Santa Monica UCLA Medical Center & Orthopaedic Hospital — Pricing

765 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 765 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 765
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 765 procedures

Procedures with negotiated rates only

These 765 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
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $38,439 – $162,593 · median $90,753 22 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $19,714 – $101,152 · median $72,754 22 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $21,231 – $59,662 · median $31,636 22 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $15,488 – $51,405 · median $27,821 22 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $14,208 – $51,405 · median $27,672 22 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $38,439 – $114,093 · median $74,682 21 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $30,843 – $114,093 · median $58,289 21 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $54,773 – $202,142 · median $93,971 21 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $54,773 – $135,865 · median $72,828 21 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $54,773 – $135,865 · median $70,852 21 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $54,773 – $158,657 · median $86,799 21 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $50,504 – $123,995 · median $66,529 21 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $43,840 – $123,995 · median $65,546 21 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $47,538 – $123,995 · median $65,546 21 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $29,773 – $123,995 · median $62,744 21 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $54,773 – $174,187 · median $88,639 21 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $54,773 – $125,272 · median $70,701 21 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $54,773 – $121,263 · median $68,796 21 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $39,293 – $115,656 · median $65,546 21 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $29,896 – $65,973 · median $37,842 21 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $20,841 – $62,077 · median $33,252 21 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $17,453 – $62,077 · median $33,018 21 plans
245 AICD generator procedures $30,516 – $94,273 · median $60,825 21 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $26,926 – $64,925 · median $33,929 21 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $17,009 – $52,986 · median $33,252 21 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $29,896 – $67,213 · median $37,921 21 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $18,333 – $52,986 · median $32,299 21 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $14,738 – $52,986 · median $31,118 21 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $48,955 – $115,656 · median $65,546 21 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $32,973 – $115,656 · median $64,089 21 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $24,055 – $115,656 · median $54,773 21 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $36,355 – $101,152 · median $72,259 20 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $42,702 – $101,152 · median $75,252 20 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $29,321 – $101,152 · median $60,642 20 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $23,730 – $101,152 · median $52,324 19 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $20,585 – $101,152 · median $52,324 19 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $15,473 – $101,152 · median $52,324 19 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $31,804 – $101,152 · median $60,394 19 plans
038 EXTRACRANIAL PROCEDURES WITH CC $15,623 – $101,152 · median $52,324 19 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $11,145 – $101,152 · median $52,324 19 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $36,074 – $101,152 · median $64,391 19 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $21,489 – $101,152 · median $45,432 19 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $16,988 – $101,152 · median $35,699 19 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $21,335 – $110,310 · median $31,323 19 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $14,759 – $110,310 · median $28,827 19 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $27,538 – $110,310 · median $61,083 19 plans
253 OTHER VASCULAR PROCEDURES WITH CC $24,536 – $110,310 · median $45,451 19 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $16,930 – $110,310 · median $31,199 19 plans
265 AICD lead procedures $30,516 – $74,763 · median $60,338 19 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $54,773 – $142,118 · median $72,844 19 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $39,752 – $115,656 · median $65,546 19 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $37,169 – $101,152 · median $70,432 19 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $19,464 – $101,152 · median $52,324 19 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $12,377 – $101,152 · median $52,324 19 plans
163 MAJOR CHEST PROCEDURES WITH MCC $43,309 – $92,607 · median $64,818 18 plans
164 MAJOR CHEST PROCEDURES WITH CC $24,195 – $88,639 · median $49,228 18 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $18,015 – $88,639 · median $37,335 18 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $41,949 – $92,217 · median $64,818 18 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $22,281 – $88,639 · median $46,913 18 plans
955 Craniotomy for multiple significant trauma $54,438 – $139,085 · median $86,127 18 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $12,354 – $438,576 · median $203,326 17 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $54,773 – $124,114 · median $74,633 17 plans
277 Cardiac Defibrillator Implant without MCC $44,402 – $123,995 · median $59,727 17 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $18,949 – $64,409 · median $26,816 17 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $10,686 – $64,409 · median $19,290 17 plans
322 Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC $17,325 – $110,310 · median $27,884 17 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $52,324 – $118,405 · median $89,013 15 plans
028 SPINAL PROCEDURES WITH MCC $19,714 – $124,150 · median $70,365 15 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $19,714 – $70,494 · median $40,550 15 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $19,714 – $63,627 · median $26,962 15 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $62,744 – $147,335 · median $86,152 15 plans
323 Coronary Intravascular Lithotripsy with Intraluminal Device with MCC $23,159 – $110,310 · median $49,434 15 plans
324 Coronary Intravascular Lithotripsy with Intraluminal Device without MCC $23,159 – $110,310 · median $36,541 15 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $25,793 – $107,559 · median $61,423 15 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $25,793 – $106,210 · median $41,372 15 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $25,201 – $106,210 · median $31,741 15 plans
471 CERVICAL SPINAL FUSION WITH MCC $17,292 – $99,775 · median $56,609 15 plans
472 CERVICAL SPINAL FUSION WITH CC $17,292 – $60,875 · median $35,031 15 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $17,292 – $55,286 · median $28,667 15 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $16,288 – $63,627 · median $35,260 15 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $16,288 – $63,627 · median $25,014 15 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $17,292 – $77,224 · median $43,280 15 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $17,292 – $44,132 · median $23,917 15 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $13,937 – $44,132 · median $17,447 15 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $25,793 – $106,210 · median $35,241 15 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $20,325 – $106,210 · median $27,031 15 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $11,718 – $87,664 · median $16,954 15 plans
212 Concomitant Aortic and Mitral Valve Procedures $62,744 – $224,692 · median $125,729 14 plans
215 Other heart assist system implant $54,773 – $205,741 · median $125,812 14 plans
264 Other circulatory system O.R. procedures $32,403 – $88,639 · median $49,158 14 plans
