $17,825 59 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $4,000 – $23,591 · median $10,364 59 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $4,000 – $31,443 · median $13,802 59 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,000 – $20,627 · median $9,066 59 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,000 – $32,374 · median $14,210 59 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $4,000 – $37,034 · median $16,250 59 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,000 – $21,297 · median $9,359 59 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,000 – $44,069 · median $19,331 59 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $4,000 – $27,604 · median $12,121 59 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,000 – $20,237 · median $8,895 59 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $4,000 – $35,057 · median $15,384 59 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $4,000 – $21,985 · median $9,661 59 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $4,000 – $37,482 · median $16,446 59 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $4,000 – $24,874 · median $10,926 59 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $4,000 – $18,642 · median $8,197 59 plans
570 SKIN DEBRIDEMENT WITH MCC $4,000 – $108,308 · median $47,461 59 plans
571 SKIN DEBRIDEMENT WITH CC $4,000 – $39,893 · median $17,502 59 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $4,000 – $27,689 · median $12,158 59 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $4,000 – $142,771 · median $62,552 59 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $4,000 – $80,976 · median $35,492 59 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $4,000 – $47,290 · median $20,741 59 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $4,000 – $125,267 · median $54,887 59 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $4,000 – $62,573 · median $27,434 59 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $4,000 – $40,262 · median $17,664 59 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $4,000 – $76,261 · median $33,428 59 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $4,000 – $42,158 · median $18,494 59 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $4,000 – $34,499 · median $15,140 59 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $4,000 – $41,657 · median $18,275 59 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $4,000 – $39,168 · median $17,185 59 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $4,000 – $48,453 · median $21,251 59 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $4,000 – $47,024 · median $20,625 59 plans
592 SKIN ULCERS WITH MCC $4,000 – $48,658 · median $21,340 59 plans
593 SKIN ULCERS WITH CC $4,000 – $29,532 · median $12,965 59 plans
594 SKIN ULCERS WITHOUT CC/MCC $4,000 – $20,951 · median $9,208 59 plans
595 MAJOR SKIN DISORDERS WITH MCC $4,000 – $50,007 · median $21,931 59 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $4,000 – $26,283 · median $11,543 59 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $4,000 – $41,784 · median $18,330 59 plans
598 MALIGNANT BREAST DISORDERS WITH CC $4,000 – $26,232 · median $11,520 59 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,000 – $21,093 · median $9,270 59 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $4,000 – $23,426 · median $10,292 59 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,000 – $15,233 · median $6,704 59 plans
602 CELLULITIS WITH MCC $4,000 – $35,187 · median $15,442 59 plans
603 CELLULITIS WITHOUT MCC $4,000 – $21,687 · median $9,530 59 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $4,000 – $35,566 · median $15,607 59 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $4,000 – $22,671 · median $9,961 59 plans
606 MINOR SKIN DISORDERS WITH MCC $4,000 – $38,425 · median $16,859 59 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $4,000 – $21,306 · median $9,363 59 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $4,000 – $53,767 · median $23,578 59 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $4,000 – $34,357 · median $15,078 59 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $4,000 – $90,156 · median $39,512 59 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $4,000 – $45,797 · median $20,087 59 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $4,000 – $30,046 · median $13,190 59 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $4,000 – $87,334 · median $38,276 59 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $4,000 – $45,365 · median $19,899 59 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $4,000 – $24,493 · median $10,759 59 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $4,000 – $67,261 · median $29,486 59 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $4,000 – $36,107 · median $15,845 59 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $4,000 – $30,546 · median $13,409 59 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $4,000 – $92,008 · median $40,323 59 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $4,000 – $53,081 · median $23,277 59 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $4,000 – $33,629 · median $14,760 59 plans
637 DIABETES WITH MCC $4,000 – $34,891 · median $15,312 59 plans
638 DIABETES WITH CC $4,000 – $22,522 · median $9,896 59 plans
639 DIABETES WITHOUT CC/MCC $4,000 – $15,855 · median $6,976 59 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $4,000 – $31,948 · median $14,023 59 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,000 – $19,406 · median $8,531 59 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $4,000 – $29,954 · median $13,150 59 plans
643 ENDOCRINE DISORDERS WITH MCC $4,000 – $39,503 · median $17,332 59 plans
644 ENDOCRINE DISORDERS WITH CC $4,000 – $25,188 · median $11,063 59 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $4,000 – $19,345 · median $8,504 59 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $4,000 – $81,151 · median $35,569 59 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $4,000 – $129,381 · median $56,688 59 plans
