AdventHealth Port Charlotte — 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
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $150,726 – $484,547 · median $271,571 28 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $99,532 – $319,465 · median $162,994 28 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $38,294 – $121,996 · median $45,884 28 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $29,234 – $92,781 · median $44,256 28 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $19,042 – $73,590 · median $37,959 28 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $56,981 – $182,253 · median $97,841 28 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $39,216 – $162,692 · median $78,697 28 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $25,215 – $162,692 · median $50,424 28 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $40,462 – $128,987 · median $60,407 28 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $27,117 – $100,445 · median $54,265 28 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $31,819 – $101,114 · median $51,642 28 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $21,907 – $85,872 · median $43,744 28 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $17,764 – $80,236 · median $35,379 28 plans
028 SPINAL PROCEDURES WITH MCC $39,876 – $137,451 · median $46,851 28 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $23,997 – $75,892 · median $41,399 28 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $16,065 – $50,314 · median $20,346 28 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $29,405 – $94,745 · median $32,603 28 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $15,435 – $50,762 · median $29,561 28 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $11,648 – $36,073 · median $16,883 28 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $23,290 – $87,920 · median $29,473 28 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $16,411 – $51,431 · median $24,485 28 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $13,314 – $41,445 · median $24,180 28 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $21,768 – $75,082 · median $25,811 28 plans
038 EXTRACRANIAL PROCEDURES WITH CC $11,759 – $37,579 · median $22,095 28 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,442 – $25,734 · median $14,564 28 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $18,098 – $85,283 · median $27,777 28 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $16,295 – $51,056 · median $19,480 28 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $9,742 – $39,738 · median $13,179 28 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $7,054 – $37,263 · median $18,580 28 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $6,922 – $32,074 · median $11,888 28 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $7,054 – $27,984 · median $14,777 28 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,054 – $21,040 · median $12,188 28 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $7,054 – $46,366 · median $18,069 28 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $7,054 – $25,030 · median $13,053 28 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $7,054 – $34,204 · median $13,855 28 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $7,054 – $23,042 · median $12,778 28 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,719 – $22,059 · median $11,547 28 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $7,054 – $50,636 · median $28,667 28 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $7,054 – $50,636 · median $21,979 28 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $7,054 – $50,636 · median $17,563 28 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $7,054 – $36,832 · median $17,154 28 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,054 – $29,614 · median $13,009 28 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,288 – $29,614 · median $9,151 28 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $7,054 – $27,191 · median $10,692 28 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,642 – $16,906 · median $8,146 28 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,072 – $16,309 · median $9,447 28 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $7,054 – $32,283 · median $13,042 28 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $7,054 – $20,373 · median $11,802 28 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,722 – $15,326 · median $8,878 28 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $7,054 – $28,818 · median $11,642 28 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,054 – $19,792 · median $8,628 28 plans
075 VIRAL MENINGITIS WITH CC/MCC $7,054 – $31,989 · median $17,154 28 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,891 – $29,614 · median $11,835 28 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $7,054 – $28,831 · median $11,648 28 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,054 – $18,994 · median $9,249 28 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,136 – $15,966 · median $8,883 28 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $7,054 – $36,806 · median $15,453 28 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,806 – $25,324 · median $11,693 28 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $7,054 – $42,961 · median $20,420 28 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $7,054 – $35,251 · median $17,394 28 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,054 – $35,251 · median $12,295 28 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $7,054 – $41,957 · median $16,395 28 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $7,054 – $24,621 · median $12,298 28 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,660 – $16,951 · median $8,434 28 plans
088 CONCUSSION WITH MCC $7,023 – $26,398 · median $10,381 28 plans
089 CONCUSSION WITH CC $7,023 – $20,325 · median $8,211 28 plans
090 CONCUSSION WITHOUT CC/MCC $5,304 – $16,472 · median $6,795 28 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $7,054 – $33,792 · median $13,750 28 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,054 – $21,993 · median $12,504 28 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,996 – $16,635 · median $9,636 28 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $7,054 – $67,559 · median $26,117 28 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $7,054 – $44,387 · median $18,894 28 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $7,054 – $44,387 · median $18,894 28 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $7,054 – $66,372 · median $25,666 28 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $7,054 – $40,167 · median $18,386 28 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $7,054 – $31,741 · median $16,927 28 plans
100 SEIZURES WITH MCC $7,054 – $36,760 · median $14,421 28 plans
101 SEIZURES WITHOUT MCC $6,924 – $17,627 · median $8,164 28 plans
102 HEADACHES WITH MCC $7,054 – $21,893 · median $8,860 28 plans
103 HEADACHES WITHOUT MCC $6,423 – $16,345 · median $7,480 28 plans
113 ORBITAL PROCEDURES WITH CC/MCC $8,728 – $51,019 · median $16,478 28 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $8,728 – $26,726 · median $9,603 28 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $5,394 – $34,614 · median $11,325 28 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $9,268 – $37,725 · median $12,534 28 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,024 – $24,386 · median $9,191 28 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $7,054 – $21,959 · median $8,984 28 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,218 – $14,409 · median $8,347 28 plans
123 NEUROLOGICAL EYE DISORDERS $6,093 – $15,502 · median $7,327 28 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $7,054 – $24,483 · median $9,891 28 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,465 – $15,905 · median $6,780 28 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $8,992 – $54,513 · median $17,576 28 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,320 – $22,116 · median $8,675 28 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,268 – $31,621 · median $12,900 28 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,166 – $18,392 · median $9,244 28 plans
