Los Robles Hospital & Medical Center (Acute Care — Thousand Oaks) — 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 $48,500 – $206,983 · median $98,270 11 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $48,500 – $195,148 · median $98,270 11 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $48,500 – $206,983 · median $98,270 11 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $48,500 – $174,511 · median $98,270 11 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $48,500 – $164,532 · median $98,270 11 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $48,500 – $182,451 · median $98,270 11 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $48,500 – $127,343 · median $98,270 11 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $42,242 – $127,343 · median $98,270 11 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $48,500 – $162,770 · median $84,286 11 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $48,500 – $162,770 · median $84,286 11 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $48,500 – $123,288 · median $84,286 11 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $48,500 – $123,288 · median $84,286 11 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $48,500 – $123,288 · median $76,654 11 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $48,500 – $123,288 · median $79,169 11 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $14,000 – $73,468 · median $37,062 11 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $14,000 – $73,468 · median $38,749 11 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $20,635 – $48,500 · median $36,488 11 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $19,741 – $48,500 · median $31,141 11 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $22,468 – $48,500 · median $41,576 11 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $21,491 – $48,500 · median $31,141 11 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $21,458 – $48,500 · median $31,141 11 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $12,500 – $34,598 · median $26,533 11 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $12,500 – $34,598 · median $23,580 11 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $10,000 – $67,160 · median $30,068 11 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $10,000 – $70,214 · median $30,068 11 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $10,000 – $66,199 · median $30,068 11 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $7,000 – $47,235 · median $30,068 11 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $7,000 – $49,382 · median $30,068 11 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $32,141 – $163,180 · median $116,080 10 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $32,141 – $163,180 · median $101,481 10 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $32,141 – $163,180 · median $94,314 10 plans
028 SPINAL PROCEDURES WITH MCC $19,085 – $75,214 · median $35,721 10 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $19,085 – $53,600 · median $35,721 10 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $19,085 – $53,600 · median $33,534 10 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $19,085 – $53,600 · median $34,706 10 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $24,786 – $74,126 · median $47,834 10 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $24,786 – $74,126 · median $47,834 10 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $24,328 – $69,887 · median $46,578 10 plans
245 AICD GENERATOR PROCEDURES $24,786 – $77,497 · median $47,834 10 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $21,517 – $73,468 · median $38,387 10 plans
253 OTHER VASCULAR PROCEDURES WITH CC $21,517 – $73,468 · median $34,104 10 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $21,517 – $73,468 · median $32,097 10 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $21,616 – $108,124 · median $72,926 10 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $21,616 – $107,980 · median $72,926 10 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $21,616 – $107,980 · median $65,110 10 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $23,276 – $85,866 · median $69,944 10 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $23,276 – $85,866 · median $57,587 10 plans
471 CERVICAL SPINAL FUSION WITH MCC $18,818 – $64,458 · median $32,811 10 plans
472 CERVICAL SPINAL FUSION WITH CC $18,818 – $53,677 · median $32,811 10 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $18,818 – $53,677 · median $32,305 10 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $4,700 – $17,442 · median $8,931 10 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $4,700 – $17,442 · median $8,931 10 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $4,700 – $17,442 · median $8,931 10 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $4,700 – $17,442 · median $8,931 10 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $4,700 – $17,442 · median $8,931 10 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $4,700 – $17,442 · median $8,931 10 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $53,774 – $125,120 · median $58,022 9 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $53,774 – $123,288 · median $56,489 9 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $53,774 – $123,288 · median $58,022 9 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $44,582 – $123,288 · median $56,489 9 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $33,226 – $123,288 · median $53,774 9 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $15,901 – $54,569 · median $34,277 9 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $15,901 – $54,569 · median $30,461 9 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $16,740 – $47,703 · median $30,407 9 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $16,740 – $33,452 · median $30,407 9 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $16,740 – $33,452 · median $30,407 9 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $25,326 – $47,235 · median $33,294 9 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $27,807 – $49,382 · median $30,068 9 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $48,500 – $229,302 · median $92,015 8 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $72,548 – $135,959 · median $93,889 7 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $50,533 – $135,959 · median $93,889 7 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $58,105 – $96,614 · median $72,548 7 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $38,692 – $96,614 · median $72,548 7 plans
265 AICD LEAD PROCEDURES $43,281 – $77,497 · median $47,834 7 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $45,321 – $73,468 · median $72,229 7 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $42,992 – $73,468 · median $49,232 7 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $18,500 – $38,456 · median $35,277 7 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $18,500 – $38,456 · median $35,277 7 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $18,500 – $38,456 · median $35,277 7 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $15,107 – $22,016 · median $17,680 7 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $19,520 – $27,196 · median $22,254 7 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $12,906 – $19,520 · median $15,184 7 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,005 – $12,854 · median $10,100 7 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,005 – $12,854 · median $10,100 7 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,005 – $12,854 · median $10,100 7 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $7,005 – $12,854 · median $10,100 7 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $7,005 – $12,854 · median $10,100 7 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $7,005 – $12,854 · median $10,100 7 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $53,774 – $274,778 · median $103,879 6 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $53,774 – $206,318 · median $94,664 6 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $23,163 – $35,323 · median $34,327 6 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $13,245 – $35,323 · median $34,327 6 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $10,334 – $35,323 · median $34,327 6 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $19,780 – $35,323 · median $30,996 6 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $10,604 – $35,323 · median $28,292 6 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $7,812 – $35,323 · median $28,292 6 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $28,049 – $73,468 · median $58,496 6 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $28,049 – $73,468 · median $58,496 6 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $19,820 – $35,597 · median $30,455 6 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $13,794 – $28,636 · median $21,376 6 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $17,205 – $24,622 · median $19,561 6 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,005 – $12,854 · median $9,850 6 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $53,774 – $170,184 · median $101,121 5 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $53,774 – $115,723 · median $101,121 5 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $53,774 – $115,723 · median $101,121 5 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC $12,914 – $358,475 · median $95,085 4 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $31,934 – $72,548 · median $62,566 4 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $26,291 – $35,959 · median $32,704 4 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $21,736 – $35,959 · median $32,704 4 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $12,914 – $19,440 · median $16,280 4 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,914 – $24,142 · median $16,280 4 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $12,705 – $18,113 · median $13,680 4 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $55,112 – $123,288 · median $103,612 4 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $31,627 – $123,288 · median $59,321 4 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $12,914 – $73,468 · median $43,771 4 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $12,914 – $73,468 · median $43,771 4 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $12,914 – $30,059 · median $16,280 4 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,914 – $22,630 · median $16,280 4 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $12,914 – $18,113 · median $13,831 4 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $18,113 – $42,636 · median $38,894 4 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $8,536 – $40,079 · median $18,790 4 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $8,536 – $40,079 · median $12,091 4 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $12,914 – $66,099 · median $14,446 3 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $12,914 – $50,030 · median $14,446 3 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $12,914 – $36,194 · median $14,446 3 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $24,087 – $51,180 · median $27,103 3 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $24,087 – $29,226 · median $27,103 3 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $24,067 – $27,103 · median $24,087 3 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $29,790 – $43,164 · median $33,522 3 plans
038 EXTRACRANIAL PROCEDURES WITH CC $20,929 – $33,522 · median $29,790 3 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $14,751 – $33,522 · median $29,790 3 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $48,480 – $60,351 · median $53,632 3 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $29,921 – $60,351 · median $53,632 3 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $23,671 – $60,351 · median $53,632 3 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $8,536 – $25,670 · median $9,359 3 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $8,536 – $14,748 · median $9,359 3 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $8,536 – $31,269 · median $9,359 3 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,536 – $22,731 · median $9,359 3 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $8,536 – $32,166 · median $9,359 3 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $8,536 – $18,766 · median $9,359 3 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $8,536 – $24,877 · median $9,359 3 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $8,536 – $16,488 · median $9,359 3 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $8,536 – $13,068 · median $9,359 3 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $8,536 – $42,285 · median $9,359 3 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $8,536 – $27,644 · median $9,359 3 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $8,536 – $22,796 · median $9,359 3 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $8,536 – $28,434 · median $9,359 3 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,536 – $14,655 · median $9,359 3 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $8,536 – $10,072 · median $9,359 3 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $8,536 – $20,390 · median $9,359 3 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $8,536 – $13,030 · median $9,359 3 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $8,536 – $11,505 · median $9,359 3 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $8,536 – $24,861 · median $9,359 3 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $8,536 – $15,414 · median $9,359 3 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $8,536 – $11,131 · median $9,359 3 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $8,536 – $21,618 · median $9,359 3 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,536 – $14,759 · median $9,359 3 plans
075 VIRAL MENINGITIS WITH CC/MCC $8,536 – $26,315 · median $9,359 3 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $8,536 – $14,236 · median $9,359 3 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $8,536 – $22,554 · median $9,359 3 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $8,536 – $14,315 · median $9,359 3 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $8,536 – $10,582 · median $9,359 3 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $8,536 – $29,412 · median $9,359 3 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $8,536 – $12,955 · median $9,359 3 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $26,130 – $32,663 · median $29,404 3 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $19,440 – $29,404 · median $26,130 3 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $13,215 – $29,404 · median $26,130 3 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $22,727 – $33,678 · median $25,574 3 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $18,740 – $25,574 · median $22,727 3 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $12,579 – $25,574 · median $22,727 3 plans
088 CONCUSSION WITH MCC $8,536 – $22,729 · median $9,359 3 plans
089 CONCUSSION WITH CC $8,536 – $16,837 · median $9,359 3 plans
090 CONCUSSION WITHOUT CC/MCC $8,536 – $11,868 · median $9,359 3 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $8,536 – $24,907 · median $9,359 3 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,536 – $14,337 · median $9,359 3 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $8,536 – $11,028 · median $9,359 3 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $8,536 – $51,526 · median $9,359 3 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $8,536 – $36,867 · median $9,359 3 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $8,536 – $32,937 · median $9,359 3 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $8,536 – $56,064 · median $9,359 3 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $8,536 – $30,052 · median $9,359 3 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $8,536 – $20,165 · median $9,359 3 plans
100 SEIZURES WITH MCC $8,536 – $27,699 · median $9,359 3 plans
101 SEIZURES WITHOUT MCC $8,536 – $12,999 · median $9,359 3 plans
102 HEADACHES WITH MCC $8,536 – $16,580 · median $9,359 3 plans
103 HEADACHES WITHOUT MCC $8,536 – $12,004 · median $9,359 3 plans
113 ORBITAL PROCEDURES WITH CC/MCC $12,914 – $28,733 · median $14,446 3 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $12,914 – $16,672 · median $14,446 3 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,536 – $17,668 · median $9,359 3 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $8,536 – $9,961 · median $9,359 3 plans