654 MAJOR BLADDER PROCEDURES WITH CC $4,000 – $66,228 · median $29,034 59 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $4,000 – $49,139 · median $21,551 59 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $4,000 – $76,229 · median $33,414 59 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $4,000 – $43,422 · median $19,048 59 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $4,000 – $35,986 · median $15,791 59 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $4,000 – $60,772 · median $26,645 59 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $4,000 – $32,223 · median $14,144 59 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $4,000 – $25,032 · median $10,995 59 plans
662 MINOR BLADDER PROCEDURES WITH MCC $4,000 – $73,054 · median $32,023 59 plans
663 MINOR BLADDER PROCEDURES WITH CC $4,000 – $36,523 · median $16,026 59 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $4,000 – $26,253 · median $11,529 59 plans
665 PROSTATECTOMY WITH MCC $4,000 – $80,258 · median $35,178 59 plans
666 PROSTATECTOMY WITH CC $4,000 – $39,274 · median $17,231 59 plans
667 PROSTATECTOMY WITHOUT CC/MCC $4,000 – $25,060 · median $11,007 59 plans
669 TRANSURETHRAL PROCEDURES WITH CC $4,000 – $36,984 · median $16,228 59 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $4,000 – $23,406 · median $10,283 59 plans
671 URETHRAL PROCEDURES WITH CC/MCC $4,000 – $41,027 · median $17,999 59 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $4,000 – $26,588 · median $11,676 59 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $4,000 – $97,604 · median $42,773 59 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $4,000 – $54,442 · median $23,873 59 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $4,000 – $37,392 · median $16,407 59 plans
682 RENAL FAILURE WITH MCC $4,000 – $35,938 · median $15,770 59 plans
683 RENAL FAILURE WITH CC $4,000 – $21,873 · median $9,611 59 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,000 – $15,414 · median $6,783 59 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $4,000 – $44,743 · median $19,626 59 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $4,000 – $25,631 · median $11,257 59 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,000 – $18,094 · median $7,957 59 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $4,000 – $28,329 · median $12,439 59 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $4,000 – $19,893 · median $8,744 59 plans
693 URINARY STONES WITH MCC $4,000 – $35,215 · median $15,454 59 plans
694 URINARY STONES WITHOUT MCC $4,000 – $19,406 · median $8,531 59 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $4,000 – $27,354 · median $12,012 59 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,000 – $17,351 · median $7,631 59 plans
697 URETHRAL STRICTURE $4,000 – $24,463 · median $10,746 59 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $4,000 – $40,045 · median $17,569 59 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $4,000 – $24,879 · median $10,928 59 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,000 – $17,406 · median $7,655 59 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $4,000 – $46,003 · median $20,178 59 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $4,000 – $35,492 · median $15,575 59 plans
709 PENIS PROCEDURES WITH CC/MCC $4,000 – $53,035 · median $23,257 59 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $4,000 – $35,926 · median $15,765 59 plans
711 TESTES PROCEDURES WITH CC/MCC $4,000 – $45,315 · median $19,876 59 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $4,000 – $26,019 · median $11,427 59 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $4,000 – $34,655 · median $15,209 59 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $4,000 – $23,039 · median $10,122 59 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $4,000 – $53,292 · median $23,370 59 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $4,000 – $34,042 · median $14,940 59 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $4,000 – $44,051 · median $19,323 59 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $4,000 – $29,743 · median $13,058 59 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $4,000 – $41,146 · median $18,051 59 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $4,000 – $27,242 · median $11,962 59 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,000 – $18,195 · median $8,001 59 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $4,000 – $30,447 · median $13,366 59 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,000 – $18,558 · median $8,160 59 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $4,000 – $35,192 · median $15,444 59 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,000 – $20,226 · median $8,890 59 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $4,000 – $26,737 · median $11,741 59 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,000 – $15,403 · median $6,778 59 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $4,000 – $49,725 · median $21,807 59 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $4,000 – $29,330 · median $12,877 59 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $4,000 – $91,822 · median $40,242 59 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $4,000 – $47,329 · median $20,759 59 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $4,000 – $36,282 · median $15,921 59 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $4,000 – $92,815 · median $40,677 59 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $4,000 – $43,197 · median $18,949 59 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $4,000 – $32,994 · median $14,481 59 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $4,000 – $43,390 · median $19,033 59 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $4,000 – $28,981 · median $12,724 59 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $4,000 – $46,310 · median $20,312 59 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $4,000 – $24,991 · median $10,977 59 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $4,000 – $39,900 · median $17,505 59 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $4,000 – $23,394 · median $10,278 59 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $4,000 – $32,735 · median $14,368 59 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $4,000 – $60,871 · median $26,688 59 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,000 – $31,064 · median $13,636 59 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $4,000 – $42,990 · median $18,859 59 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,000 – $26,948 · median $11,834 59 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,000 – $23,390 · median $10,276 59 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $4,000 – $33,951 · median $14,900 59 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,000 – $24,865 · median $10,922 59 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,000 – $16,162 · median $7,111 59 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $4,000 – $24,092 · median $10,583 59 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,000 – $16,022 · median $7,050 59 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $4,000 – $26,166 · median $11,491 59 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,000 – $17,849 · median $7,849 59 plans