325 Coronary Intravascular Lithotripsy without Intraluminal Device $23,159 – $66,337 · median $33,366 14 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $28,362 – $83,076 · median $45,442 14 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $28,362 – $227,731 · median $120,917 14 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $28,362 – $149,158 · median $82,131 14 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $28,362 – $116,167 · median $63,748 14 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $28,362 – $186,165 · median $96,367 14 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $28,362 – $119,166 · median $63,362 14 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $28,362 – $138,062 · median $77,555 14 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $28,362 – $87,628 · median $47,412 14 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $28,362 – $110,126 · median $59,677 14 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $28,362 – $66,750 · median $35,941 14 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $28,120 – $173,639 · median $100,664 14 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $28,120 – $123,216 · median $68,368 14 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $28,120 – $86,218 · median $51,552 14 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $14,607 – $34,396 · median $18,335 14 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $10,089 – $30,198 · median $14,939 14 plans
693 URINARY STONES WITH MCC $13,326 – $27,781 · median $17,893 14 plans
694 URINARY STONES WITHOUT MCC $7,768 – $19,997 · median $11,373 14 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $14,404 – $31,701 · median $18,073 14 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $17,662 – $37,912 · median $22,269 14 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $11,382 – $41,130 · median $14,227 13 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $31,624 – $77,416 · median $40,252 13 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $16,999 – $52,324 · median $21,415 13 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $11,586 – $52,324 · median $14,483 13 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $15,807 – $44,132 · median $20,010 13 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $9,097 – $44,132 · median $11,371 13 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $7,235 – $44,132 · median $9,044 13 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $18,880 – $44,132 · median $23,838 13 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $7,092 – $44,132 · median $9,232 13 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,686 – $44,132 · median $7,107 13 plans
291 HEART FAILURE AND SHOCK WITH MCC $12,722 – $52,854 · median $15,906 13 plans
313 Chest pain $7,125 – $21,696 · median $8,906 13 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $13,341 – $62,531 · median $16,704 13 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $22,865 – $62,531 · median $28,971 13 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $16,069 – $62,531 · median $20,217 13 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $12,843 – $62,531 · median $16,062 13 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $8,640 – $24,940 · median $10,837 13 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $8,935 – $24,940 · median $11,169 13 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $9,818 – $17,997 · median $12,246 13 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $7,221 – $16,385 · median $10,874 13 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $6,404 – $16,385 · median $10,874 13 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $266,979 – $579,058 · median $338,558 12 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $104,671 – $234,149 · median $132,589 12 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $132,855 – $286,211 · median $169,946 12 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $99,014 – $213,046 · median $128,141 12 plans
006 LIVER TRANSPLANT WITHOUT MCC $44,792 – $95,814 · median $58,476 12 plans
007 Lung transplant $124,066 – $267,590 · median $157,200 12 plans
010 Pancreas transplant $69,055 – $148,271 · median $95,995 12 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $115,332 – $248,326 · median $157,596 12 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $57,147 – $122,525 · median $72,729 12 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $52,393 – $112,248 · median $72,729 12 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $68,662 – $147,422 · median $95,446 12 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $37,178 – $79,980 · median $46,939 12 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $21,903 – $49,395 · median $27,555 12 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $17,722 – $40,144 · median $22,250 12 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $17,787 – $37,427 · median $24,405 12 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $9,093 – $20,233 · median $11,300 12 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $14,561 – $31,550 · median $18,238 12 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $10,221 – $21,068 · median $13,337 12 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $22,678 – $48,002 · median $30,309 12 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $12,858 – $26,771 · median $16,260 12 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $16,814 – $35,323 · median $22,404 12 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $11,953 – $25,641 · median $14,929 12 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $8,819 – $19,006 · median $10,951 12 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $25,959 – $56,970 · median $32,703 12 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $17,228 – $36,309 · median $21,623 12 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $13,668 – $29,007 · median $17,106 12 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $19,200 – $41,553 · median $24,125 12 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $9,997 – $20,876 · median $12,447 12 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $6,887 – $14,142 · median $8,500 12 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $7,945 – $16,506 · median $9,843 12 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $15,001 – $33,150 · median $18,797 12 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $10,238 – $21,299 · median $12,753 12 plans
075 VIRAL MENINGITIS WITH CC/MCC $16,675 – $39,621 · median $20,920 12 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $8,363 – $17,051 · median $11,245 12 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $17,775 – $37,400 · median $24,108 12 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $8,936 – $18,506 · median $11,100 12 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $22,320 – $47,227 · median $28,100 12 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $13,532 – $28,841 · median $16,933 12 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $9,422 – $19,750 · median $11,716 12 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $21,820 – $46,944 · median $27,449 12 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $12,786 – $26,918 · median $15,986 12 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $8,739 – $18,900 · median $10,850 12 plans
088 CONCUSSION WITH MCC $13,396 – $27,932 · median $17,176 12 plans
089 CONCUSSION WITH CC $10,520 – $22,700 · median $13,110 12 plans
090 CONCUSSION WITHOUT CC/MCC $8,344 – $17,010 · median $10,530 12 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $17,260 – $36,288 · median $22,127 12 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $10,253 – $21,138 · median $12,949 12 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $7,843 – $16,454 · median $9,713 12 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $34,111 – $72,721 · median $44,057 12 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $23,061 – $53,294 · median $29,025 12 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $23,061 – $53,294 · median $29,025 12 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $34,300 – $74,631 · median $43,287 12 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $20,904 – $47,420 · median $26,288 12 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $13,497 – $28,151 · median $16,967 12 plans
