Riverside Community Hospital — Pricing

794 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 794 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 794
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 794 procedures

Procedures with negotiated rates only

These 794 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 $2,800 – $201,002 · median $136,672 11 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $2,800 – $201,002 · median $115,539 11 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $2,800 – $201,002 · median $115,539 11 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $2,800 – $201,002 · median $115,539 11 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $2,800 – $201,002 · median $115,539 11 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $2,800 – $201,002 · median $115,539 11 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $2,800 – $201,002 · median $115,539 11 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $2,800 – $201,002 · median $115,539 11 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $2,800 – $201,002 · median $117,975 11 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $2,800 – $201,002 · median $113,926 11 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $4,530 – $98,084 · median $35,388 11 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $4,530 – $98,084 · median $35,388 11 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $13,330 – $98,084 · median $35,009 11 plans
253 OTHER VASCULAR PROCEDURES WITH CC $13,330 – $98,084 · median $35,009 11 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $13,330 – $98,084 · median $35,009 11 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $31,181 – $168,075 · median $76,390 10 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $31,181 – $168,075 · median $76,390 10 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $31,181 – $168,075 · median $68,827 10 plans
028 SPINAL PROCEDURES WITH MCC $15,062 – $82,614 · median $38,962 10 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $15,062 – $51,713 · median $38,962 10 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $15,062 – $51,713 · median $35,935 10 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $15,062 – $57,925 · median $38,962 10 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $41,522 – $201,002 · median $123,354 10 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $41,522 – $201,002 · median $123,354 10 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $41,522 – $201,002 · median $113,926 10 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $41,522 – $201,002 · median $113,926 10 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $24,046 – $84,121 · median $69,904 10 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $24,046 – $84,121 · median $71,488 10 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $24,786 – $84,121 · median $52,511 10 plans
245 AICD GENERATOR PROCEDURES $24,046 – $84,121 · median $64,051 10 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $24,046 – $65,977 · median $32,805 10 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $24,046 – $65,977 · median $32,075 10 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $22,060 – $49,176 · median $32,805 10 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $21,099 – $46,785 · median $32,075 10 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $21,099 – $46,785 · median $32,075 10 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $2,800 – $240,211 · median $88,118 10 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $2,800 – $240,211 · median $88,118 10 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $16,648 – $38,331 · median $27,477 10 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $16,648 – $38,331 · median $27,350 10 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $21,616 – $152,503 · median $50,495 10 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $21,616 – $152,503 · median $50,495 10 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $21,616 – $143,871 · median $50,495 10 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $19,554 – $90,172 · median $42,999 10 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $19,554 – $88,442 · median $49,749 10 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $19,554 – $69,027 · median $49,749 10 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $19,554 – $72,164 · median $45,959 10 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $19,554 – $54,446 · median $47,585 10 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $21,500 – $54,836 · median $45,959 10 plans
471 CERVICAL SPINAL FUSION WITH MCC $13,212 – $70,800 · median $50,152 10 plans
472 CERVICAL SPINAL FUSION WITH CC $13,212 – $63,487 · median $44,040 10 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $13,212 – $63,487 · median $40,274 10 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $41,522 – $147,438 · median $95,950 9 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $41,522 – $144,230 · median $90,996 9 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $41,522 – $240,211 · median $110,363 9 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $13,212 – $52,397 · median $33,127 9 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $13,212 – $50,085 · median $28,102 9 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $13,212 – $50,085 · median $22,578 9 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $41,522 – $201,002 · median $144,526 8 plans
265 AICD LEAD PROCEDURES $33,534 – $84,121 · median $69,693 8 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $19,554 – $88,442 · median $42,067 8 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $13,212 – $52,388 · median $32,572 8 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $13,212 – $52,388 · median $28,425 8 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $39,985 – $54,836 · median $48,652 8 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $30,542 – $54,836 · median $48,652 8 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $17,000 – $24,219 · median $20,752 8 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $20,334 – $26,705 · median $23,030 8 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $14,600 – $21,459 · median $17,961 8 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $53,841 – $131,589 · median $79,344 6 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $53,841 – $132,531 · median $68,081 6 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $53,841 – $79,344 · median $64,667 6 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $42,498 – $79,344 · median $61,166 6 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $92,779 – $212,449 · median $116,311 6 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $72,537 – $159,515 · median $116,311 6 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $33,534 – $98,084 · median $66,913 6 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $33,534 – $98,084 · median $49,807 6 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $22,973 – $32,824 · median $26,597 6 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $15,151 – $24,263 · median $21,231 6 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $19,000 – $30,142 · median $23,199 6 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $1,150 – $12,853 · median $8,398 6 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $115,539 – $236,181 · median $135,289 5 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $115,539 – $236,181 · median $122,896 5 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $115,539 – $236,181 · median $122,022 5 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $59,871 – $98,084 · median $70,529 5 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $59,871 – $98,084 · median $70,529 5 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $6,735 – $16,069 · median $11,539 5 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,735 – $16,069 · median $11,539 5 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,735 – $16,069 · median $11,539 5 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $6,735 – $16,069 · median $11,539 5 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $6,735 – $16,069 · median $11,539 5 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,735 – $16,069 · median $11,539 5 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $5,050 – $12,853 · median $8,398 5 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $5,050 – $12,853 · median $8,398 5 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $5,050 – $12,853 · median $8,398 5 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $5,050 – $12,853 · median $8,398 5 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,050 – $12,853 · median $8,398 5 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,050 – $12,853 · median $8,398 5 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $35,075 – $65,048 · median $55,330 4 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $21,395 – $51,171 · median $25,728 4 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $21,395 – $51,171 · median $23,226 4 plans
