Good Samaritan Hospital (Acute Care — San Jose) — Pricing

791 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 791 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 791
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 791 procedures

Procedures with negotiated rates only

These 791 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 CATHETERIZA $19,109 – $219,463 · median $69,555 9 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $19,109 – $219,463 · median $69,555 9 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $19,109 – $219,463 · median $69,555 9 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $19,109 – $219,463 · median $69,555 9 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $19,109 – $219,463 · median $69,555 9 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $19,109 – $219,463 · median $69,555 9 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $19,109 – $116,738 · median $60,741 9 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $19,109 – $116,056 · median $62,950 9 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $19,109 – $176,188 · median $69,555 9 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $19,109 – $182,586 · median $69,555 9 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $19,109 – $54,376 · median $28,268 9 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $19,109 – $48,500 · median $28,268 9 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $19,109 – $66,720 · median $26,799 9 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $19,109 – $48,500 · median $26,799 9 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $19,109 – $48,500 · median $26,799 9 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $32,222 – $171,552 · median $76,056 8 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $32,222 – $171,552 · median $76,056 8 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $32,222 – $171,552 · median $71,062 8 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $32,222 – $171,552 · median $71,062 8 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $10,502 – $90,498 · median $30,848 8 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $10,502 – $90,498 · median $29,503 8 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $12,500 – $46,882 · median $23,553 8 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $12,500 – $36,469 · median $23,429 8 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $32,222 – $196,487 · median $69,555 7 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $24,786 – $66,241 · median $42,446 7 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $24,786 – $56,445 · median $42,446 7 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $24,786 – $56,445 · median $32,157 7 plans
245 AICD GENERATOR PROCEDURES $24,786 – $92,988 · median $32,157 7 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $19,109 – $48,630 · median $29,247 7 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $8,580 – $244,224 · median $82,558 7 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $8,580 – $219,463 · median $82,558 7 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $8,580 – $176,122 · median $82,558 7 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $8,580 – $133,367 · median $81,551 7 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $8,580 – $133,367 · median $82,558 7 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $8,580 – $133,367 · median $69,555 7 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $8,580 – $133,367 · median $63,115 7 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $10,000 – $100,027 · median $45,907 7 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $10,000 – $69,148 · median $45,907 7 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $10,000 – $53,193 · median $45,907 7 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $7,000 – $61,624 · median $45,907 7 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $7,000 – $51,091 · median $36,461 7 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $5,400 – $16,644 · median $11,080 7 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $4,959 – $16,644 · median $14,547 7 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $4,959 – $16,644 · median $14,547 7 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $4,959 – $16,644 · median $14,547 7 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $4,959 – $16,644 · median $14,547 7 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $4,959 – $16,644 · median $14,547 7 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $4,959 – $16,644 · median $14,547 7 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $18,126 – $65,175 · median $27,896 6 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $18,126 – $46,961 · median $27,896 6 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $21,517 – $63,758 · median $31,666 6 plans
253 OTHER VASCULAR PROCEDURES WITH CC $21,517 – $50,995 · median $32,478 6 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $8,580 – $90,498 · median $55,108 6 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $8,580 – $90,498 · median $46,153 6 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $18,496 – $161,130 · median $46,259 6 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $18,496 – $115,125 · median $48,662 6 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $18,496 – $91,788 · median $46,259 6 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $23,276 – $77,690 · median $50,334 6 plans
471 CERVICAL SPINAL FUSION WITH MCC $17,670 – $96,058 · median $28,065 6 plans
472 CERVICAL SPINAL FUSION WITH CC $17,670 – $91,660 · median $28,068 6 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $17,670 – $91,660 · median $28,255 6 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $8,580 – $57,578 · median $46,893 6 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $8,580 – $51,091 · median $40,546 6 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $8,580 – $55,146 · median $35,653 6 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $8,580 – $44,607 · median $31,872 6 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $8,580 – $44,607 · median $30,626 6 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $14,294 – $25,038 · median $18,944 6 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $14,294 – $34,367 · median $21,313 6 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $14,294 – $22,324 · median $19,665 6 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $8,580 – $16,644 · median $11,148 6 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $8,580 – $16,644 · median $11,148 6 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $8,580 – $16,644 · median $11,148 6 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $32,141 – $177,419 · median $46,634 5 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $32,141 – $129,473 · median $46,634 5 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $31,548 – $122,371 · median $46,634 5 plans
028 SPINAL PROCEDURES WITH MCC $18,126 – $112,087 · median $32,141 5 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $18,126 – $78,590 · median $32,141 5 plans
265 AICD LEAD PROCEDURES $8,580 – $64,498 · median $35,796 5 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $23,276 – $122,341 · median $45,907 5 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $8,580 – $71,089 · median $18,126 5 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $8,580 – $39,024 · median $18,126 5 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $8,580 – $39,024 · median $18,126 5 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $9,300 – $16,644 · median $11,216 5 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $9,300 – $16,644 · median $11,216 5 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $9,300 – $16,644 · median $11,216 5 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH $8,580 – $385,932 · median $155,977 4 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC $8,580 – $261,870 · median $99,790 4 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $38,446 – $86,590 · median $58,273 4 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $38,446 – $67,400 · median $52,147 4 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $38,446 – $70,611 · median $47,111 4 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $8,580 – $46,274 · median $28,653 4 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $8,580 – $45,672 · median $25,258 4 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $8,580 – $182,011 · median $50,833 4 