Baptist Medical Center Jacksonville — Pricing

770 procedures published in this hospital's Machine-Readable File (MRF) — 222 with a comparable price, 548 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 770
Lowest published price $1,615
Average published price $22,638
Highest published price $342,912

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 770 procedures

Published charges

Showing all 222 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above. Cash-pay prices not published for this hospital.

Across 123 procedures, this hospital's negotiated rates average ≈242% of what Medicare pays.

DRG Description Published price vs. FL median vs. National median vs Medicare
510 Shoulder,elbow or forearm proc,exc major joint proc w MCC $342,912 $115,246 +198% $49,839 +588% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $203,272 $159,548 +27% $116,058 +75% ≈205% of Medicare
885 Psychoses $126,576 $26,024 +386% $21,729 +483% ≈226% of Medicare
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $114,769 $45,890 +150% $35,030 +228% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $114,485 $65,282 +75% $47,945 +139% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $108,862 $39,171 +178% $40,642 +168% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $94,672 $120,531 −21% $80,793 +17% ≈201% of Medicare
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $93,081 $71,606 +30% $38,101 +144% ≈219% of Medicare
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $83,057 $83,057 +0% $71,014 +17% ≈239% of Medicare
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $80,983 $52,760 +53% $32,574 +149% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $74,966 $86,593 −13% $54,929 +36% ≈234% of Medicare
163 MAJOR CHEST PROCEDURES WITH MCC $71,709 $181,307 −60% $90,195 −20% ≈224% of Medicare
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $69,252 $244,465 −72% $148,832 −53% ≈191% of Medicare
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $66,832 $22,003 +204% $29,079 +130% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $62,123 $64,761 −4% $30,828 +102% ≈231% of Medicare
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $61,725 $93,523 −34% $58,280 +6% ≈232% of Medicare
123 Neurological eye disorders $52,005 $36,044 +44% $19,745 +163% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $51,009 $154,667 −67% $93,172 −45% ≈203% of Medicare
740 Uterine,adnexa proc for non-ovarian/adnexal malig w CC $45,834 $38,973 +18% $40,365 +14% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $42,007 $39,039 +8% $21,449 +96% —
501 SOFT TISSUE PROCEDURES WITH CC $41,922 $70,805 −41% $39,619 +6% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $41,754 $83,905 −50% $52,405 −20% ≈198% of Medicare
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $40,442 $58,594 −31% $85,159 −53% ≈241% of Medicare
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $39,444 $164,137 −76% $90,775 −57% ≈208% of Medicare
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $38,929 $53,454 −27% $55,162 −29% ≈244% of Medicare
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $37,031 $37,031 +0% $33,653 +10% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $36,774 $79,506 −54% $59,500 −38% ≈272% of Medicare
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $34,434 $83,218 −59% $46,283 −26% ≈222% of Medicare
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $32,281 $89,872 −64% $52,751 −39% ≈238% of Medicare
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $31,440 $25,739 +22% $27,989 +12% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $31,091 $78,123 −60% $44,363 −30% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $31,086 $74,820 −58% $43,943 −29% ≈221% of Medicare
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $30,051 $63,830 −53% $42,881 −30% ≈211% of Medicare
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $29,410 $26,998 +9% $33,985 −13% ≈215% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $29,333 $79,537 −63% $47,711 −39% ≈283% of Medicare
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $28,846 $93,398 −69% $52,908 −45% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $28,606 $50,709 −44% $32,859 −13% ≈220% of Medicare
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $28,598 $65,611 −56% $50,394 −43% ≈243% of Medicare
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $28,441 $80,341 −65% $43,298 −34% ≈265% of Medicare
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $28,360 $61,996 −54% $37,387 −24% ≈251% of Medicare
200 PNEUMOTHORAX WITH CC $28,354 $24,177 +17% $21,368 +33% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $27,344 $54,418 −50% $39,018 −30% —
914 TRAUMATIC INJURY WITHOUT MCC $27,265 $10,147 +169% $15,855 +72% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $26,886 $46,693 −42% $38,094 −29% ≈218% of Medicare
682 RENAL FAILURE WITH MCC $26,763 $48,136 −44% $29,064 −8% ≈224% of Medicare
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $26,567 $27,899 −5% $42,914 −38% ≈251% of Medicare
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $26,352 $42,840 −38% $33,555 −21% ≈230% of Medicare
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $26,193 $46,841 −44% $39,211 −33% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $26,151 $36,072 −28% $32,496 −20% ≈226% of Medicare
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $25,953 $28,447 −9% $34,607 −25% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $25,735 $25,735 +0% $43,174 −40% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $25,686 $58,067 −56% $44,117 −42% ≈244% of Medicare
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $25,149 $59,663 −58% $33,707 −25% ≈233% of Medicare
643 ENDOCRINE DISORDERS WITH MCC $24,820 $45,419 −45% $33,563 −26% ≈244% of Medicare
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $24,791 $24,791 +0% $39,006 −36% ≈338% of Medicare
512 Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC $24,737 $46,812 −47% $35,692 −31% —
397 APPENDIX PROCEDURES WITH MCC $24,557 $32,112 −24% $53,257 −54% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $24,335 $24,335 +0% $27,633 −12% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $24,265 $63,349 −62% $51,985 −53% ≈224% of Medicare
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $24,053 $28,804 −16% $19,962 +20% —
790 Extreme immaturity or respiratory distress syndrome, neonate $23,993 $174,763 −86% $80,018 −70% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $23,697 $51,495 −54% $34,459 −31% ≈208% of Medicare
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $23,161 $52,731 −56% $33,048 −30% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $22,630 $58,414 −61% $40,552 −44% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $22,515 $34,174 −34% $20,781 +8% ≈260% of Medicare
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $22,391 $43,378 −48% $26,932 −17% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $21,668 $49,639 −56% $27,316 −21% ≈265% of Medicare
666 PROSTATECTOMY WITH CC $20,745 $45,559 −54% $31,906 −35% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $20,670 $115,896 −82% $65,653 −69% ≈208% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $20,500 $40,704 −50% $27,275 −25% ≈246% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $20,314 $31,429 −35% $30,235 −33% ≈248% of Medicare
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $20,170 $26,492 −24% $18,452 +9% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $20,019 $30,195 −34% $27,152 −26% —
100 SEIZURES WITH MCC $19,676 $55,589 −65% $35,481 −45% ≈222% of Medicare
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $19,446 $69,215 −72% $35,628 −45% ≈220% of Medicare
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $19,268 $41,685 −54% $22,458 −14% ≈283% of Medicare
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $18,804 $68,344 −72% $33,694 −44% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $18,761 $29,865 −37% $26,770 −30% ≈236% of Medicare
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $18,649 $46,508 −60% $30,784 −39% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $18,546 $29,912 −38% $14,064 +32% —
153 OTITIS MEDIA AND URI WITHOUT MCC $18,220 $20,204 −10% $14,583 +25% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $18,020 $59,034 −69% $37,842 −52% ≈221% of Medicare
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $17,938 $36,930 −51% $39,515 −55% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $17,907 $24,705 −28% $18,133 −1% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $17,544 $35,076 −50% $25,034 −30% ≈247% of Medicare
