St. Rose Hospital — Pricing

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

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

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

Showing all 766 procedures

Procedures with negotiated rates only

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

DRG Description Insurance rate range Payers
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $2,000 – $37,285 · median $24,393 26 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $2,000 – $29,500 · median $16,885 26 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $2,000 – $111,418 · median $109,225 23 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $2,000 – $109,479 · median $107,324 23 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $2,000 – $73,766 · median $72,325 23 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $2,000 – $94,415 · median $92,562 23 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $2,000 – $68,057 · median $66,731 23 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $2,000 – $85,678 · median $83,999 23 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $2,000 – $61,378 · median $60,185 23 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC — 23 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $2,000 – $26,394 · median $24,723 23 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $2,000 – $12,469 · median $12,255 23 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $2,000 – $73,766 · median $72,325 20 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $2,000 – $90,730 · median $84,361 20 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $2,000 – $59,931 · median $58,767 20 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC — 20 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $2,000 – $55,640 · median $54,562 20 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $2,000 – $35,622 · median $34,944 20 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $2,000 – $65,897 · median $64,614 20 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC — 20 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $2,000 – $39,394 · median $38,641 20 plans
253 OTHER VASCULAR PROCEDURES WITH CC $2,000 – $35,476 · median $28,900 20 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $2,000 – $20,392 · median $20,019 20 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $2,000 – $30,588 · median $30,011 20 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $2,000 – $19,459 · median $19,105 20 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $2,000 – $12,715 · median $12,496 20 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $2,000 – $35,539 · median $34,863 20 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $2,000 – $23,069 · median $22,642 20 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $2,000 – $36,772 · median $36,071 20 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $2,000 – $21,604 · median $21,206 20 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $2,000 – $19,674 · median $18,363 20 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $2,000 – $53,563 · median $52,526 20 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $2,000 – $59,302 · median $58,151 20 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $2,000 – $37,205 · median $36,496 20 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $2,000 – $79,946 · median $78,382 20 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $2,000 – $18,415 · median $18,081 20 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $2,000 – $11,601 · median $10,607 20 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $2,000 – $27,336 · median $26,824 20 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $2,000 – $36,300 · median $35,609 20 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $2,000 – $9,469 · median $9,314 20 plans
471 CERVICAL SPINAL FUSION WITH MCC — 20 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,000 – $22,925 · median $13,456 20 plans
500 SOFT TISSUE PROCEDURES WITH MCC $2,000 – $53,082 · median $35,111 20 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $2,000 – $9,803 · median $9,641 20 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $4,275 – $32,704 · median $32,084 20 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $2,000 – $24,412 · median $18,040 20 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $2,000 – $17,349 · median $17,037 20 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $2,000 – $72,970 · median $13,220 20 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $2,000 – $20,033 · median $19,667 20 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $2,000 – $52,794 · median $51,773 20 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $2,000 – $312,580 · median $306,363 19 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 19 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,280 – $14,000 · median $12,271 19 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $2,280 – $27,839 · median $19,016 19 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $4,135 – $55,889 · median $27,367 19 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $4,135 – $14,000 · median $12,145 19 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $4,135 – $14,000 · median $11,029 19 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $4,135 – $36,790 · median $18,577 19 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $4,135 – $14,000 · median $12,764 19 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $4,135 – $14,000 · median $11,040 19 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,280 – $14,000 · median $13,312 19 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,280 – $14,000 · median $11,494 19 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,280 – $14,000 · median $11,022 19 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,280 – $14,000 · median $12,354 19 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,280 – $14,000 · median $8,805 19 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,280 – $10,129 · median $9,961 19 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $2,280 – $13,943 · median $13,699 19 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $2,280 – $38,727 · median $37,987 19 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $2,280 – $18,855 · median $18,512 19 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,280 – $13,907 · median $13,663 19 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $2,000 – $236,882 · median $232,179 17 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $2,000 – $284,763 · median $190,413 17 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $2,000 – $67,543 · median $61,282 17 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $2,000 – $51,034 · median $47,497 17 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $2,000 – $38,745 · median $32,641 17 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 17 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 17 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $2,000 – $61,039 · median $59,853 17 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 17 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 17 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $2,000 – $116,155 · median $88,168 17 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC — 17 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $2,000 – $107,281 · median $38,804 17 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR — 17 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — 17 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — 17 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $2,000 – $35,173 · median $34,504 17 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $2,000 – $28,645 · median $28,107 17 plans
