Baptist Medical Center - Nassau — Pricing

771 procedures published in this hospital's Machine-Readable File (MRF) — 128 with a comparable price, 643 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 771
Lowest published price $2,182
Average published price $22,615
Highest published price $93,986

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 771 procedures

Published charges

Showing all 128 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 24 procedures, this hospital's negotiated rates average ≈208% of what Medicare pays.

DRG Description Published price vs. FL median vs. National median vs Medicare
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $93,986 $42,840 +119% $33,555 +180% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $79,359 $77,531 +2% $52,178 +52% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $79,057 $144,456 −45% $88,050 −10% ≈102% of Medicare
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $68,024 $61,930 +10% $38,861 +75% —
314 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $59,563 $61,714 −3% $38,666 +54% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $54,418 $54,418 +0% $39,018 +39% —
327 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $52,265 $89,754 −42% $59,421 −12% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $50,755 $34,923 +45% $21,275 +139% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $49,397 $27,043 +83% $18,126 +173% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $48,898 $37,492 +30% $19,037 +157% —
816 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $47,098 $25,323 +86% $14,638 +222% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $45,609 $71,764 −36% $46,090 −1% —
264 AICD LEAD PROCEDURES $45,296 $96,199 −53% $51,953 −13% —
208 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $43,678 $83,905 −48% $52,405 −17% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $42,659 $65,442 −35% $41,955 +2% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $40,754 $40,754 +0% $39,973 +2% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $39,846 $63,349 −37% $51,985 −23% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $38,291 $79,506 −52% $59,500 −36% ≈183% of Medicare
082 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $37,761 $53,112 −29% $36,489 +3% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $37,018 $47,377 −22% $36,431 +2% —
835 ACUTE LEUKEMIA WITHOUT CC/MCC $34,761 $32,974 +5% $35,569 −2% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $32,767 $154,667 −79% $93,172 −65% ≈127% of Medicare
336 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $32,606 $65,594 −50% $50,463 −35% —
397 APPENDIX PROCEDURES WITH MCC $32,112 $32,112 +0% $53,257 −40% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $31,884 $60,382 −47% $40,213 −21% —
103 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $30,824 $33,850 −9% $21,280 +45% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $30,737 $34,174 −10% $20,781 +48% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $30,092 $76,373 −61% $39,106 −23% —
091 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $29,667 $61,996 −52% $37,387 −21% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $29,591 $59,663 −50% $33,707 −12% ≈200% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $29,505 $30,713 −4% $15,428 +91% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $28,290 $58,414 −52% $40,552 −30% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $28,060 $63,830 −56% $42,881 −35% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $28,023 $91,177 −69% $53,451 −48% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $27,557 $56,043 −51% $43,477 −37% —
144 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $27,206 $54,298 −50% $30,553 −11% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $27,191 $58,148 −53% $34,192 −20% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $27,149 $28,447 −5% $34,607 −22% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $26,870 $58,067 −54% $44,117 −39% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $26,563 $31,429 −15% $30,235 −12% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $26,252 $33,249 −21% $15,038 +75% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $23,480 $46,930 −50% $32,841 −29% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $23,079 $39,350 −41% $31,159 −26% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $22,933 $40,668 −44% $30,959 −26% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $21,808 $60,046 −64% $31,264 −30% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $21,702 $29,612 −27% $21,363 +2% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $21,636 $17,396 +24% $25,303 −14% —
748 Female reproductive system reconstructive procedures $21,097 $34,456 −39% $30,242 −30% —
540 OSTEOMYELITIS WITH CC $21,061 $35,008 −40% $26,676 −21% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $20,953 $74,820 −72% $43,943 −52% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $20,905 $37,251 −44% $28,050 −25% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $20,808 $69,215 −70% $35,628 −42% ≈135% of Medicare
637 DIABETES WITH CC $20,378 $38,920 −48% $30,100 −32% —
642 ENDOCRINE DISORDERS WITH MCC $20,198 $24,356 −17% $20,727 −3% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $20,063 $41,685 −52% $22,458 −11% —
308 ANGINA PECTORIS $19,626 $29,865 −34% $26,770 −27% ≈147% of Medicare
398 APPENDIX PROCEDURES WITH CC $19,611 $39,406 −50% $40,162 −51% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $19,049 $39,991 −52% $30,571 −38% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $18,732 $24,705 −24% $18,133 +3% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $18,684 $66,824 −72% $44,606 −58% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $18,507 $47,860 −61% $20,463 −10% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $17,410 $43,755 −60% $31,321 −44% —
092 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $17,230 $23,972 −28% $24,914 −31% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $16,965 $44,329 −62% $23,141 −27% —
291 HEART FAILURE AND SHOCK WITH CC $16,910 $29,310 −42% $26,776 −37% ≈170% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $16,793 $51,703 −68% $28,226 −41% —
193 INTERSTITIAL LUNG DISEASE WITH MCC $16,576 $40,704 −59% $27,275 −39% ≈213% of Medicare
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $16,575 $49,527 −67% $25,970 −36% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $16,537 $33,593 −51% $19,264 −14% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $16,473 $39,518 −58% $23,940 −31% ≈226% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $16,435 $37,994 −57% $19,227 −15% —
684 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $16,364 $26,277 −38% $13,642 +20% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $16,327 $41,341 −61% $33,424 −51% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $16,197 $36,072 −55% $32,496 −50% ≈168% of Medicare
386 INFLAMMATORY BOWEL DISEASE WITH CC $16,152 $37,075 −56% $22,033 −27% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $15,971 $28,801 −45% $22,098 −28% ≈213% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $15,968 $33,347 −52% $23,749 −33% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $15,319 $32,521 −53% $20,181 −24% —
300 ATHEROSCLEROSIS WITHOUT MCC $15,211 $34,293 −56% $20,422 −26% —