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $17,457 $40,668 −57% $30,959 −44% ≈235% of Medicare
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $17,297 $75,637 −77% $53,864 −68% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $17,229 $61,714 −72% $38,666 −55% ≈205% of Medicare
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $16,953 $31,798 −47% $32,021 −47% ≈248% of Medicare
784 CESAREAN SECTION WITH STERILIZATION WITH CC $16,849 $26,715 −37% $23,283 −28% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $16,694 $40,839 −59% $34,273 −51% ≈242% of Medicare
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $16,601 $60,046 −72% $31,264 −47% ≈260% of Medicare
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $16,519 $26,312 −37% $23,571 −30% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $16,436 $66,824 −75% $44,606 −63% ≈260% of Medicare
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $16,380 $30,282 −46% $42,901 −62% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $16,377 $38,408 −57% $20,232 −19% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $16,337 $25,599 −36% $22,763 −28% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $16,065 $52,058 −69% $33,851 −53% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $16,013 $33,096 −52% $22,850 −30% ≈230% of Medicare
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $15,971 $49,527 −68% $25,970 −39% ≈249% of Medicare
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $15,904 $60,769 −74% $58,707 −73% ≈258% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $15,867 $34,923 −55% $21,275 −25% ≈220% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $15,820 $39,518 −60% $23,940 −34% ≈248% of Medicare
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $15,556 $22,509 −31% $20,957 −26% ≈256% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $15,521 $42,644 −64% $27,043 −43% ≈236% of Medicare
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $15,330 $37,258 −59% $26,580 −42% ≈229% of Medicare
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $15,195 $34,687 −56% $21,847 −30% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $15,039 $25,257 −40% $17,724 −15% ≈248% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $14,971 $29,612 −49% $21,363 −30% ≈268% of Medicare
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $14,412 $18,608 −23% $20,566 −30% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $14,382 $27,354 −47% $33,255 −57% ≈232% of Medicare
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $14,369 $28,737 −50% $17,934 −20% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $14,352 $43,521 −67% $27,617 −48% —
398 Appendix Procedures without MCC/CC $14,160 $39,406 −64% $40,162 −65% —
864 FEVER AND INFLAMMATORY CONDITIONS $13,971 $24,207 −42% $18,640 −25% ≈224% of Medicare
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $13,809 $37,862 −64% $27,119 −49% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $13,753 $14,753 −7% $16,520 −17% ≈255% of Medicare
791 PREMATURITY WITH MAJOR PROBLEMS $13,751 $53,686 −74% $42,679 −68% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $13,589 $23,243 −42% $19,846 −32% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $13,582 $17,162 −21% $16,846 −19% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $13,365 $36,319 −63% $18,807 −29% ≈242% of Medicare
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $13,330 $31,944 −58% $18,956 −30% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $13,264 $41,965 −68% $24,386 −46% ≈240% of Medicare
637 DIABETES WITH MCC $12,991 $38,920 −67% $30,100 −57% ≈214% of Medicare
291 HEART FAILURE AND SHOCK WITH MCC $12,931 $29,310 −56% $26,776 −52% ≈228% of Medicare
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $12,918 $20,156 −36% $18,316 −29% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $12,840 $15,477 −17% $14,415 −11% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $12,770 $43,755 −71% $31,321 −59% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $12,529 $30,608 −59% $27,426 −54% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $12,524 $47,106 −73% $19,270 −35% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $12,364 $14,619 −15% $15,370 −20% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $12,360 $29,369 −58% $17,921 −31% ≈233% of Medicare
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,342 $47,290 −74% $27,297 −55% —
642 Inborn errors of metabolism $12,300 $24,356 −49% $20,727 −41% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $12,279 $12,483 −2% $17,620 −30% ≈291% of Medicare
694 URINARY STONES WITHOUT MCC $12,157 $28,782 −58% $17,345 −30% ≈282% of Medicare
813 COAGULATION DISORDERS $11,957 $50,736 −76% $33,296 −64% ≈237% of Medicare
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $11,867 $60,382 −80% $40,213 −70% ≈254% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $11,502 $32,487 −65% $17,303 −34% ≈239% of Medicare
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $11,319 $17,396 −35% $25,303 −55% —
683 RENAL FAILURE WITH CC $11,012 $27,364 −60% $19,130 −42% ≈231% of Medicare
348 ANAL AND STOMAL PROCEDURES WITH CC $10,995 $50,118 −78% $27,947 −61% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $10,859 $11,777 −8% $15,495 −30% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $10,602 $33,347 −68% $23,749 −55% ≈217% of Medicare
201 PNEUMOTHORAX WITHOUT CC/MCC $10,534 $23,084 −54% $14,053 −25% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $10,441 $12,910 −19% $19,594 −47% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $10,428 $18,896 −45% $16,288 −36% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $10,262 $17,175 −40% $13,633 −25% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $10,218 $34,103 −70% $22,888 −55% ≈244% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $10,090 $31,966 −68% $18,081 −44% ≈244% of Medicare
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $10,069 $32,802 −69% $14,368 −30% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $10,046 $37,075 −73% $22,033 −54% ≈242% of Medicare
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $10,046 $24,481 −59% $18,002 −44% ≈263% of Medicare
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $9,912 $41,089 −76% $21,056 −53% ≈254% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $9,771 $28,801 −66% $22,098 −56% ≈244% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $9,768 $27,341 −64% $20,895 −53% —
313 Chest pain $9,708 $26,595 −63% $16,440 −41% ≈256% of Medicare
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $9,569 $22,569 −58% $15,183 −37% ≈304% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $9,535 $26,127 −64% $14,648 −35% ≈261% of Medicare
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $9,440 $27,558 −66% $14,128 −33% ≈265% of Medicare
101 SEIZURES WITHOUT MCC $9,353 $31,557 −70% $20,461 −54% ≈236% of Medicare
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $9,329 $32,521 −71% $20,181 −54% ≈241% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $9,135 $47,860 −81% $20,463 −55% ≈257% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $8,995 $17,115 −47% $13,824 −35% ≈263% of Medicare
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $8,977 $35,345 −75% $18,488 −51% ≈257% of Medicare
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $8,966 $22,843 −61% $20,084 −55% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $8,839 $18,605 −52% $12,454 −29% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,776 $36,493 −76% $23,617 −63% ≈237% of Medicare
312 SYNCOPE AND COLLAPSE $8,635 $23,207 −63% $19,342 −55% ≈237% of Medicare
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $8,525 $33,385 −74% $19,096 −55% ≈258% of Medicare
103 HEADACHES WITHOUT MCC $8,426 $33,850 −75% $21,280 −60% ≈283% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $8,243 $21,438 −62% $17,081 −52% —
302 ATHEROSCLEROSIS WITH MCC $8,176 $34,324 −76% $22,446 −64% —
638 DIABETES WITH CC $8,061 $24,363 −67% $19,661 −59% ≈246% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $7,957 $23,613 −66% $13,651 −42% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $7,807 $31,296 −75% $18,528 −58% ≈251% of Medicare
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,782 $27,234 −71% $14,014 −44% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $7,733 $31,594 −76% $17,322 −55% ≈248% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $7,714 $29,899 −74% $17,578 −56% ≈241% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $7,586 $46,930 −84% $32,841 −77% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $7,538 $6,944 +9% $8,445 −11% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $7,536 $11,510 −35% $13,275 −43% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,479 $30,131 −75% $20,488 −63% ≈267% of Medicare