028 SPINAL PROCEDURES WITH MCC — 17 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $2,000 – $38,540 · median $37,804 17 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $2,000 – $24,996 · median $24,531 17 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC — 17 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $2,000 – $24,282 · median $23,831 17 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $2,000 – $19,070 · median $18,723 17 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC — 17 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $2,000 – $27,171 · median $26,662 17 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $2,000 – $22,186 · median $21,777 17 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $2,000 – $37,210 · median $36,500 17 plans
038 EXTRACRANIAL PROCEDURES WITH CC $2,000 – $24,585 · median $18,621 17 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $2,000 – $13,643 · median $13,405 17 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $2,000 – $62,681 · median $43,546 17 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $2,000 – $25,035 · median $24,569 17 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $2,000 – $30,964 · median $19,791 17 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $2,000 – $30,782 · median $20,722 17 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $2,000 – $11,457 · median $11,263 17 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $2,000 – $17,555 · median $17,239 17 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $2,000 – $11,907 · median $11,704 17 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $2,000 – $26,420 · median $25,927 17 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $2,000 – $22,748 · median $14,980 17 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $2,000 – $19,588 · median $19,231 17 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $2,000 – $14,371 · median $14,118 17 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $2,000 – $10,796 · median $10,615 17 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $2,000 – $31,253 · median $30,662 17 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $2,000 – $20,120 · median $19,752 17 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $2,000 – $16,185 · median $15,896 17 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $2,000 – $22,945 · median $22,521 17 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $2,000 – $11,803 · median $11,602 17 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $2,000 – $8,175 · median $8,046 17 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $2,000 – $18,345 · median $16,907 17 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $2,000 – $10,179 · median $10,010 17 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $2,000 – $9,448 · median $9,294 17 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $2,000 – $51,995 · median $19,091 17 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $2,000 – $20,757 · median $11,978 17 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $2,000 – $8,974 · median $8,829 17 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $2,000 – $18,417 · median $18,084 17 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $2,000 – $12,032 · median $11,826 17 plans
075 VIRAL MENINGITIS WITH CC/MCC $2,000 – $21,904 · median $21,501 17 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $2,000 – $9,742 · median $9,582 17 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $2,000 – $17,771 · median $17,451 17 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $2,000 – $11,665 · median $11,467 17 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $2,000 – $7,978 · median $7,853 17 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $2,000 – $20,707 · median $20,328 17 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $2,000 – $12,558 · median $10,526 17 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $2,000 – $34,292 · median $26,003 17 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $2,000 – $16,096 · median $15,808 17 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $2,000 – $13,704 · median $11,197 17 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $2,000 – $25,850 · median $25,368 17 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $2,000 – $15,059 · median $14,793 17 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $2,000 – $10,739 · median $10,559 17 plans
088 CONCUSSION WITH MCC $2,000 – $15,606 · median $15,328 17 plans
089 CONCUSSION WITH CC $2,000 – $12,787 · median $12,566 17 plans
090 CONCUSSION WITHOUT CC/MCC $2,000 – $9,720 · median $9,561 17 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $2,000 – $20,108 · median $19,741 17 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $2,000 – $20,989 · median $11,945 17 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $2,000 – $9,421 · median $9,267 17 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $2,000 – $39,740 · median $38,980 17 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $2,000 – $29,272 · median $28,721 17 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $2,000 – $29,272 · median $28,721 17 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $2,000 – $40,769 · median $39,989 17 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $2,000 – $26,107 · median $25,619 17 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $2,000 – $32,691 · median $15,724 17 plans
100 SEIZURES WITH MCC $2,000 – $22,119 · median $21,712 17 plans
101 SEIZURES WITHOUT MCC $2,000 – $10,604 · median $10,427 17 plans
102 HEADACHES WITH MCC $2,000 – $19,656 · median $13,035 17 plans
103 HEADACHES WITHOUT MCC $2,000 – $9,866 · median $9,703 17 plans
113 ORBITAL PROCEDURES WITH CC/MCC $2,000 – $26,732 · median $26,232 17 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $2,000 – $40,781 · median $15,619 17 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $2,000 – $17,644 · median $17,326 17 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $2,000 – $27,197 · median $20,686 17 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $2,000 – $12,634 · median $12,416 17 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $2,000 – $13,507 · median $13,272 17 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $2,000 – $9,304 · median $9,152 17 plans
123 NEUROLOGICAL EYE DISORDERS $2,000 – $9,446 · median $9,292 17 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $2,000 – $18,000 · median $15,286 17 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $2,000 – $9,103 · median $8,956 17 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $2,000 – $24,716 · median $24,256 17 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $2,000 – $20,109 · median $11,859 17 plans
137 MOUTH PROCEDURES WITH CC/MCC $2,000 – $17,180 · median $16,871 17 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $2,000 – $10,422 · median $10,248 17 plans
139 SALIVARY GLAND PROCEDURES $2,000 – $14,313 · median $14,062 17 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $2,000 – $55,386 · median $48,045 17 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $2,000 – $24,839 · median $24,377 17 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $2,000 – $18,329 · median $17,997 17 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $2,000 – $42,270 · median $41,459 17 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $2,000 – $19,849 · median $19,487 17 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $2,000 – $22,175 · median $13,941 17 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $2,000 – $24,130 · median $23,682 17 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $2,000 – $14,712 · median $14,452 17 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $2,000 – $21,551 · median $9,430 17 plans
149 DYSEQUILIBRIUM $2,000 – $8,923 · median $8,779 17 plans
150 EPISTAXIS WITH MCC $2,000 – $15,380 · median $15,107 17 plans
151 EPISTAXIS WITHOUT MCC $2,000 – $8,727 · median $8,587 17 plans
152 OTITIS MEDIA AND URI WITH MCC $2,000 – $13,717 · median $13,478 17 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $2,000 – $8,774 · median $8,633 17 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $2,000 – $17,963 · median $17,638 17 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $1,474 – $10,759 · median $10,579 17 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $2,000 – $8,249 · median $8,119 17 plans
157 DENTAL AND ORAL DISEASES WITH MCC $2,000 – $19,670 · median $19,311 17 plans
