San Ramon Regional Medical Center — Pricing

782 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 782 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 782
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 782 procedures

Procedures with negotiated rates only

These 782 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,160 – $24,610 · median $11,872 8 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $3,300 – $52,416 · median $18,300 8 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $3,300 – $30,296 · median $18,300 8 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,300 – $29,030 · median $18,300 8 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $3,300 – $51,756 · median $18,300 8 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $3,300 – $31,095 · median $18,300 8 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $3,300 – $29,030 · median $18,300 8 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $6,031 – $24,610 · median $12,300 7 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $6,031 – $24,610 · median $12,300 7 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,031 – $24,610 · median $12,300 7 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $6,031 – $24,610 · median $12,300 7 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $6,031 – $24,610 · median $12,300 7 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $6,031 – $24,610 · median $12,300 7 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $12,300 – $76,577 · median $27,062 6 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $12,300 – $70,554 · median $27,062 6 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $12,300 – $70,554 · median $27,062 6 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $12,300 – $287,117 · median $24,610 5 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $12,300 – $188,308 · median $24,610 5 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $12,300 – $168,528 · median $24,610 5 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $12,300 – $228,124 · median $24,610 5 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $12,300 – $155,154 · median $24,610 5 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $12,300 – $137,522 · median $24,610 5 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $11,800 – $29,584 · median $12,356 5 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $11,800 – $29,584 · median $12,356 5 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $11,800 – $29,584 · median $12,356 5 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $11,800 – $29,584 · median $12,356 5 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $11,800 – $29,584 · median $12,356 5 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $11,800 – $29,584 · median $12,356 5 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $12,300 – $149,062 · median $24,610 5 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $12,300 – $94,064 · median $24,610 5 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $12,300 – $240,076 · median $24,610 5 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $12,300 – $175,980 · median $24,610 5 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $12,300 – $230,739 · median $24,610 5 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $12,300 – $153,772 · median $24,610 5 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $12,300 – $173,969 · median $24,610 5 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $12,300 – $119,553 · median $24,610 5 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $7,400 – $102,214 · median $24,610 5 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $7,400 – $67,379 · median $24,610 5 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $7,400 – $54,123 · median $22,605 5 plans
245 AICD GENERATOR PROCEDURES $11,800 – $134,055 · median $24,610 5 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $7,400 – $29,584 · median $12,356 5 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $7,400 – $29,584 · median $12,356 5 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $7,400 – $29,584 · median $12,356 5 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $7,400 – $29,584 · median $12,356 5 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $7,400 – $69,545 · median $24,610 5 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $7,400 – $46,946 · median $19,608 5 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $7,400 – $80,130 · median $24,610 5 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $7,400 – $55,221 · median $23,064 5 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $7,400 – $98,075 · median $24,610 5 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $7,400 – $55,670 · median $23,252 5 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $7,400 – $48,674 · median $20,329 5 plans
265 AICD LEAD PROCEDURES $11,800 – $104,551 · median $24,610 5 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $12,300 – $202,786 · median $24,610 5 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $12,300 – $123,026 · median $24,610 5 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $12,300 – $149,601 · median $24,610 5 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $12,300 – $102,246 · median $24,610 5 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $12,300 – $72,169 · median $24,610 5 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $5,200 – $63,770 · median $24,610 5 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $5,200 – $31,998 · median $13,364 5 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $12,300 – $196,207 · median $60,233 5 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $12,300 – $108,213 · median $45,197 5 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $12,300 – $98,507 · median $30,116 5 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $12,300 – $55,667 · median $24,610 5 plans
471 CERVICAL SPINAL FUSION WITH MCC $12,300 – $145,521 · median $24,610 5 plans
472 CERVICAL SPINAL FUSION WITH CC $12,300 – $87,431 · median $24,610 5 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $12,300 – $72,793 · median $24,610 5 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $12,300 – $102,421 · median $28,912 5 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $12,300 – $71,051 · median $28,912 5 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $12,300 – $55,297 · median $24,610 5 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $12,300 – $108,033 · median $31,321 5 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $12,300 – $58,238 · median $24,610 5 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $12,300 – $42,349 · median $24,610 5 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $12,300 – $88,579 · median $30,116 5 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $12,300 – $62,486 · median $26,098 5 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $12,300 – $380,179 · median $99,102 4 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $12,300 – $362,223 · median $87,949 4 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $12,300 – $630,729 · median $144,022 4 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $12,300 – $434,877 · median $103,122 4 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $12,300 – $306,189 · median $76,247 4 plans
006 LIVER TRANSPLANT WITHOUT MCC $12,300 – $143,092 · median $42,187 4 plans
007 LUNG TRANSPLANT $12,300 – $362,883 · median $88,087 4 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $12,300 – $155,660 · median $44,812 4 plans
010 PANCREAS TRANSPLANT $12,300 – $142,403 · median $42,043 4 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $12,300 – $152,541 · median $44,161 4 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $12,300 – $118,479 · median $37,047 4 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $12,300 – $79,452 · median $28,897 4 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $12,300 – $339,054 · median $83,110 4 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $12,300 – $182,737 · median $50,467 4 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $12,300 – $182,737 · median $50,467 4 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $12,300 – $1,089,936 · median $239,919 4 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $12,300 – $236,476 · median $61,689 4 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $12,300 – $250,052 · median $64,524 4 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $12,300 – $181,684 · median $50,247 4 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $12,300 – $102,853 · median $33,784 4 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $12,300 – $167,703 · median $47,327 4 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $12,300 – $112,086 · median $35,712 4 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $12,300 – $130,641 · median $39,587 4 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $12,300 – $87,363 · median $30,549 4 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $12,300 – $71,974 · median $27,335 4 plans