206 COMPLEX AORTIC ARCH PROCEDURES $14,741 $35,345 −58% $18,488 −20% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $14,569 $55,988 −74% $36,937 −61% —
639 DIABETES WITHOUT CC/MCC $14,495 $24,779 −42% $13,910 +4% —
683 RENAL FAILURE WITH CC $14,466 $27,364 −47% $19,130 −24% ≈187% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $14,228 $31,966 −55% $18,081 −21% —
866 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $14,213 $21,438 −34% $17,081 −17% —
337 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $14,130 $46,841 −70% $39,211 −64% —
312 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $14,115 $23,207 −39% $19,342 −27% ≈245% of Medicare
916 ALLERGIC REACTIONS WITHOUT MCC $14,077 $12,384 +14% $13,942 +1% —
638 DIABETES WITH CC $13,929 $24,363 −43% $19,661 −29% —
872 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $13,361 $34,103 −61% $22,888 −42% ≈459% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $13,339 $41,965 −68% $24,386 −45% ≈214% of Medicare
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $13,002 $29,358 −56% $17,674 −26% ≈244% of Medicare
641 INBORN AND OTHER DISORDERS OF METABOLISM $12,658 $28,392 −55% $17,038 −26% ≈249% of Medicare
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $12,370 $41,089 −70% $21,056 −41% —
948 AFTERCARE WITH CC/MCC $12,357 $29,369 −58% $17,921 −31% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $12,140 $31,594 −62% $17,322 −30% ≈231% of Medicare
149 Dysequilibrium $12,109 $12,109 +0% $18,096 −33% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $12,032 $32,487 −63% $17,303 −30% ≈232% of Medicare
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $12,013 $33,385 −64% $19,096 −37% —
313 Chest pain $11,610 $26,595 −56% $16,440 −29% —
381 COMPLICATED PEPTIC ULCER WITH CC $11,540 $36,968 −69% $24,177 −52% —
897 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC $11,433 $13,863 −18% $16,699 −32% —
603 CELLULITIS WITHOUT MCC $11,415 $24,682 −54% $18,530 −38% ≈219% of Medicare
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $11,284 $11,284 +0% $12,252 −8% —
607 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $11,200 $30,316 −63% $15,889 −30% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $10,909 $18,896 −42% $16,288 −33% —
303 ATHEROSCLEROSIS WITHOUT MCC $10,892 $26,306 −59% $14,927 −27% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $10,589 $26,473 −60% $17,118 −38% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $10,527 $32,802 −68% $14,368 −27% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $10,246 $48,455 −79% $25,463 −60% ≈160% of Medicare
195 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $10,134 $17,115 −41% $13,824 −27% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $10,010 $22,569 −56% $15,183 −34% —
885 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $9,705 $26,024 −63% $21,729 −55% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,427 $10,917 −14% $20,901 −55% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $9,393 $29,899 −69% $17,578 −47% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $8,905 $26,598 −67% $13,361 −33% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $8,847 $23,613 −63% $13,651 −35% —
305 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $7,882 $31,871 −75% $18,086 −56% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $7,251 $23,464 −69% $13,384 −46% ≈278% of Medicare
194 INTERSTITIAL LUNG DISEASE WITH CC $7,176 $23,223 −69% $18,204 −61% ≈203% of Medicare
918 COMPLICATIONS OF TREATMENT WITH MCC $6,809 $18,420 −63% $15,452 −56% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $6,808 $23,335 −71% $11,421 −40% —
189 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,483 $37,258 −85% $26,580 −79% ≈136% of Medicare
101 ORBITAL PROCEDURES WITH CC/MCC $5,377 $31,557 −83% $20,461 −74% —
812 COAGULATION DISORDERS $3,656 $30,131 −88% $20,488 −82% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $2,288 $25,257 −91% $17,724 −87% —
151 EPISTAXIS WITHOUT MCC $2,182 $13,939 −84% $13,032 −83% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $2,182 $8,915 −76% $17,700 −88% —

Procedures with negotiated rates only

These 643 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 – $864,621 · median $387,879 13 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $10,479 – $349,620 · median $156,843 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 – $654,861 · median $293,778 13 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $10,479 – $427,357 · median $191,717 13 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $10,479 – $318,110 · median $142,708 13 plans
006 LIVER TRANSPLANT WITHOUT MCC $10,479 – $143,065 · median $64,181 13 plans
007 Lung transplant $10,479 – $399,553 · median $179,244 13 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $10,479 – $172,919 · median $77,573 13 plans
010 Pancreas transplant $10,479 – $221,392 · median $99,319 13 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $10,479 – $168,275 · median $75,490 13 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $10,479 – $130,076 · median $58,354 13 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $10,479 – $88,912 · median $39,887 13 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $10,479 – $370,788 · median $166,340 13 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $10,479 – $182,949 · median $82,073 13 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $10,479 – $167,603 · median $75,188 13 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $10,479 – $1,332,319 · median $597,693 13 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $10,479 – $220,124 · median $98,750 13 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $10,479 – $242,776 · median $108,912 13 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $10,479 – $163,330 · median $73,271 13 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $10,479 – $98,032 · median $43,978 13 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $10,479 – $176,797 · median $79,313 13 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $10,479 – $120,694 · median $54,145 13 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $10,479 – $140,279 · median $62,931 13 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $10,479 – $95,928 · median $43,034 13 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $10,479 – $77,839 · median $34,919 13 plans
028 SPINAL PROCEDURES WITH MCC $10,479 – $185,374 · median $83,161 13 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $10,479 – $105,258 · median $47,220 13 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $10,479 – $67,729 · median $30,384 13 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $10,479 – $138,237 · median $62,015 13 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $10,479 – $65,748 · median $29,495 13 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $10,479 – $51,305 · median $23,016 13 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $10,479 – $119,423 · median $53,574 13 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $10,479 – $73,754 · median $33,087 13 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $10,479 – $59,941 · median $26,890 13 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $10,479 – $101,571 · median $45,566 13 plans