779 ABORTION WITHOUT D&C $4,000 – $22,926 · median $10,073 59 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $4,000 – $42,837 · median $18,791 59 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $4,000 – $137,875 · median $60,408 59 plans
791 PREMATURITY WITH MAJOR PROBLEMS $4,000 – $94,628 · median $41,470 59 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $4,000 – $57,684 · median $25,293 59 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $4,000 – $97,166 · median $42,581 59 plans
799 SPLENECTOMY WITH MCC $4,000 – $110,572 · median $48,452 59 plans
800 SPLENECTOMY WITH CC $4,000 – $68,332 · median $29,956 59 plans
801 SPLENECTOMY WITHOUT CC/MCC $4,000 – $39,145 · median $17,175 59 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $4,000 – $83,727 · median $36,697 59 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $4,000 – $42,318 · median $18,564 59 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $4,000 – $26,845 · median $11,789 59 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $4,000 – $54,026 · median $23,691 59 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $4,000 – $29,894 · median $13,124 59 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $4,000 – $23,316 · median $10,243 59 plans
811 RED BLOOD CELL DISORDERS WITH MCC $4,000 – $33,758 · median $14,816 59 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,000 – $22,653 · median $9,953 59 plans
813 COAGULATION DISORDERS $4,000 – $36,995 · median $16,233 59 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $4,000 – $49,442 · median $21,684 59 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $4,000 – $24,791 · median $10,889 59 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,000 – $16,607 · median $7,306 59 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $4,000 – $59,643 · median $26,151 59 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $4,000 – $135,064 · median $59,177 59 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $4,000 – $52,698 · median $23,110 59 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $4,000 – $27,719 · median $12,171 59 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $4,000 – $108,844 · median $47,695 59 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $4,000 – $51,941 · median $22,778 59 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $4,000 – $29,717 · median $13,047 59 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $4,000 – $111,047 · median $48,660 59 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $4,000 – $55,623 · median $24,391 59 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $4,000 – $38,255 · median $16,785 59 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $4,000 – $72,232 · median $31,663 59 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $4,000 – $35,034 · median $15,374 59 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,000 – $18,626 · median $8,190 59 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,000 – $13,404 · median $5,903 59 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $4,000 – $128,296 · median $56,213 59 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $4,000 – $50,484 · median $22,140 59 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $4,000 – $30,633 · median $13,447 59 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $4,000 – $116,363 · median $50,988 59 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $4,000 – $48,013 · median $21,058 59 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,000 – $32,920 · median $14,449 59 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $4,000 – $74,646 · median $32,720 59 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $4,000 – $37,454 · median $16,434 59 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $4,000 – $25,613 · median $11,249 59 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $4,000 – $44,918 · median $19,703 59 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $4,000 – $28,901 · median $12,689 59 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $4,000 – $20,678 · median $9,088 59 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $4,000 – $60,072 · median $26,339 59 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $4,000 – $30,633 · median $13,447 59 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,000 – $20,267 · median $8,908 59 plans
849 RADIOTHERAPY $4,000 – $62,764 · median $27,517 59 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $4,000 – $116,227 · median $50,928 59 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $4,000 – $47,322 · median $20,756 59 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $4,000 – $38,776 · median $17,013 59 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $4,000 – $104,992 · median $46,008 59 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $4,000 – $51,471 · median $22,572 59 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $4,000 – $31,039 · median $13,625 59 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $4,000 – $43,665 · median $19,154 59 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $4,000 – $24,420 · median $10,727 59 plans
864 FEVER AND INFLAMMATORY CONDITIONS $4,000 – $22,082 · median $9,703 59 plans
865 VIRAL ILLNESS WITH MCC $4,000 – $35,341 · median $15,509 59 plans