028 SPINAL PROCEDURES WITH MCC $12,300 – $178,273 · median $49,534 4 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $12,300 – $101,418 · median $33,484 4 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $12,300 – $68,604 · median $26,632 4 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $12,300 – $121,783 · median $37,737 4 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $12,300 – $63,717 · median $25,611 4 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $12,300 – $48,011 · median $22,331 4 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $12,300 – $115,417 · median $36,408 4 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $12,300 – $68,027 · median $26,511 4 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $12,300 – $53,493 · median $23,476 4 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $12,300 – $99,862 · median $33,159 4 plans
038 EXTRACRANIAL PROCEDURES WITH CC $12,300 – $47,331 · median $22,189 4 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $12,300 – $33,755 · median $19,354 4 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $12,300 – $113,911 · median $36,093 4 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $12,300 – $65,992 · median $26,086 4 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $12,300 – $51,469 · median $23,053 4 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $12,300 – $57,525 · median $24,318 4 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $12,156 – $29,104 · median $18,455 4 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $12,300 – $43,591 · median $21,408 4 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $12,300 – $31,749 · median $18,935 4 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $12,300 – $70,823 · median $27,095 4 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $12,300 – $40,328 · median $20,727 4 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $12,300 – $51,117 · median $22,980 4 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $12,300 – $35,122 · median $19,640 4 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $11,088 – $26,548 · median $18,455 4 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $12,300 – $82,917 · median $29,621 4 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $12,300 – $55,371 · median $23,868 4 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $12,300 – $43,985 · median $21,490 4 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $12,300 – $59,256 · median $24,680 4 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $12,300 – $30,069 · median $18,584 4 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $8,495 – $24,610 · median $16,319 4 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $12,300 – $41,917 · median $21,059 4 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $10,762 – $25,767 · median $18,455 4 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $9,869 – $24,610 · median $17,964 4 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $12,300 – $52,940 · median $23,361 4 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $12,300 – $31,412 · median $18,865 4 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $9,675 – $24,610 · median $17,732 4 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $12,300 – $44,760 · median $21,652 4 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $12,300 – $30,359 · median $18,645 4 plans
075 VIRAL MENINGITIS WITH CC/MCC $12,300 – $56,617 · median $24,128 4 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $11,398 – $27,291 · median $18,455 4 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $12,300 – $44,698 · median $21,639 4 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $12,300 – $30,083 · median $18,587 4 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $9,153 – $24,610 · median $17,108 4 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $12,300 – $65,341 · median $25,950 4 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $11,238 – $26,906 · median $18,455 4 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $12,300 – $67,400 · median $26,380 4 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $12,300 – $40,127 · median $20,685 4 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $11,364 – $27,208 · median $18,455 4 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $12,300 – $67,237 · median $26,346 4 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $12,300 – $38,964 · median $20,442 4 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $10,950 – $26,217 · median $18,455 4 plans
088 CONCUSSION WITH MCC $12,300 – $45,375 · median $21,781 4 plans
089 CONCUSSION WITH CC $12,300 – $34,018 · median $19,409 4 plans
090 CONCUSSION WITHOUT CC/MCC $11,550 – $27,655 · median $18,455 4 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $12,300 – $52,931 · median $23,359 4 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $12,300 – $30,356 · median $18,644 4 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $9,568 – $24,610 · median $17,605 4 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $12,300 – $107,172 · median $34,686 4 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $12,300 – $70,533 · median $27,035 4 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $12,300 – $64,483 · median $25,771 4 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $12,300 – $107,592 · median $34,774 4 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $12,300 – $63,738 · median $25,616 4 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $12,300 – $39,056 · median $20,461 4 plans
100 SEIZURES WITH MCC $12,300 – $58,649 · median $24,553 4 plans
101 SEIZURES WITHOUT MCC $11,239 – $26,909 · median $18,455 4 plans
102 HEADACHES WITH MCC $12,300 – $35,695 · median $19,759 4 plans
103 HEADACHES WITHOUT MCC $10,409 – $24,921 · median $18,455 4 plans
113 ORBITAL PROCEDURES WITH CC/MCC $12,300 – $74,175 · median $27,795 4 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $12,300 – $36,441 · median $19,915 4 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $12,300 – $46,280 · median $21,970 4 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,300 – $54,161 · median $23,616 4 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $12,300 – $35,453 · median $19,709 4 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $12,300 – $37,902 · median $20,220 4 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $9,199 – $24,610 · median $17,162 4 plans
123 NEUROLOGICAL EYE DISORDERS $9,934 – $24,610 · median $18,043 4 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $12,300 – $39,106 · median $20,472 4 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $9,854 – $24,610 · median $17,946 4 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $12,300 – $78,458 · median $28,690 4 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $11,604 – $27,782 · median $18,455 4 plans
137 MOUTH PROCEDURES WITH CC/MCC $12,300 – $44,514 · median $21,601 4 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $10,697 – $25,610 · median $18,455 4 plans
139 SALIVARY GLAND PROCEDURES $12,300 – $35,136 · median $19,643 4 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $12,300 – $111,769 · median $35,646 4 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $12,300 – $61,288 · median $25,104 4 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $12,300 – $45,707 · median $21,850 4 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $12,300 – $98,383 · median $32,851 4 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,300 – $51,194 · median $22,996 4 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $12,300 – $36,124 · median $19,849 4 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $12,300 – $62,451 · median $25,347 4 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $12,300 – $36,559 · median $19,940 4 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $10,993 – $26,320 · median $18,455 4 plans
149 DYSEQUILIBRIUM $9,202 – $24,610 · median $17,165 4 plans
