Greater El Monte Community Hospital — Pricing

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

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

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

Showing all 766 procedures

Procedures with negotiated rates only

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

DRG Description Insurance rate range Payers
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $1,000 – $20,504 · median $11,909 68 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $1,200 – $46,975 · median $26,215 68 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $1,200 – $20,284 · median $11,790 68 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $1,200 – $18,326 · median $10,733 68 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $1,200 – $31,561 · median $17,885 68 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $1,200 – $21,368 · median $12,377 68 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $1,200 – $18,345 · median $10,743 68 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $1,000 – $22,329 · median $12,896 67 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $1,000 – $19,141 · median $11,173 67 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $1,000 – $18,313 · median $10,725 67 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $1,000 – $20,649 · median $11,988 67 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $1,000 – $14,427 · median $8,625 67 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 62 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC — 62 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,000 – $22,945 · median $13,229 62 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $1,000 – $32,332 · median $18,301 57 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,250 – $12,900 · median $7,924 57 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,000 – $16,453 · median $9,720 57 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $1,000 – $23,008 · median $13,263 57 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $1,700 – $190,514 · median $104,824 56 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $2,600 – $187,181 · median $103,005 56 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $4,200 – $161,295 · median $88,873 56 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $2,700 – $116,000 · median $64,146 56 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $2,600 – $146,281 · median $80,677 56 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $2,600 – $104,522 · median $57,880 56 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $2,000 – $41,759 · median $23,617 56 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $2,000 – $28,595 · median $16,430 56 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $1,700 – $42,339 · median $23,933 56 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $1,700 – $20,475 · median $11,997 56 plans
471 CERVICAL SPINAL FUSION WITH MCC — 56 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 56 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $2,600 – $91,092 · median $51,041 55 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $2,000 – $100,955 · median $56,480 55 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $1,700 – $536,200 · median $296,487 54 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 54 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $2,000 – $61,090 · median $34,497 54 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $2,000 – $60,120 · median $33,963 54 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $2,000 – $38,690 · median $22,146 54 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $1,700 – $136,431 · median $76,042 54 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $1,700 – $30,692 · median $17,735 54 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $2,000 – $46,022 · median $26,189 54 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $2,000 – $61,427 · median $34,683 54 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $1,700 – $15,318 · median $9,258 54 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,700 – $22,582 · median $13,263 54 plans
500 SOFT TISSUE PROCEDURES WITH MCC $1,700 – $60,554 · median $34,202 54 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $1,700 – $15,892 · median $9,574 54 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $10,500 – $125,810 · median $70,186 53 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $10,500 – $125,810 · median $70,186 53 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $10,500 – $146,914 · median $81,823 53 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $10,500 – $102,036 · median $57,076 53 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $10,500 – $96,438 · median $53,989 53 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $10,500 – $112,288 · median $62,729 53 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $10,500 – $80,147 · median $45,006 53 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $3,800 – $40,772 · median $23,293 53 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $3,800 – $34,584 · median $19,881 53 plans
245 AICD GENERATOR PROCEDURES $3,800 – $87,295 · median $48,948 53 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $3,800 – $36,172 · median $20,757 53 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 53 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $10,500 – $117,259 · median $65,471 52 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $10,500 – $131,600 · median $76,983 52 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $10,500 – $80,805 · median $45,369 52 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $10,500 – $68,045 · median $38,333 52 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $10,500 – $48,882 · median $28,168 52 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $10,500 – $94,662 · median $53,010 50 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $10,500 – $60,262 · median $34,041 50 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $3,800 – $62,238 · median $35,130 50 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $5,608 – $89,955 · median $50,414 50 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,800 – $47,040 · median $26,750 50 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $4,250 – $73,879 · median $41,550 49 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $7,842 – $52,059 · median $29,517 49 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $7,842 – $33,733 · median $19,412 49 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $4,250 – $61,746 · median $34,859 49 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $9,572 – $55,247 · median $31,275 49 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $9,572 – $30,620 · median $17,695 49 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $9,572 – $28,861 · median $16,726 49 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $42,000 – $116,716 · median $82,836 48 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $5,608 – $66,744 · median $37,615 48 plans
253 OTHER VASCULAR PROCEDURES WITH CC $5,608 – $49,663 · median $28,196 48 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $5,608 – $79,462 · median $44,628 48 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $6,556 – $36,907 · median $21,162 48 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $27,937 – $70,906 · median $41,104 48 plans
652 KIDNEY TRANSPLANT $24,419 – $61,792 · median $35,933 48 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $5,608 – $55,870 · median $31,619 48 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $2,700 – $19,185 · median $11,390 48 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $5,608 – $73,460 · median $41,319 48 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $3,800 – $31,186 · median $18,008 47 plans