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $7,377 $27,540 −73% $15,019 −51% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $7,332 $26,598 −72% $13,361 −45% ≈271% of Medicare
641 Nutritional & misc metabolic disorders w/o MCC $7,328 $28,392 −74% $17,038 −57% ≈247% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $7,186 $37,994 −81% $19,227 −63% ≈301% of Medicare
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $7,117 $29,358 −76% $17,674 −60% ≈235% of Medicare
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,959 $39,751 −82% $21,396 −67% ≈246% of Medicare
951 Other factors influencing health status $6,908 $6,799 +2% $10,160 −32% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,821 $26,840 −75% $15,837 −57% —
916 ALLERGIC REACTIONS WITHOUT MCC $6,581 $12,384 −47% $13,942 −53% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $6,540 $43,125 −85% $23,551 −72% ≈243% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,448 $23,223 −72% $18,204 −65% ≈237% of Medicare
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,439 $11,107 −42% $9,940 −35% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,379 $26,473 −76% $17,118 −63% —
639 DIABETES WITHOUT CC/MCC $6,210 $24,779 −75% $13,910 −55% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $5,809 $25,639 −77% $19,657 −70% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $5,714 $37,251 −85% $28,050 −80% ≈245% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,592 $18,420 −70% $15,452 −64% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,545 $23,464 −76% $13,384 −59% ≈268% of Medicare
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $5,311 $56,731 −91% $39,173 −86% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,311 $18,281 −71% $12,895 −59% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,194 $25,841 −80% $20,506 −75% ≈223% of Medicare
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $5,134 $18,649 −72% $18,649 −72% —
779 ABORTION WITHOUT D&C $5,014 $13,558 −63% $15,327 −67% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $4,973 $10,700 −54% $12,229 −59% —
896 Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC $4,647 $39,350 −88% $31,159 −85% ≈314% of Medicare
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,628 $9,556 −52% $12,078 −62% —
897 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC $4,400 $13,863 −68% $16,699 −74% ≈228% of Medicare
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,263 $47,804 −93% $23,319 −86% ≈248% of Medicare
640 Nutritional & misc metabolic disorders w MCC $2,739 $48,455 −94% $25,463 −89% ≈238% of Medicare
149 Dysequilibrium $2,669 $12,109 −78% $18,096 −85% ≈277% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $2,669 $55,988 −95% $36,937 −93% ≈302% of Medicare
305 HYPERTENSION WITHOUT MCC $2,063 $31,871 −94% $18,086 −89% ≈261% of Medicare
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,063 $23,335 −91% $11,421 −82% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $1,961 $44,329 −96% $23,141 −92% ≈228% of Medicare
789 Neonates, died or transferred to another acute care facility $1,674 $21,937 −92% $16,351 −90% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $1,672 $8,915 −81% $17,700 −91% —
603 CELLULITIS WITHOUT MCC $1,672 $24,682 −93% $18,530 −91% ≈256% of Medicare
795 Normal newborn $1,671 $3,269 −49% $4,720 −65% —
303 ATHEROSCLEROSIS WITHOUT MCC $1,615 $26,306 −94% $14,927 −89% ≈248% of Medicare

Procedures with negotiated rates only

These 548 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
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $10,479 – $844,248 · median $432,857 13 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $10,479 – $341,382 · median $175,031 13 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $10,479 – $639,430 · median $327,844 13 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $10,479 – $417,287 · median $213,949 13 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $10,479 – $310,614 · median $159,256 13 plans
006 LIVER TRANSPLANT WITHOUT MCC $10,479 – $139,694 · median $71,623 13 plans
007 Lung transplant $10,479 – $390,138 · median $200,029 13 plans
008 Simultaneous pancreas/kidney transplant $10,479 – $168,844 · median $86,569 13 plans
010 Pancreas transplant $10,479 – $216,175 · median $110,836 13 plans
011 Tracheostomy for face,mouth & neck diagnoses w MCC $10,479 – $164,310 · median $84,244 13 plans
012 Tracheostomy for face,mouth & neck diagnoses w CC $10,479 – $127,011 · median $65,120 13 plans
013 Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC $10,479 – $86,817 · median $44,512 13 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $10,479 – $362,051 · median $185,628 13 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $10,479 – $178,638 · median $91,590 13 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $10,479 – $163,653 · median $83,907 13 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $10,479 – $1,300,925 · median $667,002 13 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $10,479 – $214,937 · median $110,201 13 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $10,479 – $237,055 · median $121,541 13 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $10,479 – $159,481 · median $81,768 13 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $10,479 – $95,722 · median $49,078 13 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $10,479 – $172,631 · median $88,510 13 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $10,479 – $117,850 · median $60,423 13 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $10,479 – $136,974 · median $70,228 13 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $10,479 – $93,668 · median $48,025 13 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $10,479 – $76,005 · median $38,969 13 plans
028 SPINAL PROCEDURES WITH MCC $10,479 – $181,006 · median $92,804 13 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $10,479 – $102,778 · median $52,696 13 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $10,479 – $66,133 · median $33,907 13 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $10,479 – $134,980 · median $69,206 13 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $10,479 – $64,199 · median $32,915 13 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $10,479 – $50,097 · median $27,418 13 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $10,479 – $116,609 · median $59,787 13 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $10,479 – $72,016 · median $36,924 13 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $10,479 – $58,529 · median $30,008 13 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $10,479 – $99,178 · median $50,850 13 plans
038 EXTRACRANIAL PROCEDURES WITH CC $10,479 – $48,882 · median $26,753 13 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,697 – $35,413 · median $19,382 13 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $10,479 – $116,323 · median $59,640 13 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $10,479 – $66,238 · median $33,961 13 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $10,479 – $54,567 · median $27,977 13 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,365 – $29,499 · median $16,145 13 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,479 – $45,999 · median $25,176 13 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,639 – $30,716 · median $16,811 13 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $10,479 – $69,986 · median $35,883 13 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $9,513 – $39,031 · median $21,362 13 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $10,479 – $51,500 · median $27,756 13 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,141 – $37,383 · median $20,460 13 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,962 – $27,756 · median $15,166 13 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $10,479 – $83,060 · median $42,586 13 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $10,479 – $52,937 · median $27,756 13 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,247 – $42,291 · median $23,146 13 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $10,479 – $60,583 · median $31,062 13 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,479 – $44,246 · median $24,216 13 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,585 – $27,756 · median $14,252 13 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $10,479 – $50,154 · median $27,449 13 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $7,682 – $30,909 · median $16,917 13 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,851 – $27,756 · median $12,468 13 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $10,479 – $48,331 · median $26,452 13 plans