139 SALIVARY GLAND PROCEDURES $9,179 – $31,042 · median $10,954 28 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $30,114 – $95,618 · median $40,380 28 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $15,526 – $64,761 · median $30,858 28 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,486 – $64,761 · median $22,701 28 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $15,164 – $74,653 · median $24,369 28 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,779 – $39,717 · median $16,322 28 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,769 – $26,787 · median $10,842 28 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $7,054 – $42,478 · median $16,592 28 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $7,054 – $23,423 · median $12,751 28 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,076 – $22,012 · median $10,471 28 plans
149 DYSEQUILIBRIUM $5,703 – $14,503 · median $6,352 28 plans
150 EPISTAXIS WITH MCC $5,409 – $25,887 · median $10,180 28 plans
151 EPISTAXIS WITHOUT MCC $5,409 – $14,691 · median $6,264 28 plans
152 OTITIS MEDIA AND URI WITH MCC $7,054 – $21,450 · median $12,221 28 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,452 – $14,831 · median $8,591 28 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $7,054 – $30,265 · median $11,897 28 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,008 – $17,841 · median $7,890 28 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,176 – $13,156 · median $7,191 28 plans
157 DENTAL AND ORAL DISEASES WITH MCC $7,054 – $30,466 · median $11,975 28 plans
158 DENTAL AND ORAL DISEASES WITH CC $7,054 – $17,966 · median $9,328 28 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,087 – $12,926 · median $5,913 28 plans
163 MAJOR CHEST PROCEDURES WITH MCC $32,779 – $104,209 · median $41,832 28 plans
164 MAJOR CHEST PROCEDURES WITH CC $18,109 – $67,091 · median $36,075 28 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $13,531 – $67,091 · median $26,830 28 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $27,458 – $87,051 · median $36,054 28 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $13,273 – $57,824 · median $26,309 28 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,955 – $37,705 · median $19,607 28 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $21,977 – $69,378 · median $41,417 28 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $7,054 – $33,343 · median $17,467 28 plans
176 PULMONARY EMBOLISM WITHOUT MCC $6,173 – $33,343 · median $10,633 28 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $7,054 – $43,586 · median $20,049 28 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,054 – $43,586 · median $12,718 28 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,858 – $32,417 · median $10,107 28 plans
180 RESPIRATORY NEOPLASMS WITH MCC $7,054 – $32,445 · median $14,694 28 plans
181 RESPIRATORY NEOPLASMS WITH CC $7,054 – $25,367 · median $13,728 28 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,334 – $25,367 · median $10,903 28 plans
183 MAJOR CHEST TRAUMA WITH MCC $7,054 – $29,566 · median $11,945 28 plans
184 MAJOR CHEST TRAUMA WITH CC $7,054 – $20,253 · median $10,960 28 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,915 – $15,044 · median $7,743 28 plans
186 PLEURAL EFFUSION WITH MCC $7,054 – $29,435 · median $14,613 28 plans
187 PLEURAL EFFUSION WITH CC $7,054 – $25,227 · median $12,858 28 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,610 – $21,993 · median $9,690 28 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $7,054 – $40,729 · median $15,598 28 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,054 – $24,262 · median $13,469 28 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,485 – $24,262 · median $11,156 28 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,000 – $24,262 · median $8,669 28 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $7,054 – $26,266 · median $14,980 28 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,211 – $26,266 · median $10,697 28 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,828 – $19,923 · median $8,381 28 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $7,054 – $34,890 · median $14,929 28 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,054 – $25,044 · median $12,693 28 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,373 – $19,470 · median $9,293 28 plans
199 PNEUMOTHORAX WITH MCC $7,054 – $32,759 · median $17,025 28 plans
200 PNEUMOTHORAX WITH CC $7,054 – $29,391 · median $14,073 28 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,209 – $19,819 · median $9,020 28 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,054 – $19,031 · median $11,024 28 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,346 – $16,225 · median $9,101 28 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,148 – $18,188 · median $10,217 28 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $7,054 – $34,956 · median $14,064 28 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,813 – $17,342 · median $8,929 28 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $7,054 – $119,747 · median $47,307 28 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $7,054 – $71,555 · median $32,579 28 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $76,843 – $246,300 · median $145,948 28 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $74,746 – $262,450 · median $150,008 28 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $68,129 – $218,202 · median $99,123 28 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $45,740 – $164,824 · median $91,873 28 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $42,174 – $164,824 · median $84,672 28 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $54,712 – $174,937 · median $85,894 28 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $32,662 – $142,826 · median $65,463 28 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $35,401 – $112,667 · median $64,775 28 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $59,875 – $191,586 · median $99,854 28 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $43,292 – $166,038 · median $86,929 28 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $41,718 – $133,036 · median $69,080 28 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $33,080 – $113,879 · median $38,899 28 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $20,880 – $65,842 · median $34,344 28 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $11,048 – $57,107 · median $21,816 28 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $24,244 – $76,690 · median $42,016 28 plans
245 AICD GENERATOR PROCEDURES $34,725 – $110,486 · median $43,562 28 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $24,514 – $77,558 · median $41,948 28 plans
253 OTHER VASCULAR PROCEDURES WITH CC $18,362 – $69,752 · median $36,585 28 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $12,727 – $46,689 · median $25,207 28 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $18,807 – $59,156 · median $26,578 28 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,337 – $42,626 · median $24,175 28 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $6,715 – $42,626 · median $13,066 28 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $20,132 – $63,430 · median $27,008 28 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $12,786 – $43,316 · median $24,821 28 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $16,953 – $77,011 · median $25,125 28 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $11,104 – $34,316 · median $17,601 28 plans
263 VEIN LIGATION AND STRIPPING $11,961 – $60,640 · median $19,878 28 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $24,967 – $79,021 · median $31,718 28 plans
265 AICD LEAD PROCEDURES $25,473 – $80,651 · median $42,016 28 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $42,465 – $202,608 · median $85,260 28 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $33,448 – $152,129 · median $67,050 28 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $50,011 – $159,778 · median $95,084 28 plans
276 NON-MALIGANT BREAST DISORDERS $43,893 – $140,049 · median $67,624 28 plans
278 CELLULITIS AGE >17 W/O CC $35,542 – $113,120 · median $60,441 28 plans