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $8,580 – $180,791 · median $50,833 4 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $8,580 – $185,039 · median $50,833 4 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $8,580 – $102,818 · median $75,842 4 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $8,580 – $69,555 · median $52,997 4 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $8,580 – $88,169 · median $26,321 4 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $8,580 – $46,826 · median $26,321 4 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,580 – $38,852 · median $23,189 4 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,580 – $64,893 · median $16,449 4 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,580 – $44,795 · median $16,449 4 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $8,580 – $33,724 · median $16,449 4 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $17,670 – $56,563 · median $28,524 4 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $17,670 – $40,285 · median $27,837 4 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $8,580 – $54,760 · median $31,624 4 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $8,580 – $36,742 · median $23,224 4 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $8,580 – $36,742 · median $20,354 4 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $8,580 – $36,742 · median $24,450 4 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $22,329 – $34,871 · median $26,101 4 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $19,013 – $29,568 · median $21,775 4 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $16,903 – $28,314 · median $22,585 4 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $8,580 – $34,373 · median $21,801 4 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $8,580 – $258,608 · median $48,500 3 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $8,580 – $258,608 · median $48,500 3 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $8,580 – $98,503 · median $13,790 3 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $8,580 – $74,556 · median $13,790 3 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $8,580 – $53,937 · median $13,790 3 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $46,634 – $109,301 · median $100,580 3 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $46,634 – $100,565 · median $75,306 3 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $8,580 – $76,271 · median $9,753 3 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $8,580 – $43,553 · median $9,753 3 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $8,580 – $35,866 · median $9,753 3 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $8,580 – $64,325 · median $16,124 3 plans
038 EXTRACRANIAL PROCEDURES WITH CC $8,580 – $31,190 · median $16,124 3 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,580 – $21,983 · median $16,892 3 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $8,580 – $90,946 · median $72,247 3 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $8,580 – $91,578 · median $44,589 3 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $8,580 – $90,660 · median $35,275 3 plans
113 ORBITAL PROCEDURES WITH CC/MCC $8,580 – $42,819 · median $13,790 3 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $8,580 – $24,845 · median $13,790 3 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $8,580 – $28,970 · median $13,790 3 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $8,580 – $35,976 · median $13,790 3 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,580 – $18,933 · median $13,790 3 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $8,580 – $46,736 · median $13,790 3 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,580 – $22,128 · median $13,790 3 plans
137 MOUTH PROCEDURES WITH CC/MCC $8,580 – $28,598 · median $13,790 3 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $8,580 – $16,864 · median $13,790 3 plans
139 SALIVARY GLAND PROCEDURES $8,580 – $23,981 · median $13,790 3 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $8,580 – $79,263 · median $13,790 3 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $8,580 – $42,577 · median $13,790 3 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $8,580 – $32,452 · median $13,790 3 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $8,580 – $60,503 · median $13,790 3 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $8,580 – $34,504 · median $13,790 3 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,580 – $23,033 · median $13,790 3 plans
163 MAJOR CHEST PROCEDURES WITH MCC $8,580 – $92,372 · median $13,790 3 plans
164 MAJOR CHEST PROCEDURES WITH CC $8,580 – $49,253 · median $13,790 3 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $8,580 – $36,747 · median $13,790 3 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $8,580 – $69,909 · median $13,790 3 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $8,580 – $36,255 · median $13,790 3 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,580 – $27,034 · median $13,790 3 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $48,500 – $122,068 · median $79,192 3 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $48,500 – $95,747 · median $79,192 3 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $8,580 – $88,680 · median $13,790 3 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $8,580 – $51,761 · median $13,790 3 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $8,580 – $29,538 · median $13,790 3 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ AR $14,000 – $57,124 · median $32,314 3 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $14,000 – $36,415 · median $32,314 3 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4 $14,000 – $57,398 · median $32,314 3 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $14,000 – $34,645 · median $32,314 3 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $8,580 – $48,927 · median $13,790 3 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $8,580 – $31,127 · median $13,790 3 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,580 – $19,999 · median $13,790 3 plans
263 VEIN LIGATION AND STRIPPING $8,580 – $53,130 · median $32,974 3 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $8,580 – $77,379 · median $63,118 3 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $8,580 – $34,085 · median $19,109 3 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $8,580 – $51,203 · median $19,109 3 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $8,580 – $85,232 · median $33,687 3 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $8,580 – $85,232 · median $33,687 3 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $8,580 – $97,618 · median $13,790 3 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $8,580 – $48,845 · median $13,790 3 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $8,580 – $31,613 · median $13,790 3 plans
332 RECTAL RESECTION WITH MCC $8,580 – $77,432 · median $13,790 3 plans
333 RECTAL RESECTION WITH CC $8,580 – $35,475 · median $13,790 3 plans
334 RECTAL RESECTION WITHOUT CC/MCC $8,580 – $27,237 · median $13,790 3 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $8,580 – $70,252 · median $13,790 3 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $8,580 – $40,563 · median $13,790 3 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $8,580 – $30,046 · median $13,790 3 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $8,580 – $50,203 · median $13,790 3 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $8,580 – $29,588 · median $13,790 3 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,580 – $23,851 · median $13,790 3 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $8,580 – $48,405 · median $13,790 3 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $8,580 – $26,336 · median $13,790 3 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $8,580 – $19,017 · median $13,790 3 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $8,580 – $44,949 · median $13,790 3 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $8,580 – $28,037 · median $13,790 3 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,580 – $21,018 · median $13,790 3 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $8,580 – $54,690 · median $13,790 3 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $8,580 – $33,412 · median $13,790 3 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $8,580 – $26,170 · median $13,790 3 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $8,580 – $80,525 · median $13,790 3 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $8,580 – $42,836 · median $13,790 3 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,580 – $26,455 · median $13,790 3 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $8,580 – $105,687 · median $13,790 3 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $8,580 – $55,871 · median $13,790 3 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $8,580 – $42,445 · median $13,790 3 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $8,580 – $69,979 · median $13,790 3 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $8,580 – $40,647 · median $13,790 3 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $8,580 – $32,376 · median $13,790 3 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $8,580 – $64,424 · median $13,790 3 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $8,580 – $43,780 · median $13,790 3 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $8,580 – $30,902 · median $13,790 3 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $8,580 – $67,408 · median $13,790 3 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $8,580 – $38,141 · median $13,790 3 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $8,580 – $26,249 · median $13,790 3 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $8,580 – $45,344 · median $13,790 3 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $8,580 – $31,676 · median $13,790 3 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $8,580 – $24,887 · median $13,790 3 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $8,580 – $62,193 · median $13,790 3 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $8,580 – $34,548 · median $13,790 3 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $8,580 – $26,424 · median $13,790 3 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $8,580 – $74,983 · median $13,790 3 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $8,580 – $45,170 · median $13,790 3 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $8,580 – $27,282 · median $13,790 3 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $8,580 – $99,960 · median $42,171 3 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $8,580 – $56,967 · median $42,171 3 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $8,580 – $42,171 · median $38,002 3 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $8,580 – $78,130 · median $13,790 3 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $8,580 – $42,359 · median $13,790 3 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $8,580 – $23,409 · median $13,790 3 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $8,580 – $35,045 · median $31,392 3 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $8,580 – $44,961 · median $13,790 3 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $8,580 – $61,998 · median $28,099 3 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $8,580 – $39,781 · median $28,099 3 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,580 – $30,589 · median $28,099 3 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $8,580 – $43,275 · median $21,711 3 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,580 – $25,354 · median $21,711 3 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $8,580 – $66,478 · median $30,569 3 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $8,580 – $45,308 · median $33,043 3 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $8,580 – $70,835 · median $15,036 3 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $8,580 – $40,042 · median $15,036 3 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $8,580 – $29,020 · median $15,754 3 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $8,580 – $48,880 · median $13,790 3 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $8,580 – $25,148 · median $13,790 3 plans
500 SOFT TISSUE PROCEDURES WITH MCC $8,580 – $61,111 · median $13,790 3 plans
501 SOFT TISSUE PROCEDURES WITH CC $8,580 – $33,522 · median $13,790 3 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $8,580 – $26,212 · median $13,790 3 plans
503 FOOT PROCEDURES WITH MCC $8,580 – $48,311 · median $21,502 3 plans
504 FOOT PROCEDURES WITH CC $8,580 – $33,846 · median $21,502 3 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $8,580 – $33,694 · median $21,508 3 plans
506 MAJOR THUMB OR JOINT PROCEDURES $8,580 – $26,886 · median $13,790 3 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $8,580 – $35,372 · median $22,520 3 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $8,580 – $27,618 · median $19,704 3 plans
509 ARTHROSCOPY $8,580 – $28,947 · median $13,790 3 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $8,580 – $55,078 · median $21,495 3 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $8,580 – $37,741 · median $21,495 3 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $8,580 – $30,637 · median $19,509 3 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $8,580 – $30,398 · median $13,790 3 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,580 – $19,694 · median $13,790 3 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $8,580 – $59,458 · median $45,444 3 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $8,580 – $43,377 · median $38,786 3 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $8,580 – $42,812 · median $28,795 3 plans
570 SKIN DEBRIDEMENT WITH MCC $8,580 – $55,631 · median $13,790 3 plans
571 SKIN DEBRIDEMENT WITH CC $8,580 – $31,440 · median $13,790 3 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,580 – $22,953 · median $13,790 3 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $8,580 – $111,953 · median $13,790 3 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $8,580 – $68,742 · median $13,790 3 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $8,580 – $39,087 · median $13,790 3 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $8,580 – $107,729 · median $13,790 3 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $8,580 – $49,940 · median $13,790 3 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $8,580 – $60,104 · median $13,790 3 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $8,580 – $33,110 · median $13,790 3 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $8,580 – $30,736 · median $13,790 3 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $8,580 – $24,001 · median $13,790 3 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $8,580 – $40,731 · median $13,790 3 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $8,580 – $44,814 · median $13,790 3 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $8,580 – $28,144 · median $13,790 3 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $8,580 – $71,791 · median $13,790 3 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $8,580 – $37,073 · median $13,790 3 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $8,580 – $22,368 · median $13,790 3 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $8,580 – $69,056 · median $13,790 3 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $8,580 – $35,940 · median $13,790 3 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $8,580 – $18,861 · median $13,790 3 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $8,580 – $54,870 · median $13,790 3 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $8,580 – $30,879 · median $13,790 3 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $8,580 – $24,332 · median $13,790 3 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $8,580 – $69,508 · median $13,790 3 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $8,580 – $42,790 · median $13,790 3 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $8,580 – $26,779 · median $13,790 3 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $8,580 – $105,969 · median $13,790 3 plans
654 MAJOR BLADDER PROCEDURES WITH CC $8,580 – $54,208 · median $13,790 3 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $8,580 – $41,167 · median $13,790 3 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $8,580 – $52,508 · median $13,790 3 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $8,580 – $29,834 · median $13,790 3 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $8,580 – $52,612 · median $49,143 3 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $8,580 – $28,636 · median $26,912 3 plans
662 MINOR BLADDER PROCEDURES WITH MCC $8,580 – $57,950 · median $13,790 3 plans
663 MINOR BLADDER PROCEDURES WITH CC $8,580 – $29,083 · median $13,790 3 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,580 – $21,487 · median $13,790 3 plans
665 PROSTATECTOMY WITH MCC $8,580 – $58,361 · median $13,790 3 plans