100 SEIZURES WITH MCC $18,986 – $40,020 · median $24,078 12 plans
101 SEIZURES WITHOUT MCC $9,096 – $18,650 · median $11,303 12 plans
102 HEADACHES WITH MCC $11,189 – $23,161 · median $14,159 12 plans
103 HEADACHES WITHOUT MCC $8,419 – $17,280 · median $10,444 12 plans
113 ORBITAL PROCEDURES WITH CC/MCC $21,731 – $48,581 · median $27,336 12 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $11,561 – $27,957 · median $14,431 12 plans
115 Extraocular procedures except orbit $14,863 – $31,716 · median $18,621 12 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $16,165 – $37,361 · median $20,274 12 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $10,581 – $22,417 · median $13,188 12 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,792 – $16,237 · median $8,380 12 plans
123 Neurological eye disorders $7,974 – $16,501 · median $9,880 12 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $12,713 – $27,339 · median $15,894 12 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $7,814 – $15,865 · median $10,150 12 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $21,215 – $44,839 · median $29,192 12 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $9,631 – $20,979 · median $11,982 12 plans
137 MOUTH PROCEDURES WITH CC/MCC $13,610 – $30,854 · median $17,031 12 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $8,072 – $18,312 · median $10,004 12 plans
139 Salivary gland procedures $12,286 – $25,533 · median $16,724 12 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $40,401 – $88,134 · median $51,029 12 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $20,707 – $45,068 · median $26,038 12 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $15,255 – $32,986 · median $19,119 12 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $20,712 – $43,752 · median $27,787 12 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $12,154 – $26,273 · median $15,184 12 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $7,951 – $16,470 · median $9,850 12 plans
149 Dysequilibrium $7,447 – $15,530 · median $9,211 12 plans
150 EPISTAXIS WITH MCC $13,202 – $27,513 · median $16,834 12 plans
151 EPISTAXIS WITHOUT MCC $7,491 – $15,167 · median $9,337 12 plans
152 OTITIS MEDIA AND URI WITH MCC $11,113 – $24,428 · median $13,863 12 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $7,108 – $15,253 · median $8,781 12 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $15,419 – $32,307 · median $19,766 12 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $9,209 – $18,938 · median $11,446 12 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $6,736 – $14,280 · median $8,309 12 plans
157 DENTAL AND ORAL DISEASES WITH MCC $15,871 – $35,474 · median $19,900 12 plans
158 DENTAL AND ORAL DISEASES WITH CC $9,171 – $18,799 · median $11,530 12 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $6,615 – $14,640 · median $8,155 12 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $36,198 – $77,232 · median $46,478 12 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $17,666 – $37,264 · median $22,179 12 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,187 – $28,234 · median $16,494 12 plans
173 Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism $28,922 – $61,501 · median $37,089 12 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $13,604 – $28,383 · median $17,157 12 plans
176 PULMONARY EMBOLISM WITHOUT MCC $8,081 – $16,634 · median $10,016 12 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $15,411 – $32,290 · median $19,648 12 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $9,762 – $20,167 · median $12,149 12 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $7,657 – $15,601 · median $9,477 12 plans
180 RESPIRATORY NEOPLASMS WITH MCC $16,915 – $36,491 · median $21,225 12 plans
181 RESPIRATORY NEOPLASMS WITH CC $10,712 – $22,130 · median $13,568 12 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $7,680 – $15,576 · median $10,292 12 plans
183 MAJOR CHEST TRAUMA WITH MCC $15,098 – $31,612 · median $19,298 12 plans
184 MAJOR CHEST TRAUMA WITH CC $10,482 – $21,988 · median $13,062 12 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $7,733 – $16,251 · median $9,574 12 plans
186 PLEURAL EFFUSION WITH MCC $15,327 – $32,203 · median $19,210 12 plans
187 PLEURAL EFFUSION WITH CC $9,875 – $20,438 · median $12,292 12 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $7,321 – $14,820 · median $9,051 12 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $12,084 – $25,527 · median $15,095 12 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $11,001 – $22,888 · median $13,721 12 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $8,504 – $17,419 · median $10,551 12 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $6,498 – $13,266 · median $8,006 12 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $12,844 – $27,159 · median $16,059 12 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $8,133 – $16,652 · median $10,082 12 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $6,266 – $12,987 · median $7,712 12 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $18,205 – $38,995 · median $22,862 12 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $9,547 – $19,611 · median $12,123 12 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $7,001 – $14,799 · median $8,645 12 plans
199 PNEUMOTHORAX WITH MCC $17,081 – $36,452 · median $21,435 12 plans
200 PNEUMOTHORAX WITH CC $10,855 – $22,715 · median $13,535 12 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $6,781 – $14,776 · median $8,365 12 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $9,522 – $20,068 · median $11,844 12 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $6,880 – $13,844 · median $8,599 12 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $8,048 – $16,683 · median $9,974 12 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $17,975 – $37,834 · median $22,907 12 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $8,946 – $19,446 · median $11,112 12 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $61,583 – $132,960 · median $77,909 12 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $25,774 – $56,796 · median $32,467 12 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $47,513 – $101,697 · median $60,730 12 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $27,719 – $58,900 · median $35,211 12 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $13,707 – $28,606 · median $18,368 12 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $25,137 – $55,736 · median $31,659 12 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $16,403 – $35,084 · median $20,575 12 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,814 – $22,568 · median $10,966 12 plans
263 VEIN LIGATION AND STRIPPING $25,758 – $63,175 · median $32,447 12 plans
278 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC $47,728 – $115,014 · median $60,327 12 plans
279 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC $30,701 – $74,519 · median $38,720 12 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $26,225 – $55,918 · median $33,040 12 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $15,295 – $35,270 · median $19,170 12 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $9,362 – $19,210 · median $11,991 12 plans
292 HEART FAILURE AND SHOCK WITH CC $8,523 – $17,543 · median $10,576 12 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,566 – $11,695 · median $6,823 12 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $15,404 – $32,274 · median $19,911 12 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $6,536 – $13,100 · median $8,693 12 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,553 – $9,404 · median $5,538 12 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $15,683 – $33,736 · median $19,661 12 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $10,505 – $22,058 · median $13,092 12 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $7,125 – $14,871 · median $8,801 12 plans
302 ATHEROSCLEROSIS WITH MCC $11,383 – $24,725 · median $14,205 12 plans
303 ATHEROSCLEROSIS WITHOUT MCC $6,736 – $13,910 · median $8,309 12 plans
304 HYPERTENSION WITH MCC $11,492 – $24,589 · median $14,343 12 plans
305 HYPERTENSION WITHOUT MCC $7,478 – $15,603 · median $9,249 12 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $14,545 – $32,561 · median $18,218 12 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $9,141 – $18,869 · median $11,360 12 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $11,786 – $24,878 · median $14,717 12 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $7,370 – $15,202 · median $9,112 12 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,668 – $11,697 · median $6,953 12 plans