279 CELLULITIS AGE 0-17 $22,929 – $72,448 · median $43,182 28 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $7,054 – $39,852 · median $20,341 28 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,546 – $29,893 · median $9,583 28 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $7,054 – $36,206 · median $17,886 28 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,657 – $30,878 · median $9,770 28 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,398 – $30,878 · median $7,785 28 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $7,054 – $67,226 · median $33,139 28 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $7,054 – $67,226 · median $19,581 28 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,054 – $67,226 · median $12,564 28 plans
291 HEART FAILURE AND SHOCK WITH MCC $7,054 – $24,499 · median $13,180 28 plans
292 HEART FAILURE AND SHOCK WITH CC $6,500 – $22,753 · median $11,181 28 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,309 – $22,753 · median $7,650 28 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $7,054 – $23,121 · median $11,037 28 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,999 – $19,053 · median $10,343 28 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $7,054 – $38,753 · median $20,131 28 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,401 – $38,753 · median $9,340 28 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,559 – $38,753 · median $6,576 28 plans
302 ATHEROSCLEROSIS WITH MCC $7,054 – $21,961 · median $10,490 28 plans
304 HYPERTENSION WITH MCC $7,054 – $22,167 · median $8,992 28 plans
305 HYPERTENSION WITHOUT MCC $5,725 – $14,560 · median $8,305 28 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $7,054 – $27,953 · median $11,982 28 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,957 – $17,712 · median $9,822 28 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,248 – $19,096 · median $9,085 28 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $22,174 – $99,317 · median $32,275 28 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $16,692 – $52,335 · median $23,868 28 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY $30,326 – $96,301 · median $56,099 28 plans
324 URINARY STONES W/O CC $22,864 – $72,238 · median $40,226 28 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $20,529 – $64,709 · median $35,832 28 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $35,079 – $114,831 · median $39,220 28 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $17,486 – $60,557 · median $34,497 28 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,634 – $40,337 · median $22,812 28 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $32,657 – $103,818 · median $41,305 28 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $17,035 – $66,246 · median $33,905 28 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,038 – $47,473 · median $23,814 28 plans
332 RECTAL RESECTION WITH MCC $24,782 – $78,424 · median $41,669 28 plans
333 RECTAL RESECTION WITH CC $15,363 – $69,288 · median $30,529 28 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,091 – $51,227 · median $23,922 28 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $25,867 – $81,921 · median $32,911 28 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $15,272 – $52,783 · median $30,040 28 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $11,225 – $35,826 · median $21,057 28 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $18,350 – $60,920 · median $21,034 28 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,900 – $33,658 · median $19,051 28 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,193 – $28,155 · median $14,895 28 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $9,531 – $53,511 · median $17,261 28 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $9,288 – $28,462 · median $10,338 28 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,638 – $19,916 · median $7,742 28 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $12,591 – $54,684 · median $17,969 28 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $11,010 – $34,015 · median $13,553 28 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,193 – $24,929 · median $9,183 28 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $13,048 – $66,312 · median $21,696 28 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,389 – $38,460 · median $14,045 28 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $9,733 – $30,142 · median $10,740 28 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $30,370 – $96,443 · median $38,791 28 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $16,251 – $62,213 · median $32,323 28 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,963 – $52,488 · median $19,624 28 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $7,054 – $31,049 · median $14,522 28 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,054 – $25,069 · median $13,017 28 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,356 – $25,069 · median $9,265 28 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $7,054 – $32,448 · median $17,461 28 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,054 – $30,143 · median $13,155 28 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,548 – $30,143 · median $9,587 28 plans
374 DIGESTIVE MALIGNANCY WITH MCC $7,054 – $39,095 · median $15,742 28 plans
375 DIGESTIVE MALIGNANCY WITH CC $7,054 – $24,217 · median $13,961 28 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,653 – $21,635 · median $11,437 28 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $7,054 – $33,708 · median $13,618 28 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,054 – $20,443 · median $11,707 28 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,926 – $15,923 · median $8,545 28 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $7,054 – $35,630 · median $14,387 28 plans
381 COMPLICATED PEPTIC ULCER WITH CC $7,054 – $20,991 · median $12,159 28 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,715 – $20,991 · median $9,867 28 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $7,054 – $23,771 · median $9,603 28 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,559 – $16,693 · median $7,552 28 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $7,054 – $30,239 · median $13,097 28 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,054 – $22,250 · median $12,262 28 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,162 – $22,250 · median $8,940 28 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $7,054 – $27,460 · median $11,094 28 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,082 – $17,086 · median $9,853 28 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,298 – $13,129 · median $7,605 28 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $7,054 – $24,135 · median $9,750 28 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,933 – $15,091 · median $7,112 28 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $7,054 – $30,798 · median $12,784 28 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,054 – $20,680 · median $11,562 28 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,924 – $16,158 · median $8,542 28 plans