123 NEUROLOGICAL EYE DISORDERS $8,536 – $11,446 · median $9,359 3 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $8,536 – $20,197 · median $9,359 3 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $8,536 – $12,431 · median $9,359 3 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $12,914 – $31,362 · median $14,446 3 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $12,914 – $14,848 · median $14,446 3 plans
137 MOUTH PROCEDURES WITH CC/MCC $12,914 – $19,190 · median $14,446 3 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $11,316 – $14,446 · median $12,914 3 plans
139 SALIVARY GLAND PROCEDURES $12,914 – $16,092 · median $14,446 3 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $12,914 – $53,188 · median $14,446 3 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $12,914 – $28,571 · median $14,446 3 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $12,914 – $21,777 · median $14,446 3 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $12,914 – $40,600 · median $14,446 3 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,914 – $23,154 · median $14,446 3 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $12,914 – $15,456 · median $14,446 3 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $8,536 – $45,408 · median $9,359 3 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,536 – $27,303 · median $9,359 3 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $8,536 – $11,789 · median $9,359 3 plans
149 DYSEQUILIBRIUM $8,536 – $10,886 · median $9,359 3 plans
150 EPISTAXIS WITH MCC $8,536 – $19,888 · median $9,359 3 plans
151 EPISTAXIS WITHOUT MCC $8,536 – $11,117 · median $9,359 3 plans
152 OTITIS MEDIA AND URI WITH MCC $8,536 – $17,270 · median $9,359 3 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $8,536 – $9,956 · median $9,359 3 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $8,536 – $21,670 · median $9,359 3 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $8,536 – $13,255 · median $9,359 3 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $8,536 – $9,829 · median $9,359 3 plans
157 DENTAL AND ORAL DISEASES WITH MCC $8,536 – $24,106 · median $9,359 3 plans
158 DENTAL AND ORAL DISEASES WITH CC $8,536 – $13,397 · median $9,359 3 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $8,536 – $10,813 · median $9,359 3 plans
163 MAJOR CHEST PROCEDURES WITH MCC $12,914 – $61,985 · median $14,446 3 plans
164 MAJOR CHEST PROCEDURES WITH CC $12,914 – $33,051 · median $14,446 3 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $12,914 – $24,659 · median $14,446 3 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $12,914 – $46,911 · median $14,446 3 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $12,914 – $24,328 · median $14,446 3 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,914 – $18,141 · median $14,446 3 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $8,536 – $20,140 · median $9,359 3 plans
176 PULMONARY EMBOLISM WITHOUT MCC $8,536 – $11,789 · median $9,359 3 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $8,536 – $25,664 · median $9,359 3 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $8,536 – $15,673 · median $9,359 3 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $8,536 – $11,325 · median $9,359 3 plans
180 RESPIRATORY NEOPLASMS WITH MCC $8,536 – $38,187 · median $9,359 3 plans
181 RESPIRATORY NEOPLASMS WITH CC $8,536 – $25,558 · median $9,359 3 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $8,536 – $20,008 · median $9,359 3 plans
183 MAJOR CHEST TRAUMA WITH MCC $8,536 – $21,660 · median $9,359 3 plans
184 MAJOR CHEST TRAUMA WITH CC $8,536 – $15,071 · median $9,359 3 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $8,536 – $10,886 · median $9,359 3 plans
186 PLEURAL EFFUSION WITH MCC $8,536 – $22,015 · median $9,359 3 plans
187 PLEURAL EFFUSION WITH CC $8,536 – $15,081 · median $9,359 3 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $8,536 – $10,439 · median $9,359 3 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,536 – $17,404 · median $9,359 3 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,536 – $15,652 · median $9,359 3 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $8,536 – $12,461 · median $9,359 3 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $8,536 – $9,403 · median $9,359 3 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $8,536 – $18,726 · median $9,359 3 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $8,536 – $12,115 · median $9,359 3 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $8,536 – $9,359 · median $9,254 3 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $8,536 – $25,056 · median $9,359 3 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $8,536 – $14,183 · median $9,359 3 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $8,536 – $10,250 · median $9,359 3 plans
199 PNEUMOTHORAX WITH MCC $8,536 – $25,357 · median $9,359 3 plans
200 PNEUMOTHORAX WITH CC $8,536 – $15,457 · median $9,359 3 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $8,536 – $10,496 · median $9,359 3 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,536 – $13,349 · median $9,359 3 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $8,536 – $9,619 · median $9,359 3 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $8,536 – $11,671 · median $9,359 3 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $8,536 – $25,680 · median $9,359 3 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $8,536 – $12,882 · median $9,359 3 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $8,536 – $94,674 · median $9,359 3 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $8,536 – $37,491 · median $9,359 3 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $12,914 – $59,507 · median $14,446 3 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $12,914 – $34,734 · median $14,446 3 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $12,914 – $19,821 · median $14,446 3 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $12,914 – $32,832 · median $14,446 3 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,914 – $20,887 · median $14,446 3 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $12,914 – $14,446 · median $13,420 3 plans
263 VEIN LIGATION AND STRIPPING $20,635 – $35,652 · median $23,220 3 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $26,269 – $42,354 · median $29,560 3 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $38,881 – $45,718 · median $40,628 3 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $23,173 – $45,718 · median $40,628 3 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $17,385 – $45,718 · median $40,628 3 plans
291 HEART FAILURE AND SHOCK WITH MCC $18,453 – $29,476 · median $26,195 3 plans
292 HEART FAILURE AND SHOCK WITH CC $12,441 – $29,476 · median $26,195 3 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $8,079 – $29,476 · median $26,195 3 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $8,536 – $16,647 · median $9,359 3 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $8,536 – $12,771 · median $9,359 3 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $8,536 – $23,623 · median $9,359 3 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $8,536 – $9,359 · median $9,175 3 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $7,044 – $9,359 · median $8,536 3 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $13,760 – $22,176 · median $15,484 3 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $13,760 – $15,484 · median $14,867 3 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $10,327 – $15,484 · median $13,760 3 plans
302 ATHEROSCLEROSIS WITH MCC $8,536 – $17,386 · median $9,359 3 plans
303 ATHEROSCLEROSIS WITHOUT MCC $8,536 – $9,749 · median $9,359 3 plans
304 HYPERTENSION WITH MCC $8,536 – $15,841 · median $9,359 3 plans
305 HYPERTENSION WITHOUT MCC $8,536 – $10,751 · median $9,359 3 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $8,536 – $21,280 · median $9,359 3 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $8,536 – $13,141 · median $9,359 3 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,536 – $16,908 · median $9,359 3 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $8,536 – $10,635 · median $9,359 3 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $7,948 – $9,359 · median $8,536 3 plans
311 ANGINA PECTORIS $8,536 – $9,633 · median $9,359 3 plans
312 SYNCOPE AND COLLAPSE $8,536 – $12,295 · median $9,359 3 plans