038 EXTRACRANIAL PROCEDURES WITH CC $10,479 – $50,062 · median $22,458 13 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,186 – $36,268 · median $16,270 13 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $10,479 – $119,130 · median $53,443 13 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $10,479 – $67,836 · median $30,432 13 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $10,479 – $55,884 · median $25,070 13 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $6,819 – $30,211 · median $13,553 13 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,479 – $47,109 · median $21,134 13 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,100 – $31,458 · median $14,112 13 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $9,023 – $39,973 · median $17,932 13 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $10,479 – $52,743 · median $23,661 13 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $8,642 – $38,285 · median $17,175 13 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,405 – $28,379 · median $12,731 13 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $10,479 – $85,065 · median $38,161 13 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $10,479 – $54,215 · median $24,321 13 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $9,776 – $43,311 · median $19,430 13 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,228 – $45,314 · median $20,328 13 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,020 – $26,669 · median $11,964 13 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $10,479 – $51,364 · median $23,043 13 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $7,145 – $31,655 · median $14,201 13 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $10,479 – $49,497 · median $22,205 13 plans
075 VIRAL MENINGITIS WITH CC/MCC $10,479 – $59,161 · median $26,540 13 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,747 – $25,460 · median $11,422 13 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $9,720 – $55,844 · median $23,761 13 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,656 – $27,632 · median $12,396 13 plans
083 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,072 – $43,065 · median $19,319 13 plans
084 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,370 – $29,489 · median $13,229 13 plans
085 CONCUSSION WITH MCC $9,414 – $70,095 · median $23,012 13 plans
086 CONCUSSION WITH CC $7,651 – $40,192 · median $18,031 13 plans
087 CONCUSSION WITHOUT CC/MCC $5,733 – $28,221 · median $12,660 13 plans
088 CONCUSSION WITH MCC $10,479 – $41,707 · median $18,710 13 plans
089 CONCUSSION WITH CC $7,124 – $33,895 · median $15,206 13 plans
090 CONCUSSION WITHOUT CC/MCC $5,545 – $25,398 · median $11,394 13 plans
093 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,479 – $43,906 · median $19,957 13 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $10,479 – $108,584 · median $48,712 13 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $10,479 – $79,576 · median $35,699 13 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $9,488 – $79,576 · median $23,192 13 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $10,479 – $111,435 · median $32,970 13 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $6,286 – $70,805 · median $15,365 13 plans
099 HEADACHES WITH MCC $7,806 – $42,034 · median $18,857 13 plans
100 HEADACHES WITHOUT MCC $5,824 – $59,756 · median $14,236 13 plans
102 HEADACHES WITH MCC $9,422 – $34,583 · median $15,514 13 plans
113 INTRAOCULAR PROCEDURES WITH CC/MCC $10,479 – $72,538 · median $30,779 13 plans
114 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,555 – $41,744 · median $18,468 13 plans
115 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,101 – $47,356 · median $19,803 13 plans
116 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,472 – $55,785 · median $13,377 13 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $5,561 – $33,472 · median $13,595 13 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $9,214 – $35,891 · median $16,101 13 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,347 – $24,244 · median $10,821 13 plans
123 Neurological eye disorders $10,479 – $36,940 · median $16,791 13 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $7,071 – $40,822 · median $17,283 13 plans
125 MOUTH PROCEDURES WITH CC/MCC $10,399 – $25,419 · median $12,279 13 plans
135 MOUTH PROCEDURES WITHOUT CC/MCC $6,171 – $66,951 · median $15,086 13 plans
136 SALIVARY GLAND PROCEDURES $8,605 – $31,325 · median $14,053 13 plans
137 MAJOR HEAD AND NECK PROCEDURES WITH MCC $10,479 – $72,608 · median $33,004 13 plans
138 MAJOR HEAD AND NECK PROCEDURES WITH CC $10,479 – $37,129 · median $16,877 13 plans
139 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $10,479 – $38,125 · median $17,103 13 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $10,479 – $131,597 · median $59,036 13 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $10,479 – $67,293 · median $29,499 13 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $8,373 – $49,254 · median $20,467 13 plans
143 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $10,479 – $115,594 · median $36,044 13 plans
145 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,551 – $37,095 · median $13,569 13 plans
146 DYSEQUILIBRIUM $5,234 – $65,328 · median $12,794 13 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,273 – $39,230 · median $17,599 13 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,112 – $24,593 · median $11,033 13 plans
150 EPISTAXIS WITH MCC $5,141 – $41,081 · median $12,566 13 plans
152 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,382 – $36,474 · median $15,602 13 plans
153 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,813 – $22,776 · median $10,479 13 plans
154 DENTAL AND ORAL DISEASES WITH MCC $10,479 – $48,239 · median $21,640 13 plans
155 DENTAL AND ORAL DISEASES WITH CC $6,336 – $28,277 · median $12,685 13 plans
156 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,934 – $21,323 · median $10,479 13 plans
157 DENTAL AND ORAL DISEASES WITH MCC $10,479 – $76,294 · median $34,679 13 plans
158 DENTAL AND ORAL DISEASES WITH CC $10,479 – $42,966 · median $19,530 13 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $9,806 – $32,585 · median $14,812 13 plans
163 MAJOR CHEST PROCEDURES WITH MCC $10,479 – $138,277 · median $62,033 13 plans
164 MAJOR CHEST PROCEDURES WITH CC $10,479 – $77,873 · median $30,699 13 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $9,516 – $59,059 · median $23,260 13 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $10,479 – $115,319 · median $50,667 13 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $9,566 – $55,640 · median $23,383 13 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $5,606 – $42,158 · median $13,704 13 plans
173 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,479 – $91,831 · median $26,602 13 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,458 – $30,113 · median $13,509 13 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,249 – $23,294 · median $10,479 13 plans
180 MAJOR CHEST TRAUMA WITH MCC $10,479 – $54,486 · median $24,443 13 plans
181 MAJOR CHEST TRAUMA WITH CC $7,410 – $33,044 · median $14,824 13 plans
182 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,477 – $23,257 · median $10,479 13 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,479 – $47,202 · median $21,175 13 plans
184 MAJOR CHEST TRAUMA WITH CC $6,888 – $32,831 · median $14,728 13 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,995 – $24,266 · median $10,886 13 plans
