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 – $247,840 · median $109,387 14 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $19,109 – $247,840 · median $102,976 14 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $19,109 – $247,840 · median $99,146 14 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $19,109 – $247,840 · median $102,932 14 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $19,109 – $247,840 · median $94,443 14 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $19,109 – $247,840 · median $87,872 14 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC — 14 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $19,109 – $131,410 · median $85,299 14 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $19,109 – $193,083 · median $96,844 14 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $19,109 – $200,094 · median $96,844 14 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $19,109 – $80,423 · median $34,028 14 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $19,109 – $80,423 · median $34,028 14 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $19,109 – $80,423 · median $34,028 14 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $19,109 – $80,423 · median $34,028 14 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $19,109 – $80,423 · median $34,028 14 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $48,500 – $175,053 · median $101,993 13 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $48,500 – $175,053 · median $96,875 13 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $48,500 – $175,053 · median $87,363 13 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $48,500 – $175,053 · median $87,363 13 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $14,000 – $99,686 · median $41,838 13 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $14,000 – $99,686 · median $35,647 13 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $19,109 – $79,284 · median $30,949 13 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $12,500 – $51,377 · median $30,646 13 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $12,500 – $39,966 · median $24,682 13 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $10,000 – $97,973 · median $45,414 13 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $10,000 – $67,728 · median $43,252 13 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $10,000 – $55,056 · median $45,421 13 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $7,000 – $60,359 · median $43,288 13 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $7,000 – $52,083 · median $35,712 13 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $18,970 – $63,837 · median $23,890 12 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $18,970 – $51,464 · median $23,890 12 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $24,786 – $80,423 · median $45,112 12 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $24,786 – $80,423 · median $42,287 12 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $24,786 – $80,423 · median $38,148 12 plans
245 AICD GENERATOR PROCEDURES $24,786 – $91,079 · median $43,342 12 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $21,517 – $79,284 · median $34,151 12 plans
253 OTHER VASCULAR PROCEDURES WITH CC $21,517 – $79,284 · median $35,710 12 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $18,496 – $157,823 · median $44,957 12 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $18,496 – $92,586 · median $44,957 12 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $23,276 – $85,139 · median $50,057 12 plans
471 CERVICAL SPINAL FUSION WITH MCC $16,641 – $94,086 · median $31,142 12 plans
472 CERVICAL SPINAL FUSION WITH CC $16,641 – $92,586 · median $31,145 12 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $16,641 – $92,586 · median $31,314 12 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $15,383 – $25,203 · median $20,650 12 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $18,793 – $33,661 · median $22,310 12 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $15,184 – $21,866 · median $20,650 12 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $77,752 – $267,642 · median $131,410 11 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $77,752 – $247,840 · median $131,410 11 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $77,752 – $193,010 · median $129,274 11 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $77,752 – $136,089 · median $87,363 11 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $77,752 – $144,066 · median $95,498 11 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $65,074 – $136,089 · median $87,363 11 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $48,498 – $136,089 · median $87,363 11 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $31,726 – $99,686 · median $74,959 11 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $31,726 – $99,686 · median $52,998 11 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $25,800 – $56,396 · median $45,907 11 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $25,800 – $52,083 · median $40,588 11 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $48,500 – $192,453 · median $87,363 10 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $18,496 – $112,761 · median $63,244 10 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $32,141 – $173,776 · median $44,125 9 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $32,141 – $134,105 · median $44,125 9 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $18,970 – $134,105 · median $44,125 9 plans
028 SPINAL PROCEDURES WITH MCC $18,197 – $109,786 · median $28,551 9 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $18,970 – $76,976 · median $28,551 9 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $23,276 – $119,830 · median $28,989 9 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $18,500 – $54,014 · median $37,398 9 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $18,500 – $42,019 · median $31,917 9 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $18,500 – $42,019 · median $31,917 9 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $16,641 – $55,402 · median $18,758 8 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $16,641 – $40,389 · median $18,758 8 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $16,641 – $69,630 · median $23,625 8 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $16,641 – $42,766 · median $23,625 8 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $16,641 – $42,766 · median $23,170 8 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $20,188 – $36,900 · median $29,980 8 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $17,189 – $31,289 · median $25,421 8 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $15,282 – $27,733 · median $25,410 8 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $38,057 – $85,567 · median $63,208 7 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $38,057 – $85,567 · median $56,476 7 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $38,057 – $85,567 · median $46,612 7 plans
265 AICD LEAD PROCEDURES $35,080 – $80,423 · median $45,898 7 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $19,109 – $199,464 · median $87,363 7 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $48,500 – $119,562 · median $83,801 6 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $48,500 – $93,782 · median $83,801 6 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ AR $14,000 – $55,951 · median $34,194 6 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $14,000 – $35,668 · median $34,194 6 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4 $14,000 – $56,220 · median $34,194 6 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $14,000 – $34,194 · median $34,064 6 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $31,726 – $93,404 · median $35,647 6 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $31,726 – $93,404 · median $35,647 6 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $24,617 – $55,313 · median $44,744 6 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $20,004 – $33,667 · median $20,782 6 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK $74,582 – $143,018 · median $83,801 5 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK $74,582 – $97,480 · median $83,801 5 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH $74,582 – $132,419 · median $83,801 5 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH $74,582 – $94,473 · median $83,801 5 