311 Angina pectoris $6,982 – $14,503 · median $8,620 12 plans
312 SYNCOPE AND COLLAPSE $8,619 – $18,010 · median $10,698 12 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $20,405 – $43,086 · median $26,098 12 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $9,480 – $19,905 · median $11,791 12 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $6,834 – $14,094 · median $8,433 12 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $58,925 – $138,163 · median $74,537 12 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $48,141 – $103,055 · median $61,236 12 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $23,354 – $50,505 · median $29,396 12 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $15,454 – $33,108 · median $19,372 12 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $43,834 – $94,977 · median $55,385 12 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $22,744 – $49,533 · median $28,623 12 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $15,999 – $34,774 · median $20,063 12 plans
332 RECTAL RESECTION WITH MCC $33,203 – $74,815 · median $41,895 12 plans
333 RECTAL RESECTION WITH CC $20,488 – $48,397 · median $25,759 12 plans
334 RECTAL RESECTION WITHOUT CC/MCC $16,071 – $33,844 · median $20,154 12 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $34,604 – $73,786 · median $43,753 12 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $20,365 – $43,572 · median $25,603 12 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $14,902 – $31,718 · median $18,671 12 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $25,160 – $53,368 · median $32,596 12 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $14,463 – $31,092 · median $18,113 12 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,813 – $24,510 · median $15,190 12 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $22,416 – $47,434 · median $28,660 12 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $12,288 – $27,044 · median $15,353 12 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $8,710 – $17,989 · median $10,813 12 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $23,265 – $51,490 · median $29,283 12 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $14,612 – $31,501 · median $18,303 12 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $10,808 – $24,130 · median $13,476 12 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $28,133 – $59,964 · median $35,461 12 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $16,473 – $34,763 · median $20,664 12 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $12,991 – $27,792 · median $16,246 12 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $40,746 – $90,768 · median $51,467 12 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $21,687 – $48,052 · median $27,281 12 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,198 – $28,885 · median $16,509 12 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $15,690 – $32,893 · median $20,291 12 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $10,004 – $20,667 · median $12,455 12 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $6,979 – $14,481 · median $8,616 12 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $16,917 – $36,638 · median $21,228 12 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $10,114 – $21,097 · median $12,595 12 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $7,238 – $15,030 · median $8,945 12 plans
374 DIGESTIVE MALIGNANCY WITH MCC $20,356 – $44,192 · median $25,592 12 plans
375 DIGESTIVE MALIGNANCY WITH CC $12,002 – $24,994 · median $14,990 12 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $8,730 – $19,099 · median $10,838 12 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $17,581 – $37,772 · median $22,071 12 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $9,704 – $20,264 · median $12,074 12 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $6,399 – $13,026 · median $7,880 12 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $18,585 – $40,545 · median $23,345 12 plans
381 COMPLICATED PEPTIC ULCER WITH CC $10,680 – $22,388 · median $13,314 12 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $7,464 – $16,543 · median $9,232 12 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $12,338 – $28,529 · median $15,417 12 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $8,603 – $17,663 · median $10,677 12 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $15,598 – $32,695 · median $19,748 12 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $9,766 – $20,173 · median $12,153 12 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $6,717 – $14,078 · median $8,284 12 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $14,285 – $30,515 · median $17,887 12 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $7,959 – $16,320 · median $9,861 12 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,551 – $11,241 · median $6,805 12 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $12,530 – $26,207 · median $15,661 12 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $7,758 – $16,109 · median $9,605 12 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $15,761 – $33,046 · median $20,123 12 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $9,282 – $19,334 · median $11,539 12 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $6,396 – $13,410 · median $7,876 12 plans
397 Appendix Procedures with MCC $23,365 – $49,486 · median $29,993 12 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $11,009 – $23,653 · median $13,731 12 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $51,754 – $113,037 · median $65,436 12 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $26,953 – $59,927 · median $33,964 12 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $20,587 – $45,864 · median $25,885 12 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $33,511 – $73,676 · median $42,286 12 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $20,215 – $44,990 · median $25,413 12 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $15,053 – $32,807 · median $18,863 12 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $26,272 – $68,256 · median $33,099 12 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $20,547 – $43,444 · median $25,835 12 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $16,108 – $34,311 · median $20,201 12 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $33,535 – $73,614 · median $42,316 12 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $19,095 – $42,704 · median $23,991 12 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $33,038 – $70,401 · median $42,625 12 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $15,872 – $35,902 · median $19,902 12 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $13,851 – $28,918 · median $17,881 12 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $38,869 – $85,813 · median $49,086 12 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $21,386 – $45,209 · median $27,657 12 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $14,815 – $31,001 · median $18,799 12 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $18,915 – $40,669 · median $23,763 12 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $10,498 – $21,824 · median $13,082 12 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,965 – $14,722 · median $8,598 12 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $17,642 – $37,952 · median $22,148 12 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $11,046 – $23,372 · median $13,777 12 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,804 – $17,632 · median $9,664 12 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $16,056 – $33,685 · median $20,215 12 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $8,514 – $17,382 · median $10,564 12 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $6,194 – $12,840 · median $7,621 12 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $17,628 – $37,084 · median $22,938 12 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $9,517 – $19,946 · median $11,838 12 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $7,023 – $14,458 · median $8,673 12 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $16,315 – $34,526 · median $20,464 12 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $10,637 – $22,614 · median $13,258 12 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $7,919 – $17,095 · median $9,809 12 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $51,492 – $117,769 · median $65,103 12 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $28,280 – $64,359 · median $35,648 12 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $16,804 – $37,683 · median $21,085 12 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $41,504 – $88,704 · median $54,098 12 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $20,791 – $47,023 · median $26,144 12 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,381 – $24,386 · median $14,203 12 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $32,922 – $71,382 · median $41,538 12 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $22,507 – $50,814 · median $28,321 12 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $17,180 – $38,410 · median $21,562 12 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $15,387 – $33,701 · median $19,287 12 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $30,842 – $66,682 · median $38,899 12 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $20,446 – $43,208 · median $25,707 12 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $15,329 – $32,362 · median $19,212 12 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $17,382 – $36,551 · median $23,839 12 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,150 – $23,076 · median $15,107 12 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $33,984 – $75,866 · median $42,886 12 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $23,097 – $52,403 · median $29,071 12 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $18,217 – $41,460 · median $22,878 12 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $33,694 – $74,918 · median $42,518 12 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $17,716 – $37,274 · median $23,930 12 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $12,024 – $24,967 · median $16,358 12 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $24,270 – $62,336 · median $30,559 12 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $11,359 – $41,632 · median $16,965 12 plans
500 SOFT TISSUE PROCEDURES WITH MCC $30,363 – $65,394 · median $38,291 12 plans
501 SOFT TISSUE PROCEDURES WITH CC $17,183 – $36,121 · median $21,668 12 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $13,339 – $27,810 · median $17,014 12 plans
503 FOOT PROCEDURES WITH MCC $25,422 – $57,673 · median $32,021 12 plans
504 FOOT PROCEDURES WITH CC $16,983 – $38,623 · median $21,312 12 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $16,983 – $37,045 · median $21,312 12 plans
506 Major thumb or joint procedures $13,371 – $27,879 · median $18,238 12 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $17,740 – $37,326 · median $23,512 12 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $12,588 – $31,292 · median $15,734 12 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $14,623 – $32,530 · median $18,316 12 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $10,023 – $21,124 · median $12,479 12 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $29,641 – $65,851 · median $37,375 12 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $19,413 – $42,940 · median $24,395 12 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $14,500 – $31,753 · median $18,161 12 plans
533 FRACTURES OF FEMUR WITH MCC $14,805 – $32,393 · median $18,548 12 plans
534 FRACTURES OF FEMUR WITHOUT MCC $8,077 – $16,656 · median $10,010 12 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $12,729 – $26,490 · median $16,206 12 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $8,047 – $16,687 · median $9,972 12 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $9,070 – $19,719 · median $11,271 12 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $6,728 – $14,884 · median $8,298 12 plans
539 OSTEOMYELITIS WITH MCC $19,301 – $40,700 · median $24,523 12 plans
540 OSTEOMYELITIS WITH CC $12,621 – $26,785 · median $15,776 12 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $8,002 – $16,270 · median $10,741 12 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $17,359 – $36,501 · median $22,634 12 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $10,301 – $21,242 · median $12,975 12 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $7,525 – $15,592 · median $9,309 12 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $24,194 – $51,279 · median $30,583 12 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $11,330 – $23,833 · median $14,138 12 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,435 – $17,278 · median $9,195 12 plans
548 SEPTIC ARTHRITIS WITH MCC $18,930 – $39,898 · median $24,430 12 plans
549 SEPTIC ARTHRITIS WITH CC $11,778 – $24,944 · median $14,707 12 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $8,532 – $18,062 · median $10,587 12 plans
551 MEDICAL BACK PROBLEMS WITH MCC $16,495 – $34,633 · median $20,728 12 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $9,495 – $19,863 · median $11,809 12 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $12,733 – $26,785 · median $15,919 12 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $8,272 – $17,152 · median $10,257 12 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,109 – $27,312 · median $16,407 12 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $8,100 – $17,163 · median $10,040 12 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $14,687 – $30,724 · median $18,846 12 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $8,548 – $18,456 · median $10,608 12 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $17,942 – $38,534 · median $22,528 12 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $11,150 – $23,269 · median $13,909 12 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $8,111 – $16,611 · median $10,053 12 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $15,225 – $31,895 · median $19,080 12 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $9,789 – $20,134 · median $12,480 12 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $7,453 – $15,483 · median $9,218 12 plans
570 SKIN DEBRIDEMENT WITH MCC $28,585 – $60,772 · median $36,388 12 plans
571 SKIN DEBRIDEMENT WITH CC $16,219 – $34,910 · median $20,342 12 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $11,185 – $23,686 · median $13,954 12 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $58,658 – $135,372 · median $74,198 12 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $33,167 – $71,730 · median $41,849 12 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $17,650 – $37,131 · median $24,215 12 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $47,317 – $101,274 · median $65,035 12 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $25,575 – $54,771 · median $32,215 12 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $15,829 – $33,193 · median $20,536 12 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $31,222 – $66,917 · median $39,381 12 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $16,991 – $35,706 · median $21,528 12 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $13,994 – $29,819 · median $17,519 12 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $16,947 – $39,809 · median $21,266 12 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $15,920 – $35,631 · median $19,963 12 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $19,751 – $44,233 · median $24,824 12 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $18,913 – $39,861 · median $24,075 12 plans
592 SKIN ULCERS WITH MCC $18,972 – $39,989 · median $24,931 12 plans
593 SKIN ULCERS WITH CC $11,814 – $24,513 · median $14,918 12 plans
594 SKIN ULCERS WITHOUT CC/MCC $8,405 – $17,911 · median $10,426 12 plans
595 MAJOR SKIN DISORDERS WITH MCC $20,391 – $43,820 · median $25,637 12 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $10,605 – $22,368 · median $13,218 12 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $16,409 – $34,447 · median $21,332 12 plans
598 MALIGNANT BREAST DISORDERS WITH CC $10,584 – $23,376 · median $13,191 12 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,830 – $15,898 · median $10,501 12 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $9,426 – $21,523 · median $11,722 12 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,046 – $12,501 · median $7,433 12 plans
602 CELLULITIS WITH MCC $14,060 – $29,368 · median $17,879 12 plans