397 COAGULATION DISORDERS $17,835 – $56,021 · median $30,443 28 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $11,071 – $34,212 · median $20,404 28 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $8,341 – $25,408 · median $15,083 28 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $38,524 – $122,737 · median $60,439 28 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $20,153 – $100,499 · median $40,201 28 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $15,437 – $91,113 · median $30,678 28 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $25,011 – $79,161 · median $38,097 28 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $15,161 – $63,349 · median $30,122 28 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,337 – $47,777 · median $22,400 28 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $19,648 – $61,867 · median $30,792 28 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $15,407 – $51,202 · median $29,660 28 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,118 – $37,587 · median $21,646 28 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $22,260 – $79,217 · median $27,206 28 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $14,331 – $44,723 · median $23,110 28 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,069 – $30,979 · median $15,631 28 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $17,124 – $53,730 · median $21,450 28 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,089 – $37,495 · median $20,689 28 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $9,700 – $29,790 · median $11,567 28 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $25,208 – $79,798 · median $36,413 28 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $11,944 – $59,216 · median $23,624 28 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,764 – $52,678 · median $21,243 28 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $28,980 – $91,960 · median $38,108 28 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,054 – $26,284 · median $13,630 28 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,345 – $26,284 · median $9,247 28 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $7,054 – $33,822 · median $14,220 28 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $7,054 – $23,294 · median $13,210 28 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,967 – $23,294 · median $10,289 28 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $7,054 – $30,936 · median $13,172 28 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,493 – $21,852 · median $11,169 28 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,775 – $21,852 · median $8,292 28 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $7,054 – $35,003 · median $14,729 28 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,054 – $24,150 · median $12,414 28 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,389 – $17,429 · median $9,320 28 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $7,054 – $31,308 · median $12,648 28 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,054 – $20,547 · median $10,148 28 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,052 – $15,396 · median $7,660 28 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $59,842 – $191,480 · median $71,283 28 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $40,703 – $129,762 · median $68,754 28 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $30,737 – $114,325 · median $61,575 28 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $30,146 – $122,111 · median $39,580 28 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $21,136 – $66,665 · median $31,398 28 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,634 – $52,042 · median $25,019 28 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $25,778 – $101,395 · median $33,144 28 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $15,587 – $48,774 · median $26,762 28 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,617 – $44,501 · median $16,906 28 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,315 – $77,752 · median $25,913 28 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $16,859 – $52,873 · median $21,867 28 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,913 – $40,149 · median $21,091 28 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $21,082 – $66,493 · median $28,543 28 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $15,010 – $46,911 · median $27,531 28 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,585 – $40,256 · median $22,739 28 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $18,328 – $57,612 · median $21,961 28 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $23,033 – $72,785 · median $34,771 28 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $15,332 – $57,817 · median $30,467 28 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,541 – $36,060 · median $21,438 28 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $14,242 – $44,436 · median $17,393 28 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,145 – $27,999 · median $16,695 28 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $18,008 – $80,289 · median $26,176 28 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $17,296 – $54,284 · median $19,407 28 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $13,621 – $42,627 · median $15,012 28 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $23,735 – $79,597 · median $27,334 28 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $14,295 – $44,608 · median $24,642 28 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,875 – $30,355 · median $13,935 28 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $13,256 – $57,085 · median $18,739 28 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $8,601 – $26,245 · median $13,762 28 plans
500 SOFT TISSUE PROCEDURES WITH MCC $11,464 – $71,641 · median $22,957 28 plans
501 SOFT TISSUE PROCEDURES WITH CC $11,464 – $40,350 · median $14,095 28 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $8,579 – $31,589 · median $10,880 28 plans
503 FOOT PROCEDURES WITH MCC $8,552 – $59,837 · median $19,249 28 plans
504 FOOT PROCEDURES WITH CC $8,552 – $39,679 · median $13,160 28 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $8,552 – $39,679 · median $13,160 28 plans
506 MAJOR THUMB OR JOINT PROCEDURES $10,677 – $33,893 · median $11,916 28 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $14,051 – $43,821 · median $17,228 28 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $9,511 – $29,179 · median $16,617 28 plans
509 ARTHROSCOPY $8,775 – $39,717 · median $13,172 28 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $8,998 – $64,619 · median $20,751 28 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $8,998 – $44,341 · median $14,654 28 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $8,998 – $36,351 · median $12,093 28 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $6,519 – $34,040 · median $11,247 28 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $6,519 – $23,052 · median $8,171 28 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $18,132 – $69,916 · median $23,227 28 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $14,567 – $45,483 · median $19,517 28 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $10,928 – $33,748 · median $13,370 28 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $25,591 – $81,031 · median $41,502 28 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $14,288 – $44,583 · median $22,315 28 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,511 – $32,403 · median $15,930 28 plans
533 FRACTURES OF FEMUR WITH MCC $7,054 – $31,851 · median $17,589 28 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,169 – $31,851 · median $10,627 28 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $7,054 – $24,949 · median $13,981 28 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,147 – $24,136 · median $10,590 28 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,905 – $17,579 · median $7,895 28 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,170 – $13,630 · median $7,895 28 plans
539 OSTEOMYELITIS WITH MCC $7,054 – $37,447 · median $21,492 28 plans
540 OSTEOMYELITIS WITH CC $7,054 – $37,112 · median $16,264 28 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,596 – $37,112 · median $11,342 28 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $7,054 – $34,549 · median $13,958 28 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,054 – $20,883 · median $12,097 28 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,760 – $20,883 · median $9,942 28 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $7,054 – $46,788 · median $18,229 28 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $7,054 – $21,860 · median $11,808 28 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,694 – $16,816 · median $9,509 28 plans
548 SEPTIC ARTHRITIS WITH MCC $7,054 – $37,302 · median $19,006 28 plans
549 SEPTIC ARTHRITIS WITH CC $7,054 – $32,811 · median $15,219 28 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,506 – $32,811 · median $11,192 28 plans