263 VEIN LIGATION AND STRIPPING $25,537 – $79,822 · median $59,491 4 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $46,521 – $79,822 · median $66,278 4 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $24,713 – $54,116 · median $43,014 4 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $14,132 – $54,116 · median $43,014 4 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $11,026 – $54,116 · median $43,014 4 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $23,700 – $54,116 · median $41,816 4 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $11,313 – $54,116 · median $38,908 4 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $8,335 – $54,116 · median $38,908 4 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $60,534 – $144,230 · median $113,018 4 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $34,738 – $144,230 · median $93,917 4 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $29,693 – $52,388 · median $46,517 4 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $23,693 – $52,388 · median $41,041 4 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $21,857 – $52,388 · median $41,041 4 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $9,648 – $34,020 · median $31,173 4 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,648 – $34,020 · median $24,026 4 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH $284,453 – $477,658 · median $452,627 3 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC $193,013 – $324,807 · median $307,786 3 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $40,941 – $47,370 · median $40,941 3 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $35,854 – $40,941 · median $40,941 3 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $25,938 – $40,941 · median $40,941 3 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $36,679 – $40,941 · median $40,941 3 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $20,945 – $40,941 · median $40,941 3 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $17,248 – $40,941 · median $40,941 3 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $30,934 – $40,941 · median $40,941 3 plans
038 EXTRACRANIAL PROCEDURES WITH CC $14,999 – $40,941 · median $40,941 3 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $10,571 – $40,941 · median $40,941 3 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $34,743 – $40,941 · median $40,941 3 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $21,443 – $40,941 · median $40,941 3 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $16,964 – $40,941 · median $40,941 3 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $12,255 – $16,327 · median $12,255 3 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $9,380 – $12,255 · median $12,255 3 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $12,255 – $20,459 · median $12,255 3 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $11,936 – $12,255 · median $12,255 3 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $12,255 – $15,823 · median $12,255 3 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $10,487 – $12,255 · median $12,255 3 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $8,312 – $12,255 · median $12,255 3 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $12,255 – $26,895 · median $12,255 3 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $12,255 – $17,583 · median $12,255 3 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $12,255 – $14,499 · median $12,255 3 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $12,255 – $18,085 · median $12,255 3 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $9,321 – $12,255 · median $12,255 3 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $6,406 – $12,255 · median $12,255 3 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $12,255 – $12,969 · median $12,255 3 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $8,288 – $12,255 · median $12,255 3 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $7,318 – $12,255 · median $12,255 3 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $12,255 – $15,813 · median $12,255 3 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $9,804 – $12,255 · median $12,255 3 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $7,080 – $12,255 · median $12,255 3 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $12,255 – $13,750 · median $12,255 3 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $9,387 – $12,255 · median $12,255 3 plans
075 VIRAL MENINGITIS WITH CC/MCC $12,255 – $16,737 · median $12,255 3 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $9,055 – $12,255 · median $12,255 3 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $12,255 – $18,707 · median $12,255 3 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $8,240 – $12,255 · median $12,255 3 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $12,255 – $20,775 · median $12,255 3 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $12,255 – $12,364 · median $12,255 3 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $8,405 – $12,255 · median $12,255 3 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $12,255 – $21,421 · median $12,255 3 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $11,920 – $12,255 · median $12,255 3 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $8,001 – $12,255 · median $12,255 3 plans
088 CONCUSSION WITH MCC $12,255 – $14,456 · median $12,255 3 plans
089 CONCUSSION WITH CC $10,709 – $12,255 · median $12,255 3 plans
090 CONCUSSION WITHOUT CC/MCC $7,549 – $12,255 · median $12,255 3 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $12,255 – $15,842 · median $12,255 3 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $9,119 – $12,255 · median $12,255 3 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $7,014 – $12,255 · median $12,255 3 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $12,255 – $32,773 · median $12,255 3 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $12,255 – $23,448 · median $12,255 3 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $12,255 – $20,949 · median $12,255 3 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $12,255 – $35,659 · median $12,255 3 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $12,255 – $19,114 · median $12,255 3 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $12,255 – $12,826 · median $12,255 3 plans
100 SEIZURES WITH MCC $12,255 – $17,617 · median $12,255 3 plans
101 SEIZURES WITHOUT MCC $8,268 – $12,255 · median $12,255 3 plans
102 HEADACHES WITH MCC $10,546 – $12,255 · median $12,255 3 plans
103 HEADACHES WITHOUT MCC $7,635 – $12,255 · median $12,255 3 plans
113 ORBITAL PROCEDURES WITH CC/MCC $20,592 – $40,941 · median $40,941 3 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $11,948 – $40,941 · median $40,941 3 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $13,932 – $40,941 · median $40,941 3 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $17,301 – $40,941 · median $40,941 3 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $9,105 – $40,941 · median $40,941 3 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $11,237 – $12,255 · median $12,255 3 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,335 – $12,255 · median $12,255 3 plans
123 NEUROLOGICAL EYE DISORDERS $7,280 – $12,255 · median $12,255 3 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $1,800 – $21,548 · median $9,648 3 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $1,800 – $13,263 · median $9,648 3 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $22,475 – $40,941 · median $40,941 3 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $10,641 – $40,941 · median $40,941 3 plans
137 MOUTH PROCEDURES WITH CC/MCC $13,753 – $40,941 · median $40,941 3 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $8,110 – $40,941 · median $40,941 3 plans