265 AICD LEAD PROCEDURES $4,350 – $69,229 · median $38,986 47 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $2,425 – $78,936 · median $44,338 47 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $14,500 – $51,780 · median $29,363 47 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,001 – $23,000 · median $8,858 47 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $12,500 – $104,671 · median $58,529 47 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $2,600 – $68,223 · median $38,431 47 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $2,600 – $41,660 · median $23,783 47 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $2,600 – $30,379 · median $17,562 47 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $2,600 – $45,661 · median $25,989 47 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $2,600 – $32,367 · median $18,658 47 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $2,600 – $26,133 · median $15,221 47 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,743 – $16,000 · median $9,949 47 plans
548 SEPTIC ARTHRITIS WITH MCC $12,000 – $36,945 · median $21,183 47 plans
549 SEPTIC ARTHRITIS WITH CC $9,483 – $23,098 · median $13,548 47 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $7,023 – $16,725 · median $10,361 47 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $13,932 – $34,624 · median $19,903 47 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,917 – $28,237 · median $16,382 47 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $4,838 – $35,238 · median $20,242 47 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,400 – $20,814 · median $12,288 47 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,550 – $18,378 · median $10,945 47 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $6,697 – $27,398 · median $15,918 47 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,575 – $18,732 · median $11,140 47 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,469 – $12,697 · median $8,075 47 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,737 – $19,277 · median $11,441 47 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,403 – $12,527 · median $7,718 47 plans
779 ABORTION WITHOUT D&C $2,700 – $16,097 · median $9,687 47 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $2,700 – $43,655 · median $24,884 47 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $2,600 – $22,180 · median $13,041 47 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,700 – $13,807 · median $8,424 47 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $157,328 – $406,116 · median $228,032 46 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $119,396 – $265,028 · median $173,057 46 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $76,717 – $197,278 · median $111,203 46 plans
006 LIVER TRANSPLANT WITHOUT MCC $56,424 – $118,400 · median $84,031 46 plans
007 LUNG TRANSPLANT $265,351 – $548,759 · median $389,467 46 plans
010 PANCREAS TRANSPLANT $53,564 – $137,298 · median $77,648 46 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $40,849 – $104,357 · median $59,220 46 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $31,705 – $80,668 · median $45,968 46 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $21,851 – $55,139 · median $31,687 46 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $89,327 – $229,947 · median $129,478 46 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $44,362 – $113,457 · median $64,311 46 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $40,688 – $103,940 · median $58,987 46 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $419,548 – $844,491 · median $608,064 46 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $53,261 – $136,511 · median $77,208 46 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $58,683 – $150,559 · median $85,067 46 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $39,665 – $101,290 · median $57,505 46 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $24,034 – $60,795 · median $34,851 46 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $42,889 – $109,642 · median $62,177 46 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $29,459 – $74,849 · median $42,713 46 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $34,148 – $86,995 · median $49,508 46 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $23,531 – $59,490 · median $34,121 46 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $19,201 – $48,272 · median $27,845 46 plans
028 SPINAL PROCEDURES WITH MCC $44,942 – $114,961 · median $65,153 46 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $25,764 – $65,276 · median $37,358 46 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $16,780 – $42,002 · median $24,338 46 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $33,659 – $85,728 · median $48,799 46 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $16,306 – $40,774 · median $23,651 46 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $12,849 – $31,817 · median $18,640 46 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $29,155 – $74,061 · median $42,272 46 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $18,223 – $45,739 · median $26,428 46 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $14,916 – $37,173 · median $21,636 46 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $24,882 – $62,990 · median $36,079 46 plans
038 EXTRACRANIAL PROCEDURES WITH CC $12,551 – $31,046 · median $18,209 46 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $9,249 – $22,492 · median $13,423 46 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $16,806 – $42,069 · median $24,375 46 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $13,328 – $33,057 · median $19,334 46 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $13,945 – $34,657 · median $20,229 46 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,799 – $18,736 · median $11,322 46 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $11,845 – $29,215 · median $17,184 46 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,098 – $19,509 · median $11,754 46 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $17,725 – $44,449 · median $25,707 46 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $10,136 – $24,790 · median $14,709 46 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $13,193 – $32,709 · median $19,139 46 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,732 – $23,743 · median $14,123 46 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $7,361 – $17,599 · median $10,686 46 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $20,930 – $52,753 · median $30,352 46 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $13,545 – $33,622 · median $19,649 46 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,935 – $26,860 · median $15,867 46 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $15,420 – $38,478 · median $22,366 46 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,029 – $19,331 · median $11,655 46 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,622 – $13,095 · median $8,166 46 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $11,415 – $28,102 · median $16,561 46 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,952 – $16,539 · median $10,093 46 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,467 – $15,284 · median $9,391 46 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $12,863 – $31,854 · median $18,660 46 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $8,145 – $19,631 · median $11,823 46 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $6,152 – $14,469 · median $8,935 46 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $12,416 – $30,696 · median $18,013 46 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,181 – $19,723 · median $11,874 46 plans
075 VIRAL MENINGITIS WITH CC/MCC $14,729 – $36,689 · median $21,365 46 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,662 – $15,789 · median $9,673 46 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $11,988 – $29,586 · median $17,392 46 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,938 – $19,094 · median $11,522 46 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,491 – $12,756 · median $7,977 46 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $13,935 – $34,632 · median $20,215 46 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,182 – $17,136 · median $10,427 46 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $17,448 – $43,732 · median $25,305 46 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,876 – $26,707 · median $15,781 46 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,627 – $18,288 · median $11,071 46 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $17,347 – $43,470 · median $25,159 46 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $10,189 – $24,925 · median $14,785 46 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $7,323 – $17,502 · median $10,631 46 plans