150 EPISTAXIS WITH MCC $12,300 – $38,888 · median $20,426 4 plans
151 EPISTAXIS WITHOUT MCC $9,523 – $24,610 · median $17,550 4 plans
152 OTITIS MEDIA AND URI WITH MCC $12,300 – $35,151 · median $19,646 4 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $9,079 – $24,610 · median $17,019 4 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $12,300 – $45,505 · median $21,808 4 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $11,696 – $28,004 · median $18,455 4 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $8,099 – $24,610 · median $15,846 4 plans
157 DENTAL AND ORAL DISEASES WITH MCC $12,300 – $50,499 · median $22,851 4 plans
158 DENTAL AND ORAL DISEASES WITH CC $11,596 – $27,764 · median $18,455 4 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $8,343 – $24,610 · median $16,137 4 plans
163 MAJOR CHEST PROCEDURES WITH MCC $12,300 – $139,445 · median $41,426 4 plans
164 MAJOR CHEST PROCEDURES WITH CC $12,300 – $75,450 · median $28,061 4 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $12,300 – $55,510 · median $23,897 4 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $12,300 – $120,044 · median $37,374 4 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $12,300 – $53,836 · median $23,548 4 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,300 – $40,106 · median $20,681 4 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $12,300 – $90,969 · median $31,302 4 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $12,300 – $41,506 · median $20,973 4 plans
176 PULMONARY EMBOLISM WITHOUT MCC $10,078 – $24,610 · median $18,214 4 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $12,300 – $50,185 · median $22,785 4 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $12,192 – $29,190 · median $18,455 4 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $9,431 – $24,610 · median $17,441 4 plans
180 RESPIRATORY NEOPLASMS WITH MCC $12,300 – $51,422 · median $23,044 4 plans
181 RESPIRATORY NEOPLASMS WITH CC $12,300 – $32,574 · median $19,108 4 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $9,378 – $24,610 · median $17,377 4 plans
183 MAJOR CHEST TRAUMA WITH MCC $12,300 – $46,579 · median $22,032 4 plans
184 MAJOR CHEST TRAUMA WITH CC $12,300 – $31,119 · median $18,804 4 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $9,337 – $24,610 · median $17,328 4 plans
186 PLEURAL EFFUSION WITH MCC $12,300 – $45,917 · median $21,894 4 plans
187 PLEURAL EFFUSION WITH CC $12,300 – $29,474 · median $18,460 4 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $9,224 – $24,610 · median $17,192 4 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $12,300 – $36,447 · median $19,916 4 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $12,300 – $32,601 · median $19,113 4 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $10,490 – $25,116 · median $18,455 4 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $7,930 – $24,610 · median $15,643 4 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $12,300 – $39,245 · median $20,501 4 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $10,159 – $24,610 · median $18,312 4 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $7,730 – $24,610 · median $15,404 4 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $12,300 – $56,073 · median $24,015 4 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $12,300 – $29,510 · median $18,468 4 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $9,615 – $24,610 · median $17,661 4 plans
199 PNEUMOTHORAX WITH MCC $12,300 – $52,484 · median $23,265 4 plans
200 PNEUMOTHORAX WITH CC $12,300 – $31,861 · median $18,959 4 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $8,725 – $24,610 · median $16,594 4 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $11,831 – $28,326 · median $18,455 4 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $8,586 – $24,610 · median $16,429 4 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $10,168 – $24,610 · median $18,322 4 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $12,300 – $53,555 · median $23,489 4 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $11,287 – $27,025 · median $18,455 4 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $12,300 – $204,363 · median $54,983 4 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $12,300 – $79,988 · median $29,009 4 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES $12,300 – $318,635 · median $78,846 4 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $12,300 – $302,190 · median $75,412 4 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $12,300 – $142,202 · median $42,001 4 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $12,300 – $83,106 · median $29,660 4 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $12,300 – $41,115 · median $20,891 4 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $12,300 – $99,217 · median $33,025 4 plans
253 OTHER VASCULAR PROCEDURES WITH CC $12,300 – $75,470 · median $28,066 4 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $12,300 – $51,330 · median $23,024 4 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $12,300 – $81,278 · median $29,278 4 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,300 – $48,508 · median $22,435 4 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $12,245 – $29,317 · median $18,455 4 plans
263 VEIN LIGATION AND STRIPPING $12,300 – $83,579 · median $29,759 4 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $12,300 – $96,620 · median $32,482 4 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $12,300 – $184,782 · median $50,893 4 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $12,300 – $144,373 · median $42,455 4 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $12,300 – $115,287 · median $36,381 4 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $12,300 – $95,874 · median $32,327 4 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $12,300 – $208,144 · median $55,772 4 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $12,300 – $183,719 · median $50,672 4 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $12,300 – $141,480 · median $41,851 4 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $12,300 – $131,954 · median $39,861 4 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $12,300 – $94,685 · median $32,078 4 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $12,300 – $46,934 · median $22,106 4 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $11,281 – $27,010 · median $18,455 4 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $8,873 – $24,610 · median $16,772 4 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $12,300 – $58,321 · median $24,484 4 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $9,140 – $24,610 · median $17,091 4 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $6,038 – $24,610 · median $13,379 4 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $12,300 – $76,710 · median $28,325 4 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $12,300 – $43,716 · median $21,434 4 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $12,300 – $30,329 · median $18,639 4 plans
291 HEART FAILURE AND SHOCK WITH MCC $12,300 – $37,982 · median $20,237 4 plans
292 HEART FAILURE AND SHOCK WITH CC $10,583 – $25,338 · median $18,455 4 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $6,938 – $24,610 · median $14,456 4 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $12,300 – $32,355 · median $19,062 4 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $7,803 – $24,610 · median $15,491 4 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $12,300 – $47,428 · median $22,210 4 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $9,003 – $24,610 · median $16,927 4 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $5,423 – $24,610 · median $12,642 4 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $12,300 – $46,630 · median $22,043 4 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $12,300 – $31,566 · median $18,897 4 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $8,770 – $24,610 · median $16,649 4 plans
302 ATHEROSCLEROSIS WITH MCC $12,300 – $33,166 · median $19,231 4 plans
303 ATHEROSCLEROSIS WITHOUT MCC $8,131 – $24,610 · median $15,884 4 plans
304 HYPERTENSION WITH MCC $12,300 – $33,991 · median $19,404 4 plans
305 HYPERTENSION WITHOUT MCC $9,310 – $24,610 · median $17,296 4 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $12,300 – $45,464 · median $21,799 4 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $11,647 – $27,885 · median $18,455 4 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $12,300 – $35,565 · median $19,732 4 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $9,202 – $24,610 · median $17,165 4 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $6,833 – $24,610 · median $14,330 4 plans