075 VIRAL MENINGITIS WITH CC/MCC $10,479 – $57,767 · median $29,618 13 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,319 – $27,756 · median $13,606 13 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $10,479 – $54,528 · median $27,957 13 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,797 – $27,756 · median $14,767 13 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $10,479 – $68,856 · median $35,303 13 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,193 – $42,050 · median $23,014 13 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,206 – $28,794 · median $15,759 13 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $10,479 – $68,443 · median $35,092 13 plans
088 CONCUSSION WITH MCC $9,894 – $40,724 · median $22,288 13 plans
089 CONCUSSION WITH CC $8,175 – $33,096 · median $18,114 13 plans
090 CONCUSSION WITHOUT CC/MCC $6,306 – $27,756 · median $13,573 13 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,662 – $30,819 · median $16,867 13 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $10,479 – $106,025 · median $54,361 13 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $10,479 – $77,701 · median $39,838 13 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,479 – $77,701 · median $39,838 13 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $10,479 – $108,809 · median $55,788 13 plans
102 HEADACHES WITH MCC $8,327 – $33,768 · median $18,481 13 plans
113 ORBITAL PROCEDURES WITH CC/MCC $10,479 – $70,829 · median $36,315 13 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $9,902 – $40,760 · median $22,308 13 plans
115 Extraocular procedures except orbit $10,479 – $46,240 · median $25,307 13 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $10,479 – $54,471 · median $27,928 13 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,082 – $32,684 · median $17,888 13 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,614 – $35,046 · median $19,180 13 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,052 – $27,756 · median $12,956 13 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,699 – $39,860 · median $21,815 13 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,930 – $27,756 · median $12,659 13 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $10,479 – $65,373 · median $33,518 13 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,610 – $30,587 · median $16,740 13 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,479 – $44,984 · median $24,620 13 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,733 – $27,756 · median $14,612 13 plans
139 Salivary gland procedures $9,106 – $37,227 · median $20,374 13 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $10,479 – $128,496 · median $65,882 13 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $10,479 – $65,708 · median $33,689 13 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $10,479 – $48,093 · median $26,321 13 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $10,479 – $52,205 · median $27,756 13 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,879 – $36,220 · median $19,824 13 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $10,479 – $63,789 · median $32,705 13 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,349 – $38,305 · median $20,964 13 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,129 – $27,756 · median $13,143 13 plans
150 EPISTAXIS WITH MCC $9,756 – $40,113 · median $21,954 13 plans
151 EPISTAXIS WITHOUT MCC $5,700 – $27,756 · median $12,102 13 plans
152 OTITIS MEDIA AND URI WITH MCC $8,743 – $35,615 · median $19,492 13 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,939 – $27,756 · median $15,111 13 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,409 – $27,756 · median $11,395 13 plans
157 DENTAL AND ORAL DISEASES WITH MCC $10,479 – $51,720 · median $27,756 13 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,894 – $27,756 · median $15,001 13 plans
164 MAJOR CHEST PROCEDURES WITH CC $10,479 – $76,038 · median $38,986 13 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $10,479 – $57,667 · median $29,567 13 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $10,479 – $112,602 · median $57,733 13 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,993 – $41,164 · median $22,529 13 plans
173 Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism $10,479 – $89,667 · median $45,973 13 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,343 – $29,403 · median $16,092 13 plans
180 RESPIRATORY NEOPLASMS WITH MCC $10,479 – $53,203 · median $27,756 13 plans
181 RESPIRATORY NEOPLASMS WITH CC $7,988 – $32,265 · median $17,659 13 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,479 – $46,090 · median $25,225 13 plans
184 MAJOR CHEST TRAUMA WITH CC $7,941 – $32,057 · median $17,545 13 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,057 – $27,756 · median $12,968 13 plans
186 PLEURAL EFFUSION WITH MCC $10,479 – $46,951 · median $25,697 13 plans
187 PLEURAL EFFUSION WITH CC $7,432 – $29,798 · median $16,308 13 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,586 – $27,756 · median $11,825 13 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $10,479 – $56,854 · median $29,150 13 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,160 – $28,593 · median $15,649 13 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,579 – $27,756 · median $11,809 13 plans
199 PNEUMOTHORAX WITH MCC $10,479 – $53,145 · median $27,756 13 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,266 – $27,756 · median $11,047 13 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,199 – $27,756 · median $13,312 13 plans
212 Concomitant Aortic and Mitral Valve Procedures $10,479 – $327,593 · median $167,961 13 plans
215 Other heart assist system implant $10,479 – $299,965 · median $153,796 13 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $10,479 – $294,717 · median $151,105 13 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $10,479 – $198,087 · median $101,562 13 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $10,479 – $198,087 · median $101,562 13 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $10,479 – $231,316 · median $118,599 13 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $10,479 – $160,656 · median $82,370 13 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $10,479 – $151,841 · median $77,851 13 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $10,479 – $149,045 · median $76,418 13 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $10,479 – $94,882 · median $48,647 13 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $10,479 – $253,959 · median $130,208 13 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $10,479 – $182,642 · median $93,643 13 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC $10,479 – $230,319 · median $118,088 13 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC $10,479 – $164,569 · median $84,377 13 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $10,479 – $176,797 · median $90,646 13 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $10,479 – $126,192 · median $64,700 13 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $10,479 – $148,271 · median $76,021 13 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $10,479 – $85,874 · median $44,029 13 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $10,115 – $41,706 · median $22,826 13 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $10,479 – $96,186 · median $49,316 13 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $10,479 – $64,195 · median $32,914 13 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $10,479 – $54,453 · median $27,919 13 plans
245 AICD generator procedures $10,479 – $137,447 · median $70,471 13 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $10,479 – $65,750 · median $33,711 13 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $10,479 – $45,023 · median $24,641 13 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $10,479 – $105,089 · median $53,880 13 plans
253 OTHER VASCULAR PROCEDURES WITH CC $10,479 – $78,195 · median $40,092 13 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $10,479 – $53,675 · median $27,756 13 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $10,479 – $81,262 · median $41,664 13 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $10,479 – $51,151 · median $27,756 13 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,132 – $32,904 · median $18,008 13 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $10,479 – $94,659 · median $48,533 13 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $10,479 – $60,918 · median $31,233 13 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $10,479 – $97,994 · median $50,243 13 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $10,479 – $56,953 · median $29,201 13 plans