551 MEDICAL BACK PROBLEMS WITH MCC $7,054 – $31,702 · median $12,460 28 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,054 – $18,382 · median $8,928 28 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $7,054 – $24,520 · median $9,906 28 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,314 – $16,065 · median $8,353 28 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $7,054 – $25,249 · median $9,930 28 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,187 – $15,740 · median $7,660 28 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $7,054 – $28,891 · median $11,358 28 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,518 – $16,589 · median $7,725 28 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $7,054 – $34,391 · median $13,514 28 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,054 – $21,519 · median $10,278 28 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,194 – $17,744 · median $10,120 28 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $7,054 – $27,345 · median $10,752 28 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,729 – $17,127 · median $7,246 28 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $7,054 – $29,241 · median $11,689 28 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,054 – $19,385 · median $9,125 28 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,707 – $15,752 · median $9,125 28 plans
570 SKIN DEBRIDEMENT WITH MCC $21,567 – $68,058 · median $32,756 28 plans
571 SKIN DEBRIDEMENT WITH CC $12,201 – $54,467 · median $24,144 28 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,472 – $49,115 · median $16,613 28 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $31,551 – $139,231 · median $45,067 28 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $24,755 – $78,338 · median $33,961 28 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $14,461 – $49,115 · median $28,170 28 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $18,230 – $121,982 · median $38,772 28 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $18,230 – $60,203 · median $20,792 28 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $9,545 – $38,218 · median $12,692 28 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $14,793 – $73,692 · median $24,061 28 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,893 – $40,086 · median $15,923 28 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $9,948 – $32,539 · median $11,459 28 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $12,740 – $39,593 · median $14,934 28 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $11,979 – $37,140 · median $13,622 28 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $11,231 – $46,290 · median $15,279 28 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $8,691 – $44,881 · median $14,827 28 plans
592 SKIN ULCERS WITH MCC $7,054 – $38,074 · median $16,586 28 plans
593 SKIN ULCERS WITH CC $7,054 – $28,417 · median $15,149 28 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,412 – $28,417 · median $11,034 28 plans
595 MAJOR SKIN DISORDERS WITH MCC $7,054 – $39,163 · median $15,334 28 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,054 – $20,486 · median $10,404 28 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $7,054 – $32,604 · median $13,938 28 plans
598 MALIGNANT BREAST DISORDERS WITH CC $7,054 – $23,359 · median $12,996 28 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,456 – $22,262 · median $11,107 28 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,054 – $18,253 · median $7,867 28 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,665 – $12,791 · median $7,584 28 plans
602 CELLULITIS WITH MCC $7,054 – $27,448 · median $11,821 28 plans
603 CELLULITIS WITHOUT MCC $6,637 – $17,084 · median $9,896 28 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $7,054 – $27,744 · median $10,908 28 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,830 – $17,663 · median $7,245 28 plans
606 MINOR SKIN DISORDERS WITH MCC $7,054 – $29,978 · median $11,784 28 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $6,521 – $16,596 · median $7,263 28 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $16,441 – $60,221 · median $32,706 28 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,509 – $60,221 · median $20,727 28 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $27,561 – $87,384 · median $44,336 28 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,005 – $73,722 · median $27,787 28 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,192 – $73,722 · median $18,067 28 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $19,578 – $61,643 · median $28,953 28 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,659 – $47,606 · median $23,049 28 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $10,711 – $47,606 · median $21,135 28 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $26,698 – $84,603 · median $33,403 28 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,873 – $53,572 · median $27,521 28 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,495 – $53,572 · median $14,641 28 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $17,364 – $64,822 · median $21,917 28 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,044 – $34,124 · median $18,028 28 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,345 – $28,643 · median $12,027 28 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $28,127 – $89,208 · median $32,494 28 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $16,231 – $52,114 · median $30,742 28 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,287 – $40,467 · median $20,279 28 plans
637 DIABETES WITH MCC $7,054 – $27,216 · median $11,092 28 plans
638 DIABETES WITH CC $6,893 – $17,769 · median $10,293 28 plans
639 DIABETES WITHOUT CC/MCC $4,855 – $16,795 · median $8,427 28 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $7,054 – $24,915 · median $10,879 28 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,941 – $16,230 · median $9,401 28 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $7,054 – $23,356 · median $10,495 28 plans
643 ENDOCRINE DISORDERS WITH MCC $7,054 – $30,821 · median $12,909 28 plans
644 ENDOCRINE DISORDERS WITH CC $7,054 – $21,063 · median $12,113 28 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,922 – $15,507 · median $8,982 28 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $39,547 – $126,036 · median $47,004 28 plans
654 MAJOR BLADDER PROCEDURES WITH CC $20,249 – $75,385 · median $40,395 28 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $15,027 – $75,385 · median $29,850 28 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $23,305 – $73,660 · median $37,408 28 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $13,279 – $62,202 · median $26,321 28 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $11,007 – $62,202 · median $21,733 28 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $18,581 – $58,428 · median $27,706 28 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,857 – $45,790 · median $19,411 28 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,660 – $33,557 · median $14,973 28 plans
662 MINOR BLADDER PROCEDURES WITH MCC $14,993 – $70,531 · median $23,048 28 plans
663 MINOR BLADDER PROCEDURES WITH CC $11,171 – $34,533 · median $16,138 28 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,033 – $24,413 · median $12,144 28 plans
665 PROSTATECTOMY WITH MCC $16,436 – $77,630 · median $25,324 28 plans
666 PROSTATECTOMY WITH CC $12,012 – $37,244 · median $17,692 28 plans
667 PROSTATECTOMY WITHOUT CC/MCC $7,668 – $23,238 · median $12,988 28 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $9,482 – $65,935 · median $21,164 28 plans
669 TRANSURETHRAL PROCEDURES WITH CC $9,482 – $34,987 · median $12,011 28 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,163 – $21,607 · median $7,921 28 plans
671 URETHRAL PROCEDURES WITH CC/MCC $9,537 – $38,971 · median $12,933 28 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,575 – $24,743 · median $8,830 28 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $29,837 – $94,723 · median $38,966 28 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $16,647 – $62,495 · median $33,122 28 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $11,437 – $62,495 · median $22,601 28 plans
682 RENAL FAILURE WITH MCC $7,054 – $29,765 · median $16,875 28 plans
683 RENAL FAILURE WITH CC $6,694 – $29,765 · median $11,506 28 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,721 – $29,765 · median $8,201 28 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $7,054 – $34,918 · median $14,107 28 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,054 – $20,765 · median $12,029 28 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,539 – $16,707 · median $9,373 28 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $7,054 – $22,086 · median $11,259 28 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,089 – $15,763 · median $9,131 28 plans