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $19,109 – $198,127 · median $87,363 5 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $19,109 – $202,782 · median $87,363 5 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $12,513 – $86,359 · median $38,852 5 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,513 – $45,864 · median $38,852 5 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,513 – $41,990 · median $38,075 5 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $30,332 – $171,003 · median $34,080 5 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $30,332 – $113,772 · median $34,080 5 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $30,332 – $123,898 · median $34,080 5 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $30,332 – $70,345 · median $34,080 5 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,513 – $37,113 · median $36,371 5 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $12,513 – $37,113 · median $36,371 5 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $12,513 – $37,113 · median $36,371 5 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $8,982 – $16,644 · median $12,089 5 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $4,959 – $18,000 · median $16,363 5 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $4,959 – $18,000 · median $16,363 5 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $4,959 – $18,000 · median $16,363 5 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $4,959 – $18,000 · median $16,363 5 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $4,959 – $18,000 · median $16,363 5 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $4,959 – $18,000 · median $16,363 5 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $85,567 – $110,224 · median $98,996 4 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $73,760 – $110,208 · median $88,245 4 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $28,551 – $50,711 · median $40,107 4 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $28,551 – $50,051 · median $36,509 4 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $80,443 – $131,410 · median $102,818 4 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $46,163 – $131,410 · median $58,864 4 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $20,411 – $41,990 · median $38,464 4 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $10,071 – $16,644 · median $14,367 4 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $10,071 – $16,644 · median $14,367 4 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $10,071 – $16,644 · median $14,367 4 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $10,071 – $16,644 · median $14,367 4 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $10,071 – $16,644 · median $14,367 4 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $10,071 – $16,644 · median $14,367 4 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH $12,513 – $588,627 · median $378,009 3 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC $12,513 – $363,881 · median $256,494 3 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $8,817 – $74,705 · median $10,688 3 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $8,817 – $42,659 · median $10,688 3 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $8,817 – $35,130 · median $10,688 3 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $14,578 – $63,004 · median $17,670 3 plans
038 EXTRACRANIAL PROCEDURES WITH CC $14,578 – $30,550 · median $17,670 3 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $15,272 – $21,531 · median $18,512 3 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $70,764 – $99,667 · median $82,225 3 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $43,673 – $100,359 · median $82,796 3 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $34,551 – $99,353 · median $81,966 3 plans
263 VEIN LIGATION AND STRIPPING $29,812 – $52,040 · median $36,136 3 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $61,822 – $84,799 · median $69,959 3 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $19,109 – $37,353 · median $30,817 3 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $19,109 – $56,112 · median $46,293 3 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $26,169 – $31,720 · median $30,006 3 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $17,159 – $29,074 · median $23,986 3 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $13,387 – $29,074 · median $23,986 3 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $16,791 – $35,838 · median $20,353 3 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $13,737 – $20,353 · median $16,791 3 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $10,120 – $20,089 · median $16,573 3 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $46,686 – $56,590 · median $50,368 3 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $30,019 – $55,854 · median $46,080 3 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $22,521 – $55,854 · median $46,080 3 plans
291 HEART FAILURE AND SHOCK WITH MCC $23,905 – $34,672 · median $28,604 3 plans
292 HEART FAILURE AND SHOCK WITH CC $16,116 – $26,250 · median $21,656 3 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $10,466 – $26,250 · median $21,656 3 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $21,742 – $28,728 · median $26,354 3 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $15,745 – $19,260 · median $19,085 3 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $13,378 – $17,599 · median $14,519 3 plans
313 CHEST PAIN $12,458 – $15,100 · median $13,512 3 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $34,080 – $89,435 · median $34,080 3 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $38,127 – $97,908 · median $46,214 3 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $38,127 – $55,798 · median $46,214 3 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $37,222 – $46,214 · median $38,127 3 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,513 – $63,561 · median $19,109 3 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $12,513 – $43,875 · median $19,109 3 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,513 – $33,032 · median $19,109 3 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $30,748 – $38,405 · median $31,684 3 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $25,404 – $60,725 · median $30,793 3 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $25,404 – $38,964 · median $30,793 3 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $25,404 – $30,793 · median $29,961 3 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $19,629 – $42,386 · median $23,793 3 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $19,629 – $24,834 · median $23,793 3 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $27,637 – $65,113 · median $33,500 3 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $29,874 – $44,378 · median $36,211 3 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $13,594 – $69,381 · median $16,477 3 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $13,594 – $39,220 · median $16,477 3 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $14,243 – $28,424 · median $17,265 3 plans
503 FOOT PROCEDURES WITH MCC $19,440 – $47,320 · median $23,564 3 plans
504 FOOT PROCEDURES WITH CC $19,440 – $33,151 · median $23,564 3 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $19,445 – $33,002 · median $23,570 3 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $20,360 – $34,646 · median $24,679 3 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $17,815 – $27,051 · median $21,593 3 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $19,434 – $53,947 · median $23,556 3 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $19,434 – $36,966 · median $23,556 3 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $17,638 – $30,008 · median $21,379 3 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $41,086 – $58,237 · median $49,802 3 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $37,989 – $47,536 · median $39,217 3 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $28,203 – $46,917 · median $38,706 3 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $47,567 – $57,657 · median $48,134 3 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $25,890 – $31,382 · median $26,360 3 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $21,496 – $37,270 · median $26,056 3 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $46,247 – $72,891 · median $56,057 3 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $12,973 – $26,472 · median $15,725 3 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $9,391 – $45,988 · median $36,559 3 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,391 – $45,988 · median $19,202 3 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $233,810 – $283,406 · median $258,608 2 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $233,810 – $283,406 · median $258,608 2 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $15,066 – $100,525 · median $57,796 2 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $15,066 – $76,087 · median $45,576 2 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $15,066 – $55,044 · median $35,055 2 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $11,374 – $34,648 · median $23,011 2 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $11,374 – $19,906 · median $15,640 2 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $9,391 – $22,034 · median $15,712 2 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $9,391 – $16,018 · median $12,704 2 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $11,374 – $43,416 · median $27,395 2 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $11,374 – $25,330 · median $18,352 2 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $11,374 – $33,578 · median $22,476 2 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $11,374 – $22,255 · median $16,814 2 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $11,374 – $17,638 · median $14,506 2 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $11,374 – $57,074 · median $34,224 2 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $11,374 – $37,313 · median $24,343 2 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $11,374 – $30,769 · median $21,072 2 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $11,374 – $38,379 · median $24,877 2 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $11,374 – $19,781 · median $15,578 2 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $11,374 – $13,594 · median $12,484 2 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $11,374 – $27,521 · median $19,448 2 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $11,374 – $17,588 · median $14,481 2 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $11,374 – $15,529 · median $13,451 2 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $11,374 – $33,556 · median $22,465 2 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $11,374 – $20,805 · median $16,089 2 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $11,374 – $15,025 · median $13,199 2 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,374 – $29,179 · median $20,277 2 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $11,374 – $19,921 · median $15,648 2 plans
075 VIRAL MENINGITIS WITH CC/MCC $11,374 – $35,518 · median $23,446 2 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $11,374 – $19,215 · median $15,294 2 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $11,374 – $30,442 · median $20,908 2 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $11,374 – $19,322 · median $15,348 2 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $11,374 – $14,283 · median $12,829 2 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $11,374 – $39,699 · median $25,536 2 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $11,374 – $17,487 · median $14,430 2 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $11,374 – $44,087 · median $27,731 2 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $11,374 – $26,239 · median $18,806 2 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $11,374 – $17,837 · median $14,605 2 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $11,374 – $45,457 · median $28,416 2 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $11,374 – $25,295 · median $18,334 2 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $11,374 – $16,979 · median $14,176 2 plans
088 CONCUSSION WITH MCC $11,374 – $30,678 · median $21,026 2 plans
089 CONCUSSION WITH CC $11,374 – $22,726 · median $17,050 2 plans
090 CONCUSSION WITHOUT CC/MCC $11,374 – $16,019 · median $13,697 2 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $11,374 – $33,619 · median $22,496 2 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $11,374 – $19,351 · median $15,363 2 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $11,374 – $14,885 · median $13,129 2 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $11,374 – $69,547 · median $40,461 2 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $11,374 – $49,760 · median $30,567 2 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $11,374 – $44,457 · median $27,916 2 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $11,374 – $75,672 · median $43,523 2 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $11,374 – $40,563 · median $25,968 2 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $11,374 – $27,218 · median $19,296 2 plans
100 SEIZURES WITH MCC $11,374 – $37,387 · median $24,380 2 plans
101 SEIZURES WITHOUT MCC $11,374 – $17,545 · median $14,460 2 plans
102 HEADACHES WITH MCC $11,374 – $22,379 · median $16,877 2 plans
103 HEADACHES WITHOUT MCC $11,374 – $16,202 · median $13,788 2 plans
113 ORBITAL PROCEDURES WITH CC/MCC $15,066 – $43,698 · median $29,382 2 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $15,066 – $25,355 · median $20,211 2 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $15,066 – $29,565 · median $22,315 2 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $15,066 – $36,715 · median $25,891 2 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $15,066 – $19,322 · median $17,194 2 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $11,374 – $23,847 · median $17,610 2 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $11,374 – $13,444 · median $12,409 2 plans
123 NEUROLOGICAL EYE DISORDERS $11,374 – $15,449 · median $13,411 2 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $11,374 – $27,260 · median $19,317 2 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $11,374 – $16,778 · median $14,076 2 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $15,066 – $47,696 · median $31,381 2 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $15,066 – $22,582 · median $18,824 2 plans
137 MOUTH PROCEDURES WITH CC/MCC $15,066 – $29,185 · median $22,126 2 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $15,066 – $17,210 · median $16,138 2 plans
139 SALIVARY GLAND PROCEDURES $15,066 – $24,473 · median $19,770 2 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $15,066 – $80,890 · median $47,978 2 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $15,066 – $43,451 · median $29,258 2 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $15,066 – $33,118 · median $24,092 2 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $15,066 – $61,745 · median $38,406 2 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $15,066 – $35,213 · median $25,139 2 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $15,066 – $23,506 · median $19,286 2 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $9,391 – $31,998 · median $20,694 2 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,391 – $19,240 · median $14,315 2 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $11,374 – $15,912 · median $13,643 2 plans
149 DYSEQUILIBRIUM $11,374 – $14,694 · median $13,034 2 plans
150 EPISTAXIS WITH MCC $11,374 – $26,844 · median $19,109 2 plans
151 EPISTAXIS WITHOUT MCC $11,374 – $15,005 · median $13,190 2 plans
152 OTITIS MEDIA AND URI WITH MCC $11,374 – $23,310 · median $17,342 2 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $11,374 – $13,439 · median $12,406 2 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,374 – $29,249 · median $20,312 2 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $11,374 – $17,891 · median $14,633 2 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $11,374 – $13,267 · median $12,321 2 plans
157 DENTAL AND ORAL DISEASES WITH MCC $11,374 – $32,537 · median $21,955 2 plans
158 DENTAL AND ORAL DISEASES WITH CC $11,374 – $18,082 · median $14,728 2 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $11,374 – $14,595 · median $12,984 2 plans
163 MAJOR CHEST PROCEDURES WITH MCC $15,066 – $94,268 · median $54,667 2 plans
164 MAJOR CHEST PROCEDURES WITH CC $15,066 – $50,265 · median $32,665 2 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $15,066 – $37,501 · median $26,284 2 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $15,066 – $71,344 · median $43,205 2 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $15,066 – $36,999 · median $26,033 2 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $15,066 – $27,589 · median $21,328 2 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $11,374 – $27,185 · median $19,279 2 plans