311 ANGINA PECTORIS $8,626 – $24,610 · median $16,476 4 plans
312 SYNCOPE AND COLLAPSE $10,669 – $25,545 · median $18,455 4 plans
313 CHEST PAIN $8,941 – $24,610 · median $16,853 4 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $12,300 – $61,933 · median $25,239 4 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $11,952 – $28,616 · median $18,455 4 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $8,559 – $24,610 · median $16,396 4 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $12,300 – $129,040 · median $39,253 4 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $12,300 – $65,853 · median $26,057 4 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $12,300 – $85,044 · median $30,065 4 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $12,300 – $53,943 · median $23,570 4 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $12,300 – $122,476 · median $37,882 4 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $12,300 – $87,822 · median $30,645 4 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $12,300 – $78,228 · median $28,641 4 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $12,300 – $150,255 · median $43,683 4 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $12,300 – $73,882 · median $27,734 4 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,300 – $47,254 · median $22,173 4 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $12,300 – $133,623 · median $40,210 4 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,300 – $70,175 · median $26,960 4 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,300 – $49,464 · median $22,635 4 plans
332 RECTAL RESECTION WITH MCC $12,300 – $107,317 · median $34,716 4 plans
333 RECTAL RESECTION WITH CC $12,300 – $61,519 · median $25,152 4 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,300 – $47,484 · median $22,221 4 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $12,300 – $105,761 · median $34,391 4 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $12,300 – $62,282 · median $25,312 4 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,300 – $44,269 · median $21,550 4 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $12,300 – $29,584 · median $18,483 4 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $12,300 – $29,584 · median $18,483 4 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,300 – $29,584 · median $18,483 4 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $12,300 – $29,584 · median $18,483 4 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $12,300 – $29,584 · median $18,483 4 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,300 – $29,584 · median $18,483 4 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $12,300 – $81,071 · median $29,235 4 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,300 – $45,576 · median $21,823 4 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,300 – $38,098 · median $20,261 4 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $12,300 – $75,411 · median $28,053 4 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $12,300 – $38,500 · median $20,345 4 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $12,057 – $28,868 · median $18,455 4 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $12,300 – $71,000 · median $27,132 4 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $12,300 – $43,062 · median $21,298 4 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $12,300 – $32,808 · median $19,156 4 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $12,300 – $86,511 · median $30,371 4 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,300 – $50,819 · median $22,918 4 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $12,300 – $40,310 · median $20,723 4 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $12,300 – $126,579 · median $38,739 4 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $12,300 – $64,989 · median $25,877 4 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,300 – $37,899 · median $20,220 4 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $12,300 – $48,872 · median $22,511 4 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $12,211 – $29,237 · median $18,455 4 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $9,189 – $24,610 · median $17,151 4 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $12,300 – $51,703 · median $23,102 4 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $12,300 – $30,835 · median $18,744 4 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $8,853 – $24,610 · median $16,748 4 plans
374 DIGESTIVE MALIGNANCY WITH MCC $12,300 – $62,096 · median $25,273 4 plans
375 DIGESTIVE MALIGNANCY WITH CC $12,300 – $35,450 · median $19,708 4 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $11,014 – $26,371 · median $18,455 4 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $12,300 – $52,963 · median $23,365 4 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $12,156 – $29,104 · median $18,455 4 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $7,824 – $24,610 · median $15,516 4 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $12,300 – $57,643 · median $24,343 4 plans
381 COMPLICATED PEPTIC ULCER WITH CC $12,300 – $31,743 · median $18,934 4 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $9,355 – $24,610 · median $17,349 4 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $12,300 – $41,364 · median $20,943 4 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $10,820 – $25,906 · median $18,455 4 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $12,300 – $46,354 · median $21,985 4 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $12,005 – $28,743 · median $18,455 4 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $8,453 – $24,610 · median $16,269 4 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $12,300 – $43,000 · median $21,285 4 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $9,840 – $24,610 · median $17,930 4 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $6,907 – $24,610 · median $14,419 4 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $12,300 – $37,740 · median $20,186 4 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $9,707 – $24,610 · median $17,770 4 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $12,300 – $47,913 · median $22,311 4 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $11,576 – $27,717 · median $18,455 4 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,001 – $24,610 · median $15,728 4 plans
397 APPENDIX PROCEDURES WITH MCC $12,300 – $66,462 · median $26,185 4 plans
398 APPENDIX PROCEDURES WITH CC $12,300 – $44,769 · median $21,654 4 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $12,300 – $32,929 · median $19,182 4 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $12,300 – $162,863 · median $46,316 4 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $12,300 – $85,419 · median $30,143 4 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $12,300 – $63,634 · median $25,594 4 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $12,300 – $110,116 · median $35,301 4 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $12,300 – $57,904 · median $24,397 4 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $12,300 – $46,304 · median $21,975 4 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $12,300 – $85,215 · median $30,101 4 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $12,300 – $60,513 · median $24,942 4 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,300 – $44,659 · median $21,631 4 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $12,300 – $104,288 · median $34,084 4 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $12,300 – $58,451 · median $24,511 4 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $12,300 – $39,618 · median $20,579 4 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $12,300 – $68,569 · median $26,624 4 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,300 – $48,360 · median $22,404 4 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $12,300 – $38,849 · median $20,418 4 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $12,300 – $94,691 · median $32,080 4 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,300 – $50,576 · median $22,867 4 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $12,300 – $41,742 · median $21,022 4 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $12,300 – $115,698 · median $36,467 4 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $12,300 – $61,750 · median $25,200 4 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $12,300 – $47,390 · median $22,202 4 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $12,300 – $56,682 · median $24,142 4 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $12,300 – $30,501 · median $18,675 4 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $8,272 – $24,610 · median $16,053 4 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $12,300 – $52,064 · median $23,178 4 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $12,300 – $32,563 · median $19,105 4 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $10,269 – $24,610 · median $18,443 4 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $12,300 – $49,369 · median $22,615 4 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $10,567 – $25,300 · median $18,455 4 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $7,606 – $24,610 · median $15,256 4 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,300 – $54,085 · median $23,600 4 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $11,757 – $28,149 · median $18,455 4 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $8,831 – $24,610 · median $16,722 4 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $12,300 – $48,316 · median $22,395 4 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $12,300 – $32,151 · median $19,019 4 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $9,903 – $24,610 · median $18,006 4 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $12,300 – $262,151 · median $67,051 4 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $12,300 – $180,942 · median $50,092 4 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $12,300 – $136,250 · median $40,758 4 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $12,300 – $249,371 · median $64,382 4 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $12,300 – $179,729 · median $49,838 4 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $12,300 – $134,043 · median $40,298 4 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $12,300 – $201,715 · median $54,430 4 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $12,300 – $84,204 · median $29,889 4 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $12,300 – $167,552 · median $47,295 4 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $12,300 – $88,792 · median $30,848 4 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,300 – $55,345 · median $23,863 4 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $12,300 – $153,438 · median $44,348 4 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $12,300 – $103,137 · median $33,843 4 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $12,300 – $78,976 · median $28,798 4 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $12,300 – $127,292 · median $38,888 4 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $12,300 – $63,448 · median $25,555 4 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,300 – $34,817 · median $19,576 4 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,300 – $99,667 · median $33,119 4 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $12,300 – $70,518 · median $27,032 4 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,300 – $55,144 · median $23,821 4 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $12,300 – $87,239 · median $30,523 4 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $12,300 – $61,383 · median $25,124 4 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $12,300 – $46,990 · median $22,118 4 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $12,300 – $73,491 · median $27,652 4 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $12,300 – $97,448 · median $32,655 4 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $12,300 – $59,413 · median $24,712 4 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,300 – $45,704 · median $21,849 4 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,300 – $62,321 · median $25,320 4 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,300 – $36,616 · median $19,952 4 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $12,300 – $105,944 · median $34,430 4 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $12,300 – $58,797 · median $24,584 4 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $12,300 – $42,227 · median $21,123 4 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $12,300 – $77,243 · median $28,436 4 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $12,300 – $38,157 · median $20,273 4 plans
500 SOFT TISSUE PROCEDURES WITH MCC $12,300 – $95,933 · median $32,339 4 plans
501 SOFT TISSUE PROCEDURES WITH CC $12,300 – $51,348 · median $23,028 4 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $12,300 – $40,905 · median $20,847 4 plans
503 FOOT PROCEDURES WITH MCC $12,300 – $79,340 · median $28,874 4 plans
504 FOOT PROCEDURES WITH CC $12,300 – $51,094 · median $22,975 4 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $12,300 – $50,461 · median $22,843 4 plans
506 MAJOR THUMB OR JOINT PROCEDURES $12,300 – $43,269 · median $21,341 4 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $12,300 – $63,063 · median $25,475 4 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $12,300 – $42,423 · median $21,164 4 plans
509 ARTHROSCOPY $12,300 – $39,234 · median $20,498 4 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $12,300 – $80,485 · median $29,113 4 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $12,300 – $58,984 · median $24,623 4 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $12,300 – $47,742 · median $22,275 4 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $12,300 – $47,955 · median $22,320 4 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $12,300 – $30,811 · median $18,739 4 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $12,300 – $93,528 · median $31,837 4 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $12,300 – $60,374 · median $24,913 4 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $12,300 – $44,210 · median $21,537 4 plans
533 FRACTURES OF FEMUR WITH MCC $12,300 – $48,263 · median $22,384 4 plans
534 FRACTURES OF FEMUR WITHOUT MCC $10,008 – $24,610 · median $18,131 4 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $12,300 – $38,361 · median $20,316 4 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $9,725 – $24,610 · median $17,793 4 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $11,948 – $28,607 · median $18,455 4 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $8,762 – $24,610 · median $16,639 4 plans
539 OSTEOMYELITIS WITH MCC $12,300 – $58,706 · median $24,565 4 plans
540 OSTEOMYELITIS WITH CC $12,300 – $38,405 · median $20,325 4 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $10,600 – $25,380 · median $18,455 4 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $12,300 – $53,951 · median $23,572 4 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $12,300 – $32,267 · median $19,043 4 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $9,483 – $24,610 · median $17,503 4 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $12,300 – $73,758 · median $27,708 4 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $12,300 – $35,479 · median $19,714 4 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,050 – $24,610 · median $18,182 4 plans
548 SEPTIC ARTHRITIS WITH MCC $12,300 – $57,682 · median $24,351 4 plans
549 SEPTIC ARTHRITIS WITH CC $12,300 – $35,684 · median $19,757 4 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $11,377 – $27,240 · median $18,455 4 plans
551 MEDICAL BACK PROBLEMS WITH MCC $12,300 – $50,348 · median $22,819 4 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $11,940 – $28,587 · median $18,455 4 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $12,300 – $39,982 · median $20,655 4 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $10,154 – $24,610 · median $18,306 4 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,300 – $41,387 · median $20,948 4 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $10,186 – $24,610 · median $18,344 4 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $12,300 – $46,056 · median $21,923 4 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $10,854 – $25,986 · median $18,455 4 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,300 – $54,744 · median $23,737 4 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $12,300 – $33,491 · median $19,299 4 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $9,640 – $24,610 · median $17,691 4 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $12,300 – $44,988 · median $21,700 4 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $11,066 – $26,495 · median $18,455 4 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $12,300 – $46,206 · median $21,954 4 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $12,300 – $29,566 · median $18,479 4 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $9,273 – $24,610 · median $17,251 4 plans