139 SALIVARY GLAND PROCEDURES $11,533 – $40,941 · median $40,941 3 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $38,117 – $40,941 · median $40,941 3 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $20,475 – $40,941 · median $40,941 3 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $15,606 – $40,941 · median $40,941 3 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $29,096 – $40,941 · median $40,941 3 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $16,593 – $40,941 · median $40,941 3 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $11,077 – $40,941 · median $40,941 3 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $7,498 – $12,255 · median $12,255 3 plans
149 DYSEQUILIBRIUM $6,924 – $12,255 · median $12,255 3 plans
150 EPISTAXIS WITH MCC $12,255 – $12,650 · median $12,255 3 plans
151 EPISTAXIS WITHOUT MCC $7,071 – $12,255 · median $12,255 3 plans
152 OTITIS MEDIA AND URI WITH MCC $10,984 – $12,255 · median $12,255 3 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $6,333 – $12,255 · median $12,255 3 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $12,255 – $13,783 · median $12,255 3 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $8,431 – $12,255 · median $12,255 3 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $6,252 – $12,255 · median $12,255 3 plans
157 DENTAL AND ORAL DISEASES WITH MCC $12,255 – $15,332 · median $12,255 3 plans
158 DENTAL AND ORAL DISEASES WITH CC $8,521 – $12,255 · median $12,255 3 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $6,877 – $12,255 · median $12,255 3 plans
163 MAJOR CHEST PROCEDURES WITH MCC $40,941 – $44,422 · median $40,941 3 plans
164 MAJOR CHEST PROCEDURES WITH CC $23,686 – $40,941 · median $40,941 3 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $17,672 – $40,941 · median $40,941 3 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $33,619 – $40,941 · median $40,941 3 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $17,435 – $40,941 · median $40,941 3 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,001 – $40,941 · median $40,941 3 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $12,255 – $12,810 · median $12,255 3 plans
176 PULMONARY EMBOLISM WITHOUT MCC $7,498 – $12,255 · median $12,255 3 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $12,255 – $16,323 · median $12,255 3 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $9,969 – $12,255 · median $12,255 3 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $7,203 – $12,255 · median $12,255 3 plans
183 MAJOR CHEST TRAUMA WITH MCC $12,255 – $13,777 · median $12,255 3 plans
184 MAJOR CHEST TRAUMA WITH CC $9,586 – $12,255 · median $12,255 3 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,924 – $12,255 · median $12,255 3 plans
186 PLEURAL EFFUSION WITH MCC $12,255 – $14,002 · median $12,255 3 plans
187 PLEURAL EFFUSION WITH CC $9,592 – $12,255 · median $12,255 3 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $6,640 – $12,255 · median $12,255 3 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $11,069 – $12,255 · median $12,255 3 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $9,955 – $12,255 · median $12,255 3 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,926 – $12,255 · median $12,255 3 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,980 – $12,255 · median $12,255 3 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $11,910 – $12,255 · median $12,255 3 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $7,705 – $12,255 · median $12,255 3 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,886 – $12,255 · median $12,255 3 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $12,255 – $15,936 · median $12,255 3 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $9,021 – $12,255 · median $12,255 3 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,520 – $12,255 · median $12,255 3 plans
199 PNEUMOTHORAX WITH MCC $12,255 – $16,128 · median $12,255 3 plans
200 PNEUMOTHORAX WITH CC $9,831 – $12,255 · median $12,255 3 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $6,676 – $12,255 · median $12,255 3 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,491 – $12,255 · median $12,255 3 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $6,118 – $12,255 · median $12,255 3 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $7,423 – $12,255 · median $12,255 3 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $12,255 – $16,334 · median $12,255 3 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $8,193 – $12,255 · median $12,255 3 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $12,255 – $60,216 · median $12,255 3 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $12,255 – $23,846 · median $12,255 3 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $40,941 – $42,646 · median $40,941 3 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $24,892 – $40,941 · median $40,941 3 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $14,205 – $40,941 · median $40,941 3 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $23,529 – $40,941 · median $40,941 3 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $14,969 – $40,941 · median $40,941 3 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $9,618 – $40,941 · median $40,941 3 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $12,255 – $24,730 · median $12,255 3 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $12,255 – $14,739 · median $12,255 3 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $11,057 – $12,255 · median $12,255 3 plans
291 HEART FAILURE AND SHOCK WITH MCC $11,737 – $12,255 · median $12,255 3 plans
292 HEART FAILURE AND SHOCK WITH CC $7,913 – $12,255 · median $12,255 3 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,139 – $12,255 · median $12,255 3 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $12,255 – $15,025 · median $12,255 3 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,836 – $12,255 · median $12,255 3 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,480 – $12,255 · median $12,255 3 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $12,255 – $14,105 · median $12,255 3 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $9,456 – $12,255 · median $12,255 3 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,568 – $12,255 · median $12,255 3 plans
302 ATHEROSCLEROSIS WITH MCC $11,058 – $12,255 · median $12,255 3 plans
303 ATHEROSCLEROSIS WITHOUT MCC $6,201 – $12,255 · median $12,255 3 plans
304 HYPERTENSION WITH MCC $10,075 – $12,255 · median $12,255 3 plans
305 HYPERTENSION WITHOUT MCC $6,838 – $12,255 · median $12,255 3 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $12,255 – $13,535 · median $12,255 3 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $8,358 – $12,255 · median $12,255 3 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $10,754 – $12,255 · median $12,255 3 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,765 – $12,255 · median $12,255 3 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,055 – $12,255 · median $12,255 3 plans
311 ANGINA PECTORIS $6,127 – $12,255 · median $12,255 3 plans
312 SYNCOPE AND COLLAPSE $7,820 – $12,255 · median $12,255 3 plans
313 CHEST PAIN $6,634 – $12,255 · median $12,255 3 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $12,255 – $19,100 · median $12,255 3 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $8,882 – $12,255 · median $12,255 3 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $6,255 – $12,255 · median $12,255 3 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $17,783 – $98,084 · median $98,084 3 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $17,783 – $98,084 · median $98,084 3 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $40,941 – $46,945 · median $40,941 3 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $23,490 – $40,941 · median $40,941 3 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $15,203 – $40,941 · median $40,941 3 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $40,941 – $42,400 · median $40,941 3 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $22,518 – $40,941 · median $40,941 3 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $15,671 – $40,941 · median $40,941 3 plans