186 PLEURAL EFFUSION WITH MCC $8,603 – $48,084 · median $21,030 13 plans
187 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,714 – $30,517 · median $13,690 13 plans
188 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,871 – $22,128 · median $10,479 13 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,612 – $26,009 · median $11,668 13 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $10,479 – $58,226 · median $26,121 13 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,655 – $29,283 · median $13,136 13 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,980 – $22,097 · median $10,479 13 plans
199 BRONCHITIS AND ASTHMA WITH CC/MCC $6,763 – $54,428 · median $16,533 13 plans
200 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,666 – $33,917 · median $11,405 13 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,623 – $22,063 · median $10,479 13 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $10,479 – $109,538 · median $24,911 13 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $10,479 – $56,492 · median $25,343 13 plans
207 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $10,479 – $198,530 · median $92,555 13 plans
212 Concomitant Aortic and Mitral Valve Procedures $10,479 – $335,499 · median $150,508 13 plans
215 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $10,479 – $307,203 · median $137,815 13 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $10,479 – $301,829 · median $111,931 13 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $10,479 – $202,868 · median $91,009 13 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $10,479 – $202,868 · median $91,009 13 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $10,479 – $236,899 · median $90,780 13 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $10,479 – $164,533 · median $73,811 13 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $10,479 – $155,505 · median $69,761 13 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $10,479 – $152,642 · median $53,614 13 plans
229 CORONARY BYPASS WITH PTCA WITH MCC $10,479 – $143,502 · median $65,228 13 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $10,479 – $260,088 · median $103,204 13 plans
232 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $10,479 – $187,049 · median $83,912 13 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $10,479 – $235,877 · median $92,992 13 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC $10,479 – $168,541 · median $75,609 13 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $10,479 – $181,064 · median $71,306 13 plans
236 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $10,479 – $129,237 · median $57,977 13 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $10,479 – $151,849 · median $48,524 13 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $9,641 – $87,946 · median $23,567 13 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $10,479 – $54,351 · median $24,705 13 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $10,479 – $98,507 · median $36,274 13 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $10,479 – $65,745 · median $29,494 13 plans
244 AICD GENERATOR PROCEDURES $10,479 – $77,666 · median $35,303 13 plans
245 AICD generator procedures $10,479 – $140,764 · median $37,153 13 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $10,408 – $67,337 · median $25,441 13 plans
251 OTHER VASCULAR PROCEDURES WITH MCC $10,479 – $59,381 · median $26,992 13 plans
252 OTHER VASCULAR PROCEDURES WITH CC $10,479 – $107,625 · median $44,185 13 plans
253 OTHER VASCULAR PROCEDURES WITH CC $10,479 – $80,082 · median $30,330 13 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $10,479 – $54,971 · median $24,661 13 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $10,479 – $83,223 · median $28,903 13 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $7,606 – $52,385 · median $18,593 13 plans
257 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $10,479 – $53,488 · median $24,313 13 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $10,479 – $96,943 · median $34,422 13 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $10,479 – $62,388 · median $27,988 13 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $10,479 – $100,359 · median $32,182 13 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $10,479 – $58,328 · median $26,166 13 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $10,479 – $52,046 · median $25,077 13 plans
263 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $10,479 – $94,330 · median $42,317 13 plans
265 AICD lead procedures $10,479 – $111,632 · median $52,162 13 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $10,479 – $189,080 · median $81,043 13 plans
267 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $10,479 – $146,885 · median $65,894 13 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $10,479 – $212,204 · median $71,892 13 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $10,479 – $130,298 · median $58,453 13 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $10,479 – $162,790 · median $60,539 13 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $10,479 – $109,723 · median $43,460 13 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $10,479 – $78,768 · median $35,336 13 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $10,479 – $127,284 · median $56,035 13 plans
274 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $10,479 – $121,381 · median $56,277 13 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $10,479 – $219,994 · median $98,692 13 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $10,479 – $185,322 · median $78,621 13 plans
277 Cardiac Defibrillator Implant without MCC $10,479 – $142,495 · median $63,925 13 plans
278 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC $10,479 – $171,734 · median $61,392 13 plans
279 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $10,479 – $111,268 · median $27,307 13 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,401 – $49,491 · median $15,646 13 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,820 – $61,114 · median $11,783 13 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,171 – $21,356 · median $10,195 13 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $8,289 – $37,668 · median $17,122 13 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $7,452 – $68,272 · median $18,216 13 plans
287 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $10,479 – $46,068 · median $20,940 13 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $10,479 – $83,494 · median $29,057 13 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $6,474 – $52,663 · median $15,826 13 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $8,940 – $28,684 · median $12,868 13 plans
292 HEART FAILURE AND SHOCK WITH CC $3,942 – $26,194 · median $10,479 13 plans
293 CARDIAC ARREST, UNEXPLAINED WITH MCC $7,834 – $26,588 · median $12,086 13 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $10,479 – $48,189 · median $21,618 13 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $7,434 – $19,561 · median $10,139 13 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $5,012 – $14,041 · median $7,046 13 plans
299 ATHEROSCLEROSIS WITH MCC $8,333 – $50,374 · median $20,370 13 plans
301 HYPERTENSION WITH MCC $8,287 – $22,205 · median $10,479 13 plans
302 ATHEROSCLEROSIS WITH MCC $5,258 – $36,919 · median $12,854 13 plans
304 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,359 – $36,715 · median $15,545 13 plans