158 DENTAL AND ORAL DISEASES WITH CC $2,000 – $10,684 · median $10,505 17 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $2,000 – $8,443 · median $8,309 17 plans
163 MAJOR CHEST PROCEDURES WITH MCC $2,000 – $138,001 · median $63,578 17 plans
164 MAJOR CHEST PROCEDURES WITH CC $2,000 – $28,657 · median $28,119 17 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $2,000 – $21,868 · median $21,465 17 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $2,000 – $42,171 · median $41,362 17 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $2,000 – $20,634 · median $20,256 17 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,000 – $15,768 · median $15,488 17 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $2,000 – $33,694 · median $33,055 17 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $2,000 – $21,282 · median $15,848 17 plans
176 PULMONARY EMBOLISM WITHOUT MCC $2,000 – $9,518 · median $9,362 17 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $2,000 – $30,568 · median $17,954 17 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $2,000 – $27,733 · median $11,421 17 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $2,000 – $8,961 · median $8,816 17 plans
180 RESPIRATORY NEOPLASMS WITH MCC $2,000 – $20,218 · median $19,848 17 plans
181 RESPIRATORY NEOPLASMS WITH CC $2,000 – $12,479 · median $12,264 17 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $2,000 – $9,767 · median $8,947 17 plans
183 MAJOR CHEST TRAUMA WITH MCC $2,000 – $17,589 · median $17,272 17 plans
184 MAJOR CHEST TRAUMA WITH CC $2,000 – $12,402 · median $12,189 17 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $2,000 – $9,312 · median $9,160 17 plans
186 PLEURAL EFFUSION WITH MCC $2,000 – $17,907 · median $17,584 17 plans
187 PLEURAL EFFUSION WITH CC $2,000 – $11,567 · median $11,371 17 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $2,000 – $8,540 · median $8,404 17 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $2,000 – $17,289 · median $14,310 17 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $2,000 – $16,724 · median $12,888 17 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $2,000 – $9,941 · median $9,777 17 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $2,000 – $7,703 · median $7,583 17 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $2,000 – $15,189 · median $14,920 17 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $2,000 – $9,528 · median $9,372 17 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $2,000 – $7,552 · median $7,436 17 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $2,000 – $21,567 · median $21,170 17 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $2,000 – $88,850 · median $20,089 17 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $2,000 – $44,662 · median $8,529 17 plans
199 PNEUMOTHORAX WITH MCC $2,000 – $31,547 · median $20,196 17 plans
200 PNEUMOTHORAX WITH CC $2,000 – $12,794 · median $12,573 17 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $2,000 – $21,827 · median $8,517 17 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $2,000 – $11,368 · median $11,175 17 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $2,000 – $8,014 · median $7,889 17 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $2,000 – $9,544 · median $9,388 17 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $2,000 – $22,609 · median $20,941 17 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $2,000 – $11,033 · median $10,847 17 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $2,000 – $167,394 · median $89,186 17 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $2,000 – $31,159 · median $30,571 17 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $2,000 – $121,630 · median $119,232 17 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $2,000 – $58,777 · median $55,354 17 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $2,000 – $32,293 · median $31,682 17 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $2,000 – $20,489 · median $15,969 17 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $2,000 – $49,617 · median $36,104 17 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $2,000 – $24,280 · median $23,830 17 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $2,000 – $20,824 · median $20,680 17 plans
245 AICD GENERATOR PROCEDURES $2,000 – $51,353 · median $50,361 17 plans
263 VEIN LIGATION AND STRIPPING $2,000 – $34,596 · median $34,401 17 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $2,000 – $37,750 · median $37,029 17 plans
265 AICD LEAD PROCEDURES — 17 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 17 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $2,000 – $162,226 · median $86,810 17 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $2,000 – $62,705 · median $47,577 17 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $2,000 – $40,151 · median $39,383 17 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $2,000 – $29,942 · median $28,980 17 plans
276 NON-MALIGANT BREAST DISORDERS — 17 plans
277 CELLULITIS AGE >17 W CC — 17 plans
278 CELLULITIS AGE >17 W/O CC — 17 plans
279 CELLULITIS AGE 0-17 $2,000 – $40,709 · median $39,930 17 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $2,000 – $8,606 · median $8,468 17 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $2,000 – $22,609 · median $22,192 17 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $2,000 – $8,266 · median $8,262 17 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $1,651 – $7,223 · median $7,113 17 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $2,000 – $56,317 · median $30,686 17 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $2,000 – $19,940 · median $19,560 17 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $2,000 – $10,906 · median $10,723 17 plans
291 HEART FAILURE AND SHOCK WITH MCC $2,000 – $14,849 · median $14,586 17 plans
292 HEART FAILURE AND SHOCK WITH CC $2,000 – $12,719 · median $10,007 17 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $2,000 – $11,576 · median $6,856 17 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $2,000 – $14,227 · median $13,977 17 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $2,000 – $9,348 · median $9,196 17 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $2,000 – $17,945 · median $17,621 17 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $2,000 – $12,966 · median $7,614 17 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $2,000 – $22,822 · median $5,622 17 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $2,000 – $18,733 · median $18,393 17 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $2,000 – $12,440 · median $12,226 17 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $2,000 – $8,568 · median $8,431 17 plans
302 ATHEROSCLEROSIS WITH MCC $2,000 – $13,878 · median $13,635 17 plans
303 ATHEROSCLEROSIS WITHOUT MCC $2,000 – $25,265 · median $8,050 17 plans
304 HYPERTENSION WITH MCC $2,000 – $13,804 · median $13,563 17 plans
305 HYPERTENSION WITHOUT MCC $2,000 – $8,962 · median $8,817 17 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $2,000 – $18,100 · median $17,773 17 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $2,000 – $10,722 · median $10,543 17 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $2,000 – $13,960 · median $13,716 17 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $2,000 – $8,746 · median $8,606 17 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $1,438 – $6,858 · median $6,755 17 plans
311 ANGINA PECTORIS $2,000 – $8,370 · median $8,237 17 plans
312 SYNCOPE AND COLLAPSE $2,000 – $10,259 · median $10,089 17 plans
313 CHEST PAIN $2,000 – $8,571 · median $8,434 17 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $2,000 – $58,654 · median $23,772 17 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $2,000 – $11,280 · median $11,089 17 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $2,000 – $8,149 · median $8,021 17 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 17 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $2,000 – $30,849 · median $30,266 17 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $2,000 – $20,184 · median $19,815 17 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY $2,000 – $48,737 · median $47,797 17 plans