666 PROSTATECTOMY WITH CC $8,580 – $32,838 · median $13,790 3 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,580 – $18,763 · median $13,790 3 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $8,580 – $53,834 · median $13,790 3 plans
669 TRANSURETHRAL PROCEDURES WITH CC $8,580 – $30,021 · median $13,790 3 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $8,580 – $18,832 · median $13,790 3 plans
671 URETHRAL PROCEDURES WITH CC/MCC $8,580 – $34,928 · median $13,790 3 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,580 – $19,866 · median $13,790 3 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $8,580 – $66,632 · median $13,790 3 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $8,580 – $45,207 · median $13,790 3 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $8,580 – $32,161 · median $13,790 3 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $8,580 – $38,051 · median $23,776 3 plans
709 PENIS PROCEDURES WITH CC/MCC $8,580 – $45,998 · median $13,790 3 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $8,580 – $27,488 · median $13,790 3 plans
711 TESTES PROCEDURES WITH CC/MCC $8,580 – $38,969 · median $13,790 3 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,580 – $23,678 · median $13,790 3 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $8,580 – $28,261 · median $13,790 3 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,580 – $18,273 · median $13,790 3 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $8,580 – $42,588 · median $13,790 3 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $8,580 – $25,064 · median $13,790 3 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $8,580 – $33,761 · median $13,790 3 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $8,580 – $24,200 · median $13,790 3 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $8,580 – $41,673 · median $13,790 3 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $8,580 – $24,261 · median $13,790 3 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $8,580 – $81,339 · median $13,790 3 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $8,580 – $38,589 · median $13,790 3 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $8,580 – $26,771 · median $13,790 3 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $8,580 – $74,419 · median $51,152 3 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $8,580 – $36,202 · median $13,790 3 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,580 – $21,946 · median $13,790 3 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $8,580 – $29,815 · median $13,790 3 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $8,580 – $18,662 · median $13,790 3 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $8,580 – $27,027 · median $14,349 3 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $8,580 – $48,176 · median $13,790 3 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,580 – $27,214 · median $13,790 3 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $8,580 – $31,682 · median $13,790 3 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $8,580 – $16,511 · median $13,790 3 plans
799 SPLENIC PROCEDURES WITH MCC $8,580 – $99,313 · median $13,790 3 plans
800 SPLENIC PROCEDURES WITH CC $8,580 – $50,699 · median $13,790 3 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $8,580 – $34,251 · median $13,790 3 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $8,580 – $72,697 · median $13,790 3 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $8,580 – $39,157 · median $13,790 3 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,580 – $24,063 · median $13,790 3 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $8,580 – $84,475 · median $13,790 3 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $8,580 – $41,238 · median $13,790 3 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,580 – $19,143 · median $13,790 3 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $8,580 – $68,729 · median $13,790 3 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $8,580 – $36,384 · median $13,790 3 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $8,580 – $20,916 · median $13,790 3 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $8,580 – $81,684 · median $13,790 3 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $8,580 – $38,678 · median $13,790 3 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $8,580 – $27,627 · median $13,790 3 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $8,580 – $50,274 · median $13,790 3 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $8,580 – $23,360 · median $13,790 3 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $8,580 – $93,465 · median $13,790 3 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $8,580 – $39,201 · median $13,790 3 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,580 – $29,134 · median $13,790 3 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $8,580 – $84,152 · median $13,790 3 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $8,580 – $40,220 · median $13,790 3 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $8,580 – $26,977 · median $13,790 3 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $10,383 – $37,325 · median $26,844 3 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $10,383 – $26,844 · median $19,604 3 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $8,580 – $83,884 · median $13,790 3 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $8,580 – $37,794 · median $13,790 3 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,580 – $23,182 · median $13,790 3 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $8,580 – $67,737 · median $13,790 3 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $8,580 – $29,748 · median $13,790 3 plans
906 HAND PROCEDURES FOR INJURIES $8,580 – $34,094 · median $13,790 3 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $8,580 – $73,721 · median $13,790 3 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $8,580 – $39,218 · median $13,790 3 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $8,580 – $26,026 · median $13,790 3 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $8,580 – $59,063 · median $13,790 3 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $8,580 – $42,018 · median $13,790 3 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $8,580 – $35,994 · median $13,790 3 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $8,580 – $128,459 · median $13,790 3 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $8,580 – $72,548 · median $13,790 3 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $8,580 – $141,322 · median $13,790 3 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $8,580 – $79,534 · median $13,790 3 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,580 – $48,986 · median $13,790 3 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $8,580 – $138,215 · median $13,790 3 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $8,580 – $58,897 · median $13,790 3 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $8,580 – $87,351 · median $13,790 3 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $8,580 – $47,833 · median $13,790 3 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,580 – $31,852 · median $13,790 3 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $8,580 – $63,284 · median $13,790 3 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $8,580 – $32,351 · median $13,790 3 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,580 – $21,023 · median $13,790 3 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $8,580 – $217,537 · median $113,059 2 plans
006 LIVER TRANSPLANT WITHOUT MCC $8,580 – $91,716 · median $50,148 2 plans
007 LUNG TRANSPLANT $8,580 – $232,799 · median $120,690 2 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $8,580 – $106,625 · median $57,603 2 plans