332 RECTAL RESECTION WITH MCC $37,237 – $40,941 · median $40,941 3 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $33,784 – $40,941 · median $40,941 3 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $19,507 – $40,941 · median $40,941 3 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $14,449 – $40,941 · median $40,941 3 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $24,143 – $40,941 · median $40,941 3 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $14,229 – $40,941 · median $40,941 3 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,470 – $40,941 · median $40,941 3 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $23,278 – $40,941 · median $40,941 3 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $12,665 – $40,941 · median $40,941 3 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $9,145 – $40,941 · median $40,941 3 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $21,616 – $40,941 · median $40,941 3 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $13,483 – $40,941 · median $40,941 3 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $10,107 – $40,941 · median $40,941 3 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $26,301 – $40,941 · median $40,941 3 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $16,068 – $40,941 · median $40,941 3 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $12,585 – $40,941 · median $40,941 3 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $38,725 – $40,941 · median $40,941 3 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $20,600 – $40,941 · median $40,941 3 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,722 – $40,941 · median $40,941 3 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $12,255 – $16,088 · median $12,255 3 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $9,374 – $12,255 · median $12,255 3 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $6,866 – $12,255 · median $12,255 3 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $12,255 – $15,516 · median $12,255 3 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $9,336 – $12,255 · median $12,255 3 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,658 – $12,255 · median $12,255 3 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $12,255 – $16,306 · median $12,255 3 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $9,033 – $12,255 · median $12,255 3 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,813 – $12,255 · median $12,255 3 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $12,255 – $17,463 · median $12,255 3 plans
381 COMPLICATED PEPTIC ULCER WITH CC $9,680 – $12,255 · median $12,255 3 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $7,060 – $12,255 · median $12,255 3 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $12,255 – $12,473 · median $12,255 3 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $8,269 – $12,255 · median $12,255 3 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $12,255 – $14,937 · median $12,255 3 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $9,077 – $12,255 · median $12,255 3 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $6,343 – $12,255 · median $12,255 3 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $12,255 – $13,458 · median $12,255 3 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $7,402 – $12,255 · median $12,255 3 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,186 – $12,255 · median $12,255 3 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $11,776 – $12,255 · median $12,255 3 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $7,223 – $12,255 · median $12,255 3 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $12,255 – $14,777 · median $12,255 3 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $8,648 – $12,255 · median $12,255 3 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,914 – $12,255 · median $12,255 3 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $43,369 – $152,503 · median $152,503 3 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $40,941 – $50,825 · median $40,941 3 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $26,868 – $40,941 · median $40,941 3 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $20,412 – $40,941 · median $40,941 3 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $33,653 – $40,941 · median $40,941 3 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $19,547 – $40,941 · median $40,941 3 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $15,570 – $40,941 · median $40,941 3 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $30,981 – $40,941 · median $40,941 3 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $21,054 – $40,941 · median $40,941 3 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $14,861 – $40,941 · median $40,941 3 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $32,417 – $40,941 · median $40,941 3 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $18,342 – $40,941 · median $40,941 3 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $12,623 – $40,941 · median $40,941 3 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $21,806 – $40,941 · median $40,941 3 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $15,233 – $40,941 · median $40,941 3 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $11,968 – $40,941 · median $40,941 3 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $29,908 – $40,941 · median $40,941 3 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $16,614 – $40,941 · median $40,941 3 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $12,707 – $40,941 · median $40,941 3 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $36,059 – $40,941 · median $40,941 3 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $21,722 – $40,941 · median $40,941 3 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $13,120 – $40,941 · median $40,941 3 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $87,170 – $116,128 · median $87,170 3 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $78,178 – $148,782 · median $148,782 3 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $61,017 – $152,503 · median $152,503 3 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $87,170 – $92,461 · median $87,170 3 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $60,644 – $152,503 · median $152,503 3 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $12,255 – $17,317 · median $12,255 3 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $9,536 – $12,255 · median $12,255 3 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,757 – $12,255 · median $12,255 3 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $12,255 – $15,200 · median $12,255 3 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $7,977 – $12,255 · median $12,255 3 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,561 – $12,255 · median $12,255 3 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,255 – $17,377 · median $12,255 3 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $8,676 – $12,255 · median $12,255 3 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $5,979 – $12,255 · median $12,255 3 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $12,255 – $15,267 · median $12,255 3 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $10,084 – $12,255 · median $12,255 3 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $7,444 – $12,255 · median $12,255 3 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL $74,327 – $143,871 · median $143,871 3 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $45,268 – $143,871 · median $143,871 3 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY $57,904 – $143,871 · median $143,871 3 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $34,697 – $143,871 · median $143,871 3 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $40,941 – $48,071 · median $40,941 3 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $27,396 – $40,941 · median $40,941 3 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $18,275 – $40,941 · median $40,941 3 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $37,573 – $40,941 · median $40,941 3 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $20,371 – $40,941 · median $40,941 3 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $11,257 – $40,941 · median $40,941 3 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $31,207 – $40,941 · median $40,941 3 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $21,542 – $40,941 · median $40,941 3 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $16,218 – $40,941 · median $40,941 3 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $15,096 – $40,941 · median $40,941 3 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $21,622 – $40,941 · median $40,941 3 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $29,815 – $40,941 · median $40,941 3 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $19,131 – $40,941 · median $40,941 3 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $14,710 – $40,941 · median $40,941 3 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $20,811 – $40,941 · median $40,941 3 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,193 – $40,941 · median $40,941 3 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $31,969 – $40,941 · median $40,941 3 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $21,788 – $40,941 · median $40,941 3 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $17,322 – $40,941 · median $40,941 3 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $34,065 – $40,941 · median $40,941 3 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $19,256 – $40,941 · median $40,941 3 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $13,956 – $40,941 · median $40,941 3 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $23,506 – $40,941 · median $40,941 3 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $12,094 – $40,941 · median $40,941 3 plans