176 PULMONARY EMBOLISM WITHOUT MCC $11,374 – $15,912 · median $13,643 2 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,374 – $34,640 · median $23,007 2 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $11,374 – $21,155 · median $16,265 2 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $11,374 – $15,285 · median $13,330 2 plans
180 RESPIRATORY NEOPLASMS WITH MCC $9,391 – $26,909 · median $18,150 2 plans
181 RESPIRATORY NEOPLASMS WITH CC $9,391 – $18,010 · median $13,700 2 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $9,391 – $14,099 · median $11,745 2 plans
183 MAJOR CHEST TRAUMA WITH MCC $11,374 – $29,236 · median $20,305 2 plans
184 MAJOR CHEST TRAUMA WITH CC $11,374 – $20,342 · median $15,858 2 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $11,374 – $14,694 · median $13,034 2 plans
186 PLEURAL EFFUSION WITH MCC $11,374 – $29,715 · median $20,544 2 plans
187 PLEURAL EFFUSION WITH CC $11,374 – $20,355 · median $15,865 2 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $11,374 – $14,090 · median $12,732 2 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $11,374 – $23,491 · median $17,432 2 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $11,374 – $21,126 · median $16,250 2 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $11,374 – $16,819 · median $14,097 2 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $11,374 – $12,691 · median $12,033 2 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $11,374 – $25,275 · median $18,325 2 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $11,374 – $16,352 · median $13,863 2 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $11,374 – $12,491 · median $11,932 2 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $11,374 – $33,819 · median $22,597 2 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $11,374 – $19,143 · median $15,258 2 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $11,374 – $13,836 · median $12,605 2 plans
199 PNEUMOTHORAX WITH MCC $11,374 – $34,226 · median $22,800 2 plans
200 PNEUMOTHORAX WITH CC $11,374 – $20,863 · median $16,119 2 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $11,374 – $14,166 · median $12,770 2 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $11,374 – $18,018 · median $14,696 2 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $11,374 – $12,983 · median $12,179 2 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $11,374 – $15,753 · median $13,563 2 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $11,374 – $34,662 · median $23,018 2 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $11,374 – $17,387 · median $14,381 2 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $11,374 – $127,786 · median $69,580 2 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $11,374 – $50,603 · median $30,989 2 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $15,066 – $90,500 · median $52,783 2 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $15,066 – $52,824 · median $33,945 2 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $15,066 – $30,145 · median $22,605 2 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $15,066 – $49,932 · median $32,499 2 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $15,066 – $31,766 · median $23,416 2 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $15,066 – $20,410 · median $17,738 2 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $11,374 – $22,469 · median $16,921 2 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $11,374 – $17,237 · median $14,306 2 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,374 – $31,885 · median $21,629 2 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $11,374 – $12,384 · median $11,879 2 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $9,507 – $11,374 · median $10,441 2 plans
302 ATHEROSCLEROSIS WITH MCC $11,374 – $23,467 · median $17,421 2 plans
303 ATHEROSCLEROSIS WITHOUT MCC $11,374 – $13,158 · median $12,266 2 plans
304 HYPERTENSION WITH MCC $11,374 – $21,381 · median $16,377 2 plans
305 HYPERTENSION WITHOUT MCC $11,374 – $14,511 · median $12,942 2 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,374 – $28,722 · median $20,048 2 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $11,374 – $17,738 · median $14,556 2 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $11,374 – $22,821 · median $17,098 2 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $11,374 – $14,355 · median $12,865 2 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $10,727 – $11,374 · median $11,051 2 plans
311 ANGINA PECTORIS $11,374 – $13,003 · median $12,188 2 plans
312 SYNCOPE AND COLLAPSE $11,374 – $16,595 · median $13,985 2 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $11,374 – $40,532 · median $25,953 2 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $11,374 – $18,849 · median $15,111 2 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $11,374 – $13,273 · median $12,324 2 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $112,917 – $136,868 · median $124,893 2 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $15,066 – $99,622 · median $57,344 2 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $15,066 – $49,848 · median $32,457 2 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $15,066 – $32,262 · median $23,664 2 plans
332 RECTAL RESECTION WITH MCC $15,066 – $79,022 · median $47,044 2 plans
333 RECTAL RESECTION WITH CC $12,513 – $35,475 · median $23,994 2 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,513 – $27,237 · median $19,875 2 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $15,066 – $71,694 · median $43,380 2 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $15,066 – $41,396 · median $28,231 2 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $15,066 – $30,662 · median $22,864 2 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $15,066 – $51,234 · median $33,150 2 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $15,066 – $30,195 · median $22,631 2 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $15,066 – $24,341 · median $19,704 2 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $15,066 – $49,398 · median $32,232 2 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $15,066 – $26,877 · median $20,972 2 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $15,066 – $19,408 · median $17,237 2 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $15,066 – $45,872 · median $30,469 2 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $15,066 – $28,613 · median $21,840 2 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $15,066 – $21,449 · median $18,258 2 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $15,066 – $55,813 · median $35,440 2 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $15,066 – $34,097 · median $24,582 2 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $15,066 – $26,708 · median $20,887 2 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $15,066 – $82,178 · median $48,622 2 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $15,066 – $43,716 · median $29,391 2 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $15,066 – $26,998 · median $21,032 2 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,374 – $34,140 · median $22,757 2 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $11,374 – $19,892 · median $15,633 2 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $11,374 – $14,571 · median $12,973 2 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $11,374 – $32,926 · median $22,150 2 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $11,374 – $19,812 · median $15,593 2 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $11,374 – $14,129 · median $12,752 2 plans
374 DIGESTIVE MALIGNANCY WITH MCC $9,391 – $31,666 · median $20,528 2 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,391 – $19,136 · median $14,264 2 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $9,391 – $13,945 · median $11,668 2 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $11,374 – $34,603 · median $22,989 2 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $11,374 – $19,170 · median $15,272 2 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $11,374 – $12,335 · median $11,855 2 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $11,374 – $37,058 · median $24,216 2 plans