866 VIRAL ILLNESS WITHOUT MCC $4,000 – $21,779 · median $9,570 59 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $4,000 – $50,677 · median $22,224 59 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $4,000 – $25,571 · median $11,231 59 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,000 – $17,989 · median $7,911 59 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $4,000 – $161,087 · median $70,572 59 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $4,000 – $46,496 · median $20,394 59 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $4,000 – $25,133 · median $11,039 59 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $4,000 – $44,014 · median $19,307 59 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $4,000 – $34,699 · median $15,228 59 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $4,000 – $103,131 · median $45,194 59 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $4,000 – $45,016 · median $19,746 59 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $4,000 – $29,449 · median $12,929 59 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $4,000 – $90,067 · median $39,473 59 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $4,000 – $39,294 · median $17,240 59 plans
906 HAND PROCEDURES FOR INJURIES $4,000 – $51,553 · median $22,608 59 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $4,000 – $47,758 · median $20,946 59 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $4,000 – $30,578 · median $13,423 59 plans
913 TRAUMATIC INJURY WITH MCC $4,000 – $38,608 · median $16,940 59 plans
914 TRAUMATIC INJURY WITHOUT MCC $4,000 – $22,504 · median $9,888 59 plans
915 ALLERGIC REACTIONS WITH MCC $4,000 – $41,352 · median $18,141 59 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,000 – $16,715 · median $7,353 59 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $4,000 – $39,099 · median $17,155 59 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,000 – $21,774 · median $9,568 59 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $4,000 – $43,319 · median $19,002 59 plans
920 COMPLICATIONS OF TREATMENT WITH CC $4,000 – $24,787 · median $10,887 59 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,000 – $17,257 · median $7,590 59 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $4,000 – $24,879 · median $10,928 59 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $4,000 – $154,718 · median $67,783 59 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $4,000 – $74,449 · median $32,634 59 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $4,000 – $100,754 · median $44,153 59 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $4,000 – $50,711 · median $22,239 59 plans
935 NON-EXTENSIVE BURNS $4,000 – $51,872 · median $22,748 59 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $4,000 – $74,302 · median $32,570 59 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $4,000 – $49,922 · median $21,894 59 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $4,000 – $46,317 · median $20,315 59 plans
945 REHABILITATION WITH CC/MCC $4,000 – $36,502 · median $16,017 59 plans
946 REHABILITATION WITHOUT CC/MCC $4,000 – $27,095 · median $11,898 59 plans
947 SIGNS AND SYMPTOMS WITH MCC $4,000 – $30,989 · median $13,603 59 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,000 – $19,707 · median $8,663 59 plans
949 AFTERCARE WITH CC/MCC $4,000 – $26,235 · median $11,521 59 plans
950 AFTERCARE WITHOUT CC/MCC $4,000 – $14,926 · median $6,569 59 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,000 – $14,487 · median $6,377 59 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $4,000 – $158,146 · median $69,284 59 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $4,000 – $89,179 · median $39,084 59 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $4,000 – $172,736 · median $75,673 59 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $4,000 – $95,773 · median $41,972 59 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $4,000 – $62,139 · median $27,244 59 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $4,000 – $63,810 · median $27,975 59 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $4,000 – $35,896 · median $15,752 59 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $4,000 – $22,417 · median $9,850 59 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $4,000 – $187,801 · median $82,270 59 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $4,000 – $62,355 · median $27,338 59 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $4,000 – $69,993 · median $30,683 59 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $4,000 – $34,091 · median $14,961 59 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $4,000 – $24,491 · median $10,758 59 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $4,000 – $34,561 · median $15,167 59 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,000 – $39,753 · median $17,441 59 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $4,000 – $245,817 · median $107,674 58 plans
006 LIVER TRANSPLANT WITHOUT MCC $4,000 – $135,089 · median $59,188 58 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $4,000 – $133,807 · median $58,627 58 plans
010 PANCREAS TRANSPLANT $4,000 – $184,410 · median $80,785 58 plans
652 KIDNEY TRANSPLANT $4,000 – $71,948 · median $31,539 58 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,000 – $35,348 · median $15,512 58 plans
795 NORMAL NEWBORN $1,896 – $6,062 · median $2,688 58 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $4,000 – $91,638 · median $40,161 58 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $4,000 – $23,472 · median $10,312 58 plans
881 DEPRESSIVE NEUROSES $4,000 – $22,451 · median $9,865 58 plans
882 NEUROSES EXCEPT DEPRESSIVE $4,000 – $23,550 · median $10,346 58 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $4,000 – $39,799 · median $17,461 58 plans
885 PSYCHOSES $4,000 – $33,820 · median $14,843 58 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $4,000 – $42,697 · median $18,730 58 plans
887 OTHER MENTAL DISORDER DIAGNOSES $4,000 – $28,768 · median $12,631 58 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,000 – $15,797 · median $6,951 58 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $4,000 – $42,337 · median $18,572 58 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $4,000 – $21,719 · median $9,544 58 plans
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