306 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,123 – $48,618 · median $12,524 13 plans
307 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,942 – $28,175 · median $10,479 13 plans
311 Angina pectoris $9,715 – $35,496 · median $16,135 13 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $10,479 – $137,694 · median $46,316 13 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $10,479 – $74,211 · median $30,012 13 plans
321 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $10,479 – $83,945 · median $37,659 13 plans
322 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $10,479 – $54,394 · median $26,820 13 plans
323 Coronary Intravascular Lithotripsy with Intraluminal Device with MCC $10,479 – $133,513 · median $54,651 13 plans
324 Coronary Intravascular Lithotripsy with Intraluminal Device without MCC $10,479 – $97,218 · median $43,613 13 plans
325 Coronary Intravascular Lithotripsy without Intraluminal Device $10,479 – $99,050 · median $41,608 13 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $10,479 – $153,876 · median $27,276 13 plans
328 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,479 – $49,436 · median $22,177 13 plans
332 RECTAL RESECTION WITH MCC $10,479 – $111,709 · median $27,882 13 plans
333 PERITONEAL ADHESIOLYSIS WITH MCC $10,479 – $72,264 · median $32,418 13 plans
334 PERITONEAL ADHESIOLYSIS WITH CC $10,479 – $50,534 · median $22,670 13 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $10,479 – $110,173 · median $26,130 13 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $8,261 – $79,687 · median $20,193 13 plans
345 ANAL AND STOMAL PROCEDURES WITH MCC $10,479 – $46,425 · median $20,827 13 plans
346 ANAL AND STOMAL PROCEDURES WITH CC $9,114 – $36,598 · median $16,418 13 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $6,063 – $70,826 · median $14,820 13 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $10,479 – $42,420 · median $20,439 13 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $10,479 – $26,861 · median $12,976 13 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $8,133 – $76,883 · median $19,879 13 plans
351 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $10,479 – $49,401 · median $24,001 13 plans
352 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $10,479 – $36,030 · median $16,164 13 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $9,367 – $89,535 · median $22,896 13 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $9,735 – $135,531 · median $23,796 13 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $10,479 – $71,749 · median $32,187 13 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,479 – $43,129 · median $20,549 13 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $10,479 – $49,115 · median $22,033 13 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,880 – $21,622 · median $10,479 13 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,110 – $31,501 · median $14,132 13 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,066 – $22,442 · median $10,479 13 plans
374 DIGESTIVE MALIGNANCY WITH MCC $10,479 – $65,985 · median $29,602 13 plans
375 DIGESTIVE MALIGNANCY WITH CC $8,424 – $37,320 · median $16,742 13 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,437 – $28,517 · median $12,793 13 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $10,479 – $56,399 · median $25,301 13 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $10,479 – $60,540 · median $27,159 13 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,575 – $24,701 · median $11,081 13 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,615 – $42,599 · median $19,110 13 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,953 – $26,373 · median $11,831 13 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,479 – $48,819 · median $21,901 13 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,520 – $20,024 · median $10,152 13 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $10,479 – $168,781 · median $75,717 13 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $10,479 – $89,480 · median $40,142 13 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $10,479 – $68,481 · median $30,721 13 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $10,479 – $110,009 · median $49,351 13 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $10,479 – $67,176 · median $30,136 13 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $10,479 – $48,985 · median $21,975 13 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $10,479 – $101,917 · median $43,654 13 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $10,479 – $64,868 · median $29,101 13 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $10,479 – $51,231 · median $22,983 13 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $10,479 – $109,917 · median $49,310 13 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $10,479 – $63,764 · median $28,605 13 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $9,494 – $42,062 · median $18,869 13 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $10,479 – $105,119 · median $47,158 13 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $10,479 – $53,607 · median $24,049 13 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $9,746 – $43,179 · median $19,370 13 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $10,479 – $128,133 · median $57,482 13 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $10,479 – $67,503 · median $30,283 13 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $10,448 – $46,289 · median $20,766 13 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,962 – $21,983 · median $10,479 13 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $10,479 – $56,668 · median $25,422 13 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $7,877 – $34,898 · median $15,656 13 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,942 – $26,327 · median $11,811 13 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $10,479 – $50,297 · median $22,564 13 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $10,479 – $55,372 · median $24,840 13 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,722 – $29,782 · median $13,361 13 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,873 – $21,588 · median $10,479 13 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $10,479 – $51,552 · median $23,127 13 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,621 – $33,766 · median $15,148 13 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $10,479 – $259,270 · median $116,311 13 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $10,479 – $183,980 · median $82,535 13 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $10,479 – $128,737 · median $57,753 13 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $10,479 – $170,401 · median $76,444 13 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $10,479 – $82,069 · median $36,817 13 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $10,479 – $175,847 · median $78,887 13 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $10,479 – $96,098 · median $43,111 13 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,479 – $56,267 · median $25,242 13 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $10,479 – $160,602 · median $72,048 13 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $10,479 – $108,806 · median $48,812 13 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $10,479 – $84,784 · median $38,035 13 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $10,479 – $93,583 · median $41,983 13 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $10,479 – $59,512 · median $26,698 13 plans