381 COMPLICATED PEPTIC ULCER WITH CC $11,374 – $20,542 · median $15,958 2 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $11,374 – $14,982 · median $13,178 2 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $11,374 – $26,468 · median $18,921 2 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $11,374 – $17,547 · median $14,460 2 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,374 – $31,698 · median $21,536 2 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $11,374 – $19,263 · median $15,319 2 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $11,374 – $13,460 · median $12,417 2 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,374 – $28,559 · median $19,966 2 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $11,374 – $15,708 · median $13,541 2 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $11,006 – $11,374 · median $11,190 2 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $11,374 – $24,989 · median $18,182 2 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $11,374 – $15,328 · median $13,351 2 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,374 – $31,359 · median $21,367 2 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $11,374 – $18,353 · median $14,863 2 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,374 – $12,551 · median $11,963 2 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $34,624 – $41,968 · median $38,296 2 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $15,066 – $107,856 · median $61,461 2 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $15,066 – $57,018 · median $36,042 2 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $15,066 – $43,317 · median $29,191 2 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $15,066 – $71,416 · median $43,241 2 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $15,066 – $41,481 · median $28,274 2 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $15,066 – $33,041 · median $24,053 2 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $15,066 – $65,747 · median $40,406 2 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $15,066 – $44,679 · median $29,872 2 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $15,066 – $31,536 · median $23,301 2 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $15,066 – $68,792 · median $41,929 2 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $15,066 – $38,924 · median $26,995 2 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $15,066 – $26,788 · median $20,927 2 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $15,066 – $46,275 · median $30,670 2 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $15,066 – $32,326 · median $23,696 2 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $15,066 – $25,398 · median $20,232 2 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $15,066 – $63,469 · median $39,268 2 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $15,066 – $35,257 · median $25,162 2 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $15,066 – $26,967 · median $21,016 2 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $15,066 – $76,523 · median $45,794 2 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $15,066 – $46,098 · median $30,582 2 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $15,066 – $27,842 · median $21,454 2 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $92,709 – $112,374 · median $102,542 2 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $62,860 – $76,194 · median $69,527 2 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $48,712 – $59,045 · median $53,879 2 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $73,816 – $89,473 · median $81,645 2 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $48,415 – $58,684 · median $53,550 2 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $11,374 – $36,748 · median $24,061 2 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $11,374 – $20,237 · median $15,805 2 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $11,374 – $12,216 · median $11,795 2 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $9,391 – $27,772 · median $18,581 2 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $9,391 – $17,481 · median $13,436 2 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $9,391 – $13,438 · median $11,414 2 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $11,374 – $32,256 · median $21,815 2 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $11,374 – $16,928 · median $14,151 2 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $11,374 – $11,802 · median $11,588 2 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $11,374 – $36,877 · median $24,125 2 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $11,374 – $18,411 · median $14,893 2 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $11,374 – $12,687 · median $12,031 2 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,374 – $32,398 · median $21,886 2 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $11,374 – $21,400 · median $16,387 2 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $11,374 – $15,797 · median $13,586 2 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL $59,338 – $71,924 · median $65,631 2 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $36,140 – $43,805 · median $39,973 2 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY $45,579 – $55,247 · median $50,413 2 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $27,312 – $33,105 · median $30,209 2 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $15,066 – $79,734 · median $47,400 2 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $15,066 – $43,229 · median $29,147 2 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $15,066 – $23,890 · median $19,478 2 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $15,066 – $45,884 · median $30,475 2 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $15,066 – $49,883 · median $32,475 2 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $15,066 – $25,665 · median $20,365 2 plans
500 SOFT TISSUE PROCEDURES WITH MCC $15,066 – $62,366 · median $38,716 2 plans
501 SOFT TISSUE PROCEDURES WITH CC $15,066 – $34,210 · median $24,638 2 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $15,066 – $26,751 · median $20,908 2 plans
506 MAJOR THUMB OR JOINT PROCEDURES $15,066 – $27,438 · median $21,252 2 plans
509 ARTHROSCOPY $15,066 – $29,541 · median $22,304 2 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $15,066 – $31,022 · median $23,044 2 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $15,066 – $20,098 · median $17,582 2 plans
533 FRACTURES OF FEMUR WITH MCC $11,374 – $27,759 · median $19,566 2 plans
534 FRACTURES OF FEMUR WITHOUT MCC $11,374 – $15,490 · median $13,432 2 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $11,374 – $25,096 · median $18,235 2 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $11,374 – $15,124 · median $13,249 2 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $11,374 – $19,334 · median $15,354 2 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $11,374 – $13,549 · median $12,462 2 plans
539 OSTEOMYELITIS WITH MCC $11,374 – $38,844 · median $25,109 2 plans
540 OSTEOMYELITIS WITH CC $11,374 – $26,208 · median $18,791 2 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $11,374 – $15,920 · median $13,647 2 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $11,374 – $35,577 · median $23,475 2 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $11,374 – $21,194 · median $16,284 2 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $11,374 – $15,143 · median $13,259 2 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $11,374 – $48,822 · median $30,098 2 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $11,374 – $23,463 · median $17,419 2 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,374 – $17,804 · median $14,589 2 plans
548 SEPTIC ARTHRITIS WITH MCC $11,374 – $37,754 · median $24,564 2 plans
549 SEPTIC ARTHRITIS WITH CC $11,374 – $23,582 · median $17,478 2 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $11,374 – $20,402 · median $15,888 2 plans