088 CONCUSSION WITH MCC $10,551 – $25,865 · median $15,310 46 plans
089 CONCUSSION WITH CC $8,681 – $21,020 · median $12,600 46 plans
090 CONCUSSION WITHOUT CC/MCC $6,647 – $15,751 · median $9,652 46 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $13,538 – $33,603 · median $19,639 46 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,123 – $19,574 · median $11,791 46 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,449 – $15,236 · median $9,364 46 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $26,560 – $67,339 · median $38,512 46 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $19,616 – $49,350 · median $28,448 46 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $19,616 – $49,350 · median $28,448 46 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $27,243 – $69,107 · median $39,501 46 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $17,517 – $43,910 · median $25,405 46 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,630 – $26,068 · median $15,424 46 plans
100 SEIZURES WITH MCC $14,872 – $37,058 · median $21,572 46 plans
101 SEIZURES WITHOUT MCC $7,234 – $17,270 · median $10,502 46 plans
102 HEADACHES WITH MCC $8,846 – $21,447 · median $12,839 46 plans
103 HEADACHES WITHOUT MCC $6,744 – $16,001 · median $9,792 46 plans
113 ORBITAL PROCEDURES WITH CC/MCC $17,932 – $44,985 · median $26,006 46 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $10,560 – $25,888 · median $15,323 46 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $11,904 – $29,368 · median $17,270 46 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $13,921 – $34,596 · median $20,194 46 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,580 – $20,758 · median $12,453 46 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $9,159 – $22,258 · median $13,292 46 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,371 – $15,035 · median $9,252 46 plans
123 NEUROLOGICAL EYE DISORDERS $6,466 – $15,280 · median $9,389 46 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $10,339 – $25,316 · median $15,003 46 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,238 – $14,691 · median $9,059 46 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $16,594 – $41,520 · median $24,068 46 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,066 – $19,426 · median $11,708 46 plans
137 MOUTH PROCEDURES WITH CC/MCC $11,596 – $28,570 · median $16,824 46 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $7,113 – $16,956 · median $10,326 46 plans
139 SALIVARY GLAND PROCEDURES $9,694 – $23,643 · median $14,067 46 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $32,069 – $81,611 · median $46,496 46 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $16,676 – $41,732 · median $24,187 46 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $12,358 – $30,545 · median $17,928 46 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $28,238 – $71,686 · median $40,944 46 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $13,366 – $33,157 · median $19,389 46 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $9,447 – $23,004 · median $13,710 46 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $16,206 – $40,514 · median $23,505 46 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,958 – $24,328 · median $14,451 46 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,455 – $15,251 · median $9,373 46 plans
149 DYSEQUILIBRIUM $6,118 – $14,381 · median $8,886 46 plans
150 EPISTAXIS WITH MCC $10,401 – $25,476 · median $15,093 46 plans
151 EPISTAXIS WITHOUT MCC $5,988 – $14,044 · median $8,697 46 plans
152 OTITIS MEDIA AND URI WITH MCC $9,299 – $22,620 · median $13,495 46 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $6,020 – $14,124 · median $8,742 46 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $12,115 – $29,916 · median $17,576 46 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,336 – $17,536 · median $10,651 46 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,672 – $13,223 · median $8,238 46 plans
157 DENTAL AND ORAL DISEASES WITH MCC $13,247 – $32,849 · median $19,217 46 plans
158 DENTAL AND ORAL DISEASES WITH CC $7,287 – $17,408 · median $10,579 46 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,800 – $13,556 · median $8,424 46 plans
163 MAJOR CHEST PROCEDURES WITH MCC $38,989 – $85,753 · median $56,525 46 plans
164 MAJOR CHEST PROCEDURES WITH CC $19,209 – $48,293 · median $27,857 46 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $14,705 – $36,626 · median $21,330 46 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $28,173 – $71,516 · median $40,848 46 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $13,887 – $34,506 · median $20,144 46 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,659 – $26,144 · median $15,466 46 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $22,550 – $56,949 · median $32,700 46 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,712 – $26,282 · median $15,543 46 plans
176 PULMONARY EMBOLISM WITHOUT MCC $6,513 – $15,403 · median $9,457 46 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $12,109 – $29,900 · median $17,568 46 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,776 – $18,674 · median $11,288 46 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,144 – $14,446 · median $8,922 46 plans
180 RESPIRATORY NEOPLASMS WITH MCC $13,610 – $33,790 · median $19,744 46 plans
181 RESPIRATORY NEOPLASMS WITH CC $8,477 – $20,492 · median $12,304 46 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,135 – $14,423 · median $8,909 46 plans
183 MAJOR CHEST TRAUMA WITH MCC $11,867 – $29,273 · median $17,216 46 plans
184 MAJOR CHEST TRAUMA WITH CC $8,426 – $20,360 · median $12,231 46 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,376 – $15,049 · median $9,259 46 plans
186 PLEURAL EFFUSION WITH MCC $12,078 – $29,820 · median $17,523 46 plans
187 PLEURAL EFFUSION WITH CC $7,873 – $18,925 · median $11,428 46 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,864 – $13,723 · median $8,517 46 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,692 – $23,638 · median $14,064 46 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,748 – $21,194 · median $12,697 46 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,794 – $16,130 · median $9,864 46 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,309 – $12,284 · median $7,713 46 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $10,275 – $25,149 · median $14,910 46 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,520 – $15,420 · median $9,467 46 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,209 – $12,026 · median $7,568 46 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $14,506 – $36,109 · median $21,041 46 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $10,537 – $22,754 · median $16,149 46 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,857 – $13,704 · median $8,507 46 plans
199 PNEUMOTHORAX WITH MCC $13,596 – $33,754 · median $19,723 46 plans
200 PNEUMOTHORAX WITH CC $8,686 – $21,034 · median $12,607 46 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,849 – $13,682 · median $8,495 46 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,740 – $18,583 · median $11,236 46 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,516 – $12,820 · median $8,012 46 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,531 – $15,449 · median $9,483 46 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $14,091 – $35,034 · median $20,439 46 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,518 – $18,007 · median $10,914 46 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $55,239 – $123,119 · median $80,075 46 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $20,868 – $52,593 · median $30,262 46 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $80,879 – $208,062 · median $117,235 46 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $36,917 – $94,170 · median $53,522 46 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $21,620 – $54,541 · median $31,352 46 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $10,792 – $26,489 · median $15,659 46 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $13,726 – $34,090 · median $19,912 46 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $20,489 – $51,611 · median $29,713 46 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $13,107 – $32,487 · median $19,015 46 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,634 – $20,898 · median $12,531 46 plans