693 URINARY STONES WITH MCC $5,346 – $27,469 · median $10,801 28 plans
694 URINARY STONES WITHOUT MCC $5,346 – $15,111 · median $6,442 28 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $7,054 – $21,324 · median $8,961 28 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,312 – $13,504 · median $7,468 28 plans
697 URETHRAL STRICTURE $7,054 – $19,064 · median $8,101 28 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $7,054 – $31,245 · median $12,623 28 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,054 – $19,389 · median $10,871 28 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,329 – $17,827 · median $9,220 28 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $14,068 – $43,875 · median $24,438 28 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,856 – $33,518 · median $19,842 28 plans
709 PENIS PROCEDURES WITH CC/MCC $13,013 – $50,805 · median $16,781 28 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,989 – $33,945 · median $14,007 28 plans
711 TESTES PROCEDURES WITH CC/MCC $11,625 – $43,197 · median $14,721 28 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $7,526 – $24,183 · median $8,640 28 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,600 – $32,693 · median $13,865 28 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,050 – $21,246 · median $10,941 28 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $14,637 – $51,058 · median $17,707 28 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,413 – $32,089 · median $15,736 28 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $10,667 – $41,951 · median $13,888 28 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $9,099 – $27,852 · median $11,482 28 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $7,054 – $32,106 · median $12,971 28 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $7,054 – $21,236 · median $11,183 28 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,570 – $14,513 · median $8,407 28 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $7,054 – $23,742 · median $9,592 28 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,681 – $14,447 · median $6,818 28 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $7,054 – $27,451 · median $10,793 28 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,191 – $15,751 · median $8,184 28 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $6,988 – $20,841 · median $8,420 28 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,350 – $11,981 · median $5,111 28 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $15,205 – $53,822 · median $30,211 28 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $8,973 – $53,822 · median $17,625 28 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $27,544 – $89,025 · median $30,603 28 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $14,473 – $47,549 · median $27,676 28 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,097 – $47,549 · median $21,915 28 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $17,702 – $90,004 · median $29,290 28 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $13,211 – $41,110 · median $19,055 28 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,093 – $31,056 · median $14,553 28 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $13,269 – $41,300 · median $15,667 28 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $8,866 – $27,101 · median $13,293 28 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $8,606 – $44,178 · median $14,602 28 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $7,647 – $23,170 · median $8,649 28 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $8,272 – $37,861 · median $12,577 28 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $7,159 – $21,596 · median $8,904 28 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $10,013 – $30,800 · median $11,900 28 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $18,611 – $58,526 · median $26,813 28 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,503 – $43,002 · median $18,696 28 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $7,054 – $33,548 · median $13,553 28 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,054 – $21,006 · median $11,256 28 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,987 – $18,225 · median $7,520 28 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $7,054 – $26,481 · median $10,748 28 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,054 – $19,378 · median $9,933 28 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,949 – $17,147 · median $8,584 28 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,054 – $18,773 · median $7,730 28 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,906 – $12,465 · median $7,447 28 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,649 – $28,726 · median $11,356 28 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $7,522 – $31,415 · median $10,511 28 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $4,896 – $24,327 · median $8,240 28 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,464 – $13,893 · median $6,038 28 plans
779 ABORTION WITHOUT D&C $4,271 – $17,862 · median $7,099 28 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $10,927 – $34,136 · median $14,195 28 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,055 – $24,371 · median $13,546 28 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,586 – $17,552 · median $10,712 28 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $9,583 – $30,079 · median $12,273 28 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,906 – $20,140 · median $10,316 28 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,805 – $17,322 · median $10,316 28 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $7,054 – $40,073 · median $21,299 28 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $7,054 – $125,140 · median $65,749 28 plans
791 PREMATURITY WITH MAJOR PROBLEMS $7,054 – $75,173 · median $32,212 28 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $7,054 – $45,359 · median $17,686 28 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,323 – $23,993 · median $9,438 28 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,250 – $18,461 · median $7,883 28 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,250 – $18,461 · median $7,883 28 plans
799 SPLENECTOMY WITH MCC $33,799 – $107,501 · median $45,642 28 plans
800 SPLENECTOMY WITH CC $20,892 – $73,202 · median $41,552 28 plans
801 SPLENECTOMY WITHOUT CC/MCC $11,972 – $37,117 · median $20,605 28 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $14,212 – $81,049 · median $25,913 28 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,942 – $40,244 · median $15,298 28 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,214 – $24,997 · median $14,755 28 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $4,857 – $18,996 · median $7,539 28 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,857 – $14,074 · median $6,001 28 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,857 – $12,526 · median $5,370 28 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $7,054 – $42,407 · median $17,592 28 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $7,054 – $28,611 · median $15,281 28 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,054 – $28,611 · median $12,245 28 plans
811 RED BLOOD CELL DISORDERS WITH MCC $7,054 – $26,330 · median $10,637 28 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $3,853 – $17,649 · median $7,002 28 plans