603 CELLULITIS WITHOUT MCC $8,709 – $17,995 · median $10,812 12 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $14,434 – $30,418 · median $18,077 12 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $9,115 – $18,927 · median $11,327 12 plans
606 MINOR SKIN DISORDERS WITH MCC $14,938 – $31,267 · median $19,574 12 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $8,552 – $18,729 · median $10,612 12 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $21,423 – $45,289 · median $27,605 12 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $13,850 – $28,914 · median $17,444 12 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $33,806 – $72,060 · median $46,655 12 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $18,351 – $38,646 · median $23,433 12 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $12,157 – $29,306 · median $15,187 12 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $34,492 – $73,544 · median $45,177 12 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $17,621 – $37,067 · median $23,207 12 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,866 – $25,868 · median $12,387 12 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $27,509 – $62,404 · median $34,669 12 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $14,658 – $30,982 · median $18,361 12 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $12,363 – $27,447 · median $15,449 12 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $36,094 – $77,007 · median $47,624 12 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $21,299 – $45,021 · median $27,246 12 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $13,635 – $30,158 · median $17,064 12 plans
637 DIABETES WITH MCC $14,156 – $29,687 · median $17,724 12 plans
638 DIABETES WITH CC $9,041 – $18,518 · median $11,249 12 plans
639 DIABETES WITHOUT CC/MCC $6,303 – $12,836 · median $7,759 12 plans
643 ENDOCRINE DISORDERS WITH MCC $16,058 – $34,013 · median $20,138 12 plans
644 ENDOCRINE DISORDERS WITH CC $10,153 – $21,180 · median $12,645 12 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $7,743 – $15,875 · median $9,586 12 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $43,979 – $97,145 · median $55,570 12 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $33,239 – $233,859 · median $42,332 12 plans
652 Kidney transplant $29,443 – $233,859 · median $37,443 12 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $50,139 – $107,373 · median $67,188 12 plans
654 MAJOR BLADDER PROCEDURES WITH CC $27,083 – $57,842 · median $34,129 12 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $20,034 – $43,735 · median $25,183 12 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $30,904 – $65,787 · median $39,364 12 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $17,675 – $37,813 · median $22,190 12 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $24,760 – $52,503 · median $31,272 12 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $13,055 – $27,310 · median $16,327 12 plans
662 MINOR BLADDER PROCEDURES WITH MCC $29,735 – $63,260 · median $37,702 12 plans
663 MINOR BLADDER PROCEDURES WITH CC $14,829 – $31,412 · median $18,578 12 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $10,482 – $21,632 · median $13,202 12 plans
665 PROSTATECTOMY WITH MCC $30,306 – $64,493 · median $41,473 12 plans
666 PROSTATECTOMY WITH CC $15,964 – $36,146 · median $20,018 12 plans
667 PROSTATECTOMY WITHOUT CC/MCC $10,100 – $22,857 · median $12,577 12 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $27,975 – $60,336 · median $35,260 12 plans
669 TRANSURETHRAL PROCEDURES WITH CC $15,019 – $32,069 · median $18,819 12 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $9,418 – $20,194 · median $11,711 12 plans
671 URETHRAL PROCEDURES WITH CC/MCC $16,687 – $37,090 · median $20,936 12 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $10,731 – $22,306 · median $13,377 12 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $40,026 – $86,818 · median $50,553 12 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $22,221 – $48,322 · median $27,959 12 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $15,188 – $33,916 · median $19,033 12 plans
682 RENAL FAILURE WITH MCC $14,588 – $30,602 · median $18,272 12 plans
683 RENAL FAILURE WITH CC $8,786 – $18,097 · median $10,909 12 plans
684 RENAL FAILURE WITHOUT CC/MCC $6,121 – $12,404 · median $7,528 12 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $17,714 – $37,270 · median $22,882 12 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $10,336 – $21,651 · median $12,877 12 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $7,227 – $16,330 · median $8,931 12 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $11,449 – $23,975 · median $14,289 12 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $7,969 – $16,727 · median $9,873 12 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $11,047 – $23,634 · median $13,779 12 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $6,920 – $14,237 · median $8,542 12 plans
697 Urethral stricture $9,854 – $22,271 · median $12,265 12 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $16,282 – $34,185 · median $20,422 12 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $10,025 – $20,973 · median $12,483 12 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $6,943 – $14,255 · median $8,571 12 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $18,740 – $41,332 · median $23,541 12 plans
709 PENIS PROCEDURES WITH CC/MCC $21,641 – $48,085 · median $27,222 12 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $13,868 – $28,953 · median $18,266 12 plans
711 TESTES PROCEDURES WITH CC/MCC $18,456 – $43,058 · median $23,181 12 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $10,496 – $22,723 · median $13,080 12 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $14,058 – $31,065 · median $17,600 12 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $9,266 – $21,849 · median $11,519 12 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $21,747 – $46,229 · median $27,357 12 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $13,806 – $30,395 · median $17,280 12 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $17,934 – $39,063 · median $22,519 12 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $12,032 – $27,752 · median $15,029 12 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $16,736 – $37,394 · median $20,998 12 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $11,000 – $23,612 · median $13,720 12 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,743 – $13,549 · median $8,984 12 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $11,660 – $24,180 · median $15,398 12 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $7,377 – $14,919 · median $9,174 12 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $14,280 – $30,641 · median $17,881 12 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $8,106 – $16,762 · median $10,047 12 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $10,594 – $21,876 · median $13,455 12 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $6,117 – $13,886 · median $7,522 12 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $20,275 – $44,012 · median $25,489 12 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $11,862 – $27,802 · median $14,813 12 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $34,638 – $73,860 · median $47,527 12 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $19,287 – $42,578 · median $24,235 12 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $14,511 – $30,344 · median $18,452 12 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $18,867 – $42,341 · median $23,702 12 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $10,072 – $23,504 · median $12,541 12 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $16,222 – $35,894 · median $20,346 12 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $8,693 – $17,764 · median $11,705 12 plans