263 VEIN LIGATION AND STRIPPING $23,148 – $58,499 · median $33,567 46 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $25,240 – $63,918 · median $36,598 46 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $24,879 – $62,982 · median $36,074 46 plans
276 NON-MALIGANT BREAST DISORDERS $44,930 – $114,928 · median $65,134 46 plans
277 CELLULITIS AGE >17 W CC $34,678 – $88,369 · median $50,276 46 plans
278 CELLULITIS AGE >17 W/O CC $41,677 – $106,502 · median $60,420 46 plans
279 CELLULITIS AGE 0-17 $27,203 – $69,004 · median $39,443 46 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,356 – $17,586 · median $10,679 46 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,908 – $13,836 · median $8,581 46 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $15,197 – $37,900 · median $22,043 46 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,680 – $13,244 · median $8,250 46 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,991 – $11,459 · median $7,251 46 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $13,174 – $32,659 · median $19,111 46 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,434 – $17,789 · median $10,792 46 plans
291 HEART FAILURE AND SHOCK WITH MCC $10,049 – $24,564 · median $14,582 46 plans
292 HEART FAILURE AND SHOCK WITH CC $6,838 – $16,244 · median $9,928 46 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,748 – $10,830 · median $6,899 46 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $9,637 – $23,496 · median $13,985 46 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,401 – $15,112 · median $9,295 46 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $12,103 – $29,885 · median $17,559 46 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,250 – $12,131 · median $7,627 46 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,929 – $8,708 · median $5,712 46 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $12,626 – $31,240 · median $18,317 46 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,452 – $20,425 · median $12,267 46 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,883 – $13,771 · median $8,544 46 plans
302 ATHEROSCLEROSIS WITH MCC $9,405 – $22,895 · median $13,649 46 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,539 – $12,881 · median $8,046 46 plans
304 HYPERTENSION WITH MCC $9,356 – $22,769 · median $13,578 46 plans
305 HYPERTENSION WITHOUT MCC $6,144 – $14,448 · median $8,923 46 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $12,206 – $30,151 · median $17,708 46 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,312 – $17,473 · median $10,615 46 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,460 – $23,037 · median $13,728 46 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,748 – $10,832 · median $6,900 46 plans
311 ANGINA PECTORIS $5,751 – $13,430 · median $8,354 46 plans
312 SYNCOPE AND COLLAPSE $7,005 – $16,677 · median $10,170 46 plans
313 CHEST PAIN $5,885 – $13,776 · median $8,547 46 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $15,968 – $39,898 · median $23,160 46 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,682 – $18,431 · median $11,152 46 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,605 – $13,051 · median $8,142 46 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY $32,528 – $82,799 · median $47,160 46 plans
324 URINARY STONES W/O CC $23,839 – $60,290 · median $34,568 46 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $37,402 – $95,427 · median $54,225 46 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $18,619 – $46,767 · median $27,003 46 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,401 – $30,658 · median $17,991 46 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $34,515 – $87,948 · median $50,041 46 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $18,272 – $45,867 · median $26,500 46 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,997 – $32,200 · median $18,854 46 plans
332 RECTAL RESECTION WITH MCC $27,309 – $69,277 · median $39,596 46 plans
333 RECTAL RESECTION WITH CC $17,866 – $44,815 · median $25,911 46 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,664 – $31,339 · median $18,372 46 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $26,941 – $68,324 · median $39,063 46 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $16,141 – $40,347 · median $23,412 46 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $11,904 – $29,370 · median $17,271 46 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $19,643 – $49,418 · median $28,487 46 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,681 – $28,790 · median $16,947 46 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,328 – $22,696 · median $13,538 46 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $17,522 – $43,923 · median $25,412 46 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $10,234 – $25,042 · median $14,850 46 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,997 – $16,658 · median $10,159 46 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $18,972 – $47,679 · median $27,514 46 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $11,827 – $29,169 · median $17,159 46 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $9,192 – $22,344 · median $13,341 46 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $22,000 – $55,526 · median $31,903 46 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,993 – $32,191 · median $18,849 46 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,501 – $25,735 · median $15,237 46 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $33,011 – $84,050 · median $47,860 46 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $17,743 – $44,495 · median $25,732 46 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,892 – $26,747 · median $15,804 46 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $12,325 – $30,459 · median $17,880 46 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,955 – $19,138 · median $11,547 46 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,743 – $13,409 · median $8,342 46 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $13,663 – $33,926 · median $19,820 46 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,108 – $19,535 · median $11,769 46 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,940 – $13,918 · median $8,627 46 plans
374 DIGESTIVE MALIGNANCY WITH MCC $16,363 – $40,921 · median $23,733 46 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,501 – $23,144 · median $13,788 46 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $7,394 – $17,685 · median $10,734 46 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $14,068 – $34,976 · median $20,407 46 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,811 – $18,764 · median $11,338 46 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,223 – $12,062 · median $7,588 46 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $15,059 – $37,544 · median $21,844 46 plans
381 COMPLICATED PEPTIC ULCER WITH CC $8,570 – $20,731 · median $12,438 46 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $10,765 – $26,418 · median $15,619 46 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,881 – $16,355 · median $9,990 46 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $12,254 – $30,275 · median $17,777 46 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,778 – $18,680 · median $11,291 46 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,599 – $13,036 · median $8,133 46 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,475 – $28,257 · median $16,648 46 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,401 – $15,112 · median $9,295 46 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,585 – $10,409 · median $6,664 46 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,935 – $24,267 · median $14,416 46 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,325 – $14,917 · median $9,185 46 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $12,379 – $30,600 · median $17,959 46 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,478 – $17,903 · median $10,856 46 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,361 – $12,418 · median $7,787 46 plans