471 CERVICAL SPINAL FUSION WITH MCC $10,479 – $148,980 · median $66,834 13 plans
472 CERVICAL SPINAL FUSION WITH CC $10,479 – $90,896 · median $40,777 13 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $10,479 – $75,321 · median $33,790 13 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $10,479 – $132,449 · median $59,418 13 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $10,479 – $70,212 · median $31,498 13 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,219 – $36,413 · median $16,335 13 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,479 – $106,585 · median $47,815 13 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,479 – $75,874 · median $34,038 13 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,479 – $57,353 · median $25,729 13 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $10,479 – $89,853 · median $40,309 13 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $10,479 – $64,622 · median $28,990 13 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $10,479 – $85,521 · median $38,366 13 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $10,479 – $99,566 · median $44,666 13 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $10,479 – $64,517 · median $28,943 13 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,479 – $48,322 · median $21,678 13 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $10,479 – $54,576 · median $24,483 13 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $7,777 – $34,457 · median $15,458 13 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $10,479 – $113,280 · median $50,819 13 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $10,479 – $78,246 · median $35,102 13 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $10,479 – $61,907 · median $27,772 13 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $10,479 – $111,864 · median $50,183 13 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $10,479 – $55,656 · median $24,968 13 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $8,415 – $37,280 · median $16,724 13 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $10,479 – $93,077 · median $40,280 13 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $10,479 – $62,163 · median $18,518 13 plans
500 SOFT TISSUE PROCEDURES WITH MCC $10,479 – $97,644 · median $43,804 13 plans
501 SOFT TISSUE PROCEDURES WITH CC $10,479 – $53,934 · median $24,195 13 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $9,373 – $41,525 · median $18,629 13 plans
503 FOOT PROCEDURES WITH MCC $10,479 – $86,114 · median $38,632 13 plans
504 FOOT PROCEDURES WITH CC $10,479 – $57,670 · median $25,872 13 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $10,479 – $55,313 · median $24,814 13 plans
506 Major thumb or joint procedures $9,396 – $41,627 · median $18,674 13 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $10,479 – $55,733 · median $25,002 13 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $10,479 – $46,724 · median $20,589 13 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $10,479 – $93,191 · median $35,398 13 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $10,479 – $64,156 · median $28,180 13 plans
512 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $10,479 – $51,074 · median $22,912 13 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $10,479 – $54,251 · median $24,659 13 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $10,479 – $98,325 · median $35,375 13 plans
517 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $10,479 – $63,620 · median $28,918 13 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $10,479 – $115,307 · median $34,049 13 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $10,403 – $61,712 · median $25,431 13 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,479 – $48,859 · median $23,541 13 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $10,479 – $88,554 · median $36,050 13 plans
522 FRACTURES OF FEMUR WITH MCC $10,479 – $65,337 · median $26,687 13 plans
533 FRACTURES OF FEMUR WITH MCC $5,614 – $48,368 · median $13,722 13 plans
534 FRACTURES OF FEMUR WITHOUT MCC $8,928 – $24,871 · median $11,157 13 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $5,624 – $39,554 · median $13,748 13 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,646 – $24,917 · median $11,178 13 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $5,016 – $29,443 · median $12,262 13 plans
538 OSTEOMYELITIS WITH MCC $9,970 – $33,530 · median $15,241 13 plans
539 OSTEOMYELITIS WITH CC $9,027 – $60,771 · median $22,067 13 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $10,479 – $30,071 · median $13,805 13 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,159 – $54,502 · median $17,500 13 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $5,255 – $31,717 · median $12,846 13 plans
544 CONNECTIVE TISSUE DISORDERS WITH MCC $10,444 – $42,246 · median $19,203 13 plans
545 CONNECTIVE TISSUE DISORDERS WITH CC $8,032 – $76,568 · median $19,634 13 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $5,823 – $35,586 · median $14,235 13 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,479 – $32,870 · median $14,941 13 plans
548 SEPTIC ARTHRITIS WITH CC $8,407 – $59,574 · median $20,550 13 plans
549 SEPTIC ARTHRITIS WITH CC $6,087 – $37,246 · median $14,880 13 plans
550 MEDICAL BACK PROBLEMS WITH MCC $10,479 – $28,532 · median $13,753 13 plans
551 MEDICAL BACK PROBLEMS WITH MCC $6,694 – $51,713 · median $16,364 13 plans
552 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,027 – $29,659 · median $13,305 13 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,781 – $39,995 · median $14,131 13 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $9,205 – $25,611 · median $11,489 13 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,784 – $40,782 · median $14,139 13 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $6,220 – $45,875 · median $15,205 13 plans
558 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,479 – $31,746 · median $14,727 13 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,842 – $57,538 · median $19,170 13 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,598 – $34,744 · median $13,685 13 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $9,922 – $24,803 · median $12,127 13 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,236 – $43,959 · median $15,244 13 plans
563 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC $10,479 – $27,629 · median $13,138 13 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,786 – $47,625 · median $16,587 13 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,218 – $30,063 · median $12,755 13 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $10,371 – $50,066 · median $21,554 13 plans
570 SKIN DEBRIDEMENT WITH CC $10,479 – $90,742 · median $28,760 13 plans
571 SKIN DEBRIDEMENT WITH CC $7,983 – $52,126 · median $19,513 13 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $10,479 – $111,524 · median $35,367 13 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $10,479 – $202,130 · median $59,094 13 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $10,479 – $107,103 · median $30,590 13 plans