748 Female reproductive system reconstructive procedures $13,266 – $28,666 · median $16,595 12 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $24,873 – $53,054 · median $31,324 12 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,577 – $30,494 · median $15,721 12 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $17,497 – $38,055 · median $21,964 12 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $10,873 – $22,477 · median $13,566 12 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,411 – $19,847 · median $11,703 12 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,768 – $29,587 · median $17,232 12 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,833 – $20,229 · median $12,475 12 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,430 – $13,712 · median $7,920 12 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $9,701 – $20,818 · median $12,071 12 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,929 – $11,788 · median $7,846 12 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $10,718 – $17,870 · median $13,365 12 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $13,524 – $34,916 · median $16,922 12 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $10,059 – $20,719 · median $13,156 12 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,733 – $13,528 · median $8,802 12 plans
779 ABORTION WITHOUT D&C $8,517 – $17,384 · median $11,460 12 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $15,584 – $40,942 · median $22,358 12 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $10,608 – $24,940 · median $13,240 12 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $15,584 – $27,508 · median $19,035 12 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $10,422 – $24,940 · median $13,028 12 plans
789 Neonates, died or transferred to another acute care facility $17,434 – $37,239 · median $21,883 12 plans
790 Extreme immaturity or respiratory distress syndrome, neonate $56,639 – $122,811 · median $71,635 12 plans
791 PREMATURITY WITH MAJOR PROBLEMS $38,798 – $83,871 · median $48,996 12 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $23,558 – $50,608 · median $29,656 12 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $39,845 – $86,156 · median $50,324 12 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $14,344 – $30,497 · median $17,963 12 plans
795 Normal newborn $2,263 – $4,128 · median $2,750 12 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $11,629 – $19,461 · median $14,748 12 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $9,536 – $16,683 · median $11,920 12 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $9,536 – $16,385 · median $11,920 12 plans
799 SPLENIC PROCEDURES WITH MCC $43,759 – $93,581 · median $57,342 12 plans
800 SPLENIC PROCEDURES WITH CC $27,326 – $58,051 · median $35,230 12 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $15,911 – $39,444 · median $19,951 12 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $34,302 – $82,323 · median $43,289 12 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $17,220 – $38,410 · median $21,612 12 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $10,837 – $28,019 · median $13,512 12 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $21,577 – $45,622 · median $27,741 12 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $12,094 – $26,157 · median $15,108 12 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $9,381 – $21,626 · median $11,665 12 plans
811 RED BLOOD CELL DISORDERS WITH MCC $13,688 – $29,017 · median $17,131 12 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $9,107 – $18,973 · median $11,318 12 plans
813 Coagulation disorders $15,024 – $31,517 · median $18,826 12 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $20,158 – $43,944 · median $25,341 12 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $9,990 – $20,952 · median $12,437 12 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $6,516 – $13,059 · median $8,153 12 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $22,282 – $47,145 · median $30,681 12 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $11,555 – $23,953 · median $15,703 12 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,100 – $17,768 · median $10,040 12 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $55,479 – $121,184 · median $70,163 12 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $21,502 – $46,256 · median $27,046 12 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,197 – $24,878 · median $13,970 12 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $44,293 – $94,736 · median $56,437 12 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $21,189 – $46,814 · median $26,649 12 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $12,022 – $27,883 · median $15,016 12 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $45,182 – $96,657 · median $57,590 12 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $22,565 – $47,756 · median $28,577 12 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $15,543 – $35,206 · median $19,485 12 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $29,560 – $65,295 · median $37,272 12 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $14,215 – $31,098 · median $17,799 12 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $11,266 – $24,847 · median $14,057 12 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $7,373 – $14,910 · median $9,210 12 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $5,292 – $10,805 · median $6,476 12 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $46,391 – $99,271 · median $60,373 12 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $19,569 – $43,132 · median $24,593 12 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $13,343 – $29,835 · median $16,692 12 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $30,556 – $66,843 · median $38,535 12 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $15,213 – $33,710 · median $19,066 12 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $10,133 – $20,878 · median $12,867 12 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $18,292 – $41,219 · median $22,973 12 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $11,685 – $25,155 · median $14,588 12 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $8,292 – $17,597 · median $10,283 12 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $24,544 – $53,569 · median $30,906 12 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $12,399 – $27,031 · median $15,495 12 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $8,123 – $17,551 · median $10,068 12 plans
849 Radiotherapy $25,654 – $55,986 · median $32,315 12 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $83,235 – $178,931 · median $110,875 12 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $47,675 – $102,046 · median $60,303 12 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $19,284 – $41,287 · median $24,232 12 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $14,785 – $30,937 · median $19,758 12 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $43,074 – $93,990 · median $54,421 12 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $20,943 – $44,250 · median $26,403 12 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $12,567 – $28,781 · median $15,707 12 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $17,775 – $37,683 · median $22,317 12 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $9,836 – $20,620 · median $12,242 12 plans
864 FEVER AND INFLAMMATORY CONDITIONS $8,872 – $18,343 · median $11,018 12 plans
865 VIRAL ILLNESS WITH MCC $14,341 – $30,959 · median $17,960 12 plans
866 VIRAL ILLNESS WITHOUT MCC $8,747 – $17,969 · median $10,860 12 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $20,481 – $43,252 · median $25,988 12 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $10,311 – $21,306 · median $12,845 12 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $7,183 – $15,078 · median $8,876 12 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $66,214 – $142,819 · median $83,786 12 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $18,943 – $40,138 · median $23,799 12 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $10,131 – $21,144 · median $12,616 12 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $37,413 – $79,860 · median $47,431 12 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $9,445 – $19,841 · median $11,746 12 plans
881 Depressive neuroses $9,024 – $19,442 · median $11,212 12 plans
882 Neuroses except depressive $9,477 – $22,188 · median $11,787 12 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $17,919 – $40,630 · median $22,500 12 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $15,853 – $33,245 · median $20,293 12 plans
885 Psychoses $13,714 – $28,862 · median $17,163 12 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $17,376 – $42,882 · median $21,810 12 plans