397 COAGULATION DISORDERS $18,255 – $45,823 · median $26,475 46 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $11,746 – $28,961 · median $17,042 46 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $9,022 – $21,902 · median $13,093 46 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $21,987 – $55,491 · median $31,884 46 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $16,961 – $42,469 · median $24,599 46 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $24,964 – $63,204 · median $36,199 46 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $16,096 – $40,229 · median $23,345 46 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,831 – $31,771 · median $18,614 46 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $26,879 – $68,166 · median $38,974 46 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $15,831 – $39,544 · median $22,962 46 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,636 – $26,085 · median $15,433 46 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $25,731 – $65,190 · median $37,310 46 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $13,400 – $33,245 · median $19,439 46 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,904 – $26,778 · median $15,821 46 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $16,726 – $41,863 · median $24,260 46 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,648 – $28,706 · median $16,900 46 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $15,104 – $37,659 · median $21,908 46 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,368 – $20,209 · median $12,146 46 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,830 – $13,633 · median $8,467 46 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $14,133 – $35,143 · median $20,500 46 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,921 – $21,642 · median $12,948 46 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,870 – $16,327 · median $9,974 46 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $12,607 – $31,192 · median $18,290 46 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,780 – $16,095 · median $9,845 46 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,157 – $11,890 · median $7,492 46 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $13,822 – $34,339 · median $20,051 46 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,697 – $18,470 · median $11,173 46 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,735 – $13,388 · median $8,330 46 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $12,908 – $31,970 · median $18,726 46 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,650 – $20,940 · median $12,555 46 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,678 – $15,829 · median $9,696 46 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $66,014 – $169,551 · median $95,692 46 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $45,740 – $117,027 · median $66,309 46 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $34,583 – $88,122 · median $50,138 46 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $62,632 – $160,788 · median $90,789 46 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $44,609 – $114,096 · median $64,669 46 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $31,385 – $79,837 · median $45,504 46 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $49,551 – $126,900 · median $71,832 46 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $27,583 – $69,989 · median $39,994 46 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $41,358 – $105,675 · median $59,958 46 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $20,213 – $50,896 · median $29,313 46 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $42,662 – $109,052 · median $61,847 46 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $23,571 – $59,596 · median $34,180 46 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $14,037 – $34,894 · median $20,361 46 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $39,012 – $99,598 · median $56,558 46 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $26,614 – $67,477 · median $38,589 46 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $20,863 – $52,579 · median $30,255 46 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $22,969 – $58,036 · median $33,308 46 plans
472 CERVICAL SPINAL FUSION WITH CC $22,326 – $56,370 · median $32,375 46 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $18,598 – $46,711 · median $26,972 46 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $32,273 – $82,139 · median $46,791 46 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $17,375 – $43,543 · median $25,199 46 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $26,082 – $66,099 · median $37,818 46 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $18,730 – $47,054 · median $27,164 46 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $14,297 – $35,568 · median $20,738 46 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $22,077 – $55,723 · median $32,013 46 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $16,037 – $40,075 · median $23,260 46 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $12,613 – $31,207 · median $18,299 46 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $21,040 – $53,037 · median $30,511 46 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $16,011 – $40,010 · median $23,223 46 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,135 – $29,967 · median $17,605 46 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $13,632 – $33,846 · median $19,775 46 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,816 – $21,368 · median $12,795 46 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $27,684 – $70,251 · median $40,141 46 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $19,298 – $48,525 · median $27,987 46 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $15,387 – $38,392 · median $22,318 46 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $27,345 – $69,373 · median $39,650 46 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $13,890 – $34,515 · median $20,149 46 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,491 – $23,119 · median $13,774 46 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $22,848 – $57,722 · median $33,132 46 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $15,448 – $38,551 · median $22,407 46 plans
501 SOFT TISSUE PROCEDURES WITH CC $13,478 – $33,448 · median $19,552 46 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,508 – $25,752 · median $15,247 46 plans
503 FOOT PROCEDURES WITH MCC $21,181 – $53,404 · median $30,716 46 plans
504 FOOT PROCEDURES WITH CC $14,373 – $35,765 · median $20,848 46 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $13,808 – $34,303 · median $20,030 46 plans
506 MAJOR THUMB OR JOINT PROCEDURES $10,532 – $25,815 · median $15,282 46 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $13,909 – $34,563 · median $20,176 46 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $11,752 – $28,976 · median $17,051 46 plans
509 ARTHROSCOPY $13,542 – $33,612 · median $19,644 46 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $22,876 – $57,793 · median $33,172 46 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $15,925 – $39,787 · median $23,098 46 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $12,794 – $31,674 · median $18,560 46 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $12,195 – $30,122 · median $17,692 46 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,118 – $19,560 · median $11,783 46 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $24,105 – $60,977 · median $34,953 46 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $15,915 – $39,762 · median $23,084 46 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $11,917 – $29,403 · median $17,289 46 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $28,170 – $71,508 · median $40,844 46 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $15,340 – $38,271 · median $22,250 46 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $11,601 – $28,584 · median $16,831 46 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $21,766 – $54,917 · median $31,563 46 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $16,208 – $40,519 · median $23,508 46 plans