500 SOFT TISSUE PROCEDURES WITH MCC $29,388 – $40,941 · median $40,941 3 plans
501 SOFT TISSUE PROCEDURES WITH CC $16,121 – $40,941 · median $40,941 3 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $12,606 – $40,941 · median $40,941 3 plans
503 FOOT PROCEDURES WITH MCC $23,233 – $40,941 · median $40,941 3 plans
504 FOOT PROCEDURES WITH CC $16,277 – $40,941 · median $40,941 3 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $16,203 – $40,941 · median $40,941 3 plans
506 MAJOR THUMB OR JOINT PROCEDURES $12,929 – $40,941 · median $40,941 3 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $17,010 – $40,941 · median $40,941 3 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $13,281 – $40,941 · median $40,941 3 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $26,487 – $40,941 · median $40,941 3 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $18,149 – $40,941 · median $40,941 3 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $14,733 – $40,941 · median $40,941 3 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $14,619 – $40,941 · median $40,941 3 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $9,471 – $40,941 · median $40,941 3 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $28,593 – $40,941 · median $40,941 3 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $18,652 – $40,941 · median $40,941 3 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $13,847 – $40,941 · median $40,941 3 plans
533 FRACTURES OF FEMUR WITH MCC $12,255 – $13,081 · median $12,255 3 plans
534 FRACTURES OF FEMUR WITHOUT MCC $7,299 – $12,255 · median $12,255 3 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $11,826 – $12,255 · median $12,255 3 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $7,127 – $12,255 · median $12,255 3 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $9,110 – $12,255 · median $12,255 3 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $6,385 – $12,255 · median $12,255 3 plans
539 OSTEOMYELITIS WITH MCC $12,255 – $18,304 · median $12,255 3 plans
540 OSTEOMYELITIS WITH CC $12,255 – $12,350 · median $12,255 3 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $7,502 – $12,255 · median $12,255 3 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $12,255 – $16,765 · median $12,255 3 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $9,987 – $12,255 · median $12,255 3 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $7,136 – $12,255 · median $12,255 3 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $12,255 – $23,006 · median $12,255 3 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $11,057 – $12,255 · median $12,255 3 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,390 – $12,255 · median $12,255 3 plans
548 SEPTIC ARTHRITIS WITH MCC $12,255 – $17,791 · median $12,255 3 plans
549 SEPTIC ARTHRITIS WITH CC $11,113 – $12,255 · median $12,255 3 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $9,614 – $12,255 · median $12,255 3 plans
551 MEDICAL BACK PROBLEMS WITH MCC $12,255 – $15,347 · median $12,255 3 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $8,809 – $12,255 · median $12,255 3 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $12,160 – $12,255 · median $12,255 3 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $7,522 – $12,255 · median $12,255 3 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,208 – $12,255 · median $12,255 3 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $7,410 – $12,255 · median $12,255 3 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $12,255 – $13,132 · median $12,255 3 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,970 – $12,255 · median $12,255 3 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,255 – $16,370 · median $12,255 3 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,048 – $12,255 · median $12,255 3 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $7,247 – $12,255 · median $12,255 3 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $12,255 – $13,415 · median $12,255 3 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $7,898 – $12,255 · median $12,255 3 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $12,255 – $14,245 · median $12,255 3 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $9,055 – $12,255 · median $12,255 3 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $6,811 – $12,255 · median $12,255 3 plans
570 SKIN DEBRIDEMENT WITH MCC $26,753 – $40,941 · median $40,941 3 plans
571 SKIN DEBRIDEMENT WITH CC $15,119 – $40,941 · median $40,941 3 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $11,038 – $40,941 · median $40,941 3 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $40,941 – $53,838 · median $40,941 3 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $33,058 – $40,941 · median $40,941 3 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $18,797 – $40,941 · median $40,941 3 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $40,941 – $51,807 · median $40,941 3 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $24,016 – $40,941 · median $40,941 3 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $15,705 – $40,941 · median $40,941 3 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $28,904 – $40,941 · median $40,941 3 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $15,923 – $40,941 · median $40,941 3 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $12,945 – $40,941 · median $40,941 3 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $19,587 – $40,941 · median $40,941 3 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $16,885 – $40,941 · median $40,941 3 plans
592 SKIN ULCERS WITH MCC $12,255 – $16,361 · median $12,255 3 plans
593 SKIN ULCERS WITH CC $10,564 – $12,255 · median $12,255 3 plans
594 SKIN ULCERS WITHOUT CC/MCC $7,097 – $12,255 · median $12,255 3 plans
595 MAJOR SKIN DISORDERS WITH MCC $12,255 – $19,639 · median $12,255 3 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $10,013 – $12,255 · median $12,255 3 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,856 – $12,255 · median $12,255 3 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $9,548 – $12,255 · median $12,255 3 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,455 – $12,255 · median $12,255 3 plans
602 CELLULITIS WITH MCC $12,255 – $13,217 · median $12,255 3 plans
603 CELLULITIS WITHOUT MCC $8,087 – $12,255 · median $12,255 3 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $12,255 – $13,841 · median $12,255 3 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $8,349 – $12,255 · median $12,255 3 plans
606 MINOR SKIN DISORDERS WITH MCC $12,255 – $14,077 · median $12,255 3 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $7,779 – $12,255 · median $12,255 3 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $21,551 – $40,941 · median $40,941 3 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $13,535 – $40,941 · median $40,941 3 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $34,524 – $40,941 · median $40,941 3 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $17,828 – $40,941 · median $40,941 3 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $10,757 – $40,941 · median $40,941 3 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $33,209 – $40,941 · median $40,941 3 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $17,284 – $40,941 · median $40,941 3 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $9,070 – $40,941 · median $40,941 3 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $26,387 – $40,941 · median $40,941 3 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $14,850 – $40,941 · median $40,941 3 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $11,701 – $40,941 · median $40,941 3 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $33,426 – $40,941 · median $40,941 3 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $20,578 – $40,941 · median $40,941 3 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $12,878 – $40,941 · median $40,941 3 plans
637 DIABETES WITH MCC $12,255 – $12,800 · median $12,255 3 plans
638 DIABETES WITH CC $8,034 – $12,255 · median $12,255 3 plans