263 VEIN LIGATION AND STRIPPING $10,479 – $92,107 · median $47,225 13 plans
264 Other circulatory system O.R. procedures $10,479 – $100,639 · median $51,599 13 plans
265 AICD lead procedures $10,479 – $109,002 · median $55,887 13 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC $10,479 – $184,624 · median $94,659 13 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC $10,479 – $143,424 · median $73,535 13 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $10,479 – $207,204 · median $106,236 13 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $10,479 – $158,954 · median $81,498 13 plans
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC $10,479 – $124,285 · median $63,722 13 plans
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC $10,479 – $99,166 · median $50,844 13 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $10,479 – $214,810 · median $110,136 13 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $10,479 – $180,955 · median $92,778 13 plans
277 Cardiac Defibrillator Implant without MCC $10,479 – $139,137 · median $71,337 13 plans
278 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC $10,479 – $167,687 · median $85,976 13 plans
279 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC $10,479 – $108,646 · median $55,704 13 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $10,479 – $59,674 · median $30,595 13 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,417 – $27,756 · median $11,413 13 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,783 – $27,756 · median $9,951 13 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $10,479 – $81,527 · median $41,800 13 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $10,479 – $51,422 · median $27,756 13 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,029 – $28,008 · median $15,329 13 plans
292 HEART FAILURE AND SHOCK WITH CC $6,481 – $27,756 · median $13,998 13 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,560 – $27,756 · median $9,405 13 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $10,479 – $47,054 · median $25,753 13 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,021 – $27,756 · median $10,479 13 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,807 – $27,756 · median $7,562 13 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,964 – $32,160 · median $17,601 13 plans
304 HYPERTENSION WITH MCC $8,796 – $35,850 · median $19,621 13 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $10,479 – $47,473 · median $25,982 13 plans
311 Angina pectoris $5,482 – $27,756 · median $11,573 13 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $10,479 – $201,438 · median $103,280 13 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $10,479 – $134,449 · median $68,934 13 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $10,479 – $72,462 · median $37,152 13 plans
321 Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices $10,479 – $81,967 · median $42,025 13 plans
322 Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC $10,479 – $53,112 · median $27,756 13 plans
323 Coronary Intravascular Lithotripsy with Intraluminal Device with MCC $10,479 – $130,367 · median $66,841 13 plans
324 Coronary Intravascular Lithotripsy with Intraluminal Device without MCC $10,479 – $94,927 · median $48,670 13 plans
325 Coronary Intravascular Lithotripsy without Intraluminal Device $10,479 – $96,717 · median $49,588 13 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $10,479 – $73,634 · median $37,753 13 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $10,479 – $138,474 · median $70,998 13 plans
332 RECTAL RESECTION WITH MCC $10,479 – $109,077 · median $55,925 13 plans
333 RECTAL RESECTION WITH CC $10,479 – $70,561 · median $36,178 13 plans
334 RECTAL RESECTION WITHOUT CC/MCC $10,479 – $49,343 · median $27,006 13 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $10,479 – $107,577 · median $55,156 13 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $10,479 – $63,527 · median $32,571 13 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $10,479 – $77,809 · median $39,894 13 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $10,479 – $69,157 · median $35,458 13 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,628 – $27,756 · median $14,354 13 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $10,479 – $75,071 · median $38,490 13 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,479 – $45,927 · median $25,136 13 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,645 – $35,181 · median $19,255 13 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $10,479 – $87,426 · median $44,824 13 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $10,479 – $50,684 · median $27,739 13 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $10,479 – $132,337 · median $67,851 13 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $10,479 – $70,058 · median $35,920 13 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,207 – $42,113 · median $23,049 13 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $10,479 – $47,958 · median $26,247 13 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,655 – $27,756 · median $11,993 13 plans
374 DIGESTIVE MALIGNANCY WITH MCC $10,479 – $64,430 · median $33,034 13 plans
375 DIGESTIVE MALIGNANCY WITH CC $8,929 – $36,440 · median $19,944 13 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,992 – $27,845 · median $15,240 13 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,997 – $27,756 · median $10,475 13 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $10,479 – $59,113 · median $30,308 13 plans
381 COMPLICATED PEPTIC ULCER WITH CC $8,073 – $32,642 · median $17,865 13 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,152 – $27,756 · median $13,200 13 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,520 – $27,756 · median $14,094 13 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,479 – $44,490 · median $24,349 13 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $10,479 – $48,181 · median $26,369 13 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $10,479 – $121,122 · median $62,101 13 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $10,479 – $164,804 · median $84,497 13 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $10,479 – $87,371 · median $44,796 13 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $10,479 – $66,868 · median $34,284 13 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $10,479 – $107,417 · median $55,074 13 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $10,479 – $65,593 · median $33,631 13 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $10,479 – $47,831 · median $26,178 13 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $10,479 – $99,515 · median $51,023 13 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $10,479 – $63,340 · median $32,475 13 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $10,479 – $50,024 · median $27,378 13 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $10,479 – $107,327 · median $55,028 13 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $10,479 – $62,261 · median $31,922 13 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $9,972 – $41,071 · median $22,478 13 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $10,479 – $71,893 · median $36,860 13 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $10,479 – $102,642 · median $52,626 13 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $10,479 – $52,344 · median $27,756 13 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,218 – $42,161 · median $23,075 13 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $10,479 – $125,113 · median $64,147 13 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $10,479 – $65,913 · median $33,794 13 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $10,479 – $45,198 · median $24,737 13 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $10,479 – $332,025 · median $170,233 13 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $10,479 – $217,468 · median $111,499 13 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $10,479 – $169,368 · median $86,837 13 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $10,479 – $271,423 · median $139,162 13 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $10,479 – $173,740 · median $89,079 13 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,554 – $27,756 · median $11,748 13 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $10,479 – $55,332 · median $28,370 13 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $10,479 – $49,111 · median $26,879 13 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,467 – $27,756 · median $11,537 13 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $10,479 – $201,290 · median $103,204 13 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $10,479 – $127,758 · median $65,503 13 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $10,479 – $160,560 · median $82,321 13 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $10,479 – $97,319 · median $49,897 13 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $10,479 – $253,161 · median $129,799 13 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $10,479 – $179,644 · median $92,106 13 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $10,479 – $125,704 · median $64,450 13 plans