533 FRACTURES OF FEMUR WITH MCC $12,146 – $29,996 · median $17,621 46 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,521 – $15,424 · median $9,469 46 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $10,036 – $24,529 · median $14,563 46 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,532 – $15,452 · median $9,485 46 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,616 – $18,259 · median $11,055 46 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,887 – $13,782 · median $8,551 46 plans
539 OSTEOMYELITIS WITH MCC $15,115 – $37,688 · median $21,924 46 plans
540 OSTEOMYELITIS WITH CC $10,141 – $24,803 · median $14,716 46 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,383 – $15,066 · median $9,269 46 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $13,614 – $33,800 · median $19,749 46 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,160 – $19,669 · median $11,844 46 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,141 – $14,438 · median $8,918 46 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $18,896 – $47,484 · median $27,404 46 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $9,086 – $22,069 · median $13,186 46 plans
551 MEDICAL BACK PROBLEMS WITH MCC $12,946 – $32,070 · median $18,781 46 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,667 – $18,393 · median $11,130 46 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $10,141 – $24,803 · median $14,716 46 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,698 – $15,883 · median $9,726 46 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,330 – $25,291 · median $14,989 46 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,549 – $28,450 · median $16,756 46 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,164 – $17,090 · median $10,401 46 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $14,341 – $35,682 · median $20,802 46 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,884 – $21,546 · median $12,894 46 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,505 – $15,382 · median $9,445 46 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $11,090 – $27,262 · median $16,091 46 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $7,181 – $17,134 · median $10,426 46 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $11,968 – $29,535 · median $17,363 46 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,764 – $18,644 · median $11,270 46 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $6,101 – $14,337 · median $8,861 46 plans
570 SKIN DEBRIDEMENT WITH MCC $43,909 – $98,694 · median $70,045 46 plans
571 SKIN DEBRIDEMENT WITH CC $13,045 – $32,326 · median $18,925 46 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $9,034 – $21,933 · median $13,110 46 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $48,953 – $125,352 · median $70,966 46 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $26,206 – $66,421 · median $37,998 46 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,839 – $34,383 · median $20,075 46 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $36,766 – $93,778 · median $53,302 46 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $20,144 – $50,718 · median $29,213 46 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,432 – $30,736 · median $18,035 46 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $24,486 – $61,964 · median $35,505 46 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $13,330 – $33,063 · median $19,337 46 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $11,226 – $27,612 · median $16,287 46 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $14,797 – $36,863 · median $21,463 46 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $13,303 – $32,994 · median $19,298 46 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $16,378 – $40,959 · median $23,754 46 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $14,815 – $36,911 · median $21,489 46 plans
592 SKIN ULCERS WITH MCC $14,861 – $37,029 · median $21,556 46 plans
593 SKIN ULCERS WITH CC $9,329 – $22,698 · median $13,539 46 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,969 – $16,585 · median $10,119 46 plans
595 MAJOR SKIN DISORDERS WITH MCC $16,230 – $40,577 · median $23,540 46 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,562 – $20,712 · median $12,428 46 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $12,880 – $31,898 · median $18,685 46 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,923 – $21,646 · median $12,950 46 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,250 – $14,721 · median $9,076 46 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $8,260 – $19,930 · median $11,990 46 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,036 – $11,576 · median $7,316 46 plans
602 CELLULITIS WITH MCC $11,065 – $27,195 · median $16,054 46 plans
603 CELLULITIS WITHOUT MCC $7,000 – $16,664 · median $10,163 46 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,440 – $28,167 · median $16,598 46 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,333 – $17,526 · median $10,645 46 plans
606 MINOR SKIN DISORDERS WITH MCC $11,743 – $28,953 · median $17,038 46 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $7,262 – $17,343 · median $10,543 46 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $16,755 – $41,937 · median $24,301 46 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,902 – $26,774 · median $15,819 46 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $26,324 – $66,727 · median $38,169 46 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,381 – $35,786 · median $20,860 46 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $11,042 – $27,137 · median $16,022 46 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $26,854 – $68,101 · median $38,938 46 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,816 – $34,324 · median $20,042 46 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,813 – $23,953 · median $14,241 46 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $22,873 – $57,786 · median $33,167 46 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,641 – $28,689 · median $16,890 46 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $10,378 – $25,415 · median $15,059 46 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $28,092 – $71,307 · median $40,732 46 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $16,659 – $41,688 · median $24,162 46 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $11,347 – $27,926 · median $16,463 46 plans
637 DIABETES WITH MCC $11,178 – $27,489 · median $16,219 46 plans
638 DIABETES WITH CC $7,186 – $17,148 · median $10,433 46 plans
639 DIABETES WITHOUT CC/MCC $5,155 – $11,886 · median $7,490 46 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $10,432 – $25,555 · median $15,137 46 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,315 – $14,890 · median $9,170 46 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $11,071 – $27,210 · median $16,063 46 plans
643 ENDOCRINE DISORDERS WITH MCC $12,725 – $31,496 · median $18,460 46 plans
644 ENDOCRINE DISORDERS WITH CC $8,138 – $19,612 · median $11,812 46 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,242 – $14,700 · median $9,064 46 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $38,946 – $99,426 · median $56,462 46 plans
654 MAJOR BLADDER PROCEDURES WITH CC $21,242 – $53,561 · median $30,804 46 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $16,200 – $40,498 · median $23,496 46 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $24,082 – $60,918 · median $34,920 46 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $14,083 – $35,015 · median $20,429 46 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $12,028 – $29,692 · median $17,451 46 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $19,334 – $48,617 · median $28,038 46 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,329 – $25,289 · median $14,988 46 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $8,215 – $19,811 · median $11,923 46 plans
662 MINOR BLADDER PROCEDURES WITH MCC $23,178 – $58,578 · median $33,610 46 plans
663 MINOR BLADDER PROCEDURES WITH CC $11,795 – $29,087 · median $17,113 46 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,299 – $20,031 · median $12,046 46 plans
665 PROSTATECTOMY WITH MCC $23,619 – $59,720 · median $34,249 46 plans
666 PROSTATECTOMY WITH CC $13,487 – $33,471 · median $19,565 46 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,737 – $21,166 · median $12,681 46 plans