324 URINARY STONES W/O CC $2,000 – $35,639 · median $34,960 17 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $2,000 – $114,325 · median $56,086 17 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $2,000 – $64,622 · median $27,769 17 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $2,000 – $18,395 · median $18,062 17 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $2,000 – $51,733 · median $50,733 17 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $2,000 – $27,246 · median $26,735 17 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $2,000 – $19,292 · median $18,941 17 plans
332 RECTAL RESECTION WITH MCC $2,000 – $40,868 · median $40,086 17 plans
333 RECTAL RESECTION WITH CC $2,000 – $64,991 · median $26,633 17 plans
334 RECTAL RESECTION WITHOUT CC/MCC $2,000 – $18,791 · median $18,450 17 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $2,000 – $40,314 · median $39,542 17 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $2,000 – $26,170 · median $24,033 17 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $2,000 – $17,646 · median $17,327 17 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $2,000 – $29,312 · median $28,761 17 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $2,000 – $17,857 · median $17,308 17 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $2,000 – $19,005 · median $13,762 17 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $2,000 – $88,498 · median $26,114 17 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $1,319 – $15,127 · median $14,859 17 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $2,000 – $10,248 · median $10,078 17 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $2,000 – $28,300 · median $27,769 17 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $2,000 – $17,529 · median $17,213 17 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $2,000 – $13,557 · median $13,321 17 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $2,000 – $32,866 · median $32,244 17 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $2,000 – $19,287 · median $18,936 17 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $2,000 – $15,530 · median $15,254 17 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $2,000 – $99,102 · median $49,465 17 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $2,000 – $30,778 · median $26,447 17 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,000 – $17,510 · median $16,119 17 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $2,000 – $18,279 · median $17,948 17 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $2,000 – $11,691 · median $11,492 17 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $2,000 – $8,357 · median $8,225 17 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $2,000 – $20,297 · median $19,925 17 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $2,000 – $11,923 · median $11,719 17 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $2,000 – $8,654 · median $8,515 17 plans
374 DIGESTIVE MALIGNANCY WITH MCC $2,000 – $24,367 · median $23,915 17 plans
375 DIGESTIVE MALIGNANCY WITH CC $2,000 – $14,022 · median $13,777 17 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $2,000 – $10,846 · median $10,664 17 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $2,000 – $20,908 · median $20,524 17 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $2,000 – $11,474 · median $11,279 17 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $2,000 – $7,573 · median $7,488 17 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $2,000 – $22,402 · median $21,989 17 plans
381 COMPLICATED PEPTIC ULCER WITH CC $2,000 – $12,618 · median $12,401 17 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $2,000 – $20,849 · median $15,928 17 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $2,000 – $10,072 · median $9,905 17 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $2,000 – $39,212 · median $18,172 17 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $2,000 – $16,285 · median $11,425 17 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $2,000 – $8,140 · median $8,012 17 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $2,000 – $16,998 · median $16,692 17 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $2,000 – $10,752 · median $9,348 17 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $2,000 – $6,611 · median $6,514 17 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $2,000 – $14,676 · median $14,417 17 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $2,000 – $9,235 · median $9,085 17 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $2,000 – $18,361 · median $18,029 17 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $2,000 – $18,537 · median $10,973 17 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,000 – $7,781 · median $7,660 17 plans
397 COAGULATION DISORDERS $2,000 – $27,220 · median $26,710 17 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $2,000 – $24,737 · median $17,407 17 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $2,000 – $54,115 · median $13,300 17 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $2,000 – $61,465 · median $60,270 17 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $2,000 – $39,026 · median $32,846 17 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $2,000 – $29,828 · median $25,268 17 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $4,275 – $40,255 · median $39,484 17 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $4,275 – $24,797 · median $24,336 17 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $4,275 – $18,232 · median $17,902 17 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $2,000 – $37,334 · median $36,622 17 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $2,000 – $27,495 · median $23,964 17 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $2,000 – $22,629 · median $19,043 17 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $2,000 – $40,221 · median $39,452 17 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $2,000 – $23,566 · median $23,129 17 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $2,000 – $29,818 · median $15,734 17 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $4,275 – $27,125 · median $26,617 17 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $4,275 – $19,389 · median $19,036 17 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $4,275 – $15,762 · median $15,481 17 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $2,000 – $38,490 · median $37,755 17 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $2,000 – $26,047 · median $19,900 17 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $2,000 – $16,137 · median $15,849 17 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $2,000 – $46,795 · median $45,894 17 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $2,000 – $39,386 · median $24,915 17 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $2,000 – $17,259 · median $16,949 17 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $2,000 – $71,922 · median $22,469 17 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $2,000 – $12,314 · median $12,103 17 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,000 – $8,488 · median $8,353 17 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $2,000 – $21,005 · median $20,619 17 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $2,000 – $15,521 · median $13,148 17 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $2,000 – $10,055 · median $9,889 17 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $2,000 – $21,372 · median $18,706 17 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $2,000 – $9,921 · median $9,757 17 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $2,000 – $7,473 · median $7,359 17 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $2,000 – $20,537 · median $20,161 17 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $2,000 – $11,302 · median $11,111 17 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,000 – $8,345 · median $8,213 17 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $2,000 – $30,072 · median $19,159 17 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $2,000 – $12,740 · median $12,520 17 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $2,000 – $9,766 · median $9,605 17 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $2,000 – $99,220 · median $97,270 17 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $2,000 – $68,655 · median $67,317 17 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $2,000 – $51,834 · median $50,833 17 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $2,000 – $97,651 · median $94,120 17 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC — 17 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC — 17 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $2,000 – $74,400 · median $72,947 17 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $2,000 – $41,283 · median $40,492 17 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $2,000 – $112,194 · median $62,049 17 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $2,000 – $30,172 · median $29,603 17 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $2,000 – $64,014 · median $62,769 17 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $2,000 – $35,234 · median $34,564 17 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,000 – $20,860 · median $20,478 17 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $2,000 – $58,513 · median $57,377 17 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC — 17 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $2,000 – $34,680 · median $31,151 17 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $2,000 – $34,327 · median $33,675 17 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $2,000 – $22,031 · median $21,625 17 plans
472 CERVICAL SPINAL FUSION WITH CC $2,000 – $33,357 · median $32,725 17 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $2,000 – $27,737 · median $27,217 17 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $2,000 – $48,353 · median $47,420 17 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $2,000 – $25,893 · median $25,410 17 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,000 – $39,019 · median $38,273 17 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $2,000 – $27,936 · median $27,412 17 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $2,000 – $24,922 · median $21,252 17 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $2,000 – $32,981 · median $32,356 17 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $2,000 – $25,754 · median $23,875 17 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $2,000 – $18,714 · median $18,375 17 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $2,000 – $31,418 · median $30,824 17 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $2,000 – $70,167 · median $36,486 17 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $2,000 – $23,837 · median $23,395 17 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $2,000 – $17,993 · median $17,668 17 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $2,000 – $20,250 · median $19,880 17 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $2,000 – $13,014 · median $12,989 17 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $2,000 – $41,435 · median $40,641 17 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $2,000 – $28,792 · median $28,251 17 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $2,000 – $22,895 · median $22,472 17 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $2,000 – $40,924 · median $40,140 17 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $2,000 – $27,817 · median $20,640 17 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $2,000 – $14,008 · median $13,763 17 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $2,000 – $34,144 · median $33,496 17 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $2,000 – $39,276 · median $22,988 17 plans
501 SOFT TISSUE PROCEDURES WITH CC $2,000 – $20,018 · median $19,653 17 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $2,000 – $15,540 · median $15,343 17 plans
503 FOOT PROCEDURES WITH MCC $2,000 – $61,256 · median $31,631 17 plans
504 FOOT PROCEDURES WITH CC $2,000 – $21,367 · median $20,974 17 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $2,000 – $20,516 · median $20,140 17 plans
506 MAJOR THUMB OR JOINT PROCEDURES $2,000 – $15,577 · median $15,300 17 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $2,000 – $20,667 · median $20,289 17 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $2,000 – $17,416 · median $17,103 17 plans
509 ARTHROSCOPY $2,000 – $40,876 · median $20,114 17 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $2,000 – $34,186 · median $33,537 17 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $2,000 – $23,707 · median $23,268 17 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $2,000 – $18,986 · median $18,641 17 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $2,000 – $18,083 · median $17,756 17 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $2,000 – $11,937 · median $11,733 17 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $2,000 – $36,038 · median $35,352 17 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $2,000 – $23,693 · median $23,253 17 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $2,000 – $17,664 · median $17,346 17 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $2,000 – $42,167 · median $41,358 17 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $2,000 – $22,825 · median $22,403 17 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $2,000 – $17,188 · median $16,879 17 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $2,000 – $32,512 · median $31,897 17 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $2,000 – $24,134 · median $23,686 17 plans
533 FRACTURES OF FEMUR WITH MCC $2,000 – $18,010 · median $17,684 17 plans
534 FRACTURES OF FEMUR WITHOUT MCC $2,000 – $9,530 · median $9,374 17 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $2,000 – $14,829 · median $14,567 17 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $2,000 – $9,546 · median $9,390 17 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $2,000 – $11,180 · median $10,991 17 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $2,000 – $8,574 · median $8,438 17 plans
539 OSTEOMYELITIS WITH MCC $1,478 – $22,486 · median $22,071 17 plans
540 OSTEOMYELITIS WITH CC $2,000 – $14,988 · median $14,723 17 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $2,000 – $14,373 · median $9,322 17 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $2,000 – $20,223 · median $19,853 17 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $2,000 – $12,000 · median $11,795 17 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $2,000 – $8,956 · median $8,812 17 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $2,000 – $28,186 · median $27,657 17 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $2,000 – $13,474 · median $13,397 17 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,000 – $9,865 · median $9,702 17 plans
548 SEPTIC ARTHRITIS WITH MCC $2,000 – $22,054 · median $21,647 17 plans
549 SEPTIC ARTHRITIS WITH CC $2,000 – $13,996 · median $13,751 17 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $1,883 – $10,287 · median $10,116 17 plans
551 MEDICAL BACK PROBLEMS WITH MCC $2,000 – $19,217 · median $18,867 17 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $2,000 – $11,258 · median $11,067 17 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $2,000 – $14,988 · median $14,723 17 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $2,000 – $9,797 · median $9,636 17 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,000 – $23,058 · median $15,272 17 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $2,000 – $17,110 · median $16,803 17 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $2,000 – $10,500 · median $10,324 17 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,000 – $23,851 · median $21,319 17 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $2,000 – $16,742 · median $13,093 17 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $2,000 – $9,505 · median $9,350 17 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $2,000 – $16,419 · median $16,125 17 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $2,000 – $10,525 · median $10,349 17 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $2,000 – $17,741 · median $17,421 17 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $2,000 – $18,754 · median $11,404 17 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $742 – $8,897 · median $8,754 17 plans