313 CHEST PAIN $10,431 – $17,380 · median $15,445 3 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $8,536 – $30,029 · median $9,359 3 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $8,536 – $13,965 · median $9,359 3 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $8,536 – $9,834 · median $9,359 3 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $12,914 – $65,505 · median $14,446 3 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $12,914 – $32,777 · median $14,446 3 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,914 – $21,214 · median $14,446 3 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $12,914 – $59,164 · median $14,446 3 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,914 – $31,422 · median $14,446 3 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,914 – $21,868 · median $14,446 3 plans
332 RECTAL RESECTION WITH MCC $12,914 – $51,960 · median $14,446 3 plans
333 RECTAL RESECTION WITH CC $12,914 – $50,343 · median $14,446 3 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,914 – $38,652 · median $14,446 3 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $12,914 – $47,142 · median $14,446 3 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $12,914 – $27,219 · median $14,446 3 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,914 – $20,162 · median $14,446 3 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $12,914 – $33,688 · median $14,446 3 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,914 – $19,855 · median $14,446 3 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,914 – $16,005 · median $14,446 3 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $12,914 – $32,481 · median $14,446 3 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $12,914 – $17,673 · median $14,446 3 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $12,761 – $14,446 · median $12,914 3 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $12,914 – $30,163 · median $14,446 3 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $12,914 – $18,814 · median $14,446 3 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $12,914 – $14,446 · median $14,104 3 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $12,914 – $36,699 · median $14,446 3 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,914 – $22,420 · median $14,446 3 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $12,914 – $17,561 · median $14,446 3 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $12,914 – $54,035 · median $14,446 3 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $12,914 – $28,745 · median $14,446 3 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,914 – $17,752 · median $14,446 3 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $8,536 – $25,294 · median $9,359 3 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $8,536 – $14,738 · median $9,359 3 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $8,536 – $10,796 · median $9,359 3 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $8,536 – $24,394 · median $9,359 3 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,536 – $14,679 · median $9,359 3 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $8,536 – $10,468 · median $9,359 3 plans
374 DIGESTIVE MALIGNANCY WITH MCC $8,536 – $44,937 · median $9,359 3 plans
375 DIGESTIVE MALIGNANCY WITH CC $8,536 – $27,157 · median $9,359 3 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $8,536 – $19,789 · median $9,359 3 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $8,536 – $25,637 · median $9,359 3 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $8,536 – $14,203 · median $9,359 3 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $8,536 – $9,359 · median $9,139 3 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $8,536 – $27,455 · median $9,359 3 plans
381 COMPLICATED PEPTIC ULCER WITH CC $8,536 – $15,219 · median $9,359 3 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $8,536 – $11,100 · median $9,359 3 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $8,536 – $19,610 · median $9,359 3 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $8,536 – $13,000 · median $9,359 3 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $8,536 – $23,484 · median $9,359 3 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $8,536 – $14,272 · median $9,359 3 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $8,536 – $9,972 · median $9,359 3 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $8,536 – $21,158 · median $9,359 3 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $8,536 – $11,638 · median $9,359 3 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $8,154 – $9,359 · median $8,536 3 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $8,536 – $18,514 · median $9,359 3 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $8,536 – $11,356 · median $9,359 3 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $8,536 – $23,233 · median $9,359 3 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $8,536 – $13,597 · median $9,359 3 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,536 – $9,359 · median $9,299 3 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $12,914 – $70,920 · median $14,446 3 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $12,914 – $37,491 · median $14,446 3 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $12,914 – $28,482 · median $14,446 3 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $12,914 – $46,959 · median $14,446 3 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $12,914 – $27,276 · median $14,446 3 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $12,914 – $21,725 · median $14,446 3 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $12,914 – $43,231 · median $14,446 3 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $12,914 – $29,378 · median $14,446 3 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,914 – $20,736 · median $14,446 3 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $12,914 – $45,234 · median $14,446 3 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $12,914 – $25,594 · median $14,446 3 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $12,914 – $17,614 · median $14,446 3 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $12,914 – $30,427 · median $14,446 3 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,914 – $21,256 · median $14,446 3 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $12,914 – $16,700 · median $14,446 3 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $12,914 – $41,734 · median $14,446 3 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,914 – $23,183 · median $14,446 3 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $12,914 – $17,732 · median $14,446 3 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $12,914 – $50,317 · median $14,446 3 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $12,914 – $30,311 · median $14,446 3 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $12,914 – $18,307 · median $14,446 3 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $8,536 – $27,226 · median $9,359 3 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,536 – $14,993 · median $9,359 3 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $8,536 – $9,359 · median $9,051 3 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $8,536 – $39,411 · median $9,359 3 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,536 – $24,807 · median $9,359 3 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $8,536 – $19,070 · median $9,359 3 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $8,536 – $23,898 · median $9,359 3 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $8,536 – $12,542 · median $9,359 3 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $8,536 – $9,359 · median $8,744 3 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $8,536 – $27,321 · median $9,359 3 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $8,536 – $13,640 · median $9,359 3 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $8,536 – $9,400 · median $9,359 3 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $8,536 – $24,003 · median $9,359 3 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,536 – $15,855 · median $9,359 3 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $8,536 – $11,704 · median $9,359 3 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $29,124 – $117,154 · median $29,124 3 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $29,124 – $77,945 · median $29,124 3 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $29,124 – $61,272 · median $29,124 3 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $29,124 – $84,883 · median $29,124 3 