639 DIABETES WITHOUT CC/MCC $5,510 – $12,255 · median $12,255 3 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $11,604 – $12,255 · median $12,255 3 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $7,064 – $12,255 · median $12,255 3 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $12,255 – $12,870 · median $12,255 3 plans
643 ENDOCRINE DISORDERS WITH MCC $12,255 – $15,074 · median $12,255 3 plans
644 ENDOCRINE DISORDERS WITH CC $9,346 – $12,255 · median $12,255 3 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,810 – $12,255 · median $12,255 3 plans
652 KIDNEY TRANSPLANT $28,293 – $40,941 · median $40,941 3 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $40,941 – $50,961 · median $40,941 3 plans
654 MAJOR BLADDER PROCEDURES WITH CC $26,069 – $40,941 · median $40,941 3 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $19,797 – $40,941 · median $40,941 3 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $23,633 – $40,941 · median $40,941 3 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $12,942 – $40,941 · median $40,941 3 plans
662 MINOR BLADDER PROCEDURES WITH MCC $27,868 – $40,941 · median $40,941 3 plans
663 MINOR BLADDER PROCEDURES WITH CC $13,986 – $40,941 · median $40,941 3 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $10,333 – $40,941 · median $40,941 3 plans
665 PROSTATECTOMY WITH MCC $28,066 – $40,941 · median $40,941 3 plans
666 PROSTATECTOMY WITH CC $15,792 – $40,941 · median $40,941 3 plans
667 PROSTATECTOMY WITHOUT CC/MCC $9,023 – $40,941 · median $40,941 3 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $25,889 – $40,941 · median $40,941 3 plans
669 TRANSURETHRAL PROCEDURES WITH CC $14,437 – $40,941 · median $40,941 3 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $9,056 – $40,941 · median $40,941 3 plans
671 URETHRAL PROCEDURES WITH CC/MCC $16,797 – $40,941 · median $40,941 3 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $9,553 – $40,941 · median $40,941 3 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $32,043 – $40,941 · median $40,941 3 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $21,740 – $40,941 · median $40,941 3 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $15,466 – $40,941 · median $40,941 3 plans
682 RENAL FAILURE WITH MCC $12,255 – $13,634 · median $12,255 3 plans
683 RENAL FAILURE WITH CC $8,207 – $12,255 · median $12,255 3 plans
684 RENAL FAILURE WITHOUT CC/MCC $5,547 – $12,255 · median $12,255 3 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $7,946 – $12,255 · median $12,255 3 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $10,520 – $12,255 · median $12,255 3 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $7,296 – $12,255 · median $12,255 3 plans
693 URINARY STONES WITH MCC $12,255 – $13,122 · median $12,255 3 plans
694 URINARY STONES WITHOUT MCC $7,310 – $12,255 · median $12,255 3 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $10,531 – $12,255 · median $12,255 3 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $6,356 – $12,255 · median $12,255 3 plans
697 URETHRAL STRICTURE $9,101 – $12,255 · median $12,255 3 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $12,255 – $14,697 · median $12,255 3 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $9,282 – $12,255 · median $12,255 3 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $6,794 – $12,255 · median $12,255 3 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $18,299 – $40,941 · median $40,941 3 plans
709 PENIS PROCEDURES WITH CC/MCC $22,120 – $40,941 · median $40,941 3 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $13,219 – $40,941 · median $40,941 3 plans
711 TESTES PROCEDURES WITH CC/MCC $18,740 – $40,941 · median $40,941 3 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $11,387 – $40,941 · median $40,941 3 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $13,591 – $40,941 · median $40,941 3 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,788 – $40,941 · median $40,941 3 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $20,481 – $40,941 · median $40,941 3 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $12,053 – $40,941 · median $40,941 3 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $16,235 – $40,941 · median $40,941 3 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $11,638 – $40,941 · median $40,941 3 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,017 – $12,255 · median $12,255 3 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $11,457 – $12,255 · median $12,255 3 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $7,076 – $12,255 · median $12,255 3 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $12,255 – $13,177 · median $12,255 3 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $7,536 – $12,255 · median $12,255 3 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $9,885 – $12,255 · median $12,255 3 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $6,014 – $12,255 · median $12,255 3 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $20,040 – $40,941 · median $40,941 3 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $11,667 – $40,941 · median $40,941 3 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $39,116 – $40,941 · median $40,941 3 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $18,558 – $40,941 · median $40,941 3 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,874 – $40,941 · median $40,941 3 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $35,788 – $40,941 · median $40,941 3 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $16,530 – $40,941 · median $40,941 3 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $17,409 – $40,941 · median $40,941 3 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $10,554 – $40,941 · median $40,941 3 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $14,338 – $40,941 · median $40,941 3 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $8,975 – $40,941 · median $40,941 3 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $12,997 – $40,941 · median $40,941 3 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $23,168 – $40,941 · median $40,941 3 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,087 – $40,941 · median $40,941 3 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,142 – $12,255 · median $12,255 3 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $12,255 – $12,584 · median $12,255 3 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,763 – $12,255 · median $12,255 3 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,690 – $12,255 · median $12,255 3 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $8,865 – $12,255 · median $12,255 3 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,188 – $12,255 · median $12,255 3 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $15,236 – $40,941 · median $40,941 3 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,940 – $40,941 · median $40,941 3 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,393 – $12,255 · median $12,255 3 plans
779 ABORTION WITHOUT D&C $9,342 – $12,255 · median $12,255 3 plans
799 SPLENIC PROCEDURES WITH MCC $40,941 – $47,760 · median $40,941 3 plans
800 SPLENIC PROCEDURES WITH CC $24,381 – $40,941 · median $40,941 3 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $16,471 – $40,941 · median $40,941 3 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $34,960 – $40,941 · median $40,941 3 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $18,831 – $40,941 · median $40,941 3 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $11,572 – $40,941 · median $40,941 3 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $12,255 – $19,635 · median $12,255 3 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $11,149 – $12,255 · median $12,255 3 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $8,610 – $12,255 · median $12,255 3 plans
811 RED BLOOD CELL DISORDERS WITH MCC $12,255 – $12,750 · median $12,255 3 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $8,236 – $12,255 · median $12,255 3 plans