887 Other mental disorder diagnoses $10,711 – $22,128 · median $14,518 12 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $40,583 – $86,714 · median $53,447 12 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $18,333 – $39,559 · median $23,024 12 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $11,654 – $24,167 · median $14,875 12 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $35,580 – $75,897 · median $46,608 12 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $14,653 – $30,651 · median $20,029 12 plans
906 Hand procedures for injuries $19,249 – $40,588 · median $26,446 12 plans
913 TRAUMATIC INJURY WITH MCC $15,689 – $33,776 · median $19,670 12 plans
914 TRAUMATIC INJURY WITHOUT MCC $8,939 – $18,297 · median $11,239 12 plans
915 ALLERGIC REACTIONS WITH MCC $16,548 – $34,747 · median $21,106 12 plans
916 ALLERGIC REACTIONS WITHOUT MCC $6,658 – $13,768 · median $8,209 12 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $15,466 – $32,408 · median $19,927 12 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $8,668 – $17,710 · median $10,858 12 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $17,632 – $37,830 · median $22,136 12 plans
920 COMPLICATIONS OF TREATMENT WITH CC $9,988 – $20,711 · median $12,435 12 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,881 – $14,224 · median $8,493 12 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $16,362 – $36,148 · median $20,524 12 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $10,025 – $21,029 · median $12,483 12 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $204,524 – $441,165 · median $285,163 12 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $63,587 – $148,210 · median $80,452 12 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $30,474 – $66,551 · median $38,432 12 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $37,693 – $80,466 · median $52,202 12 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $20,682 – $45,678 · median $26,006 12 plans
935 Non-extensive burns $20,164 – $42,566 · median $26,613 12 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $30,414 – $74,976 · median $38,355 12 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $20,356 – $48,287 · median $25,592 12 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $18,869 – $41,898 · median $23,706 12 plans
945 REHABILITATION WITH CC/MCC $14,820 – $31,999 · median $18,567 12 plans
946 REHABILITATION WITHOUT CC/MCC $10,940 – $23,696 · median $13,643 12 plans
947 SIGNS AND SYMPTOMS WITH MCC $12,546 – $26,230 · median $15,681 12 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $7,892 – $16,541 · median $9,775 12 plans
949 AFTERCARE WITH CC/MCC $10,585 – $24,583 · median $13,192 12 plans
950 AFTERCARE WITHOUT CC/MCC $5,920 – $12,970 · median $7,272 12 plans
951 Other factors influencing health status $5,739 – $11,489 · median $7,043 12 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $36,439 – $77,755 · median $46,143 12 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $71,019 – $157,450 · median $89,884 12 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $39,271 – $87,072 · median $49,595 12 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $25,396 – $60,834 · median $31,988 12 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $26,085 – $56,489 · median $32,863 12 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $14,570 – $31,668 · median $18,250 12 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $9,010 – $19,434 · median $11,194 12 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $58,978 – $126,484 · median $76,193 12 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $25,485 – $54,497 · median $32,101 12 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $28,058 – $59,633 · median $36,099 12 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $12,853 – $26,759 · median $17,305 12 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $9,104 – $18,652 · median $12,280 12 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $13,024 – $26,814 · median $17,551 12 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $45,367 – $96,947 · median $57,331 12 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $23,545 – $50,800 · median $29,639 12 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $16,162 – $35,416 · median $20,269 12 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $33,417 – $70,841 · median $42,303 12 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $16,359 – $33,962 · median $20,843 12 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,309 – $24,779 · median $14,111 12 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC $54,773 – $157,973 · median $72,828 11 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC $54,773 – $112,876 · median $72,828 11 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC $54,773 – $126,631 · median $72,828 11 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC $54,773 – $115,656 · median $72,828 11 plans
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC $23,159 – $110,310 · median $33,379 10 plans
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC $23,159 – $110,310 · median $33,379 10 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $14,513 – $30,348 · median $25,718 8 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $8,738 – $17,861 · median $15,136 8 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $16,387 – $34,400 · median $29,152 8 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $10,282 – $21,200 · median $17,966 8 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $7,703 – $15,625 · median $13,242 8 plans
321 Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices $23,159 – $110,310 · median $36,541 8 plans
461 Bilateral or multiple major joint procs of lower extremity w MCC $25,793 – $125,123 · median $101,319 5 plans
469 Major joint replacement or reattachment of lower extremity w MCC $25,793 – $106,210 · median $55,644 5 plans
470 Major joint replacement or reattachment of lower extremity w/o MCC $28,362 – $106,210 · median $35,386 5 plans
462 Bilateral or multiple major joint procs of lower extremity w/o MCC $25,793 – $54,964 · median $46,578 4 plans
741 Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC $22,425 – $29,468 · median $24,972 4 plans
008 Simultaneous pancreas/kidney transplant $93,464 – $115,808 · median $102,816 2 plans
011 Tracheostomy for face,mouth & neck diagnoses w MCC $90,955 – $112,698 · median $100,055 2 plans
012 Tracheostomy for face,mouth & neck diagnoses w CC $70,308 – $87,115 · median $77,343 2 plans
013 Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC $48,058 – $59,547 · median $52,867 2 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $720,132 – $892,286 · median $792,188 2 plans
398 Appendix Procedures without MCC/CC $25,241 – $31,276 · median $27,767 2 plans
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $46,225 – $57,276 · median $50,851 2 plans
510 Shoulder,elbow or forearm proc,exc major joint proc w MCC $50,371 – $62,413 · median $55,411 2 plans
511 Shoulder,elbow or forearm proc,exc major joint proc w CC $34,677 – $42,967 · median $38,147 2 plans
512 Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC $27,606 – $34,206 · median $30,368 2 plans
562 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC $23,760 – $29,441 · median $26,138 2 plans
563 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC $14,934 – $18,504 · median $16,428 2 plans
640 Nutritional & misc metabolic disorders w MCC $22,273 – $27,598 · median $24,502 2 plans
641 Nutritional & misc metabolic disorders w/o MCC $12,978 – $16,080 · median $14,276 2 plans
642 Inborn errors of metabolism $23,715 – $29,385 · median $26,088 2 plans
739 Uterine,adnexa proc for non-ovarian/adnexal malig w MCC $59,748 – $74,031 · median $65,726 2 plans
740 Uterine,adnexa proc for non-ovarian/adnexal malig w CC $30,178 – $37,392 · median $33,197 2 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $91,552 – $113,438 · median $100,712 2 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $34,784 – $43,099 · median $38,264 2 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $20,337 – $25,199 · median $22,372 2 plans
894 Alcohol/drug abuse or dependence, left AMA $10,288 – $12,747 · median $11,317 2 plans
895 Alcohol/drug abuse or dependence w rehabilitation therapy $23,607 – $29,251 · median $25,969 2 plans
896 Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC $29,102 – $36,059 · median $32,014 2 plans
897 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC $14,722 – $18,241 · median $16,195 2 plans
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