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $29,124 – $48,194 · median $29,124 3 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $55,717 – $67,077 · median $62,697 3 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $38,227 – $62,697 · median $55,717 3 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $25,501 – $62,697 · median $55,717 3 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $12,914 – $52,428 · median $14,446 3 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $12,914 – $28,425 · median $14,446 3 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $12,914 – $15,708 · median $14,446 3 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,914 – $43,546 · median $14,446 3 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $21,065 – $34,277 · median $30,461 3 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $12,914 – $30,170 · median $14,446 3 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $33,015 – $41,603 · median $37,151 3 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $26,695 – $37,151 · median $33,015 3 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $20,526 – $37,151 · median $33,015 3 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $21,963 – $29,039 · median $24,714 3 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $17,014 – $24,714 · median $21,963 3 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $25,982 – $44,609 · median $29,238 3 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $25,982 – $30,403 · median $29,238 3 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $24,171 – $29,238 · median $25,982 3 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $14,953 – $47,533 · median $16,826 3 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $14,953 – $26,870 · median $16,826 3 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $14,953 – $19,473 · median $16,826 3 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $12,914 – $32,800 · median $14,446 3 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $12,914 – $16,875 · median $14,446 3 plans
500 SOFT TISSUE PROCEDURES WITH MCC $12,914 – $41,008 · median $14,446 3 plans
501 SOFT TISSUE PROCEDURES WITH CC $12,914 – $22,495 · median $14,446 3 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $12,914 – $17,589 · median $14,446 3 plans
503 FOOT PROCEDURES WITH MCC $32,419 – $46,917 · median $41,693 3 plans
504 FOOT PROCEDURES WITH CC $22,712 – $46,917 · median $41,693 3 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $22,610 – $46,917 · median $41,693 3 plans
506 MAJOR THUMB OR JOINT PROCEDURES $12,914 – $18,041 · median $14,446 3 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $23,736 – $31,202 · median $27,728 3 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $18,533 – $31,202 · median $27,728 3 plans
509 ARTHROSCOPY $12,914 – $19,425 · median $14,446 3 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $27,728 – $36,959 · median $31,202 3 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $25,325 – $31,202 · median $27,728 3 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $20,558 – $31,202 · median $27,728 3 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $12,914 – $20,398 · median $14,446 3 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $26,027 – $42,636 · median $37,889 3 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $19,322 – $42,636 · median $37,889 3 plans
533 FRACTURES OF FEMUR WITH MCC $8,536 – $20,566 · median $9,359 3 plans
534 FRACTURES OF FEMUR WITHOUT MCC $8,536 – $11,476 · median $9,359 3 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $8,536 – $18,593 · median $9,359 3 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $8,536 – $11,205 · median $9,359 3 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $8,536 – $14,324 · median $9,359 3 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $8,536 – $10,039 · median $9,359 3 plans
539 OSTEOMYELITIS WITH MCC $8,536 – $28,779 · median $9,359 3 plans
540 OSTEOMYELITIS WITH CC $8,536 – $19,417 · median $9,359 3 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $8,536 – $11,795 · median $9,359 3 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $8,536 – $26,358 · median $9,359 3 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $8,536 – $15,702 · median $9,359 3 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $8,536 – $11,219 · median $9,359 3 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $8,536 – $36,172 · median $9,359 3 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,536 – $17,384 · median $9,359 3 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,536 – $13,191 · median $9,359 3 plans
548 SEPTIC ARTHRITIS WITH MCC $8,536 – $27,971 · median $9,359 3 plans
549 SEPTIC ARTHRITIS WITH CC $8,536 – $17,472 · median $9,359 3 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $8,536 – $15,115 · median $9,359 3 plans
551 MEDICAL BACK PROBLEMS WITH MCC $24,129 – $29,404 · median $26,130 3 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $13,849 – $29,404 · median $26,130 3 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $8,536 – $19,118 · median $9,359 3 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $8,536 – $11,826 · median $9,359 3 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,536 – $19,195 · median $9,359 3 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $8,536 – $11,651 · median $9,359 3 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $8,536 – $20,647 · median $9,359 3 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $8,536 – $12,530 · median $9,359 3 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,536 – $25,738 · median $9,359 3 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,536 – $15,797 · median $9,359 3 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $8,536 – $11,394 · median $9,359 3 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $8,536 – $21,092 · median $9,359 3 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $8,536 – $12,418 · median $9,359 3 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $8,536 – $22,397 · median $9,359 3 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $8,536 – $14,237 · median $9,359 3 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $8,536 – $10,709 · median $9,359 3 plans
570 SKIN DEBRIDEMENT WITH MCC $12,914 – $37,330 · median $14,446 3 plans
571 SKIN DEBRIDEMENT WITH CC $12,914 – $21,097 · median $14,446 3 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $12,914 – $15,402 · median $14,446 3 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $12,914 – $75,125 · median $14,446 3 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $12,914 – $46,128 · median $14,446 3 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,914 – $26,229 · median $14,446 3 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $12,914 – $72,290 · median $14,446 3 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $12,914 – $33,512 · median $14,446 3 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,914 – $21,915 · median $14,446 3 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $12,914 – $40,332 · median $14,446 3 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,914 – $22,218 · median $14,446 3 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $12,914 – $18,063 · median $14,446 3 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $12,914 – $43,618 · median $14,446 3 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,914 – $34,059 · median $14,446 3 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $12,914 – $27,332 · median $14,446 3 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $12,914 – $23,561 · median $14,446 3 plans
592 SKIN ULCERS WITH MCC $8,536 – $25,724 · median $9,359 3 plans
593 SKIN ULCERS WITH CC $8,536 – $16,609 · median $9,359 3 plans
594 SKIN ULCERS WITHOUT CC/MCC $8,536 – $11,159 · median $9,359 3 plans
595 MAJOR SKIN DISORDERS WITH MCC $8,536 – $30,877 · median $9,359 3 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,536 – $15,743 · median $9,359 3 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $8,536 – $37,964 · median $9,359 3 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,536 – $24,079 · median $9,359 3 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $8,536 – $10,780 · median $9,359 3 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $8,536 – $15,012 · median $9,359 3 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $8,536 – $10,150 · median $9,359 3 plans