570 SKIN DEBRIDEMENT WITH MCC $12,300 – $86,449 · median $30,358 4 plans
571 SKIN DEBRIDEMENT WITH CC $12,300 – $50,052 · median $22,758 4 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $12,300 – $33,713 · median $19,345 4 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $12,300 – $183,953 · median $50,720 4 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $12,300 – $100,755 · median $33,346 4 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,300 – $60,528 · median $24,945 4 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $12,300 – $168,126 · median $47,415 4 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $12,300 – $78,370 · median $28,671 4 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,300 – $47,644 · median $22,255 4 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $12,300 – $98,874 · median $32,953 4 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,300 – $51,671 · median $23,096 4 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $12,300 – $39,840 · median $20,625 4 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $12,300 – $49,319 · median $22,604 4 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,300 – $45,023 · median $21,707 4 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $12,300 – $57,942 · median $24,405 4 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $12,300 – $49,819 · median $22,709 4 plans
592 SKIN ULCERS WITH MCC $12,300 – $61,832 · median $25,218 4 plans
593 SKIN ULCERS WITH CC $12,300 – $35,793 · median $19,780 4 plans
594 SKIN ULCERS WITHOUT CC/MCC $9,729 – $24,610 · median $17,797 4 plans
595 MAJOR SKIN DISORDERS WITH MCC $12,300 – $64,344 · median $25,742 4 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $12,300 – $29,850 · median $18,539 4 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $12,300 – $47,348 · median $22,193 4 plans
598 MALIGNANT BREAST DISORDERS WITH CC $12,300 – $35,465 · median $19,711 4 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,678 – $24,610 · median $15,342 4 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $12,300 – $30,338 · median $18,641 4 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,693 – $24,610 · median $15,359 4 plans
602 CELLULITIS WITH MCC $12,300 – $44,005 · median $21,495 4 plans
603 CELLULITIS WITHOUT MCC $10,931 – $26,173 · median $18,455 4 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $12,300 – $44,559 · median $21,610 4 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $11,229 – $26,885 · median $18,455 4 plans
606 MINOR SKIN DISORDERS WITH MCC $12,300 – $46,914 · median $22,102 4 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $11,040 – $26,433 · median $18,455 4 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $12,300 – $66,634 · median $26,220 4 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $12,300 – $43,520 · median $21,393 4 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $12,300 – $117,083 · median $36,756 4 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,300 – $58,708 · median $24,565 4 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $12,300 – $34,361 · median $19,481 4 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $12,300 – $113,175 · median $35,940 4 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,300 – $55,067 · median $23,805 4 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $12,300 – $32,971 · median $19,190 4 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $12,300 – $86,419 · median $30,352 4 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $12,300 – $44,136 · median $21,522 4 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $12,300 – $36,565 · median $19,941 4 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $12,300 – $118,763 · median $37,107 4 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $12,300 – $66,942 · median $26,285 4 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $12,300 – $41,307 · median $20,931 4 plans
637 DIABETES WITH MCC $12,300 – $42,875 · median $21,259 4 plans
638 DIABETES WITH CC $11,113 – $26,607 · median $18,455 4 plans
639 DIABETES WITHOUT CC/MCC $7,692 – $24,610 · median $15,358 4 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $12,300 – $38,908 · median $20,430 4 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $9,655 – $24,610 · median $17,708 4 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $12,300 – $38,556 · median $20,357 4 plans
643 ENDOCRINE DISORDERS WITH MCC $12,300 – $48,668 · median $22,468 4 plans
644 ENDOCRINE DISORDERS WITH CC $12,300 – $31,409 · median $18,864 4 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $9,402 – $24,610 · median $17,405 4 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $12,300 – $160,153 · median $45,750 4 plans
654 MAJOR BLADDER PROCEDURES WITH CC $12,300 – $80,985 · median $29,217 4 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $12,300 – $62,356 · median $25,327 4 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $12,300 – $92,821 · median $31,689 4 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $12,300 – $54,558 · median $23,698 4 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $12,300 – $43,795 · median $21,451 4 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $12,300 – $76,589 · median $28,299 4 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $12,300 – $39,816 · median $20,620 4 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $12,300 – $31,015 · median $18,782 4 plans
662 MINOR BLADDER PROCEDURES WITH MCC $12,300 – $88,653 · median $30,819 4 plans
663 MINOR BLADDER PROCEDURES WITH CC $12,300 – $43,162 · median $21,319 4 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $12,300 – $31,406 · median $18,864 4 plans
665 PROSTATECTOMY WITH MCC $12,300 – $91,386 · median $31,389 4 plans
666 PROSTATECTOMY WITH CC $12,300 – $50,807 · median $22,915 4 plans
667 PROSTATECTOMY WITHOUT CC/MCC $12,300 – $31,051 · median $18,789 4 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $12,300 – $83,366 · median $29,715 4 plans
669 TRANSURETHRAL PROCEDURES WITH CC $12,300 – $45,399 · median $21,786 4 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $11,894 – $28,477 · median $18,455 4 plans
671 URETHRAL PROCEDURES WITH CC/MCC $12,300 – $50,644 · median $22,881 4 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $11,401 – $27,297 · median $18,455 4 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $12,300 – $109,400 · median $35,151 4 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $12,300 – $70,474 · median $27,022 4 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $12,300 – $46,934 · median $22,106 4 plans
682 RENAL FAILURE WITH MCC $12,300 – $44,399 · median $21,577 4 plans
683 RENAL FAILURE WITH CC $11,130 – $26,649 · median $18,455 4 plans
684 RENAL FAILURE WITHOUT CC/MCC $7,519 – $24,610 · median $15,151 4 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $12,300 – $54,416 · median $23,669 4 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $12,300 – $30,924 · median $18,763 4 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $9,649 – $24,610 · median $17,701 4 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $12,300 – $34,743 · median $19,560 4 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $9,970 – $24,610 · median $18,085 4 plans
693 URINARY STONES WITH MCC $12,300 – $41,899 · median $21,055 4 plans
694 URINARY STONES WITHOUT MCC $9,671 – $24,610 · median $17,728 4 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $12,300 – $35,382 · median $19,694 4 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $8,552 – $24,610 · median $16,387 4 plans
697 URETHRAL STRICTURE $12,300 – $32,929 · median $19,182 4 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $12,300 – $48,943 · median $22,526 4 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $12,300 – $30,199 · median $18,612 4 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $8,752 – $24,610 · median $16,627 4 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $12,300 – $58,040 · median $24,426 4 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $12,300 – $43,148 · median $21,316 4 plans