551 MEDICAL BACK PROBLEMS WITH MCC $11,374 – $32,568 · median $21,971 2 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $11,374 – $18,693 · median $15,034 2 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $11,374 – $25,805 · median $18,589 2 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $11,374 – $15,963 · median $13,668 2 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $11,374 – $25,908 · median $18,641 2 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $11,374 – $15,725 · median $13,550 2 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,374 – $27,868 · median $19,621 2 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $11,374 – $16,912 · median $14,143 2 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $11,374 – $34,740 · median $23,057 2 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $11,374 – $21,323 · median $16,348 2 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $11,374 – $15,379 · median $13,376 2 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $11,374 – $28,469 · median $19,922 2 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $11,374 – $16,761 · median $14,067 2 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $11,374 – $30,230 · median $20,802 2 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $11,374 – $19,217 · median $15,295 2 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $11,374 – $14,454 · median $12,914 2 plans
570 SKIN DEBRIDEMENT WITH MCC $15,066 – $56,773 · median $35,919 2 plans
571 SKIN DEBRIDEMENT WITH CC $15,066 – $32,085 · median $23,576 2 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $15,066 – $23,424 · median $19,245 2 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $15,066 – $114,252 · median $64,659 2 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $15,066 – $70,153 · median $42,609 2 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $15,066 – $39,889 · median $27,478 2 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $15,066 – $109,941 · median $62,503 2 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $15,066 – $50,965 · median $33,016 2 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $15,066 – $61,338 · median $38,202 2 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $15,066 – $33,790 · median $24,428 2 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $12,513 – $30,736 · median $21,625 2 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,513 – $24,001 · median $18,257 2 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $15,066 – $41,567 · median $28,316 2 plans
592 SKIN ULCERS WITH MCC $11,374 – $34,720 · median $23,047 2 plans
593 SKIN ULCERS WITH CC $11,374 – $22,418 · median $16,896 2 plans
594 SKIN ULCERS WITHOUT CC/MCC $11,374 – $15,062 · median $13,218 2 plans
595 MAJOR SKIN DISORDERS WITH MCC $11,374 – $41,676 · median $26,525 2 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $11,374 – $21,249 · median $16,311 2 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $9,391 – $26,752 · median $18,072 2 plans
598 MALIGNANT BREAST DISORDERS WITH CC $9,391 – $16,968 · median $13,179 2 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $11,374 – $14,550 · median $12,962 2 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $11,374 – $20,262 · median $15,818 2 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $11,374 – $13,699 · median $12,537 2 plans
602 CELLULITIS WITH MCC $11,374 – $28,049 · median $19,711 2 plans
603 CELLULITIS WITHOUT MCC $11,374 – $17,162 · median $14,268 2 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,374 – $29,372 · median $20,373 2 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $11,374 – $17,718 · median $14,546 2 plans
606 MINOR SKIN DISORDERS WITH MCC $11,374 – $29,872 · median $20,623 2 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $11,374 – $16,508 · median $13,941 2 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $15,066 – $45,734 · median $30,400 2 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $15,066 – $28,722 · median $21,894 2 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $15,066 – $73,265 · median $44,165 2 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $15,066 – $37,834 · median $26,450 2 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $15,066 – $22,827 · median $18,946 2 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $15,066 – $70,474 · median $42,770 2 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $15,066 – $36,678 · median $25,872 2 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $15,066 – $19,248 · median $17,157 2 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $15,066 – $55,996 · median $35,531 2 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $15,066 – $31,513 · median $23,289 2 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $15,066 – $24,832 · median $19,949 2 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $15,066 – $70,935 · median $43,001 2 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $15,066 – $43,669 · median $29,367 2 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $15,066 – $27,329 · median $21,197 2 plans
637 DIABETES WITH MCC $11,374 – $27,163 · median $19,269 2 plans
638 DIABETES WITH CC $11,374 – $17,049 · median $14,211 2 plans
639 DIABETES WITHOUT CC/MCC $11,374 – $11,693 · median $11,533 2 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $11,374 – $24,625 · median $18,000 2 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $11,374 – $14,990 · median $13,182 2 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $11,374 – $27,311 · median $19,343 2 plans
643 ENDOCRINE DISORDERS WITH MCC $11,374 – $31,990 · median $21,682 2 plans
644 ENDOCRINE DISORDERS WITH CC $11,374 – $19,834 · median $15,604 2 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $11,374 – $14,452 · median $12,913 2 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $15,066 – $108,145 · median $61,605 2 plans
654 MAJOR BLADDER PROCEDURES WITH CC $15,066 – $55,321 · median $35,193 2 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $15,066 – $42,013 · median $28,539 2 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $12,513 – $52,508 · median $32,511 2 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $12,513 – $29,834 · median $21,173 2 plans
662 MINOR BLADDER PROCEDURES WITH MCC $15,066 – $59,139 · median $37,103 2 plans
663 MINOR BLADDER PROCEDURES WITH CC $15,066 – $29,680 · median $22,373 2 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $15,066 – $21,928 · median $18,497 2 plans
665 PROSTATECTOMY WITH MCC $15,066 – $59,560 · median $37,313 2 plans
666 PROSTATECTOMY WITH CC $15,066 – $33,512 · median $24,289 2 plans
667 PROSTATECTOMY WITHOUT CC/MCC $15,066 – $19,149 · median $17,107 2 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $15,066 – $54,939 · median $35,003 2 plans
669 TRANSURETHRAL PROCEDURES WITH CC $15,066 – $30,637 · median $22,852 2 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $15,066 – $19,219 · median $17,142 2 plans
671 URETHRAL PROCEDURES WITH CC/MCC $15,066 – $35,645 · median $25,355 2 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $15,066 – $20,274 · median $17,670 2 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $15,066 – $68,000 · median $41,533 2 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $15,066 – $46,135 · median $30,600 2 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $15,066 – $32,821 · median $23,943 2 plans
682 RENAL FAILURE WITH MCC $11,374 – $28,932 · median $20,153 2 plans
683 RENAL FAILURE WITH CC $11,374 – $17,417 · median $14,395 2 plans
684 RENAL FAILURE WITHOUT CC/MCC $11,374 – $11,771 · median $11,572 2 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $9,391 – $26,971 · median $18,181 2 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $9,391 – $16,518 · median $12,955 2 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $11,374 – $16,862 · median $14,118 2 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $11,374 – $22,325 · median $16,849 2 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $11,374 – $15,484 · median $13,429 2 plans
693 URINARY STONES WITH MCC $10,935 – $13,255 · median $12,095 2 plans
694 URINARY STONES WITHOUT MCC $10,935 – $13,255 · median $12,095 2 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $11,374 – $22,348 · median $16,861 2 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $11,374 – $13,487 · median $12,431 2 plans
697 URETHRAL STRICTURE $11,374 – $19,314 · median $15,344 2 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,374 – $31,188 · median $21,281 2 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $11,374 – $19,697 · median $15,536 2 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $11,374 – $14,417 · median $12,896 2 plans
709 PENIS PROCEDURES WITH CC/MCC $15,066 – $46,942 · median $31,004 2 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $15,066 – $28,053 · median $21,559 2 plans