602 CELLULITIS WITH MCC $8,536 – $20,781 · median $9,359 3 plans
603 CELLULITIS WITHOUT MCC $8,536 – $12,715 · median $9,359 3 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,447 – $21,761 · median $12,881 3 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $11,447 – $13,127 · median $12,881 3 plans
606 MINOR SKIN DISORDERS WITH MCC $8,536 – $22,132 · median $9,359 3 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $8,536 – $12,230 · median $9,359 3 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $12,914 – $30,072 · median $14,446 3 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $12,914 – $18,886 · median $14,446 3 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $12,914 – $48,174 · median $14,446 3 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $12,914 – $24,877 · median $14,446 3 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $12,914 – $15,010 · median $14,446 3 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $12,914 – $46,339 · median $14,446 3 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $12,914 – $24,117 · median $14,446 3 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $12,656 – $14,446 · median $12,914 3 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $12,914 – $36,820 · median $14,446 3 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $12,914 – $20,721 · median $14,446 3 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $12,914 – $16,328 · median $14,446 3 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $12,914 – $46,643 · median $14,446 3 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $12,914 – $28,714 · median $14,446 3 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $12,914 – $17,970 · median $14,446 3 plans
637 DIABETES WITH MCC $8,536 – $20,125 · median $9,359 3 plans
638 DIABETES WITH CC $8,536 – $12,631 · median $9,359 3 plans
639 DIABETES WITHOUT CC/MCC $8,536 – $9,359 · median $8,663 3 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $8,536 – $18,244 · median $9,359 3 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $8,536 – $11,106 · median $9,359 3 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $8,536 – $20,234 · median $9,359 3 plans
643 ENDOCRINE DISORDERS WITH MCC $8,536 – $23,701 · median $9,359 3 plans
644 ENDOCRINE DISORDERS WITH CC $8,536 – $14,694 · median $9,359 3 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $8,536 – $10,708 · median $9,359 3 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $12,914 – $71,109 · median $14,446 3 plans
654 MAJOR BLADDER PROCEDURES WITH CC $12,914 – $36,375 · median $14,446 3 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $12,914 – $27,625 · median $14,446 3 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $12,914 – $74,515 · median $14,446 3 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $12,914 – $42,338 · median $14,446 3 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $32,977 – $52,559 · median $46,707 3 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $18,059 – $28,607 · median $25,422 3 plans
662 MINOR BLADDER PROCEDURES WITH MCC $12,914 – $38,886 · median $14,446 3 plans
663 MINOR BLADDER PROCEDURES WITH CC $12,914 – $19,515 · median $14,446 3 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $12,914 – $14,446 · median $14,418 3 plans
665 PROSTATECTOMY WITH MCC $12,914 – $39,163 · median $14,446 3 plans
666 PROSTATECTOMY WITH CC $12,914 – $22,035 · median $14,446 3 plans
667 PROSTATECTOMY WITHOUT CC/MCC $12,591 – $14,446 · median $12,914 3 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $12,914 – $36,125 · median $14,446 3 plans
669 TRANSURETHRAL PROCEDURES WITH CC $12,914 – $20,145 · median $14,446 3 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $12,637 – $14,446 · median $12,914 3 plans
671 URETHRAL PROCEDURES WITH CC/MCC $12,914 – $23,438 · median $14,446 3 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $12,914 – $14,446 · median $13,331 3 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $12,914 – $44,713 · median $14,446 3 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $12,914 – $30,335 · median $14,446 3 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $12,914 – $21,581 · median $14,446 3 plans
682 RENAL FAILURE WITH MCC $8,536 – $21,435 · median $9,359 3 plans
683 RENAL FAILURE WITH CC $8,536 – $12,904 · median $9,359 3 plans
684 RENAL FAILURE WITHOUT CC/MCC $8,536 – $9,359 · median $8,721 3 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $8,536 – $38,275 · median $9,359 3 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,536 – $23,441 · median $9,359 3 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $8,536 – $12,493 · median $9,359 3 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,536 – $16,540 · median $9,359 3 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $8,536 – $11,472 · median $9,359 3 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,536 – $16,557 · median $9,359 3 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $8,536 – $9,992 · median $9,359 3 plans
697 URETHRAL STRICTURE $8,536 – $14,309 · median $9,359 3 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $8,536 – $23,106 · median $9,359 3 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,536 – $14,593 · median $9,359 3 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $8,536 – $10,682 · median $9,359 3 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $24,613 – $27,696 · median $25,534 3 plans
709 PENIS PROCEDURES WITH CC/MCC $12,914 – $30,866 · median $14,446 3 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $12,914 – $18,446 · median $14,446 3 plans
711 TESTES PROCEDURES WITH CC/MCC $12,914 – $26,149 · median $14,446 3 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $12,914 – $15,889 · median $14,446 3 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $12,914 – $18,964 · median $14,446 3 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $12,262 – $14,446 · median $12,914 3 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $12,914 – $28,578 · median $14,446 3 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $12,914 – $16,819 · median $14,446 3 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $12,914 – $22,655 · median $14,446 3 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $12,914 – $16,239 · median $14,446 3 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $8,536 – $38,273 · median $9,359 3 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,536 – $25,980 · median $9,359 3 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,536 – $11,032 · median $9,359 3 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,536 – $18,014 · median $9,359 3 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $8,536 – $11,126 · median $9,359 3 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $8,536 – $20,717 · median $9,359 3 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $8,536 – $11,848 · median $9,359 3 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,536 – $15,541 · median $9,359 3 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,536 – $9,456 · median $9,359 3 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $12,914 – $27,964 · median $14,446 3 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $12,914 – $16,280 · median $14,446 3 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $12,914 – $54,582 · median $14,446 3 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $12,914 – $25,895 · median $14,446 3 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,914 – $17,964 · median $14,446 3 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $45,410 – $51,098 · median $49,938 3 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $20,811 – $23,418 · median $23,065 3 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $12,914 – $24,293 · median $14,446 3 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $12,914 – $14,727 · median $14,446 3 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $12,914 – $20,007 · median $14,446 3 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $12,523 – $14,446 · median $12,914 3 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $12,742 – $18,136 · median $14,339 3 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $12,914 – $32,328 · median $14,446 3 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,914 – $18,261 · median $14,446 3 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $8,536 – $39,157 · median $9,359 3 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,536 – $24,372 · median $9,359 3 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,536 – $14,373 · median $9,359 3 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $8,536 – $19,786 · median $9,359 3 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,536 – $13,777 · median $9,359 3 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,536 – $9,359 · median $8,946 3 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $8,536 – $13,937 · median $9,359 3 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $8,157 – $9,359 · median $8,536 3 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $12,914 – $21,260 · median $14,446 3 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $11,080 – $14,446 · median $12,914 3 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $8,536 – $10,051 · median $9,359 3 plans