813 COAGULATION DISORDERS $12,255 – $14,354 · median $12,255 3 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $12,255 – $17,233 · median $12,255 3 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $9,456 – $12,255 · median $12,255 3 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $6,686 – $12,255 · median $12,255 3 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $28,703 – $40,941 · median $40,941 3 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $14,583 – $40,941 · median $40,941 3 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,148 – $40,941 · median $40,941 3 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $19,831 – $40,941 · median $40,941 3 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $10,958 – $12,255 · median $12,255 3 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,424 – $12,255 · median $12,255 3 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,622 – $12,255 · median $12,255 3 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $7,754 – $12,255 · median $12,255 3 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $40,941 – $44,947 · median $40,941 3 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $18,852 – $40,941 · median $40,941 3 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $14,011 – $40,941 · median $40,941 3 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $40,469 – $40,941 · median $40,941 3 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $19,342 – $40,941 · median $40,941 3 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $12,973 – $40,941 · median $40,941 3 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $12,255 – $16,775 · median $12,255 3 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $9,225 – $12,255 · median $12,255 3 plans
864 FEVER AND INFLAMMATORY CONDITIONS $7,779 – $12,255 · median $12,255 3 plans
865 VIRAL ILLNESS WITH MCC $12,255 – $15,341 · median $12,255 3 plans
866 VIRAL ILLNESS WITHOUT MCC $8,251 – $12,255 · median $12,255 3 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $12,255 – $19,382 · median $12,255 3 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $9,682 – $12,255 · median $12,255 3 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,794 – $12,255 · median $12,255 3 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $12,255 – $62,279 · median $12,255 3 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,244 – $12,255 · median $12,255 3 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $12,255 – $14,295 · median $12,255 3 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $12,255 – $16,101 · median $12,255 3 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $7,807 – $12,255 · median $12,255 3 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $40,340 – $40,941 · median $40,941 3 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $18,175 – $40,941 · median $40,941 3 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $11,148 – $40,941 · median $40,941 3 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $32,574 – $40,941 · median $40,941 3 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $14,306 – $40,941 · median $40,941 3 plans
906 HAND PROCEDURES FOR INJURIES $16,396 – $40,941 · median $40,941 3 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $35,452 – $40,941 · median $40,941 3 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $18,860 – $40,941 · median $40,941 3 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $12,516 – $40,941 · median $40,941 3 plans
913 TRAUMATIC INJURY WITH MCC $12,255 – $13,886 · median $12,255 3 plans
914 TRAUMATIC INJURY WITHOUT MCC $8,154 – $12,255 · median $12,255 3 plans
915 ALLERGIC REACTIONS WITH MCC $12,255 – $16,692 · median $12,255 3 plans
916 ALLERGIC REACTIONS WITHOUT MCC $6,091 – $12,255 · median $12,255 3 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $12,255 – $13,963 · median $12,255 3 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $7,499 – $12,255 · median $12,255 3 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $12,255 – $16,449 · median $12,255 3 plans
920 COMPLICATIONS OF TREATMENT WITH CC $9,371 – $12,255 · median $12,255 3 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,676 – $12,255 · median $12,255 3 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $12,255 – $14,268 · median $12,255 3 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $8,650 – $12,255 · median $12,255 3 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $28,404 – $40,941 · median $40,941 3 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $20,206 – $40,941 · median $40,941 3 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $17,309 – $40,941 · median $40,941 3 plans
947 SIGNS AND SYMPTOMS WITH MCC $11,148 – $12,255 · median $12,255 3 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $7,131 – $12,255 · median $12,255 3 plans
949 AFTERCARE WITH CC/MCC $10,932 – $12,255 · median $12,255 3 plans
950 AFTERCARE WITHOUT CC/MCC $6,507 – $12,255 · median $12,255 3 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,220 – $12,255 · median $12,255 3 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $40,941 – $61,776 · median $40,941 3 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $34,888 – $40,941 · median $40,941 3 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $40,941 – $67,962 · median $40,941 3 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $38,248 – $40,941 · median $40,941 3 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $23,558 – $40,941 · median $40,941 3 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $12,255 – $25,433 · median $12,255 3 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $12,255 – $13,431 · median $12,255 3 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,345 – $12,255 · median $12,255 3 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $40,941 – $66,468 · median $40,941 3 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $28,324 – $40,941 · median $40,941 3 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $12,255 – $26,348 · median $12,255 3 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $12,255 – $12,617 · median $12,255 3 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $8,463 – $12,255 · median $12,255 3 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $11,921 – $12,255 · median $12,255 3 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $40,941 – $42,007 · median $40,941 3 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $23,003 – $40,941 · median $40,941 3 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $15,317 – $40,941 · median $40,941 3 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $30,433 – $40,941 · median $40,941 3 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,558 – $40,941 · median $40,941 3 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,110 – $40,941 · median $40,941 3 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $40,941 – $104,614 · median $72,777 2 plans
006 LIVER TRANSPLANT WITHOUT MCC $40,941 – $44,106 · median $42,524 2 plans
007 LUNG TRANSPLANT $40,941 – $111,953 · median $76,447 2 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $6,600 – $78,589 · median $42,594 2 plans
010 PANCREAS TRANSPLANT $38,030 – $40,941 · median $39,486 2 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $12,255 – $102,651 · median $57,453 2 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $12,255 – $55,800 · median $34,028 2 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $12,255 – $40,078 · median $26,167 2 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $12,255 – $331,488 · median $171,871 2 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $40,941 – $65,431 · median $53,186 2 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $9,648 – $28,833 · median $19,240 2 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $9,648 – $20,961 · median $15,304 2 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $9,648 – $41,871 · median $25,760 2 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,648 – $25,176 · median $17,412 2 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $40,941 – $40,941 · median $40,941 2 plans
180 RESPIRATORY NEOPLASMS WITH MCC $9,648 – $35,213 · median $22,430 2 plans
181 RESPIRATORY NEOPLASMS WITH CC $9,648 – $23,567 · median $16,608 2 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $9,648 – $18,449 · median $14,049 2 plans
209 COMPLEX AORTIC ARCH PROCEDURES $40,941 – $40,941 · median $40,941 2 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $40,941 – $40,941 · median $40,941 2 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $40,941 – $40,941 · median $40,941 2 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK $41,522 – $107,621 · median $74,572 2 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK $41,522 – $73,354 · median $57,438 2 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH $41,522 – $99,646 · median $70,584 2 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH $41,522 – $71,091 · median $56,307 2 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $41,522 – $89,971 · median $65,747 2 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $41,522 – $70,571 · median $56,046 2 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ AR $21,500 – $42,103 · median $31,802 2 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $21,500 – $26,840 · median $24,170 2 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4 $21,500 – $42,306 · median $31,903 2 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $24,046 – $25,536 · median $24,791 2 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $40,941 – $40,941 · median $40,941 2 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $40,941 – $40,941 · median $40,941 2 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $40,941 – $40,941 · median $40,941 2 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $40,941 – $40,941 · median $40,941 2 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $40,941 – $40,941 · median $40,941 2 plans