711 TESTES PROCEDURES WITH CC/MCC $15,066 – $39,769 · median $27,417 2 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $15,066 – $24,164 · median $19,615 2 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $15,066 – $28,841 · median $21,953 2 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $15,066 – $18,648 · median $16,857 2 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $15,066 – $43,463 · median $29,264 2 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $15,066 – $25,579 · median $20,322 2 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $15,066 – $34,454 · median $24,760 2 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $15,066 – $24,697 · median $19,882 2 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $9,391 – $26,970 · median $18,180 2 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,391 – $18,307 · median $13,849 2 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,374 – $14,890 · median $13,132 2 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $11,374 – $24,314 · median $17,844 2 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $11,374 – $15,017 · median $13,195 2 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,374 – $27,963 · median $19,669 2 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $11,374 – $15,992 · median $13,683 2 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $11,374 – $20,976 · median $16,175 2 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,374 – $12,763 · median $12,069 2 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $15,066 – $42,528 · median $28,797 2 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $15,066 – $24,760 · median $19,913 2 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $15,066 – $83,009 · median $49,038 2 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $15,066 – $39,381 · median $27,224 2 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $15,066 – $27,321 · median $21,193 2 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $15,066 – $36,945 · median $26,005 2 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $15,066 – $22,397 · median $18,731 2 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $15,066 – $30,427 · median $22,746 2 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $15,066 – $19,046 · median $17,056 2 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $15,066 – $49,165 · median $32,115 2 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $15,066 – $27,772 · median $21,419 2 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,391 – $27,592 · median $18,492 2 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,391 – $17,174 · median $13,283 2 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,374 – $19,400 · median $15,387 2 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,374 – $26,706 · median $19,040 2 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $11,374 – $18,596 · median $14,985 2 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,374 – $12,074 · median $11,724 2 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $11,374 – $18,812 · median $15,093 2 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $11,010 – $11,374 · median $11,192 2 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $15,066 – $32,332 · median $23,699 2 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $15,066 – $16,850 · median $15,958 2 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $11,374 – $13,567 · median $12,470 2 plans
779 ABORTION WITHOUT D&C $11,374 – $19,824 · median $15,599 2 plans
799 SPLENIC PROCEDURES WITH MCC $15,066 – $101,352 · median $58,209 2 plans
800 SPLENIC PROCEDURES WITH CC $15,066 – $51,740 · median $33,403 2 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $15,066 – $34,954 · median $25,010 2 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $15,066 – $74,189 · median $44,628 2 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $15,066 – $39,961 · median $27,514 2 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $15,066 – $24,557 · median $19,812 2 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $11,374 – $41,668 · median $26,521 2 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $11,374 – $23,660 · median $17,517 2 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $11,374 – $18,271 · median $14,822 2 plans
811 RED BLOOD CELL DISORDERS WITH MCC $11,374 – $27,058 · median $19,216 2 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $11,374 – $17,477 · median $14,425 2 plans
813 COAGULATION DISORDERS $11,374 – $30,460 · median $20,917 2 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $11,374 – $36,571 · median $23,973 2 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $11,374 – $20,067 · median $15,721 2 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $11,374 – $14,188 · median $12,781 2 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $12,513 – $84,475 · median $48,494 2 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $15,066 – $42,085 · median $28,575 2 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,513 – $19,143 · median $15,828 2 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $12,513 – $68,729 · median $40,621 2 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $12,513 – $36,384 · median $24,448 2 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $12,513 – $20,916 · median $16,714 2 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $12,513 – $81,684 · median $47,099 2 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $12,513 – $38,678 · median $25,595 2 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $12,513 – $27,627 · median $20,070 2 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $12,513 – $50,274 · median $31,394 2 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $12,513 – $23,360 · median $17,937 2 plans
834 ACUTE LEUKEMIA WITH MCC $9,391 – $87,850 · median $48,620 2 plans
835 ACUTE LEUKEMIA WITH CC $9,391 – $33,315 · median $21,353 2 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $9,391 – $24,922 · median $17,156 2 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $9,391 – $85,502 · median $47,446 2 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $9,391 – $35,332 · median $22,362 2 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,391 – $21,838 · median $15,615 2 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $9,391 – $49,358 · median $29,374 2 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $9,391 – $25,335 · median $17,363 2 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $9,391 – $17,533 · median $13,462 2 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $9,391 – $30,778 · median $20,084 2 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $9,391 – $18,120 · median $13,755 2 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $11,374 – $16,455 · median $13,915 2 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $9,391 – $38,269 · median $23,830 2 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,391 – $19,351 · median $14,371 2 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,391 – $14,760 · median $12,075 2 plans
849 RADIOTHERAPY $9,391 – $37,156 · median $23,273 2 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $15,066 – $95,383 · median $55,225 2 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $15,066 – $40,006 · median $27,536 2 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $15,066 – $29,732 · median $22,399 2 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $15,066 – $85,880 · median $50,473 2 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $15,066 – $41,045 · median $28,056 2 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $15,066 – $27,531 · median $21,298 2 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $11,374 – $35,598 · median $23,486 2 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $11,374 – $19,577 · median $15,475 2 plans
864 FEVER AND INFLAMMATORY CONDITIONS $11,374 – $16,508 · median $13,941 2 plans
865 VIRAL ILLNESS WITH MCC $11,374 – $32,556 · median $21,965 2 plans
866 VIRAL ILLNESS WITHOUT MCC $11,374 – $17,510 · median $14,442 2 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $11,374 – $41,131 · median $26,252 2 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $11,374 – $20,546 · median $15,960 2 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $11,374 – $14,417 · median $12,896 2 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $11,374 – $132,165 · median $71,769 2 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $15,066 – $62,206 · median $38,636 2 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $11,374 – $17,636 · median $14,505 2 plans
881 DEPRESSIVE NEUROSES $11,374 – $16,650 · median $14,012 2 plans