461 Bilateral or multiple major joint procs of lower extremity w MCC $10,479 – $166,386 · median $85,308 13 plans
462 Bilateral or multiple major joint procs of lower extremity w/o MCC $10,479 – $80,135 · median $41,086 13 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $10,479 – $171,703 · median $88,034 13 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $10,479 – $93,833 · median $48,110 13 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,479 – $54,941 · median $28,169 13 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $10,479 – $156,818 · median $80,403 13 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $10,479 – $106,242 · median $54,472 13 plans
469 Major joint replacement or reattachment of lower extremity w MCC $10,479 – $91,378 · median $46,851 13 plans
470 Major joint replacement or reattachment of lower extremity w/o MCC $10,479 – $58,110 · median $29,794 13 plans
471 CERVICAL SPINAL FUSION WITH MCC $10,479 – $145,469 · median $74,584 13 plans
472 CERVICAL SPINAL FUSION WITH CC $10,479 – $88,754 · median $45,505 13 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $10,479 – $73,547 · median $37,708 13 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $10,479 – $129,328 · median $66,308 13 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $10,479 – $68,558 · median $35,150 13 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,729 – $35,555 · median $19,459 13 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,479 – $104,073 · median $53,360 13 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,479 – $74,086 · median $37,985 13 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,479 – $56,001 · median $28,713 13 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $10,479 – $49,136 · median $26,892 13 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $10,479 – $97,220 · median $49,846 13 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $10,479 – $62,996 · median $32,299 13 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,479 – $47,183 · median $25,824 13 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $10,479 – $53,290 · median $27,756 13 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,299 – $33,645 · median $18,414 13 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $10,479 – $110,611 · median $56,712 13 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $10,479 – $76,403 · median $39,173 13 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $10,479 – $109,228 · median $56,003 13 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $10,479 – $54,344 · median $27,863 13 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $8,920 – $36,401 · median $19,922 13 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $10,479 – $90,884 · median $46,597 13 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $10,479 – $60,698 · median $31,121 13 plans
500 SOFT TISSUE PROCEDURES WITH MCC $10,479 – $95,343 · median $48,884 13 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $9,854 – $40,547 · median $22,191 13 plans
503 FOOT PROCEDURES WITH MCC $10,479 – $84,085 · median $43,111 13 plans
504 FOOT PROCEDURES WITH CC $10,479 – $56,312 · median $28,872 13 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $10,479 – $54,010 · median $27,756 13 plans
506 Major thumb or joint procedures $9,876 – $40,646 · median $22,246 13 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $10,479 – $54,420 · median $27,902 13 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $10,479 – $45,623 · median $24,969 13 plans
511 Shoulder,elbow or forearm proc,exc major joint proc w CC $10,479 – $62,644 · median $32,118 13 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $10,479 – $47,427 · median $25,957 13 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,657 – $30,798 · median $16,856 13 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $10,479 – $96,009 · median $49,225 13 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $10,479 – $62,605 · median $32,098 13 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $10,479 – $46,295 · median $25,337 13 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $10,479 – $112,590 · median $57,726 13 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $10,479 – $60,258 · median $30,895 13 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,479 – $45,005 · median $24,631 13 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $10,479 – $86,468 · median $44,333 13 plans
533 FRACTURES OF FEMUR WITH MCC $10,479 – $47,229 · median $25,848 13 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,190 – $27,756 · median $13,291 13 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,420 – $38,622 · median $21,138 13 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,196 – $28,749 · median $15,735 13 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,607 – $27,756 · median $11,876 13 plans
539 OSTEOMYELITIS WITH MCC $10,479 – $59,339 · median $30,424 13 plans
540 OSTEOMYELITIS WITH CC $9,517 – $39,052 · median $21,373 13 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,063 – $27,756 · median $12,983 13 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $10,479 – $53,218 · median $27,756 13 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,840 – $27,756 · median $12,442 13 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $10,479 – $74,764 · median $38,332 13 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,547 – $34,747 · median $19,017 13 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,394 – $27,756 · median $13,787 13 plans
548 SEPTIC ARTHRITIS WITH MCC $10,479 – $58,170 · median $29,825 13 plans
549 SEPTIC ARTHRITIS WITH CC $8,913 – $36,368 · median $19,904 13 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,651 – $27,756 · median $14,412 13 plans
551 MEDICAL BACK PROBLEMS WITH MCC $10,479 – $50,494 · median $27,636 13 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,517 – $39,052 · median $21,373 13 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,690 – $39,821 · median $21,794 13 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,356 – $27,756 · median $13,695 13 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $10,479 – $44,794 · median $24,516 13 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,781 – $27,756 · median $14,727 13 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,479 – $56,182 · median $28,805 13 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,362 – $33,925 · median $18,567 13 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,175 – $27,756 · median $13,255 13 plans
562 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC $10,390 – $42,924 · median $23,492 13 plans
563 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC $6,797 – $27,756 · median $14,765 13 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,332 – $29,355 · median $16,066 13 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,804 – $27,756 · median $12,354 13 plans
570 SKIN DEBRIDEMENT WITH MCC $10,479 – $88,604 · median $45,428 13 plans
571 SKIN DEBRIDEMENT WITH CC $10,479 – $50,898 · median $27,756 13 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,499 – $34,533 · median $18,900 13 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $10,479 – $197,367 · median $101,193 13 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $10,479 – $104,579 · median $53,619 13 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $10,479 – $54,136 · median $27,756 13 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $10,479 – $147,654 · median $75,704 13 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $10,479 – $97,563 · median $50,022 13 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $10,479 – $58,041 · median $29,758 13 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $10,479 – $51,949 · median $27,756 13 plans