010 PANCREAS TRANSPLANT $8,580 – $79,082 · median $43,831 2 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $8,580 – $136,060 · median $72,320 2 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $10,383 – $33,951 · median $22,167 2 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $10,383 – $19,505 · median $14,944 2 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,383 – $22,034 · median $16,208 2 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $10,383 – $16,018 · median $13,200 2 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $10,383 – $42,542 · median $26,462 2 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $10,383 – $24,820 · median $17,601 2 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $10,383 – $32,902 · median $21,642 2 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $10,383 – $21,807 · median $16,095 2 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $10,383 – $17,284 · median $13,833 2 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $10,383 – $55,926 · median $33,154 2 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $10,383 – $36,562 · median $23,472 2 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $10,383 – $30,150 · median $20,266 2 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $10,383 – $37,607 · median $23,995 2 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $10,383 – $19,383 · median $14,883 2 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $10,383 – $13,321 · median $11,852 2 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,383 – $26,968 · median $18,675 2 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $10,383 – $17,234 · median $13,808 2 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $10,383 – $15,216 · median $12,799 2 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $10,383 – $32,881 · median $21,632 2 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $10,383 – $20,386 · median $15,384 2 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $10,383 – $14,722 · median $12,552 2 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $10,383 – $28,592 · median $19,487 2 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $10,383 – $19,521 · median $14,952 2 plans
075 VIRAL MENINGITIS WITH CC/MCC $10,383 – $34,804 · median $22,593 2 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $10,383 – $18,828 · median $14,605 2 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $10,383 – $29,830 · median $20,106 2 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $10,383 – $18,933 · median $14,658 2 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $10,383 – $13,996 · median $12,189 2 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $10,383 – $38,900 · median $24,641 2 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $10,383 – $17,135 · median $13,759 2 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $10,383 – $43,200 · median $26,791 2 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,383 – $25,711 · median $18,047 2 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $10,383 – $17,478 · median $13,930 2 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $10,383 – $44,543 · median $27,463 2 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $10,383 – $24,786 · median $17,584 2 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $10,383 – $16,637 · median $13,510 2 plans
088 CONCUSSION WITH MCC $10,383 – $30,061 · median $20,222 2 plans
089 CONCUSSION WITH CC $10,383 – $22,269 · median $16,326 2 plans
090 CONCUSSION WITHOUT CC/MCC $10,383 – $15,697 · median $13,040 2 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $10,383 – $32,942 · median $21,662 2 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $10,383 – $18,962 · median $14,672 2 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,383 – $14,585 · median $12,484 2 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $10,383 – $68,148 · median $39,265 2 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $10,383 – $48,759 · median $29,571 2 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,383 – $43,563 · median $26,973 2 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $10,383 – $74,150 · median $42,266 2 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $10,383 – $39,747 · median $25,065 2 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,383 – $26,670 · median $18,526 2 plans
100 SEIZURES WITH MCC $10,383 – $36,634 · median $23,508 2 plans
101 SEIZURES WITHOUT MCC $10,383 – $17,192 · median $13,787 2 plans
102 HEADACHES WITH MCC $10,383 – $21,929 · median $16,156 2 plans
103 HEADACHES WITHOUT MCC $10,383 – $15,876 · median $13,129 2 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $10,383 – $23,367 · median $16,875 2 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $10,383 – $13,174 · median $11,778 2 plans
123 NEUROLOGICAL EYE DISORDERS $10,383 – $15,138 · median $12,760 2 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $10,383 – $26,712 · median $18,547 2 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $10,383 – $16,441 · median $13,412 2 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $10,383 – $31,998 · median $21,190 2 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $10,383 – $19,240 · median $14,811 2 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $10,383 – $15,592 · median $12,987 2 plans
149 DYSEQUILIBRIUM $10,383 – $14,398 · median $12,390 2 plans
150 EPISTAXIS WITH MCC $10,383 – $26,304 · median $18,343 2 plans
151 EPISTAXIS WITHOUT MCC $10,383 – $14,703 · median $12,543 2 plans
152 OTITIS MEDIA AND URI WITH MCC $10,383 – $22,841 · median $16,612 2 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $10,383 – $13,168 · median $11,775 2 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $10,383 – $28,661 · median $19,522 2 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $10,383 – $17,532 · median $13,957 2 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $10,383 – $13,000 · median $11,691 2 plans
157 DENTAL AND ORAL DISEASES WITH MCC $10,383 – $31,882 · median $21,132 2 plans
158 DENTAL AND ORAL DISEASES WITH CC $10,383 – $17,718 · median $14,050 2 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $10,383 – $14,301 · median $12,342 2 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $8,580 – $13,790 · median $11,185 2 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,383 – $26,638 · median $18,510 2 plans
176 PULMONARY EMBOLISM WITHOUT MCC $10,383 – $15,592 · median $12,987 2 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,383 – $33,944 · median $22,163 2 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $10,383 – $20,730 · median $15,556 2 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $10,383 – $14,978 · median $12,680 2 plans
180 RESPIRATORY NEOPLASMS WITH MCC $10,383 – $26,909 · median $18,646 2 plans
181 RESPIRATORY NEOPLASMS WITH CC $10,383 – $18,010 · median $14,196 2 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $10,383 – $14,099 · median $12,241 2 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,383 – $28,648 · median $19,515 2 plans
184 MAJOR CHEST TRAUMA WITH CC $10,383 – $19,932 · median $15,158 2 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $10,383 – $14,398 · median $12,390 2 plans
186 PLEURAL EFFUSION WITH MCC $10,383 – $29,117 · median $19,750 2 plans
187 PLEURAL EFFUSION WITH CC $10,383 – $19,946 · median $15,164 2 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $10,383 – $13,807 · median $12,095 2 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $10,383 – $23,018 · median $16,700 2 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $10,383 – $20,701 · median $15,542 2 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $10,383 – $16,481 · median $13,432 2 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $10,383 – $12,436 · median $11,409 2 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $10,383 – $24,767 · median $17,575 2 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $10,383 – $16,023 · median $13,203 2 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $10,383 – $12,239 · median $11,311 2 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $10,383 – $33,139 · median $21,761 2 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $10,383 – $18,758 · median $14,570 2 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $10,383 – $13,557 · median $11,970 2 plans
199 PNEUMOTHORAX WITH MCC $10,383 – $33,537 · median $21,960 2 plans