575 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $10,479 – $83,433 · median $37,924 13 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $10,479 – $151,217 · median $45,123 13 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $10,479 – $81,782 · median $27,346 13 plans
578 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $10,479 – $55,129 · median $26,486 13 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $10,479 – $99,917 · median $29,416 13 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $10,050 – $53,314 · median $23,917 13 plans
581 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $10,479 – $44,524 · median $19,974 13 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $10,479 – $59,441 · median $26,666 13 plans
583 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $10,479 – $53,203 · median $23,867 13 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $10,479 – $66,047 · median $29,629 13 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $10,479 – $59,519 · median $26,701 13 plans
592 SKIN ULCERS WITH CC $8,261 – $59,710 · median $20,194 13 plans
593 SKIN ULCERS WITH CC $6,036 – $36,601 · median $14,756 13 plans
594 MAJOR SKIN DISORDERS WITH MCC $10,479 – $36,101 · median $16,409 13 plans
595 MAJOR SKIN DISORDERS WITH MCC $7,538 – $65,430 · median $18,427 13 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $10,479 – $33,398 · median $14,983 13 plans
597 MALIGNANT BREAST DISORDERS WITH CC $7,878 – $51,435 · median $19,258 13 plans
598 MALIGNANT BREAST DISORDERS WITH CC $5,358 – $34,904 · median $13,097 13 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,254 – $23,738 · median $10,649 13 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $4,213 – $32,136 · median $10,479 13 plans
601 CELLULITIS WITH MCC $8,374 – $24,195 · median $10,998 13 plans
602 CELLULITIS WITH MCC $6,065 – $43,851 · median $14,825 13 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $6,379 – $45,419 · median $15,593 13 plans
605 MINOR SKIN DISORDERS WITH MCC $10,479 – $28,261 · median $12,880 13 plans
606 MINOR SKIN DISORDERS WITH MCC $6,312 – $46,687 · median $15,430 13 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $9,745 – $67,624 · median $23,820 13 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,479 – $59,366 · median $26,985 13 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $10,479 – $107,597 · median $31,838 13 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,479 – $49,152 · median $23,385 13 plans
619 O.R. PROCEDURES FOR OBESITY WITH CC $10,479 – $89,085 · median $27,242 13 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $10,479 – $49,374 · median $22,150 13 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $10,479 – $60,588 · median $27,540 13 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $10,479 – $109,812 · median $30,538 13 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $8,718 – $55,347 · median $21,311 13 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,479 – $51,411 · median $23,369 13 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $10,442 – $93,179 · median $25,524 13 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $9,250 – $46,261 · median $20,753 13 plans
627 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $10,479 – $63,441 · median $28,837 13 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $10,479 – $114,983 · median $37,090 13 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $10,164 – $67,223 · median $24,845 13 plans
630 DIABETES WITH MCC $10,005 – $45,030 · median $20,201 13 plans
643 ENDOCRINE DISORDERS WITH CC $7,138 – $50,787 · median $17,449 13 plans
644 ENDOCRINE DISORDERS WITH CC $5,350 – $31,624 · median $13,079 13 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $10,479 – $145,052 · median $63,084 13 plans
651 KIDNEY TRANSPLANT $10,479 – $114,335 · median $51,292 13 plans
652 Kidney transplant $10,479 – $99,640 · median $44,700 13 plans
653 MAJOR BLADDER PROCEDURES WITH CC $10,479 – $160,325 · median $47,652 13 plans
654 MAJOR BLADDER PROCEDURES WITH CC $10,479 – $86,367 · median $36,031 13 plans
655 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $10,479 – $65,303 · median $29,296 13 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $10,479 – $98,230 · median $31,152 13 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $10,479 – $56,461 · median $25,329 13 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $10,479 – $47,878 · median $21,627 13 plans
662 MINOR BLADDER PROCEDURES WITH CC $10,479 – $94,456 · median $25,878 13 plans
663 MINOR BLADDER PROCEDURES WITH CC $7,291 – $46,903 · median $17,821 13 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $10,479 – $53,132 · median $24,151 13 plans
665 PROSTATECTOMY WITH CC $10,479 – $96,298 · median $29,778 13 plans
666 PROSTATECTOMY WITH CC $7,704 – $53,971 · median $18,831 13 plans
667 PROSTATECTOMY WITHOUT CC/MCC $10,479 – $49,707 · median $22,594 13 plans
668 TRANSURETHRAL PROCEDURES WITH CC $10,479 – $90,091 · median $26,420 13 plans
669 TRANSURETHRAL PROCEDURES WITH CC $6,806 – $47,884 · median $16,637 13 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $10,479 – $30,556 · median $15,246 13 plans
671 URETHRAL PROCEDURES WITH CC/MCC $7,518 – $55,381 · median $18,376 13 plans
672 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $10,479 – $71,524 · median $31,052 13 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $10,479 – $129,632 · median $39,810 13 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $10,479 – $72,153 · median $27,942 13 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $10,314 – $50,642 · median $22,719 13 plans
682 RENAL FAILURE WITH CC $6,099 – $45,693 · median $14,909 13 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,297 – $55,650 · median $17,837 13 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,504 – $32,328 · median $13,453 13 plans
688 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,080 – $24,383 · median $10,939 13 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $5,637 – $35,799 · median $13,780 13 plans
693 URINARY STONES WITH MCC $5,444 – $41,482 · median $13,307 13 plans
694 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $7,965 – $24,118 · median $10,820 13 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $4,798 – $35,290 · median $11,729 13 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $7,506 – $21,258 · median $10,479 13 plans
697 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $10,479 – $33,253 · median $14,918 13 plans
700 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $9,549 – $34,051 · median $15,478 13 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $10,479 – $61,715 · median $26,117 13 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,479 – $47,335 · median $21,235 13 plans
709 PENIS PROCEDURES WITH CC/MCC $9,758 – $71,798 · median $23,853 13 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,479 – $43,231 · median $19,394 13 plans
711 TESTES PROCEDURES WITH CC/MCC $7,658 – $64,291 · median $18,720 13 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $10,470 – $33,929 · median $15,221 13 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $7,364 – $46,384 · median $18,000 13 plans
714 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $10,479 – $38,086 · median $17,658 13 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $10,244 – $69,027 · median $25,041 13 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $10,479 – $45,385 · median $20,360 13 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $9,353 – $58,328 · median $22,864 13 plans