813 COAGULATION DISORDERS $7,054 – $28,861 · median $13,012 28 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $7,054 – $38,708 · median $15,591 28 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,054 – $21,973 · median $12,294 28 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,085 – $16,329 · median $8,812 28 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $4,524 – $57,316 · median $18,457 28 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $4,524 – $29,120 · median $9,599 28 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,981 – $18,460 · median $6,359 28 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $41,284 – $131,636 · median $47,550 28 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $16,114 – $76,262 · median $32,046 28 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,481 – $29,046 · median $16,400 28 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $25,226 – $105,799 · median $34,352 28 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $15,883 – $49,726 · median $26,189 28 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,091 – $27,827 · median $14,343 28 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $33,024 – $107,969 · median $36,905 28 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $17,008 – $57,010 · median $32,994 28 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,700 – $38,584 · median $22,350 28 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $13,705 – $69,722 · median $22,789 28 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $10,716 – $33,066 · median $14,751 28 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $4,524 – $21,740 · median $8,555 28 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,524 – $14,501 · median $5,858 28 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,981 – $10,418 · median $4,447 28 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $7,054 – $102,343 · median $39,325 28 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $7,054 – $52,443 · median $26,147 28 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $7,054 – $23,887 · median $13,583 28 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $7,054 – $92,713 · median $36,727 28 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $7,054 – $57,988 · median $24,882 28 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,054 – $57,988 · median $17,159 28 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $7,054 – $59,048 · median $22,884 28 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $7,054 – $30,402 · median $17,375 28 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,054 – $20,506 · median $11,879 28 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $7,054 – $35,056 · median $14,555 28 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $7,054 – $23,557 · median $13,610 28 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,329 – $20,241 · median $10,895 28 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $5,591 – $47,286 · median $18,418 28 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $5,591 – $23,887 · median $9,396 28 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,591 – $15,783 · median $6,728 28 plans
849 RADIOTHERAPY $7,054 – $49,458 · median $19,243 28 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $35,528 – $113,074 · median $46,765 28 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $14,471 – $75,002 · median $28,728 28 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,859 – $75,002 · median $23,454 28 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $32,094 – $102,003 · median $46,032 28 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $15,739 – $75,002 · median $31,288 28 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,495 – $75,002 · median $18,680 28 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $7,054 – $34,075 · median $14,050 28 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,054 – $22,582 · median $12,393 28 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,758 – $20,966 · median $11,438 28 plans
865 VIRAL ILLNESS WITH MCC $7,054 – $27,568 · median $11,007 28 plans
866 VIRAL ILLNESS WITHOUT MCC $6,665 – $16,965 · median $7,612 28 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $7,054 – $39,704 · median $17,320 28 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,054 – $29,754 · median $13,399 28 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,507 – $29,754 · median $9,519 28 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $7,054 – $128,807 · median $49,374 28 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $7,054 – $36,461 · median $21,015 28 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,054 – $36,461 · median $13,175 28 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $26,653 – $100,169 · median $33,622 28 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $13,767 – $46,013 · median $26,580 28 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,009 – $46,013 · median $17,699 28 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $21,542 – $87,296 · median $28,422 28 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $12,018 – $37,264 · median $22,239 28 plans
906 HAND PROCEDURES FOR INJURIES $9,532 – $49,344 · median $16,258 28 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $23,680 – $90,067 · median $30,073 28 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $14,604 – $45,605 · median $24,585 28 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,354 – $33,440 · median $18,395 28 plans
913 TRAUMATIC INJURY WITH MCC $7,054 – $30,122 · median $11,840 28 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,887 – $17,532 · median $7,849 28 plans
915 ALLERGIC REACTIONS WITH MCC $5,834 – $32,267 · median $12,681 28 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,529 – $13,007 · median $5,548 28 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $7,054 – $30,506 · median $11,991 28 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,664 – $16,962 · median $7,593 28 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $7,054 – $33,804 · median $13,508 28 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,054 – $19,317 · median $10,545 28 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,284 – $16,827 · median $9,144 28 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $7,054 – $31,397 · median $12,685 28 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,054 – $19,389 · median $8,212 28 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $166,791 – $536,349 · median $198,306 28 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $47,290 – $151,003 · median $59,677 28 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $22,290 – $71,906 · median $24,787 28 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $7,054 – $80,117 · median $30,885 28 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $7,054 – $39,732 · median $18,505 28 plans
935 NON-EXTENSIVE BURNS $7,054 – $40,669 · median $16,430 28 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $17,683 – $71,761 · median $23,443 28 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $15,266 – $47,737 · median $19,034 28 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $14,164 – $44,185 · median $19,034 28 plans
947 SIGNS AND SYMPTOMS WITH MCC $7,054 – $24,165 · median $10,504 28 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,032 – $15,664 · median $9,074 28 plans
949 AFTERCARE WITH CC/MCC $5,419 – $20,449 · median $8,049 28 plans
950 AFTERCARE WITHOUT CC/MCC $3,760 – $11,608 · median $4,808 28 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,437 – $16,250 · median $7,824 28 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $48,337 – $157,661 · median $93,172 28 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $27,262 – $86,421 · median $44,203 28 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $52,796 – $168,758 · median $69,687 28 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $29,277 – $111,765 · median $58,627 28 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $18,999 – $111,765 · median $37,872 28 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $7,054 – $50,302 · median $23,916 28 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $7,054 – $41,288 · median $18,682 28 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,860 – $41,288 · median $11,784 28 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $44,804 – $142,986 · median $62,985 28 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $19,065 – $101,570 · median $38,005 28 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $7,054 – $55,292 · median $26,984 28 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $7,054 – $46,583 · median $17,758 28 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,054 – $46,583 · median $12,846 28 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $7,054 – $26,958 · median $15,412 28 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $33,793 – $107,481 · median $49,239 28 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $17,628 – $81,570 · median $35,103 28 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,158 – $81,570 · median $24,058 28 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $22,790 – $79,193 · median $27,198 28 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,493 – $39,343 · median $23,334 28 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,563 – $39,343 · median $16,798 28 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $37,599 – $142,826 · median $76,880 27 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $22,241 – $107,710 · median $45,449 27 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $55,265 – $176,721 · median $80,855 27 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $37,764 – $120,284 · median $61,603 27 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $29,293 – $92,970 · median $47,184 27 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $16,257 – $69,865 · median $33,202 27 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $13,115 – $47,308 · median $26,772 27 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $13,767 – $42,903 · median $18,248 27 plans