333 RECTAL RESECTION WITH CC $17,783 – $46,422 · median $32,102 2 plans
334 RECTAL RESECTION WITHOUT CC/MCC $40,941 – $40,941 · median $40,941 2 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $40,941 – $40,941 · median $40,941 2 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $40,941 – $40,941 · median $40,941 2 plans
374 DIGESTIVE MALIGNANCY WITH MCC $9,648 – $41,437 · median $25,542 2 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,648 – $25,041 · median $17,345 2 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $9,648 – $18,248 · median $13,948 2 plans
397 APPENDIX PROCEDURES WITH MCC $40,941 – $40,941 · median $40,941 2 plans
398 APPENDIX PROCEDURES WITH CC $40,941 – $40,941 · median $40,941 2 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $40,941 – $40,941 · median $40,941 2 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $9,648 – $36,342 · median $22,995 2 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $9,648 – $22,875 · median $16,262 2 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $9,648 – $17,585 · median $13,616 2 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $22,989 – $128,680 · median $75,834 2 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $22,989 – $85,614 · median $54,301 2 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $22,989 – $67,300 · median $45,145 2 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $22,989 – $93,233 · median $58,111 2 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $22,989 – $52,935 · median $37,962 2 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $40,941 – $40,941 · median $40,941 2 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $40,941 – $40,941 · median $40,941 2 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $9,648 – $35,007 · median $22,327 2 plans
598 MALIGNANT BREAST DISORDERS WITH CC $9,648 – $22,204 · median $15,926 2 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $40,941 – $42,589 · median $41,765 2 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $32,522 – $40,941 · median $36,732 2 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $17,783 – $68,711 · median $43,247 2 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $40,941 – $40,941 · median $40,941 2 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $9,648 – $35,294 · median $22,471 2 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $9,648 – $21,615 · median $15,632 2 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $9,648 – $35,292 · median $22,470 2 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,648 – $23,956 · median $16,802 2 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,648 – $36,107 · median $22,877 2 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,648 – $22,474 · median $16,061 2 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $17,783 – $110,542 · median $64,163 2 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $40,941 – $40,941 · median $40,941 2 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $17,783 – $89,937 · median $53,860 2 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $17,783 – $47,611 · median $32,697 2 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $40,941 – $40,941 · median $40,941 2 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $17,783 – $106,890 · median $62,336 2 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $17,783 – $50,613 · median $34,198 2 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $40,941 – $40,941 · median $40,941 2 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $17,783 – $65,788 · median $41,785 2 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $40,941 – $40,941 · median $40,941 2 plans
834 ACUTE LEUKEMIA WITH MCC $9,648 – $114,958 · median $62,303 2 plans
835 ACUTE LEUKEMIA WITH CC $9,648 – $43,595 · median $26,621 2 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $9,648 – $32,612 · median $21,130 2 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $9,648 – $111,885 · median $60,767 2 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $9,648 – $46,235 · median $27,941 2 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,648 – $28,577 · median $19,113 2 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $9,648 – $64,588 · median $37,118 2 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $9,648 – $33,153 · median $21,400 2 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $9,648 – $22,944 · median $16,296 2 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $9,648 – $40,275 · median $24,961 2 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $9,648 – $23,711 · median $16,679 2 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $9,648 – $50,078 · median $29,863 2 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,648 – $25,322 · median $17,485 2 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,648 – $19,314 · median $14,481 2 plans
849 RADIOTHERAPY $9,648 – $48,621 · median $29,135 2 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $40,941 – $40,941 · median $40,941 2 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $17,783 – $44,927 · median $31,355 2 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $9,648 – $13,941 · median $11,794 2 plans
881 DEPRESSIVE NEUROSES $9,648 – $13,161 · median $11,405 2 plans
882 NEUROSES EXCEPT DEPRESSIVE $9,648 – $13,438 · median $11,543 2 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $9,648 – $24,837 · median $17,243 2 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $9,648 – $24,153 · median $16,900 2 plans
885 PSYCHOSES $9,648 – $19,930 · median $14,789 2 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $9,648 – $20,999 · median $15,324 2 plans
887 OTHER MENTAL DISORDER DIAGNOSES $9,648 – $19,945 · median $14,797 2 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $40,941 – $40,941 · median $40,941 2 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $40,941 – $40,941 · median $40,941 2 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $40,941 – $40,941 · median $40,941 2 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $12,255 – $12,255 · median $12,255 2 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $12,255 – $12,255 · median $12,255 2 plans
935 NON-EXTENSIVE BURNS $12,255 – $12,255 · median $12,255 2 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $327,728 – $327,728 · median $327,728 1 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $313,465 – $313,465 · median $313,465 1 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $24,064 – $24,064 · median $24,064 1 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $15,273 – $15,273 · median $15,273 1 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $11,290 – $11,290 · median $11,290 1 plans
230 OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC $41,522 – $41,522 · median $41,522 1 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $17,761 – $17,761 · median $17,761 1 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $13,626 – $13,626 · median $13,626 1 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $37,340 – $37,340 · median $37,340 1 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $22,889 – $22,889 · median $22,889 1 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $16,866 – $16,866 · median $16,866 1 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $31,753 – $31,753 · median $31,753 1 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $20,426 – $20,426 · median $20,426 1 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $15,359 – $15,359 · median $15,359 1 plans
509 ARTHROSCOPY $21,336 – $21,336 · median $21,336 1 plans
765 CESAREAN SECTION W CC/MCC $5,300 – $5,300 · median $5,300 1 plans
766 CESAREAN SECTION W/O CC/MCC $5,300 – $5,300 · median $5,300 1 plans
767 VAGINAL DELIVERY W STERILIZATION &/OR D&C $2,950 – $2,950 · median $2,950 1 plans
774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES $2,950 – $2,950 · median $2,950 1 plans
775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES $2,950 – $2,950 · median $2,950 1 plans
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