709 PENIS PROCEDURES WITH CC/MCC $12,300 – $62,717 · median $25,402 4 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $12,300 – $36,515 · median $19,931 4 plans
711 TESTES PROCEDURES WITH CC/MCC $12,300 – $62,803 · median $25,420 4 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $12,300 – $35,157 · median $19,647 4 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $12,300 – $42,917 · median $21,267 4 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $11,843 – $28,356 · median $18,455 4 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $12,300 – $65,306 · median $25,943 4 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $12,300 – $42,074 · median $21,091 4 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $12,300 – $53,656 · median $23,510 4 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $12,300 – $34,784 · median $19,569 4 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $12,300 – $55,463 · median $23,888 4 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $12,300 – $32,965 · median $19,189 4 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,002 – $24,610 · median $18,124 4 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $12,300 – $36,710 · median $19,971 4 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $9,031 – $24,610 · median $16,961 4 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $12,300 – $47,955 · median $22,320 4 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $9,886 – $24,610 · median $17,985 4 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $12,300 – $29,699 · median $18,507 4 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $7,680 – $24,610 · median $15,345 4 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $12,300 – $64,303 · median $25,734 4 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $12,300 – $37,281 · median $20,091 4 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $12,300 – $114,997 · median $36,320 4 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $12,300 – $58,392 · median $24,499 4 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,300 – $40,370 · median $20,736 4 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $12,300 – $106,983 · median $34,647 4 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $12,300 – $52,866 · median $23,345 4 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,300 – $38,438 · median $20,332 4 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $12,300 – $52,715 · median $23,314 4 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $12,300 – $34,376 · median $19,484 4 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $12,300 – $55,688 · median $23,934 4 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $12,300 – $30,646 · median $18,705 4 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $12,300 – $49,585 · median $22,660 4 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $10,962 – $26,246 · median $18,455 4 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $12,300 – $41,562 · median $20,984 4 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $12,300 – $74,468 · median $27,856 4 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,300 – $40,234 · median $20,707 4 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $12,300 – $54,803 · median $23,750 4 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $12,300 – $32,089 · median $19,006 4 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $12,229 – $29,279 · median $18,455 4 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $12,300 – $44,127 · median $21,520 4 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $12,265 – $29,365 · median $18,455 4 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,984 – $24,610 · median $15,708 4 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $12,299 – $29,447 · median $18,455 4 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $7,483 – $24,610 · median $15,108 4 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $12,300 – $45,674 · median $21,843 4 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $9,869 – $24,610 · median $17,964 4 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $8,856 – $24,610 · median $16,751 4 plans
779 ABORTION WITHOUT D&C $12,223 – $29,264 · median $18,455 4 plans
799 SPLENECTOMY WITH MCC $12,300 – $146,574 · median $42,915 4 plans
800 SPLENECTOMY WITH CC $12,300 – $83,357 · median $29,713 4 plans
801 SPLENECTOMY WITHOUT CC/MCC $12,300 – $52,946 · median $23,362 4 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $12,300 – $100,297 · median $33,250 4 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,300 – $54,972 · median $23,785 4 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $12,300 – $35,808 · median $19,783 4 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $12,300 – $64,791 · median $25,835 4 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $12,300 – $35,630 · median $19,746 4 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $12,300 – $29,717 · median $18,511 4 plans
811 RED BLOOD CELL DISORDERS WITH MCC $12,300 – $41,523 · median $20,976 4 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $11,129 – $26,646 · median $18,455 4 plans
813 COAGULATION DISORDERS $12,300 – $46,150 · median $21,943 4 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $12,300 – $62,957 · median $25,452 4 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $12,284 – $29,412 · median $18,455 4 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $8,775 – $24,610 · median $16,655 4 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $12,300 – $66,711 · median $26,236 4 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $12,300 – $34,704 · median $19,552 4 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,209 – $26,838 · median $18,455 4 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $12,300 – $178,883 · median $49,662 4 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $12,300 – $66,033 · median $26,095 4 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,300 – $36,648 · median $19,958 4 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $12,300 – $133,182 · median $40,118 4 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $12,300 – $66,057 · median $26,100 4 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $12,300 – $38,204 · median $20,283 4 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $12,300 – $129,836 · median $39,419 4 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $12,300 – $68,551 · median $26,621 4 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,300 – $48,529 · median $22,439 4 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $12,300 – $93,300 · median $31,789 4 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $12,300 – $46,777 · median $22,074 4 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $12,300 – $29,873 · median $18,544 4 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $9,115 – $24,610 · median $17,062 4 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,324 – $24,610 · median $13,720 4 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $12,300 – $165,638 · median $46,896 4 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $12,300 – $66,134 · median $26,116 4 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,300 – $35,420 · median $19,702 4 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $12,300 – $140,717 · median $41,691 4 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $12,300 – $57,759 · median $24,367 4 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $12,300 – $38,550 · median $20,356 4 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $12,300 – $92,454 · median $31,612 4 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $12,300 – $46,550 · median $22,026 4 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $12,300 – $31,548 · median $18,893 4 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $12,300 – $55,043 · median $23,800 4 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $12,300 – $34,234 · median $19,454 4 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $10,687 – $25,587 · median $18,455 4 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $12,300 – $72,302 · median $27,404 4 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $12,300 – $35,873 · median $19,796 4 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,384 – $24,610 · median $17,384 4 plans