882 NEUROSES EXCEPT DEPRESSIVE $11,374 – $17,000 · median $14,187 2 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $11,374 – $31,421 · median $21,398 2 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $11,374 – $30,555 · median $20,965 2 plans
885 PSYCHOSES $11,374 – $25,213 · median $18,294 2 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $11,374 – $26,566 · median $18,970 2 plans
887 OTHER MENTAL DISORDER DIAGNOSES $11,374 – $25,232 · median $18,303 2 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $11,128 – $11,374 · median $11,251 2 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $11,374 – $30,335 · median $20,855 2 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $11,374 – $34,167 · median $22,771 2 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $11,374 – $16,568 · median $13,971 2 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $15,066 – $85,606 · median $50,336 2 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $15,066 – $38,570 · median $26,818 2 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $15,066 – $23,658 · median $19,362 2 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $15,066 – $69,127 · median $42,097 2 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $15,066 – $30,359 · median $22,712 2 plans
906 HAND PROCEDURES FOR INJURIES $15,066 – $34,794 · median $24,930 2 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $15,066 – $75,234 · median $45,150 2 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $15,066 – $40,024 · median $27,545 2 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $15,066 – $26,560 · median $20,813 2 plans
913 TRAUMATIC INJURY WITH MCC $11,374 – $29,467 · median $20,421 2 plans
914 TRAUMATIC INJURY WITHOUT MCC $11,374 – $17,304 · median $14,339 2 plans
915 ALLERGIC REACTIONS WITH MCC $11,374 – $35,423 · median $23,398 2 plans
916 ALLERGIC REACTIONS WITHOUT MCC $11,374 – $12,927 · median $12,150 2 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $11,374 – $29,631 · median $20,502 2 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $11,374 – $15,914 · median $13,644 2 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $11,374 – $34,907 · median $23,141 2 plans
920 COMPLICATIONS OF TREATMENT WITH CC $11,374 – $19,886 · median $15,630 2 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $11,374 – $14,166 · median $12,770 2 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $11,374 – $30,279 · median $20,826 2 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $11,374 – $18,357 · median $14,865 2 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $15,066 – $60,276 · median $37,671 2 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $15,066 – $42,881 · median $28,973 2 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $15,066 – $36,733 · median $25,899 2 plans
947 SIGNS AND SYMPTOMS WITH MCC $11,374 – $23,658 · median $17,516 2 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $11,374 – $15,134 · median $13,254 2 plans
949 AFTERCARE WITH CC/MCC $11,374 – $23,199 · median $17,286 2 plans
950 AFTERCARE WITHOUT CC/MCC $11,374 – $13,808 · median $12,591 2 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $11,078 – $11,374 · median $11,226 2 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $15,066 – $131,096 · median $73,081 2 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $15,066 – $74,037 · median $44,552 2 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $15,066 – $144,223 · median $79,645 2 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $15,066 – $81,166 · median $48,116 2 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $15,066 – $49,992 · median $32,529 2 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $11,374 – $53,972 · median $32,673 2 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,374 – $28,502 · median $19,938 2 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $11,374 – $17,708 · median $14,541 2 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $15,066 – $141,053 · median $78,059 2 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $15,066 – $60,106 · median $37,586 2 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $11,374 – $55,914 · median $33,644 2 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $11,374 – $26,774 · median $19,074 2 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $11,374 – $17,960 · median $14,667 2 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $11,374 – $25,299 · median $18,336 2 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $15,066 – $89,144 · median $52,105 2 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,066 – $48,815 · median $31,940 2 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $15,066 – $32,505 · median $23,786 2 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $15,066 – $64,583 · median $39,824 2 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,066 – $33,015 · median $24,041 2 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $15,066 – $21,455 · median $18,260 2 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $222,003 – $222,003 · median $222,003 1 plans
006 LIVER TRANSPLANT WITHOUT MCC $93,599 – $93,599 · median $93,599 1 plans
007 LUNG TRANSPLANT $237,578 – $237,578 · median $237,578 1 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $108,814 – $108,814 · median $108,814 1 plans
010 PANCREAS TRANSPLANT $80,705 – $80,705 · median $80,705 1 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $217,838 – $217,838 · median $217,838 1 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $118,415 – $118,415 · median $118,415 1 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $85,051 – $85,051 · median $85,051 1 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $703,458 – $703,458 · median $703,458 1 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $138,854 – $138,854 · median $138,854 1 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $15,066 – $15,066 · median $15,066 1 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES — 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
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $15,066 – $15,066 · median $15,066 1 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $15,066 – $15,066 · median $15,066 1 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $15,066 – $15,066 · median $15,066 1 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $51,701 – $51,701 · median $51,701 1 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $31,692 – $31,692 · median $31,692 1 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $23,352 – $23,352 · median $23,352 1 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $43,965 – $43,965 · median $43,965 1 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $28,282 – $28,282 · median $28,282 1 plans
397 APPENDIX PROCEDURES WITH MCC $15,066 – $15,066 · median $15,066 1 plans
398 APPENDIX PROCEDURES WITH CC $15,066 – $15,066 · median $15,066 1 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $15,066 – $15,066 · median $15,066 1 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $90,380 – $90,380 · median $90,380 1 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $69,016 – $69,016 · median $69,016 1 plans
652 KIDNEY TRANSPLANT $60,042 – $60,042 · median $60,042 1 plans
765 CESAREAN SECTION W CC/MCC $7,300 – $7,300 · median $7,300 1 plans
766 CESAREAN SECTION W/O CC/MCC $7,300 – $7,300 · median $7,300 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
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $60,912 – $60,912 · median $60,912 1 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $30,947 – $30,947 · median $30,947 1 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $17,292 – $17,292 · median $17,292 1 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $23,253 – $23,253 · median $23,253 1 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $13,633 – $13,633 · median $13,633 1 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $9,809 – $9,809 · median $9,809 1 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES — 1 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT — 1 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $15,066 – $15,066 · median $15,066 1 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $15,066 – $15,066 · median $15,066 1 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $11,374 – $11,374 · median $11,374 1 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $11,374 – $11,374 · median $11,374 1 plans
935 NON-EXTENSIVE BURNS $11,374 – $11,374 · median $11,374 1 plans
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