200 PNEUMOTHORAX WITH CC $10,383 – $20,444 · median $15,413 2 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $10,383 – $13,881 · median $12,132 2 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $10,383 – $17,655 · median $14,019 2 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $10,383 – $12,722 · median $11,552 2 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $10,383 – $15,436 · median $12,909 2 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $10,383 – $33,965 · median $22,174 2 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $10,383 – $17,038 · median $13,710 2 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $10,383 – $125,215 · median $67,799 2 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $10,383 – $49,585 · median $29,984 2 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES — 2 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK $79,192 – $146,015 · median $112,603 2 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK $79,192 – $99,523 · median $89,357 2 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH $79,192 – $135,195 · median $107,193 2 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH $79,192 – $96,453 · median $87,822 2 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $28,945 – $30,635 · median $29,790 2 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $17,518 – $26,530 · median $22,024 2 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $13,668 – $26,530 · median $20,099 2 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $18,572 – $36,589 · median $27,580 2 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $14,024 – $18,572 · median $16,298 2 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $10,332 – $18,331 · median $14,332 2 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $51,424 – $51,638 · median $51,531 2 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $30,648 – $50,967 · median $40,808 2 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $22,993 – $50,967 · median $36,980 2 plans
291 HEART FAILURE AND SHOCK WITH MCC $24,406 – $31,638 · median $28,022 2 plans
292 HEART FAILURE AND SHOCK WITH CC $16,454 – $23,953 · median $20,204 2 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $10,685 – $23,953 · median $17,319 2 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $10,383 – $22,017 · median $16,200 2 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $10,383 – $16,891 · median $13,637 2 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $10,383 – $31,243 · median $20,813 2 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $10,383 – $12,135 · median $11,259 2 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $9,316 – $10,383 · median $9,849 2 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $24,048 – $29,330 · median $26,689 2 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $17,415 – $19,664 · median $18,539 2 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $13,658 – $16,059 · median $14,859 2 plans
302 ATHEROSCLEROSIS WITH MCC $10,383 – $22,995 · median $16,689 2 plans
303 ATHEROSCLEROSIS WITHOUT MCC $10,383 – $12,894 · median $11,638 2 plans
304 HYPERTENSION WITH MCC $10,383 – $20,951 · median $15,667 2 plans
305 HYPERTENSION WITHOUT MCC $10,383 – $14,219 · median $12,301 2 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $10,383 – $28,144 · median $19,263 2 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $10,383 – $17,381 · median $13,882 2 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $10,383 – $22,362 · median $16,372 2 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $10,383 – $14,066 · median $12,224 2 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $10,383 – $10,512 · median $10,447 2 plans
311 ANGINA PECTORIS $10,383 – $12,741 · median $11,562 2 plans
312 SYNCOPE AND COLLAPSE $10,383 – $16,261 · median $13,322 2 plans
313 CHEST PAIN $13,779 – $13,796 · median $13,787 2 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $10,383 – $39,716 · median $25,049 2 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $10,383 – $18,470 · median $14,426 2 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $10,383 – $13,006 · median $11,694 2 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $8,580 – $124,893 · median $66,736 2 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $8,580 – $13,790 · median $11,185 2 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $8,580 – $13,790 · median $11,185 2 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $8,580 – $13,790 · median $11,185 2 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $20,838 – $38,852 · median $29,845 2 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $10,383 – $33,453 · median $21,918 2 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $10,383 – $19,492 · median $14,937 2 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $10,383 – $14,278 · median $12,330 2 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $10,383 – $32,263 · median $21,323 2 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $10,383 – $19,414 · median $14,898 2 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $10,383 – $13,845 · median $12,114 2 plans
374 DIGESTIVE MALIGNANCY WITH MCC $10,383 – $31,666 · median $21,024 2 plans
375 DIGESTIVE MALIGNANCY WITH CC $10,383 – $19,136 · median $14,759 2 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $10,383 – $13,945 · median $12,164 2 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $10,383 – $33,907 · median $22,145 2 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $10,383 – $18,784 · median $14,583 2 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $10,383 – $12,087 · median $11,235 2 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $10,383 – $36,312 · median $23,347 2 plans
381 COMPLICATED PEPTIC ULCER WITH CC $10,383 – $20,129 · median $15,256 2 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $10,383 – $14,680 · median $12,531 2 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $10,383 – $25,936 · median $18,159 2 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $10,383 – $17,194 · median $13,788 2 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,383 – $31,060 · median $20,721 2 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $10,383 – $18,876 · median $14,629 2 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $10,383 – $13,189 · median $11,786 2 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,383 – $27,984 · median $19,183 2 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $10,383 – $15,392 · median $12,887 2 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $10,383 – $10,784 · median $10,583 2 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $10,383 – $24,487 · median $17,435 2 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $10,383 – $15,020 · median $12,701 2 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $10,383 – $30,728 · median $20,555 2 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $10,383 – $17,983 · median $14,183 2 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $10,383 – $12,299 · median $11,341 2 plans
397 APPENDIX PROCEDURES WITH MCC $8,580 – $13,790 · median $11,185 2 plans
398 APPENDIX PROCEDURES WITH CC $8,580 – $13,790 · median $11,185 2 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,580 – $13,790 · median $11,185 2 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $8,580 – $38,296 · median $23,438 2 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $8,580 – $102,542 · median $55,561 2 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $8,580 – $69,527 · median $39,054 2 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $8,580 – $53,879 · median $31,229 2 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $8,580 – $81,645 · median $45,112 2 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $8,580 – $53,550 · median $31,065 2 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $10,383 – $36,009 · median $23,196 2 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $10,383 – $19,830 · median $15,106 2 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $10,383 – $11,971 · median $11,177 2 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $10,383 – $27,772 · median $19,077 2 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $10,383 – $17,481 · median $13,932 2 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $10,383 – $13,438 · median $11,910 2 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $10,383 – $31,607 · median $20,995 2 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $10,383 – $16,588 · median $13,485 2 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $10,383 – $11,564 · median $10,973 2 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $10,383 – $36,135 · median $23,259 2 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $10,383 – $18,041 · median $14,212 2 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $10,383 – $12,432 · median $11,407 2 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $10,383 – $31,747 · median $21,065 2 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $10,383 – $20,970 · median $15,676 2 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $10,383 – $15,480 · median $12,931 2 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL $8,580 – $65,631 · median $37,106 2 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $8,580 – $39,973 · median $24,276 2 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY $8,580 – $50,413 · median $29,497 2 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $8,580 – $30,209 · median $19,394 2 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $32,206 – $174,587 · median $103,396 2 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $32,206 – $116,157 · median $74,181 2 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $34,080 – $91,310 · median $62,695 2 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $32,206 – $126,495 · median $79,350 2 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $32,206 – $71,820 · median $52,013 2 plans