779 ABORTION WITHOUT D&C $8,536 – $14,687 · median $9,359 3 plans
799 SPLENIC PROCEDURES WITH MCC $12,914 – $66,643 · median $14,446 3 plans
800 SPLENIC PROCEDURES WITH CC $12,914 – $34,021 · median $14,446 3 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $12,914 – $22,983 · median $14,446 3 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $12,914 – $48,782 · median $14,446 3 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,914 – $26,276 · median $14,446 3 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $12,914 – $16,147 · median $14,446 3 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $8,536 – $30,871 · median $9,359 3 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $8,536 – $17,529 · median $9,359 3 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $8,536 – $13,537 · median $9,359 3 plans
811 RED BLOOD CELL DISORDERS WITH MCC $8,536 – $20,047 · median $9,359 3 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $8,536 – $12,948 · median $9,359 3 plans
813 COAGULATION DISORDERS $8,536 – $22,567 · median $9,359 3 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $8,536 – $27,095 · median $9,359 3 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $8,536 – $14,867 · median $9,359 3 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $8,536 – $10,511 · median $9,359 3 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $12,914 – $119,880 · median $14,446 3 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $12,914 – $27,672 · median $14,446 3 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,914 – $27,166 · median $14,446 3 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $12,914 – $97,534 · median $14,446 3 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $12,914 – $51,633 · median $14,446 3 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $12,914 – $29,681 · median $14,446 3 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $12,914 – $115,919 · median $14,446 3 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $12,914 – $54,888 · median $14,446 3 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $12,914 – $39,206 · median $14,446 3 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $12,914 – $71,345 · median $14,446 3 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $12,914 – $33,151 · median $14,446 3 plans
834 ACUTE LEUKEMIA WITH MCC $8,536 – $124,668 · median $9,359 3 plans
835 ACUTE LEUKEMIA WITH CC $8,536 – $47,277 · median $9,359 3 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $8,536 – $35,367 · median $9,359 3 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $8,536 – $121,336 · median $9,359 3 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $8,536 – $50,140 · median $9,359 3 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $8,536 – $30,991 · median $9,359 3 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $8,536 – $70,044 · median $9,359 3 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $8,536 – $35,953 · median $9,359 3 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $8,536 – $24,882 · median $9,359 3 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $8,536 – $43,677 · median $9,359 3 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $8,536 – $25,714 · median $9,359 3 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $8,536 – $12,191 · median $9,359 3 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $8,536 – $54,309 · median $9,359 3 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $8,536 – $27,461 · median $9,359 3 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $8,536 – $20,946 · median $9,359 3 plans
849 RADIOTHERAPY $8,536 – $52,728 · median $9,359 3 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $12,914 – $62,718 · median $14,446 3 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $12,914 – $26,306 · median $14,446 3 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,914 – $19,550 · median $14,446 3 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $12,914 – $56,469 · median $14,446 3 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $12,914 – $26,989 · median $14,446 3 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $12,914 – $18,103 · median $14,446 3 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $8,536 – $26,374 · median $9,359 3 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $8,536 – $14,504 · median $9,359 3 plans
864 FEVER AND INFLAMMATORY CONDITIONS $8,536 – $12,230 · median $9,359 3 plans
865 VIRAL ILLNESS WITH MCC $8,536 – $24,120 · median $9,359 3 plans
866 VIRAL ILLNESS WITHOUT MCC $8,536 – $12,973 · median $9,359 3 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $8,536 – $30,473 · median $9,359 3 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,536 – $15,222 · median $9,359 3 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $8,536 – $10,682 · median $9,359 3 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $8,536 – $97,918 · median $9,359 3 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $12,914 – $40,903 · median $14,446 3 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $8,536 – $13,067 · median $9,359 3 plans
881 DEPRESSIVE NEUROSES $8,536 – $12,335 · median $9,359 3 plans
882 NEUROSES EXCEPT DEPRESSIVE $8,536 – $12,595 · median $9,359 3 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $8,536 – $23,279 · median $9,359 3 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $8,536 – $22,638 · median $9,359 3 plans
885 PSYCHOSES $8,536 – $18,680 · median $9,359 3 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $8,536 – $19,682 · median $9,359 3 plans
887 OTHER MENTAL DISORDER DIAGNOSES $8,536 – $18,694 · median $9,359 3 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $8,245 – $9,359 · median $8,536 3 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $8,536 – $22,475 · median $9,359 3 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $8,536 – $25,314 · median $9,359 3 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $8,536 – $12,275 · median $9,359 3 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $12,914 – $56,289 · median $14,446 3 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,914 – $25,361 · median $14,446 3 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $12,914 – $15,556 · median $14,446 3 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $12,914 – $45,454 · median $14,446 3 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $12,914 – $19,962 · median $14,446 3 plans
906 HAND PROCEDURES FOR INJURIES $12,914 – $22,878 · median $14,446 3 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $12,914 – $49,469 · median $14,446 3 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $12,914 – $26,317 · median $14,446 3 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $12,914 – $17,464 · median $14,446 3 plans
913 TRAUMATIC INJURY WITH MCC $8,536 – $21,832 · median $9,359 3 plans
914 TRAUMATIC INJURY WITHOUT MCC $8,536 – $12,820 · median $9,359 3 plans
915 ALLERGIC REACTIONS WITH MCC $8,536 – $26,244 · median $9,359 3 plans
916 ALLERGIC REACTIONS WITHOUT MCC $8,536 – $9,577 · median $9,359 3 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $8,536 – $21,953 · median $9,359 3 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $8,536 – $11,790 · median $9,359 3 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $8,536 – $25,862 · median $9,359 3 plans
920 COMPLICATIONS OF TREATMENT WITH CC $8,536 – $14,733 · median $9,359 3 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $8,536 – $10,496 · median $9,359 3 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $8,536 – $22,433 · median $9,359 3 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $8,536 – $13,600 · median $9,359 3 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $12,914 – $39,634 · median $14,446 3 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $12,914 – $28,196 · median $14,446 3 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $12,914 – $24,153 · median $14,446 3 plans