669 TRANSURETHRAL PROCEDURES WITH CC $12,030 – $29,695 · median $17,453 46 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,785 – $18,699 · median $11,302 46 plans
671 URETHRAL PROCEDURES WITH CC/MCC $13,825 – $34,345 · median $20,054 46 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,540 – $20,655 · median $12,395 46 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $31,599 – $80,392 · median $45,814 46 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $17,839 – $44,746 · median $25,873 46 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $12,690 – $31,406 · median $18,410 46 plans
682 RENAL FAILURE WITH MCC $11,506 – $28,337 · median $16,693 46 plans
683 RENAL FAILURE WITH CC $7,036 – $16,757 · median $10,215 46 plans
684 RENAL FAILURE WITHOUT CC/MCC $5,001 – $11,486 · median $7,266 46 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $13,889 – $34,511 · median $20,147 46 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,306 – $20,048 · median $12,056 46 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,404 – $15,121 · median $9,300 46 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $9,137 – $22,201 · median $13,260 46 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,546 – $15,489 · median $9,505 46 plans
693 URINARY STONES WITH MCC $10,497 – $25,725 · median $15,232 46 plans
694 URINARY STONES WITHOUT MCC $6,341 – $14,957 · median $9,208 46 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $9,015 – $21,885 · median $13,084 46 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,656 – $13,183 · median $8,216 46 plans
697 URETHRAL STRICTURE $8,528 – $20,622 · median $12,377 46 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $12,786 – $31,655 · median $18,549 46 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,064 – $19,421 · median $11,705 46 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,663 – $13,200 · median $8,225 46 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $15,341 – $38,273 · median $22,252 46 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $11,898 – $29,355 · median $17,262 46 plans
709 PENIS PROCEDURES WITH CC/MCC $17,755 – $44,526 · median $25,750 46 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,916 – $26,810 · median $15,839 46 plans
711 TESTES PROCEDURES WITH CC/MCC $15,958 – $39,871 · median $23,145 46 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,689 – $21,041 · median $12,612 46 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $11,671 – $28,766 · median $16,933 46 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,377 – $20,232 · median $12,159 46 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $17,091 – $42,808 · median $24,788 46 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $11,432 – $28,146 · median $16,586 46 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $14,530 – $36,172 · median $21,076 46 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $10,487 – $25,698 · median $15,217 46 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $13,933 – $34,626 · median $20,211 46 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,007 – $21,864 · median $13,072 46 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,410 – $12,546 · median $7,859 46 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,210 – $22,390 · median $13,366 46 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,900 – $13,815 · median $8,569 46 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,520 – $28,373 · median $16,713 46 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,559 – $15,521 · median $9,524 46 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,387 – $20,257 · median $12,173 46 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,531 – $12,858 · median $8,034 46 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $16,299 – $40,755 · median $23,640 46 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $10,505 – $25,744 · median $15,243 46 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $26,967 – $68,393 · median $39,102 46 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $15,786 – $39,427 · median $22,897 46 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,413 – $28,098 · median $16,559 46 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $27,029 – $68,552 · median $39,190 46 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,100 – $27,287 · median $16,105 46 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $14,119 – $35,106 · median $20,480 46 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,731 – $23,739 · median $14,121 46 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $15,701 – $39,207 · median $22,774 46 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,969 – $21,765 · median $13,016 46 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $13,397 – $33,237 · median $19,434 46 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,917 – $16,449 · median $10,043 46 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $10,814 – $26,544 · median $15,690 46 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $19,531 – $49,128 · median $28,324 46 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,781 – $10,916 · median $6,947 46 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $13,878 – $34,483 · median $20,131 46 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $44,464 – $113,721 · median $64,459 46 plans
791 PREMATURITY WITH MAJOR PROBLEMS $30,546 – $77,664 · median $44,288 46 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $18,656 – $46,862 · median $27,057 46 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $31,362 – $79,780 · median $45,471 46 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $11,468 – $28,239 · median $16,638 46 plans
795 NORMAL NEWBORN $2,043 – $4,112 · median $2,983 46 plans
799 SPLENECTOMY WITH MCC $34,016 – $86,655 · median $49,317 46 plans
800 SPLENECTOMY WITH CC $21,317 – $53,754 · median $30,912 46 plans
801 SPLENECTOMY WITHOUT CC/MCC $14,666 – $36,524 · median $21,273 46 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $29,992 – $76,230 · median $43,486 46 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $14,297 – $35,568 · median $20,738 46 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $10,582 – $25,945 · median $15,355 46 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $16,874 – $42,245 · median $24,474 46 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,917 – $24,221 · median $14,391 46 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $8,297 – $20,025 · median $12,043 46 plans
811 RED BLOOD CELL DISORDERS WITH MCC $10,939 – $26,869 · median $15,872 46 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,349 – $17,569 · median $10,669 46 plans
813 COAGULATION DISORDERS $11,833 – $29,185 · median $17,167 46 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $16,274 – $40,692 · median $23,605 46 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $8,056 – $19,402 · median $11,694 46 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,235 – $12,092 · median $7,605 46 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $43,883 – $112,215 · median $63,617 46 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $17,101 – $42,833 · median $24,802 46 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,460 – $23,037 · median $13,728 46 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $34,429 – $87,724 · median $49,916 46 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $17,300 – $43,349 · median $25,091 46 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $10,534 – $25,819 · median $15,284 46 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $35,116 – $89,504 · median $50,911 46 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $17,637 – $44,222 · median $25,579 46 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $13,151 – $32,600 · median $19,078 46 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $23,906 – $60,462 · median $34,665 46 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $11,683 – $28,796 · median $16,950 46 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,429 – $10,005 · median $6,438 46 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $41,114 – $105,042 · median $59,604 46 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $15,972 – $39,909 · median $23,167 46 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,574 – $23,334 · median $13,894 46 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $40,668 – $91,924 · median $58,957 46 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $15,984 – $39,940 · median $23,184 46 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $11,232 – $27,627 · median $16,296 46 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $24,459 – $61,896 · median $35,467 46 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $12,616 – $31,215 · median $18,303 46 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $8,030 – $19,333 · median $11,656 46 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $15,300 – $38,168 · median $22,193 46 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $9,559 – $23,293 · median $13,872 46 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,857 – $16,294 · median $9,956 46 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $19,715 – $49,604 · median $28,590 46 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,229 – $25,031 · median $14,843 46 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,841 – $16,252 · median $9,932 46 plans