849 RADIOTHERAPY $12,300 – $79,621 · median $28,932 4 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $12,300 – $147,897 · median $43,191 4 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $12,300 – $60,297 · median $24,897 4 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,300 – $50,345 · median $22,819 4 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $12,300 – $131,008 · median $39,664 4 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $12,300 – $63,181 · median $25,499 4 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $12,300 – $37,967 · median $20,234 4 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $12,300 – $54,493 · median $23,685 4 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $12,300 – $29,746 · median $18,517 4 plans
864 FEVER AND INFLAMMATORY CONDITIONS $10,908 – $26,116 · median $18,455 4 plans
865 VIRAL ILLNESS WITH MCC $12,300 – $48,514 · median $22,436 4 plans
866 VIRAL ILLNESS WITHOUT MCC $11,339 – $27,149 · median $18,455 4 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $12,300 – $61,898 · median $25,231 4 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $12,300 – $32,113 · median $19,011 4 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $8,534 – $24,610 · median $16,367 4 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $12,300 – $206,046 · median $55,334 4 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $12,300 – $58,652 · median $24,554 4 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $12,300 – $30,468 · median $18,668 4 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $12,300 – $110,391 · median $35,358 4 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $11,795 – $28,240 · median $18,455 4 plans
881 DEPRESSIVE NEUROSES $11,201 – $26,817 · median $18,455 4 plans
882 NEUROSES EXCEPT DEPRESSIVE $11,606 – $27,788 · median $18,455 4 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $12,300 – $55,481 · median $23,891 4 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $12,300 – $51,975 · median $23,159 4 plans
885 PSYCHOSES $12,300 – $40,423 · median $20,747 4 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $12,300 – $49,751 · median $22,695 4 plans
887 OTHER MENTAL DISORDER DIAGNOSES $12,300 – $38,328 · median $20,309 4 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $7,099 – $24,610 · median $14,648 4 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $12,300 – $47,594 · median $22,244 4 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $12,300 – $52,602 · median $23,290 4 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $10,572 – $25,312 · median $18,455 4 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $12,300 – $128,031 · median $39,042 4 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,300 – $55,756 · median $23,949 4 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $12,300 – $36,728 · median $19,975 4 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $12,300 – $96,330 · median $32,422 4 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $12,300 – $46,851 · median $22,089 4 plans
906 HAND PROCEDURES FOR INJURIES $12,300 – $55,664 · median $23,930 4 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $12,300 – $110,036 · median $35,284 4 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $12,300 – $59,288 · median $24,686 4 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $12,300 – $40,124 · median $20,684 4 plans
913 TRAUMATIC INJURY WITH MCC $12,300 – $44,213 · median $21,538 4 plans
914 TRAUMATIC INJURY WITHOUT MCC $11,216 – $26,853 · median $18,455 4 plans
915 ALLERGIC REACTIONS WITH MCC $12,300 – $52,481 · median $23,265 4 plans
916 ALLERGIC REACTIONS WITHOUT MCC $8,140 – $24,610 · median $15,895 4 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $12,300 – $47,212 · median $22,164 4 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $10,637 – $25,468 · median $18,455 4 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $12,300 – $53,981 · median $23,578 4 plans
920 COMPLICATIONS OF TREATMENT WITH CC $12,300 – $30,583 · median $18,692 4 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $8,622 – $24,610 · median $16,472 4 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $12,300 – $51,620 · median $23,085 4 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $12,300 – $29,921 · median $18,553 4 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $12,300 – $779,783 · median $175,149 4 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $12,300 – $204,709 · median $55,055 4 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $12,300 – $95,126 · median $32,170 4 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $12,300 – $89,697 · median $31,037 4 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $12,300 – $61,903 · median $25,232 4 plans
935 NON-EXTENSIVE BURNS $12,300 – $60,383 · median $24,915 4 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $12,300 – $95,120 · median $32,169 4 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $12,300 – $64,096 · median $25,690 4 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $12,300 – $54,907 · median $23,771 4 plans
945 REHABILITATION WITH CC/MCC $12,300 – $44,656 · median $21,631 4 plans
946 REHABILITATION WITHOUT CC/MCC $12,300 – $29,959 · median $18,561 4 plans
947 SIGNS AND SYMPTOMS WITH MCC $12,300 – $37,027 · median $20,037 4 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $9,897 – $24,610 · median $17,998 4 plans
949 AFTERCARE WITH CC/MCC $12,300 – $30,651 · median $18,706 4 plans
950 AFTERCARE WITHOUT CC/MCC $7,762 – $24,610 · median $15,442 4 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $7,290 – $24,610 · median $14,877 4 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $12,300 – $180,169 · median $49,930 4 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $12,300 – $114,731 · median $36,265 4 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $12,300 – $213,963 · median $56,987 4 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $12,300 – $119,659 · median $37,294 4 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $12,300 – $74,917 · median $27,950 4 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $12,300 – $80,890 · median $29,198 4 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $12,300 – $44,405 · median $21,578 4 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $11,811 – $28,279 · median $18,455 4 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $12,300 – $203,316 · median $54,764 4 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $12,300 – $71,131 · median $27,159 4 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $12,300 – $86,280 · median $30,323 4 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $12,300 – $40,331 · median $20,727 4 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $10,445 – $25,007 · median $18,455 4 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $12,300 – $41,893 · median $21,054 4 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $12,300 – $140,238 · median $41,591 4 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,300 – $73,545 · median $27,664 4 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,300 – $48,375 · median $22,407 4 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $12,300 – $99,895 · median $33,166 4 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,300 – $50,203 · median $22,789 4 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,300 – $31,959 · median $18,979 4 plans
999 UNGROUPABLE $12,300 – $29,584 · median $18,483 4 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $12,300 – $133,052 · median $55,571 3 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $12,300 – $102,312 · median $42,732 3 plans
652 KIDNEY TRANSPLANT $12,300 – $88,881 · median $37,122 3 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $12,300 – $53,824 · median $22,481 3 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $12,300 – $177,504 · median $74,137 3 plans
791 PREMATURITY WITH MAJOR PROBLEMS $12,300 – $121,224 · median $50,631 3 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $12,300 – $73,145 · median $30,550 3 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $12,300 – $124,526 · median $52,010 3 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $12,300 – $44,076 · median $18,409 3 plans
795 NORMAL NEWBORN $2,492 – $12,300 · median $5,967 3 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $12,300 – $29,584 · median $12,356 3 plans
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