570 SKIN DEBRIDEMENT WITH MCC $2,000 – $168,531 · median $81,366 17 plans
571 SKIN DEBRIDEMENT WITH CC $2,000 – $19,366 · median $19,013 17 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $2,000 – $13,318 · median $13,086 17 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $2,000 – $73,500 · median $72,064 17 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $2,000 – $39,206 · median $38,457 17 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $2,000 – $20,563 · median $20,186 17 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $2,000 – $55,126 · median $54,058 17 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $2,000 – $30,068 · median $29,501 17 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $2,000 – $23,914 · median $18,441 17 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $2,000 – $36,613 · median $35,915 17 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $2,000 – $19,794 · median $19,433 17 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $2,000 – $22,922 · median $16,622 17 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $2,000 – $22,006 · median $21,600 17 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $2,000 – $19,754 · median $19,394 17 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $2,000 – $24,390 · median $23,937 17 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $2,000 – $22,034 · median $21,628 17 plans
592 SKIN ULCERS WITH MCC $2,000 – $22,103 · median $21,695 17 plans
593 SKIN ULCERS WITH CC $2,000 – $13,763 · median $13,522 17 plans
594 SKIN ULCERS WITHOUT CC/MCC $2,000 – $15,581 · median $10,206 17 plans
595 MAJOR SKIN DISORDERS WITH MCC $2,000 – $24,167 · median $23,718 17 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $2,000 – $12,607 · median $12,390 17 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $2,000 – $19,116 · median $18,769 17 plans
598 MALIGNANT BREAST DISORDERS WITH CC $2,000 – $54,329 · median $13,151 17 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,000 – $33,196 · median $9,121 17 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $2,000 – $12,152 · median $11,944 17 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,000 – $7,291 · median $7,180 17 plans
602 CELLULITIS WITH MCC $2,000 – $16,380 · median $16,087 17 plans
603 CELLULITIS WITHOUT MCC $2,000 – $10,251 · median $10,081 17 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $2,000 – $16,945 · median $16,641 17 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $2,000 – $19,664 · median $10,753 17 plans
606 MINOR SKIN DISORDERS WITH MCC $2,000 – $17,403 · median $17,089 17 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $2,000 – $10,647 · median $10,468 17 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $2,000 – $24,959 · median $24,494 17 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $2,000 – $16,135 · median $15,847 17 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $2,000 – $39,384 · median $38,631 17 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $2,000 – $21,379 · median $20,986 17 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $2,000 – $36,563 · median $16,346 17 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $2,000 – $40,184 · median $39,415 17 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $2,000 – $20,528 · median $20,152 17 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $2,000 – $33,679 · median $14,493 17 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $2,000 – $34,181 · median $33,532 17 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $2,000 – $17,249 · median $16,939 17 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $2,000 – $15,344 · median $15,072 17 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $2,000 – $42,050 · median $41,243 17 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $2,000 – $24,814 · median $24,352 17 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $2,000 – $44,431 · median $16,805 17 plans
637 DIABETES WITH MCC $2,000 – $16,551 · median $16,255 17 plans
638 DIABETES WITH CC $2,000 – $11,875 · median $10,533 17 plans
639 DIABETES WITHOUT CC/MCC $2,000 – $7,471 · median $7,356 17 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $2,000 – $15,425 · median $15,152 17 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $2,000 – $9,589 · median $9,219 17 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $1,331 – $16,388 · median $16,095 17 plans
643 ENDOCRINE DISORDERS WITH MCC $2,000 – $18,883 · median $18,540 17 plans
644 ENDOCRINE DISORDERS WITH CC $2,000 – $12,166 · median $11,967 17 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $2,000 – $9,201 · median $9,109 17 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 17 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 17 plans
653 MAJOR BLADDER PROCEDURES WITH MCC — 17 plans
654 MAJOR BLADDER PROCEDURES WITH CC $2,000 – $31,723 · median $31,123 17 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $2,000 – $24,121 · median $23,674 17 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $2,000 – $39,495 · median $36,004 17 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $2,000 – $20,930 · median $20,546 17 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $2,000 – $22,831 · median $17,833 17 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $2,000 – $28,846 · median $28,303 17 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $2,000 – $15,271 · median $15,000 17 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $2,000 – $12,083 · median $11,876 17 plans
662 MINOR BLADDER PROCEDURES WITH MCC $2,000 – $34,642 · median $33,984 17 plans
663 MINOR BLADDER PROCEDURES WITH CC $2,000 – $17,481 · median $17,166 17 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $2,000 – $26,998 · median $12,211 17 plans
665 PROSTATECTOMY WITH MCC $2,000 – $35,307 · median $35,103 17 plans
666 PROSTATECTOMY WITH CC $2,000 – $20,032 · median $19,666 17 plans
667 PROSTATECTOMY WITHOUT CC/MCC $2,000 – $12,871 · median $12,648 17 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $2,000 – $38,219 · median $33,067 17 plans
669 TRANSURETHRAL PROCEDURES WITH CC $2,000 – $20,760 · median $17,835 17 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $2,000 – $11,436 · median $11,242 17 plans
671 URETHRAL PROCEDURES WITH CC/MCC $2,000 – $20,540 · median $20,164 17 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $2,000 – $25,119 · median $12,574 17 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $2,000 – $52,409 · median $47,336 17 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $2,000 – $26,593 · median $26,096 17 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $2,000 – $40,883 · median $18,830 17 plans
682 RENAL FAILURE WITH MCC $2,000 – $33,561 · median $17,044 17 plans
683 RENAL FAILURE WITH CC $2,000 – $10,306 · median $10,134 17 plans
684 RENAL FAILURE WITHOUT CC/MCC $2,000 – $7,238 · median $7,128 17 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $2,000 – $20,637 · median $20,259 17 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $2,000 – $12,221 · median $12,011 17 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $2,000 – $25,840 · median $9,354 17 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $2,000 – $13,474 · median $13,239 17 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $2,000 – $9,568 · median $9,411 17 plans
693 URINARY STONES WITH MCC $2,000 – $15,524 · median $15,249 17 plans
694 URINARY STONES WITHOUT MCC $2,000 – $9,258 · median $9,108 17 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $1,769 – $13,290 · median $13,059 17 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $1,397 – $8,226 · median $8,096 17 plans