592 SKIN ULCERS WITH MCC $10,479 – $58,303 · median $29,893 13 plans
593 SKIN ULCERS WITH CC $8,771 – $35,738 · median $19,560 13 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,602 – $27,756 · median $14,292 13 plans
595 MAJOR SKIN DISORDERS WITH MCC $10,479 – $63,888 · median $32,756 13 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,066 – $32,611 · median $17,848 13 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $10,479 – $50,223 · median $27,487 13 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,397 – $34,082 · median $18,653 13 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,941 – $27,756 · median $12,686 13 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,788 – $31,379 · median $17,174 13 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,825 – $27,756 · median $10,053 13 plans
602 CELLULITIS WITH MCC $10,366 – $42,818 · median $23,434 13 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,479 – $44,348 · median $24,272 13 plans
606 MINOR SKIN DISORDERS WITH MCC $10,479 – $45,587 · median $24,950 13 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $6,871 – $27,756 · median $14,945 13 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $10,479 – $66,030 · median $33,855 13 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,217 – $42,155 · median $23,072 13 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $10,479 – $105,061 · median $53,866 13 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,346 – $42,728 · median $23,385 13 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $10,479 – $86,986 · median $44,599 13 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $10,479 – $48,211 · median $26,386 13 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $10,479 – $45,442 · median $24,871 13 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $10,479 – $107,224 · median $54,975 13 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,216 – $37,715 · median $20,641 13 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $10,479 – $90,984 · median $46,648 13 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $10,479 – $45,171 · median $24,722 13 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,735 – $40,016 · median $21,901 13 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $10,479 – $112,274 · median $57,564 13 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $10,479 – $65,639 · median $33,654 13 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,479 – $43,969 · median $24,064 13 plans
644 ENDOCRINE DISORDERS WITH CC $7,676 – $30,879 · median $16,900 13 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,933 – $27,756 · median $12,668 13 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $10,479 – $141,634 · median $72,618 13 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $10,479 – $111,641 · median $57,240 13 plans
652 Kidney transplant $10,479 – $97,292 · median $49,883 13 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $10,479 – $156,547 · median $80,264 13 plans
654 MAJOR BLADDER PROCEDURES WITH CC $10,479 – $84,332 · median $43,238 13 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $10,479 – $95,915 · median $49,177 13 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $10,479 – $46,750 · median $25,586 13 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $10,479 – $76,547 · median $39,247 13 plans
662 MINOR BLADDER PROCEDURES WITH MCC $10,479 – $92,231 · median $47,288 13 plans
663 MINOR BLADDER PROCEDURES WITH CC $10,479 – $45,798 · median $25,065 13 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,824 – $31,539 · median $17,261 13 plans
665 PROSTATECTOMY WITH MCC $10,479 – $94,029 · median $48,210 13 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,227 – $33,325 · median $18,239 13 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $10,479 – $87,968 · median $45,102 13 plans
669 TRANSURETHRAL PROCEDURES WITH CC $10,479 – $46,756 · median $25,589 13 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,352 – $29,442 · median $16,114 13 plans
671 URETHRAL PROCEDURES WITH CC/MCC $10,479 – $54,076 · median $27,756 13 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,046 – $32,521 · median $17,799 13 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $10,479 – $126,577 · median $64,898 13 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $10,479 – $49,449 · median $27,063 13 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,793 – $27,756 · median $9,975 13 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $10,479 – $54,338 · median $27,860 13 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,082 – $27,756 · median $13,030 13 plans
693 URINARY STONES WITH MCC $9,845 – $40,504 · median $22,168 13 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,482 – $34,458 · median $18,859 13 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,395 – $27,756 · median $11,360 13 plans
697 URETHRAL STRICTURE $8,034 – $32,470 · median $17,771 13 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,401 – $27,756 · median $11,375 13 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $10,479 – $60,261 · median $30,897 13 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,479 – $46,219 · median $25,296 13 plans
709 PENIS PROCEDURES WITH CC/MCC $10,479 – $70,106 · median $35,944 13 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,229 – $42,213 · median $23,103 13 plans
711 TESTES PROCEDURES WITH CC/MCC $10,479 – $62,777 · median $32,186 13 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,183 – $33,130 · median $18,132 13 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,479 – $45,291 · median $24,788 13 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $10,479 – $67,401 · median $34,557 13 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,479 – $44,315 · median $24,254 13 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $10,479 – $56,953 · median $29,201 13 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $10,479 – $54,519 · median $27,953 13 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,475 – $34,425 · median $18,841 13 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,169 – $27,756 · median $10,811 13 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,661 – $35,253 · median $19,294 13 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,479 – $44,674 · median $24,450 13 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,904 – $31,894 · median $17,456 13 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,279 – $27,756 · median $11,080 13 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $10,479 – $64,168 · median $32,900 13 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,851 – $40,535 · median $22,185 13 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $10,479 – $107,685 · median $55,212 13 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,479 – $44,240 · median $24,213 13 plans
739 Uterine,adnexa proc for non-ovarian/adnexal malig w MCC $10,479 – $107,935 · median $55,340 13 plans
741 Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC $10,398 – $42,963 · median $23,514 13 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $10,479 – $61,731 · median $31,650 13 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,439 – $34,268 · median $18,755 13 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $10,479 – $52,332 · median $27,756 13 plans
748 Female reproductive system reconstructive procedures $10,135 – $41,794 · median $22,874 13 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $10,479 – $77,352 · median $39,659 13 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,479 – $55,483 · median $28,447 13 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,102 – $32,771 · median $17,936 13 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,238 – $28,936 · median $15,837 13 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,438 – $43,137 · median $23,609 13 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,363 – $29,493 · median $16,142 13 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,222 – $27,756 · median $10,941 13 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $10,479 – $50,907 · median $27,756 13 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $10,479 – $73,962 · median $37,921 13 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $8,640 – $35,157 · median $19,242 13 plans
799 SPLENIC PROCEDURES WITH MCC $10,479 – $136,438 · median $69,953 13 plans