533 FRACTURES OF FEMUR WITH MCC $10,383 – $27,200 · median $18,791 2 plans
534 FRACTURES OF FEMUR WITHOUT MCC $10,383 – $15,178 · median $12,780 2 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $10,383 – $24,591 · median $17,487 2 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $10,383 – $14,820 · median $12,601 2 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $10,383 – $18,945 · median $14,664 2 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $10,383 – $13,277 · median $11,830 2 plans
539 OSTEOMYELITIS WITH MCC $10,383 – $38,063 · median $24,223 2 plans
540 OSTEOMYELITIS WITH CC $10,383 – $25,680 · median $18,031 2 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $10,383 – $15,600 · median $12,991 2 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $10,383 – $34,861 · median $22,622 2 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $10,383 – $20,768 · median $15,575 2 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $10,383 – $14,839 · median $12,611 2 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $10,383 – $47,840 · median $29,111 2 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $10,383 – $22,991 · median $16,687 2 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,383 – $17,446 · median $13,914 2 plans
548 SEPTIC ARTHRITIS WITH MCC $10,383 – $36,995 · median $23,689 2 plans
549 SEPTIC ARTHRITIS WITH CC $10,383 – $23,108 · median $16,745 2 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $10,383 – $19,992 · median $15,187 2 plans
551 MEDICAL BACK PROBLEMS WITH MCC $10,383 – $31,913 · median $21,148 2 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $10,383 – $18,317 · median $14,350 2 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $10,383 – $25,286 · median $17,834 2 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $10,383 – $15,642 · median $13,012 2 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,383 – $25,387 · median $17,885 2 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $10,383 – $15,409 · median $12,896 2 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $10,383 – $27,307 · median $18,845 2 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $10,383 – $16,572 · median $13,477 2 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,383 – $34,041 · median $22,212 2 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,383 – $20,894 · median $15,638 2 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,383 – $15,070 · median $12,726 2 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $10,383 – $27,896 · median $19,139 2 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $10,383 – $16,424 · median $13,403 2 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $10,383 – $29,622 · median $20,002 2 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $10,383 – $18,830 · median $14,606 2 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $10,383 – $14,164 · median $12,273 2 plans
592 SKIN ULCERS WITH MCC $10,383 – $34,022 · median $22,202 2 plans
593 SKIN ULCERS WITH CC $10,383 – $21,967 · median $16,175 2 plans
594 SKIN ULCERS WITHOUT CC/MCC $10,383 – $14,759 · median $12,571 2 plans
595 MAJOR SKIN DISORDERS WITH MCC $10,383 – $40,838 · median $25,610 2 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $10,383 – $20,821 · median $15,602 2 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $10,383 – $26,752 · median $18,567 2 plans
598 MALIGNANT BREAST DISORDERS WITH CC $10,383 – $16,968 · median $13,675 2 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,383 – $14,257 · median $12,320 2 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $10,383 – $19,854 · median $15,118 2 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,383 – $13,424 · median $11,903 2 plans
602 CELLULITIS WITH MCC $10,383 – $27,484 · median $18,933 2 plans
603 CELLULITIS WITHOUT MCC $10,383 – $16,816 · median $13,599 2 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,383 – $28,781 · median $19,582 2 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $10,383 – $17,362 · median $13,872 2 plans
606 MINOR SKIN DISORDERS WITH MCC $10,383 – $29,271 · median $19,827 2 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $10,383 – $16,176 · median $13,279 2 plans
637 DIABETES WITH MCC $10,383 – $26,617 · median $18,500 2 plans
638 DIABETES WITH CC $10,383 – $16,706 · median $13,544 2 plans
639 DIABETES WITHOUT CC/MCC $10,383 – $11,458 · median $10,920 2 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $10,383 – $24,130 · median $17,256 2 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $10,383 – $14,688 · median $12,535 2 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $10,383 – $26,762 · median $18,572 2 plans
643 ENDOCRINE DISORDERS WITH MCC $10,383 – $31,346 · median $20,864 2 plans
644 ENDOCRINE DISORDERS WITH CC $10,383 – $19,435 · median $14,909 2 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $10,383 – $14,162 · median $12,272 2 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $8,580 – $88,561 · median $48,571 2 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $8,580 – $67,628 · median $38,104 2 plans
652 KIDNEY TRANSPLANT $8,580 – $58,834 · median $33,707 2 plans
682 RENAL FAILURE WITH MCC $10,383 – $28,350 · median $19,366 2 plans
683 RENAL FAILURE WITH CC $10,383 – $17,066 · median $13,724 2 plans
684 RENAL FAILURE WITHOUT CC/MCC $10,383 – $11,534 · median $10,958 2 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $10,383 – $26,971 · median $18,677 2 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $10,383 – $16,518 · median $13,450 2 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $10,383 – $16,523 · median $13,453 2 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $10,383 – $21,876 · median $16,129 2 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $10,383 – $15,172 · median $12,777 2 plans
693 URINARY STONES WITH MCC $12,095 – $27,286 · median $19,691 2 plans
694 URINARY STONES WITHOUT MCC $12,095 – $15,201 · median $13,648 2 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $10,383 – $21,899 · median $16,141 2 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $10,383 – $13,216 · median $11,799 2 plans
697 URETHRAL STRICTURE $10,383 – $18,926 · median $14,654 2 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $10,383 – $30,560 · median $20,471 2 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $10,383 – $19,301 · median $14,842 2 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $10,383 – $14,127 · median $12,255 2 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $10,383 – $26,970 · median $18,676 2 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $10,383 – $18,307 · median $14,345 2 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,383 – $14,591 · median $12,487 2 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $10,383 – $23,825 · median $17,104 2 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $10,383 – $14,715 · median $12,549 2 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,383 – $27,401 · median $18,892 2 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $10,383 – $15,670 · median $13,026 2 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $10,383 – $20,554 · median $15,468 2 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $10,383 – $12,506 · median $11,444 2 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,383 – $27,592 · median $18,987 2 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $10,383 – $17,174 · median $13,778 2 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,383 – $19,009 · median $14,696 2 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,383 – $26,169 · median $18,276 2 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $10,383 – $18,222 · median $14,302 2 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,383 – $11,831 · median $11,107 2 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $10,383 – $18,434 · median $14,408 2 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $10,383 – $10,788 · median $10,585 2 plans
765 CESAREAN SECTION W CC/MCC $5,030 – $7,300 · median $6,165 2 plans