697 URETHRAL STRICTURE $2,000 – $12,555 · median $12,339 17 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $2,000 – $18,975 · median $18,630 17 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $2,000 – $11,856 · median $11,653 17 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $2,000 – $8,236 · median $8,106 17 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $2,000 – $22,826 · median $22,405 17 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $2,000 – $17,637 · median $17,319 17 plans
709 PENIS PROCEDURES WITH CC/MCC $2,000 – $26,465 · median $25,970 17 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $2,000 – $16,156 · median $15,867 17 plans
711 TESTES PROCEDURES WITH CC/MCC $2,000 – $23,756 · median $23,316 17 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $2,000 – $12,799 · median $12,578 17 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $2,000 – $17,294 · median $16,983 17 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $2,000 – $12,328 · median $12,116 17 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $2,000 – $25,465 · median $24,991 17 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $2,000 – $16,933 · median $16,629 17 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $2,000 – $21,604 · median $21,206 17 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $2,000 – $15,509 · median $15,233 17 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $2,000 – $26,158 · median $20,704 17 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $2,000 – $13,278 · median $13,047 17 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,000 – $23,713 · median $7,855 17 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $2,000 – $13,584 · median $13,347 17 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $2,000 – $8,593 · median $8,456 17 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $2,000 – $17,065 · median $16,759 17 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $2,000 – $9,587 · median $9,430 17 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $2,000 – $12,342 · median $12,130 17 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,000 – $8,037 · median $7,911 17 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $2,000 – $24,270 · median $23,820 17 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $2,000 – $15,536 · median $15,260 17 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $2,000 – $41,169 · median $40,354 17 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $2,000 – $23,498 · median $23,062 17 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $2,000 – $16,905 · median $16,602 17 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $2,000 – $40,446 · median $39,672 17 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $2,000 – $25,862 · median $20,703 17 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $2,000 – $43,853 · median $16,433 17 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $2,000 – $20,984 · median $20,599 17 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $2,000 – $15,596 · median $14,369 17 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $2,000 – $23,370 · median $22,937 17 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $2,000 – $19,896 · median $19,533 17 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $2,000 – $10,127 · median $9,959 17 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $2,000 – $16,001 · median $15,716 17 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $2,000 – $29,143 · median $28,595 17 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,000 – $19,504 · median $16,986 17 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $2,000 – $22,400 · median $21,060 17 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $2,000 – $12,666 · median $12,448 17 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,875 – $11,249 · median $11,059 17 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $2,000 – $22,648 · median $16,498 17 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $2,000 – $11,455 · median $11,261 17 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,000 – $7,943 · median $7,819 17 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $2,000 – $11,772 · median $11,572 17 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,000 – $15,107 · median $6,907 17 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $2,000 – $11,719 · median $11,519 17 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $2,000 – $7,844 · median $7,722 17 plans
779 ABORTION WITHOUT D&C $2,000 – $9,922 · median $9,758 17 plans
795 NORMAL NEWBORN $2,000 – $14,000 · median $2,758 17 plans
799 SPLENECTOMY WITH MCC $2,000 – $50,980 · median $49,996 17 plans
800 SPLENECTOMY WITH CC $2,000 – $42,973 · median $31,835 17 plans
801 SPLENECTOMY WITHOUT CC/MCC $2,000 – $21,809 · median $21,407 17 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $2,000 – $69,045 · median $44,915 17 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $2,000 – $21,252 · median $20,862 17 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $2,000 – $15,653 · median $15,374 17 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,000 – $14,000 · median $7,935 17 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $2,000 – $25,138 · median $24,670 17 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $2,000 – $42,862 · median $14,649 17 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $2,000 – $12,208 · median $11,998 17 plans
811 RED BLOOD CELL DISORDERS WITH MCC $2,000 – $16,578 · median $16,190 17 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $2,000 – $10,778 · median $10,597 17 plans
813 COAGULATION DISORDERS $2,000 – $17,538 · median $17,222 17 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $2,000 – $24,234 · median $23,784 17 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $2,000 – $11,845 · median $11,642 17 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $2,000 – $7,591 · median $7,474 17 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $2,000 – $25,958 · median $25,474 17 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $4,275 – $13,461 · median $13,227 17 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $2,000 – $65,855 · median $64,572 17 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $2,000 – $25,480 · median $25,005 17 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,000 – $14,367 · median $13,960 17 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $2,000 – $51,603 · median $51,129 17 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $2,000 – $25,780 · median $25,299 17 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $2,000 – $15,579 · median $15,302 17 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — 17 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $2,000 – $26,288 · median $25,797 17 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,000 – $19,525 · median $19,169 17 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $2,000 – $35,739 · median $35,059 17 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $2,000 – $33,993 · median $17,312 17 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,000 – $8,589 · median $8,452 17 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,311 – $6,377 · median $6,284 17 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $2,000 – $61,681 · median $60,482 17 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $2,000 – $23,778 · median $23,337 17 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,000 – $14,133 · median $13,885 17 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $2,000 – $140,494 · median $66,174 17 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $2,000 – $23,796 · median $23,355 17 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $2,000 – $16,631 · median $16,333 17 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $2,000 – $36,573 · median $35,876 17 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $2,000 – $59,554 · median $18,719 17 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $2,000 – $11,805 · median $11,603 17 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $2,000 – $22,765 · median $22,345 17 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC — 17 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $2,000 – $10,036 · median $9,870 17 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $2,000 – $29,420 · median $28,866 17 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $2,000 – $15,120 · median $14,853 17 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,517 – $10,012 · median $9,846 17 plans