277 CELLULITIS AGE >17 W CC $33,078 – $112,446 · median $65,136 27 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,925 – $39,852 · median $10,958 27 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $7,054 – $30,109 · median $12,044 27 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,054 – $20,298 · median $10,769 27 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,464 – $15,108 · median $8,751 27 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,176 – $15,883 · median $8,572 27 plans
311 ANGINA PECTORIS $5,358 – $15,534 · median $8,820 27 plans
312 SYNCOPE AND COLLAPSE $6,571 – $16,723 · median $8,075 27 plans
313 CHEST PAIN $5,464 – $13,891 · median $7,692 27 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $7,054 – $39,874 · median $15,889 27 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,054 – $25,146 · median $11,346 27 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $16,471 – $61,118 · median $33,640 27 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,300 – $61,118 · median $23,057 27 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $7,054 – $36,275 · median $15,225 27 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $28,014 – $88,844 · median $31,067 27 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,054 – $18,289 · median $7,949 27 plans
881 DEPRESSIVE NEUROSES $6,871 – $18,774 · median $10,875 27 plans
882 NEUROSES EXCEPT DEPRESSIVE $7,054 – $18,350 · median $9,160 27 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $7,054 – $34,348 · median $13,739 27 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $7,054 – $31,053 · median $12,421 27 plans
885 PSYCHOSES $7,054 – $26,379 · median $14,044 27 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $7,054 – $33,318 · median $13,327 27 plans
887 OTHER MENTAL DISORDER DIAGNOSES $7,054 – $22,429 · median $9,240 27 plans
945 REHABILITATION WITH CC/MCC $7,054 – $48,227 · median $16,743 27 plans
946 REHABILITATION WITHOUT CC/MCC $7,054 – $48,227 · median $12,821 27 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $147,254 – $698,290 · median $268,966 26 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,838 – $12,289 · median $5,447 26 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $7,054 – $27,066 · median $10,734 26 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $5,217 – $33,037 · median $12,983 26 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,217 – $16,919 · median $6,725 26 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $56,043 – $146,782 · median $76,224 22 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $168,483 – $521,564 · median $206,588 21 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $77,725 – $290,857 · median $159,002 21 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $92,323 – $254,208 · median $147,254 21 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $42,782 – $254,208 · median $87,487 21 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $16,676 – $52,286 · median $18,733 21 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $29,634 – $94,069 · median $33,319 21 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $18,006 – $56,572 · median $20,230 21 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $27,878 – $88,408 · median $31,343 21 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $22,344 – $70,563 · median $25,113 21 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $7,054 – $22,725 · median $9,272 21 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $43,488 – $138,745 · median $48,914 21 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $20,541 – $64,748 · median $23,083 21 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $36,182 – $115,184 · median $40,689 21 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $24,477 – $77,440 · median $27,514 21 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $18,855 – $59,310 · median $21,185 21 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $23,380 – $73,902 · median $26,279 21 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $13,682 – $42,629 · median $15,362 21 plans
471 CERVICAL SPINAL FUSION WITH MCC $34,518 – $109,819 · median $38,816 21 plans
472 CERVICAL SPINAL FUSION WITH CC $20,775 – $65,503 · median $23,347 21 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $17,060 – $53,525 · median $19,166 21 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $20,898 – $65,898 · median $23,485 21 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $15,242 – $47,662 · median $17,119 21 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $32,765 – $104,249 · median $60,388 21 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $24,809 – $104,249 · median $50,704 21 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $7,054 – $77,221 · median $30,967 21 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $7,054 – $27,573 · median $11,250 21 plans
795 NORMAL NEWBORN $1,863 – $7,759 · median $2,059 21 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $75,128 – $258,379 · median $149,670 20 plans
006 LIVER TRANSPLANT WITHOUT MCC $34,461 – $258,379 · median $74,560 20 plans
007 LUNG TRANSPLANT $124,217 – $431,862 · median $169,322 20 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $38,611 – $131,587 · median $76,224 20 plans
010 PANCREAS TRANSPLANT $56,363 – $147,628 · median $76,935 20 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $42,782 – $254,208 · median $92,700 20 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $11,418 – $35,329 · median $12,401 20 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $47,211 – $150,748 · median $51,337 20 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $36,451 – $116,052 · median $39,632 20 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $24,612 – $77,874 · median $26,753 20 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $7,054 – $40,981 · median $16,481 20 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,054 – $20,641 · median $8,339 20 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,645 – $14,356 · median $6,121 20 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,385 – $11,131 · median $4,750 20 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $20,422 – $64,363 · median $22,195 20 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $13,147 – $40,904 · median $14,281 20 plans
652 KIDNEY TRANSPLANT $21,997 – $104,249 · median $47,386 20 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $62,592 – $160,040 · median $63,392 14 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $43,345 – $110,801 · median $43,894 14 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $32,753 – $83,704 · median $33,163 14 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $46,963 – $120,057 · median $47,559 14 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $26,109 – $66,706 · median $26,432 14 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,556 – $6,258 · median $3,907 2 plans
999 UNGROUPABLE $1,556 – $11,971 · median $6,763 2 plans
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