947 SIGNS AND SYMPTOMS WITH MCC $8,536 – $17,528 · median $9,359 3 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $8,536 – $11,212 · median $9,359 3 plans
949 AFTERCARE WITH CC/MCC $8,536 – $17,187 · median $9,359 3 plans
950 AFTERCARE WITHOUT CC/MCC $8,536 – $10,230 · median $9,359 3 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $8,207 – $9,359 · median $8,536 3 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $86,201 – $112,671 · median $100,127 3 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $48,682 – $60,891 · median $54,112 3 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $94,832 – $119,563 · median $106,253 3 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $53,370 – $119,563 · median $106,253 3 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $32,872 – $119,563 · median $106,253 3 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $39,987 – $46,816 · median $41,604 3 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $21,117 – $46,816 · median $41,604 3 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $13,120 – $46,816 · median $41,604 3 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $12,914 – $92,748 · median $14,446 3 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $12,914 – $39,522 · median $14,446 3 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $8,536 – $41,426 · median $9,359 3 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $8,536 – $19,836 · median $9,359 3 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $8,536 – $13,306 · median $9,359 3 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $8,536 – $18,743 · median $9,359 3 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $12,914 – $58,615 · median $14,446 3 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,914 – $32,097 · median $14,446 3 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,914 – $21,374 · median $14,446 3 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $12,914 – $42,466 · median $14,446 3 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,914 – $21,709 · median $14,446 3 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,914 – $14,446 · median $14,107 3 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $224,471 – $252,591 · median $238,531 2 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $214,704 – $241,600 · median $228,152 2 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH $258,974 – $528,616 · median $393,795 2 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $12,914 – $14,446 · median $13,680 2 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES — 2 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $48,500 – $81,912 · median $65,206 2 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $48,500 – $64,250 · median $56,375 2 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ AR $14,000 – $38,332 · median $26,166 2 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $14,000 – $24,436 · median $19,218 2 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4 $14,000 – $38,516 · median $26,258 2 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $14,000 – $23,248 · median $18,624 2 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $30,205 – $33,989 · median $32,097 2 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $30,205 – $33,989 · median $32,097 2 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $90,564 – $104,321 · median $97,443 2 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $12,914 – $14,446 · median $13,680 2 plans
397 APPENDIX PROCEDURES WITH MCC $12,914 – $14,446 · median $13,680 2 plans
398 APPENDIX PROCEDURES WITH CC $12,914 – $14,446 · median $13,680 2 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $12,914 – $14,446 · median $13,680 2 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $48,664 – $54,760 · median $51,712 2 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $130,303 – $146,627 · median $138,465 2 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $88,350 – $99,418 · median $93,884 2 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $68,465 – $77,042 · median $72,754 2 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $103,748 – $116,745 · median $110,247 2 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $68,047 – $76,572 · median $72,310 2 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL $83,399 – $93,847 · median $88,623 2 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $57,158 – $83,399 · median $70,279 2 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY $64,062 – $72,087 · median $68,075 2 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $38,387 – $43,195 · median $40,791 2 plans
693 URINARY STONES WITH MCC $12,944 – $14,564 · median $13,754 2 plans
694 URINARY STONES WITHOUT MCC $12,944 – $14,564 · median $13,754 2 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES — 2 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT — 2 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $12,914 – $14,446 · median $13,680 2 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $12,914 – $14,446 · median $13,680 2 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $8,536 – $9,359 · median $8,948 2 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $8,536 – $9,359 · median $8,948 2 plans
935 NON-EXTENSIVE BURNS $8,536 – $9,359 · median $8,948 2 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $145,975 – $145,975 · median $145,975 1 plans
006 LIVER TRANSPLANT WITHOUT MCC $61,545 – $61,545 · median $61,545 1 plans
007 LUNG TRANSPLANT $156,217 – $156,217 · median $156,217 1 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $71,549 – $71,549 · median $71,549 1 plans
010 PANCREAS TRANSPLANT $53,067 – $53,067 · median $53,067 1 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $143,237 – $143,237 · median $143,237 1 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $77,862 – $77,862 · median $77,862 1 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $55,924 – $55,924 · median $55,924 1 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $462,550 – $462,550 · median $462,550 1 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $91,301 – $91,301 · median $91,301 1 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK $97,982 – $97,982 · median $97,982 1 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK $66,784 – $66,784 · median $66,784 1 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH $90,720 – $90,720 · median $90,720 1 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH $64,723 – $64,723 · median $64,723 1 plans
230 OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC $48,500 – $48,500 · median $48,500 1 plans
237 MAJOR CARDIOVASC PROCEDURES W MCC $48,500 – $48,500 · median $48,500 1 plans
238 MAJOR CARDIOVASC PROCEDURES W/O MCC $48,500 – $48,500 · median $48,500 1 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $33,995 – $33,995 · median $33,995 1 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $20,839 – $20,839 · median $20,839 1 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $15,355 – $15,355 · median $15,355 1 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $28,908 – $28,908 · median $28,908 1 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $18,597 – $18,597 · median $18,597 1 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,983 – $13,983 · median $13,983 1 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $59,428 – $59,428 · median $59,428 1 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $45,381 – $45,381 · median $45,381 1 plans
652 KIDNEY TRANSPLANT $39,480 – $39,480 · median $39,480 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 $40,052 – $40,052 · median $40,052 1 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $20,349 – $20,349 · median $20,349 1 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,370 – $11,370 · median $11,370 1 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $17,228 – $17,228 · median $17,228 1 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $10,101 – $10,101 · median $10,101 1 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $7,267 – $7,267 · median $7,267 1 plans
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