849 RADIOTHERAPY $2,000 – $79,832 · median $30,723 17 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $2,000 – $55,542 · median $54,466 17 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $2,000 – $22,802 · median $22,381 17 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,000 – $17,225 · median $16,915 17 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $2,000 – $51,201 · median $50,212 17 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $2,000 – $24,398 · median $23,945 17 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $2,000 – $16,063 · median $15,777 17 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $2,000 – $20,860 · median $20,478 17 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $2,000 – $11,665 · median $11,467 17 plans
864 FEVER AND INFLAMMATORY CONDITIONS $2,000 – $10,438 · median $10,264 17 plans
865 VIRAL ILLNESS WITH MCC $2,000 – $18,842 · median $17,237 17 plans
866 VIRAL ILLNESS WITHOUT MCC $2,000 – $10,237 · median $10,067 17 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $2,000 – $49,299 · median $23,861 17 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $2,000 – $12,035 · median $11,829 17 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $2,000 – $8,679 · median $8,540 17 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $2,000 – $77,512 · median $75,997 17 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $2,000 – $22,183 · median $21,774 17 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $2,000 – $11,948 · median $11,744 17 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $2,000 – $43,587 · median $42,750 17 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $2,000 – $18,583 · median $11,246 17 plans
881 DEPRESSIVE NEUROSES $2,000 – $18,421 · median $11,031 17 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,415 – $12,510 · median $12,295 17 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $2,000 – $22,448 · median $22,034 17 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $2,000 – $18,468 · median $18,134 17 plans
885 PSYCHOSES $2,000 – $16,107 · median $15,819 17 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $2,000 – $24,861 · median $23,661 17 plans
887 OTHER MENTAL DISORDER DIAGNOSES $2,000 – $12,478 · median $12,263 17 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,000 – $7,423 · median $7,309 17 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $2,000 – $73,748 · median $16,316 17 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $2,000 – $52,755 · median $19,985 17 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $2,000 – $16,860 · median $10,384 17 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $2,000 – $47,281 · median $46,370 17 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $2,000 – $21,871 · median $21,468 17 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $2,000 – $13,577 · median $13,340 17 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $2,000 – $41,452 · median $40,657 17 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $2,000 – $36,029 · median $17,071 17 plans
906 HAND PROCEDURES FOR INJURIES $2,000 – $22,425 · median $22,012 17 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $2,000 – $43,302 · median $42,471 17 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $2,000 – $59,706 · median $22,770 17 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $2,000 – $15,170 · median $14,902 17 plans
913 TRAUMATIC INJURY WITH MCC $2,000 – $18,755 · median $18,414 17 plans
914 TRAUMATIC INJURY WITHOUT MCC $2,000 – $10,414 · median $10,240 17 plans
915 ALLERGIC REACTIONS WITH MCC $2,000 – $28,287 · median $19,278 17 plans
916 ALLERGIC REACTIONS WITHOUT MCC $1,915 – $7,973 · median $7,848 17 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $2,000 – $18,582 · median $18,017 17 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $2,000 – $10,098 · median $9,930 17 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $2,000 – $20,939 · median $20,555 17 plans
920 COMPLICATIONS OF TREATMENT WITH CC $2,000 – $11,714 · median $11,515 17 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,545 – $8,219 · median $8,090 17 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $948 – $11,886 · median $11,683 17 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $2,000 – $238,277 · median $233,546 17 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $2,000 – $80,417 · median $78,844 17 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $2,000 – $48,603 · median $36,416 17 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $2,000 – $43,914 · median $43,070 17 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $2,000 – $25,168 · median $24,699 17 plans
935 NON-EXTENSIVE BURNS $2,000 – $23,491 · median $23,056 17 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $2,000 – $41,639 · median $40,955 17 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $2,000 – $26,574 · median $26,077 17 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $2,000 – $23,131 · median $22,703 17 plans
945 REHABILITATION WITH CC/MCC $2,000 – $22,142 · median $17,797 17 plans
946 REHABILITATION WITHOUT CC/MCC $2,000 – $13,323 · median $13,222 17 plans
947 SIGNS AND SYMPTOMS WITH MCC $2,000 – $14,688 · median $14,429 17 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $2,000 – $11,822 · median $9,467 17 plans
949 AFTERCARE WITH CC/MCC $2,000 – $13,801 · median $13,560 17 plans
950 AFTERCARE WITHOUT CC/MCC $2,000 – $32,479 · median $7,543 17 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $2,000 – $6,745 · median $6,645 17 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $2,000 – $75,500 · median $74,025 17 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA — 17 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $2,000 – $85,397 · median $83,723 17 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — 17 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $2,000 – $59,125 · median $33,335 17 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $2,000 – $37,760 · median $30,993 17 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $2,000 – $17,619 · median $17,301 17 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $2,000 – $11,046 · median $11,026 17 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $2,000 – $222,266 · median $126,433 17 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $2,000 – $87,096 · median $29,920 17 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $2,000 – $32,688 · median $32,069 17 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $2,000 – $14,973 · median $14,709 17 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $2,000 – $26,733 · median $10,605 17 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $2,000 – $15,003 · median $14,738 17 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $2,000 – $34,382 · median $27,928 17 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,000 – $24,542 · median $19,639 17 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $2,000 – $142,069 · median $114,218 16 plans
006 LIVER TRANSPLANT WITHOUT MCC — 16 plans
007 LUNG TRANSPLANT — 16 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 16 plans
010 PANCREAS TRANSPLANT $2,000 – $109,173 · median $79,664 16 plans
652 KIDNEY TRANSPLANT — 16 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $706 – $20,621 · median $20,243 14 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,538 – $66,731 · median $65,431 14 plans
791 PREMATURITY WITH MAJOR PROBLEMS $2,000 – $45,748 · median $44,868 14 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $2,000 – $27,825 · median $27,303 14 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $2,000 – $46,980 · median $46,075 14 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,659 – $16,988 · median $16,682 14 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $2,280 – $5,689 · median $2,280 5 plans
999 UNGROUPABLE $2,000 – $10,883 · median $6,530 3 plans
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