800 SPLENIC PROCEDURES WITH CC $10,479 – $84,636 · median $43,394 13 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $10,479 – $57,508 · median $29,485 13 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $10,479 – $120,025 · median $61,538 13 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $9,923 – $40,851 · median $22,358 13 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $10,479 – $66,515 · median $34,103 13 plans
811 RED BLOOD CELL DISORDERS WITH MCC $10,250 – $42,306 · median $23,154 13 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,601 – $30,548 · median $16,719 13 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,008 – $27,756 · median $10,479 13 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,587 – $34,922 · median $19,113 13 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,555 – $27,756 · median $14,178 13 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $10,479 – $176,683 · median $90,588 13 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $10,479 – $67,440 · median $34,577 13 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,891 – $36,272 · median $19,852 13 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $10,479 – $138,122 · median $70,817 13 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $10,479 – $68,253 · median $34,994 13 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,878 – $40,652 · median $22,249 13 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $10,479 – $140,923 · median $72,253 13 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $10,479 – $69,627 · median $35,699 13 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $10,479 – $51,329 · median $27,756 13 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $10,479 – $45,340 · median $24,814 13 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $10,479 – $165,389 · median $84,797 13 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $10,479 – $62,837 · median $32,217 13 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,996 – $36,739 · median $20,107 13 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $10,479 – $144,734 · median $74,207 13 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $10,479 – $62,885 · median $32,242 13 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,479 – $43,499 · median $23,807 13 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $10,479 – $97,455 · median $49,966 13 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $10,479 – $49,148 · median $26,899 13 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $10,479 – $60,095 · median $30,812 13 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,499 – $27,756 · median $14,041 13 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $10,479 – $78,102 · median $40,044 13 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,598 – $39,411 · median $21,570 13 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,484 – $27,756 · median $14,005 13 plans
849 Radiotherapy $10,479 – $81,626 · median $41,851 13 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $10,479 – $260,876 · median $133,755 13 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,479 – $45,105 · median $24,686 13 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $10,479 – $137,034 · median $70,259 13 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $10,479 – $64,515 · median $33,078 13 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $10,173 – $41,963 · median $22,966 13 plans
865 VIRAL ILLNESS WITH MCC $10,479 – $45,138 · median $24,704 13 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $10,479 – $63,060 · median $32,332 13 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,671 – $27,756 · median $12,031 13 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $10,479 – $116,434 · median $59,697 13 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,236 – $28,927 · median $14,831 13 plans
881 DEPRESSIVE NEUROSES $7,105 – $28,346 · median $14,533 13 plans
882 Neuroses except depressive $8,007 – $32,349 · median $16,586 13 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $10,479 – $59,237 · median $30,371 13 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $10,479 – $48,470 · median $24,851 13 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $10,479 – $62,520 · median $32,055 13 plans
887 Other mental disorder diagnoses $7,987 – $32,262 · median $16,541 13 plans
894 Alcohol/drug abuse or dependence, left AMA $4,905 – $18,585 · median $10,171 13 plans
895 Alcohol/drug abuse or dependence w rehabilitation therapy $10,327 – $42,646 · median $21,865 13 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $10,479 – $126,427 · median $64,821 13 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $10,479 – $57,676 · median $29,571 13 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,657 – $35,235 · median $19,284 13 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $10,479 – $110,656 · median $56,735 13 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $10,479 – $44,689 · median $24,458 13 plans
906 Hand procedures for injuries $10,479 – $59,177 · median $30,341 13 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $10,479 – $115,663 · median $59,302 13 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,629 – $39,546 · median $21,644 13 plans
913 TRAUMATIC INJURY WITH MCC $10,479 – $49,244 · median $26,951 13 plans
915 ALLERGIC REACTIONS WITH MCC $10,479 – $50,660 · median $27,726 13 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $10,479 – $55,155 · median $28,279 13 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,522 – $30,195 · median $16,526 13 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $10,479 – $52,702 · median $27,756 13 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,626 – $30,659 · median $16,780 13 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $10,479 – $643,205 · median $329,780 13 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $10,479 – $216,085 · median $110,790 13 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $10,479 – $97,030 · median $49,748 13 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $10,479 – $117,317 · median $60,150 13 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $10,479 – $66,597 · median $34,145 13 plans
935 NON-EXTENSIVE BURNS $10,479 – $62,060 · median $31,819 13 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $10,479 – $109,312 · median $56,046 13 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $10,479 – $70,401 · median $36,096 13 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $10,479 – $61,086 · median $31,320 13 plans
945 REHABILITATION WITH CC/MCC $10,479 – $46,653 · median $25,533 13 plans
946 REHABILITATION WITHOUT CC/MCC $8,502 – $34,549 · median $18,908 13 plans
947 SIGNS AND SYMPTOMS WITH MCC $9,335 – $38,242 · median $20,930 13 plans
949 AFTERCARE WITH CC/MCC $8,794 – $35,841 · median $19,616 13 plans
950 AFTERCARE WITHOUT CC/MCC $4,979 – $27,756 · median $10,430 13 plans
955 Craniotomy for multiple significant trauma $10,479 – $202,781 · median $103,969 13 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $10,479 – $113,364 · median $58,123 13 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $10,479 – $229,557 · median $117,697 13 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,479 – $126,948 · median $65,088 13 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $10,479 – $88,694 · median $45,475 13 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $10,479 – $82,358 · median $42,226 13 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,479 – $46,171 · median $25,270 13 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,102 – $28,334 · median $15,507 13 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $10,479 – $184,410 · median $94,550 13 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $10,479 – $79,454 · median $40,737 13 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $10,479 – $86,944 · median $44,577 13 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,509 – $39,013 · median $21,352 13 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,841 – $27,756 · median $14,884 13 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $9,510 – $39,095 · median $21,396 13 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $10,479 – $103,284 · median $52,955 13 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,858 – $36,127 · median $19,772 13 plans
209 COMPLEX AORTIC ARCH PROCEDURES $77,553 – $301,374 · median $90,479 9 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $39,458 – $151,952 · median $46,034 9 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $17,160 – $64,494 · median $20,020 9 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $24,060 – $91,556 · median $28,070 9 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $17,107 – $64,283 · median $19,958 9 plans
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