766 CESAREAN SECTION W/O CC/MCC $5,030 – $7,300 · median $6,165 2 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $10,383 – $13,294 · median $11,838 2 plans
779 ABORTION WITHOUT D&C $10,383 – $19,425 · median $14,904 2 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $10,383 – $40,830 · median $25,606 2 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $10,383 – $23,184 · median $16,783 2 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $10,383 – $17,903 · median $14,143 2 plans
811 RED BLOOD CELL DISORDERS WITH MCC $10,383 – $26,514 · median $18,448 2 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $10,383 – $17,125 · median $13,754 2 plans
813 COAGULATION DISORDERS $10,383 – $29,847 · median $20,115 2 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $10,383 – $35,835 · median $23,109 2 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $10,383 – $19,664 · median $15,023 2 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $10,383 – $13,902 · median $12,142 2 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $8,580 – $59,687 · median $34,133 2 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,580 – $30,324 · median $19,452 2 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,580 – $16,944 · median $12,762 2 plans
834 ACUTE LEUKEMIA WITH MCC $10,383 – $87,850 · median $49,116 2 plans
835 ACUTE LEUKEMIA WITH CC $10,383 – $33,315 · median $21,849 2 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $10,383 – $24,922 · median $17,652 2 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $10,383 – $85,502 · median $47,942 2 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $10,383 – $35,332 · median $22,857 2 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,383 – $21,838 · median $16,110 2 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $10,383 – $49,358 · median $29,870 2 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $10,383 – $25,335 · median $17,859 2 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $10,383 – $17,533 · median $13,958 2 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $10,383 – $30,778 · median $20,580 2 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $10,383 – $18,120 · median $14,251 2 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $10,383 – $16,124 · median $13,253 2 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $10,383 – $38,269 · median $24,326 2 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,383 – $19,351 · median $14,867 2 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,383 – $14,760 · median $12,571 2 plans
849 RADIOTHERAPY $10,383 – $37,156 · median $23,769 2 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES — 2 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $10,383 – $34,882 · median $22,632 2 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $10,383 – $19,183 · median $14,783 2 plans
864 FEVER AND INFLAMMATORY CONDITIONS $10,383 – $16,176 · median $13,279 2 plans
865 VIRAL ILLNESS WITH MCC $10,383 – $31,901 · median $21,142 2 plans
866 VIRAL ILLNESS WITHOUT MCC $10,383 – $17,158 · median $13,770 2 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $10,383 – $40,304 · median $25,343 2 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $10,383 – $20,133 · median $15,258 2 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $10,383 – $14,127 · median $12,255 2 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $10,383 – $129,506 · median $69,944 2 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $13,790 – $60,955 · median $37,372 2 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $10,383 – $17,282 · median $13,832 2 plans
881 DEPRESSIVE NEUROSES $10,383 – $16,315 · median $13,349 2 plans
882 NEUROSES EXCEPT DEPRESSIVE $10,383 – $16,658 · median $13,520 2 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $10,383 – $30,789 · median $20,586 2 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $10,383 – $29,941 · median $20,162 2 plans
885 PSYCHOSES $10,383 – $24,706 · median $17,544 2 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $10,383 – $26,031 · median $18,207 2 plans
887 OTHER MENTAL DISORDER DIAGNOSES $10,383 – $24,725 · median $17,554 2 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $10,383 – $10,905 · median $10,644 2 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $10,383 – $29,725 · median $20,054 2 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $10,383 – $33,480 · median $21,931 2 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $10,383 – $16,235 · median $13,309 2 plans
913 TRAUMATIC INJURY WITH MCC $10,383 – $28,875 · median $19,629 2 plans
914 TRAUMATIC INJURY WITHOUT MCC $10,383 – $16,956 · median $13,669 2 plans
915 ALLERGIC REACTIONS WITH MCC $10,383 – $34,710 · median $22,546 2 plans
916 ALLERGIC REACTIONS WITHOUT MCC $10,383 – $12,667 · median $11,525 2 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,383 – $29,035 · median $19,709 2 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $10,383 – $15,594 · median $12,988 2 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $10,383 – $34,205 · median $22,294 2 plans
920 COMPLICATIONS OF TREATMENT WITH CC $10,383 – $19,486 · median $14,934 2 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $10,383 – $13,881 · median $12,132 2 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $10,383 – $29,670 · median $20,026 2 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $10,383 – $17,987 · median $14,185 2 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT — 2 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $8,580 – $13,790 · median $11,185 2 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $8,580 – $13,790 · median $11,185 2 plans
947 SIGNS AND SYMPTOMS WITH MCC $10,383 – $23,182 · median $16,782 2 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $10,383 – $14,829 · median $12,606 2 plans
949 AFTERCARE WITH CC/MCC $10,383 – $22,732 · median $16,557 2 plans
950 AFTERCARE WITHOUT CC/MCC $10,383 – $13,531 · median $11,957 2 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $10,383 – $10,855 · median $10,619 2 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $10,383 – $52,886 · median $31,634 2 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,383 – $27,929 · median $19,156 2 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $10,383 – $17,352 · median $13,867 2 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $10,383 – $54,790 · median $32,586 2 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,383 – $26,235 · median $18,309 2 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $10,383 – $17,598 · median $13,990 2 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,383 – $24,790 · median $17,586 2 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $213,456 – $213,456 · median $213,456 1 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $116,033 – $116,033 · median $116,033 1 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $83,340 – $83,340 · median $83,340 1 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $689,307 – $689,307 · median $689,307 1 plans
230 OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC $48,500 – $48,500 · median $48,500 1 plans
237 MAJOR CARDIOVASC PROCEDURES W MCC $48,500 – $48,500 · median $48,500 1 plans
238 MAJOR CARDIOVASC PROCEDURES W/O MCC $48,500 – $48,500 · median $48,500 1 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $50,661 – $50,661 · median $50,661 1 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $31,054 – $31,054 · median $31,054 1 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $22,883 – $22,883 · median $22,883 1 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $43,080 – $43,080 · median $43,080 1 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $27,713 – $27,713 · median $27,713 1 plans
767 VAGINAL DELIVERY W STERILIZATION &/OR D&C $5,400 – $5,400 · median $5,400 1 plans
774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES $5,400 – $5,400 · median $5,400 1 plans
775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES $5,400 – $5,400 · median $5,400 1 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $22,785 – $22,785 · median $22,785 1 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $13,359 – $13,359 · median $13,359 1 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $9,612 – $9,612 · median $9,612 1 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $10,383 – $10,383 · median $10,383 1 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $10,383 – $10,383 · median $10,383 1 plans
935 NON-EXTENSIVE BURNS $10,383 – $10,383 · median $10,383 1 plans
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