849 RADIOTHERAPY $20,579 – $51,843 · median $29,843 46 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $37,042 – $94,494 · median $53,703 46 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $15,325 – $38,231 · median $22,228 46 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,625 – $28,647 · median $16,866 46 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $34,162 – $87,033 · median $49,529 46 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $16,384 – $40,975 · median $23,763 46 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $10,855 – $26,651 · median $15,750 46 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $14,037 – $34,894 · median $20,361 46 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,938 – $19,094 · median $11,522 46 plans
864 FEVER AND INFLAMMATORY CONDITIONS $7,124 – $16,985 · median $10,342 46 plans
865 VIRAL ILLNESS WITH MCC $11,633 – $28,668 · median $16,878 46 plans
866 VIRAL ILLNESS WITHOUT MCC $6,990 – $16,639 · median $10,149 46 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $16,027 – $40,051 · median $23,246 46 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,183 – $19,729 · median $11,877 46 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,957 – $13,962 · median $8,651 46 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $51,615 – $132,248 · median $74,823 46 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $14,914 – $37,167 · median $21,633 46 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $8,125 – $19,579 · median $11,794 46 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $29,112 – $73,950 · median $42,210 46 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,659 – $18,372 · median $11,118 46 plans
881 DEPRESSIVE NEUROSES $7,517 – $18,003 · median $10,912 46 plans
882 NEUROSES EXCEPT DEPRESSIVE $8,498 – $20,546 · median $12,334 46 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $15,090 – $37,623 · median $21,888 46 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $12,450 – $30,784 · median $18,062 46 plans
885 PSYCHOSES $10,884 – $26,726 · median $15,792 46 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $15,895 – $39,708 · median $23,054 46 plans
887 OTHER MENTAL DISORDER DIAGNOSES $8,477 – $20,490 · median $12,303 46 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,124 – $11,804 · median $7,444 46 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $11,023 – $27,086 · median $15,993 46 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $13,456 – $33,390 · median $19,520 46 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $7,087 – $16,891 · median $10,290 46 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $31,562 – $80,296 · median $45,760 46 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $14,707 – $36,631 · median $21,333 46 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,206 – $22,379 · median $13,360 46 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $27,696 – $70,280 · median $40,157 46 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $11,523 – $28,383 · median $16,719 46 plans
906 HAND PROCEDURES FOR INJURIES $15,075 – $37,584 · median $21,866 46 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $15,303 – $38,176 · median $22,197 46 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $10,263 – $25,117 · median $14,892 46 plans
913 TRAUMATIC INJURY WITH MCC $12,640 – $31,276 · median $18,337 46 plans
914 TRAUMATIC INJURY WITHOUT MCC $7,107 – $16,943 · median $10,319 46 plans
915 ALLERGIC REACTIONS WITH MCC $12,987 – $32,175 · median $18,840 46 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,488 – $12,749 · median $7,973 46 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $12,151 – $30,009 · median $17,629 46 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,898 – $16,399 · median $10,015 46 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $14,089 – $35,030 · median $20,437 46 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,970 – $19,178 · median $11,569 46 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,652 – $13,172 · median $8,209 46 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $13,488 – $33,472 · median $19,566 46 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $8,084 – $19,472 · median $11,734 46 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $158,254 – $408,514 · median $229,373 46 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $53,542 – $137,240 · median $77,616 46 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $24,355 – $61,626 · median $35,316 46 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $29,328 – $74,510 · median $42,524 46 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $16,894 – $42,297 · median $24,503 46 plans
935 NON-EXTENSIVE BURNS $15,782 – $39,415 · median $22,891 46 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $27,366 – $69,427 · median $39,680 46 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $17,827 – $44,713 · median $25,854 46 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $15,543 – $38,797 · median $22,545 46 plans
945 REHABILITATION WITH CC/MCC $12,005 – $29,630 · median $17,417 46 plans
946 REHABILITATION WITHOUT CC/MCC $9,037 – $21,943 · median $13,116 46 plans
947 SIGNS AND SYMPTOMS WITH MCC $9,943 – $24,288 · median $14,428 46 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,480 – $15,317 · median $9,409 46 plans
949 AFTERCARE WITH CC/MCC $9,354 – $22,763 · median $13,575 46 plans
950 AFTERCARE WITHOUT CC/MCC $5,203 – $12,010 · median $7,559 46 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,674 – $10,638 · median $6,792 46 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $50,281 – $128,791 · median $72,889 46 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $28,359 – $72,000 · median $41,119 46 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $56,845 – $145,797 · median $82,403 46 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $31,690 – $80,627 · median $45,946 46 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $22,311 – $56,331 · median $32,354 46 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $20,758 – $52,308 · median $30,103 46 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,887 – $29,324 · median $17,245 46 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,514 – $17,995 · median $10,908 46 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $77,683 – $156,987 · median $111,417 46 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $20,046 – $50,463 · median $29,071 46 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $21,882 – $55,220 · median $31,732 46 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,132 – $24,778 · median $14,702 46 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,234 – $17,272 · median $10,503 46 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,152 – $24,830 · median $14,731 46 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,226 – $32,795 · median $19,187 46 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,000 – $8,533 · median $2,700 21 plans
999 UNGROUPABLE $2,500 – $16,324 · median $3,710 10 plans
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