718 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $10,479 – $41,439 · median $18,590 13 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $7,958 – $55,835 · median $19,452 13 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $4,566 – $35,256 · median $11,162 13 plans
724 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,149 – $20,230 · median $10,479 13 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $5,028 – $36,104 · median $12,291 13 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $9,993 – $25,243 · median $11,904 13 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $5,649 – $45,752 · median $13,809 13 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $4,680 – $32,664 · median $11,439 13 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $9,301 – $36,259 · median $16,481 13 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $9,370 – $65,717 · median $22,904 13 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $10,479 – $60,849 · median $27,659 13 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $10,479 – $110,284 · median $35,078 13 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $10,227 – $63,576 · median $24,998 13 plans
738 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $10,479 – $60,990 · median $27,723 13 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $10,479 – $110,540 · median $30,805 13 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,931 – $55,832 · median $24,276 13 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $10,479 – $43,999 · median $19,739 13 plans
743 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $10,479 – $38,279 · median $17,441 13 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $10,479 – $35,095 · median $15,744 13 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $5,987 – $53,595 · median $14,635 13 plans
747 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,661 – $26,524 · median $11,899 13 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $10,277 – $79,218 · median $25,123 13 plans
750 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,479 – $45,533 · median $20,427 13 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,575 – $56,822 · median $18,518 13 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,689 – $33,562 · median $15,056 13 plans
756 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,972 – $29,634 · median $13,294 13 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,818 – $44,178 · median $16,666 13 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,016 – $20,474 · median $10,210 13 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $3,973 – $31,084 · median $10,479 13 plans
768 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $10,479 – $33,062 · median $14,832 13 plans
769 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $6,983 – $52,135 · median $17,069 13 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $4,559 – $30,936 · median $11,145 13 plans
776 ABORTION WITHOUT D&C $5,859 – $20,199 · median $10,470 13 plans
779 ABORTION WITHOUT D&C $10,479 – $41,793 · median $18,997 13 plans
783 CESAREAN SECTION WITH STERILIZATION WITH CC $7,382 – $75,747 · median $18,046 13 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,670 – $32,707 · median $14,673 13 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $10,479 – $29,551 · median $13,935 13 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,777 – $50,892 · median $19,011 13 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $6,677 – $34,457 · median $15,458 13 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $10,479 – $30,679 · median $14,782 13 plans
789 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $10,479 – $101,176 · median $45,989 13 plans
790 Extreme immaturity or respiratory distress syndrome, neonate $10,479 – $183,375 · median $69,096 13 plans
791 PREMATURITY WITH MAJOR PROBLEMS $10,479 – $125,232 · median $41,693 13 plans
792 FULL TERM NEONATE WITH MAJOR PROBLEMS $10,479 – $75,565 · median $35,490 13 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $10,278 – $128,645 · median $25,124 13 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,391 – $45,536 · median $10,479 13 plans
795 Normal newborn $2,765 – $19,866 · median $8,127 13 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $6,967 – $36,005 · median $16,152 13 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $6,665 – $30,865 · median $13,847 13 plans
798 SPLENIC PROCEDURES WITH MCC $10,479 – $77,095 · median $29,529 13 plans
799 SPLENIC PROCEDURES WITH CC $10,479 – $139,730 · median $47,824 13 plans
800 SPLENIC PROCEDURES WITH CC $10,479 – $86,678 · median $32,495 13 plans
801 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $10,479 – $67,821 · median $31,474 13 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $10,479 – $122,921 · median $31,644 13 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $9,443 – $57,353 · median $23,083 13 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $7,516 – $41,837 · median $17,638 13 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,251 – $33,297 · median $12,835 13 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,695 – $23,263 · median $10,479 13 plans
807 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $9,332 – $37,585 · median $17,084 13 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,816 – $68,120 · median $21,549 13 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $9,779 – $32,291 · median $14,486 13 plans
813 Coagulation disorders $10,479 – $47,060 · median $21,112 13 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,061 – $65,615 · median $17,261 13 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,073 – $70,394 · median $19,733 13 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $5,988 – $35,765 · median $14,638 13 plans
819 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $10,479 – $99,836 · median $26,530 13 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $10,479 – $180,947 · median $38,108 13 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $8,385 – $69,068 · median $20,496 13 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $10,479 – $78,047 · median $34,633 13 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $10,479 – $141,455 · median $38,567 13 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $9,397 – $69,901 · median $22,971 13 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $10,479 – $79,630 · median $36,196 13 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $10,479 – $144,324 · median $39,344 13 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $10,479 – $71,307 · median $29,004 13 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $10,479 – $53,793 · median $25,918 13 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $10,479 – $97,495 · median $25,620 13 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $8,374 – $46,434 · median $20,470 13 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,641 – $22,264 · median $9,988 13 plans
833 ACUTE LEUKEMIA WITH MCC $7,237 – $93,455 · median $16,133 13 plans
834 ACUTE LEUKEMIA WITH CC $10,479 – $169,380 · median $35,507 13 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $10,479 – $81,784 · median $35,079 13 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $10,479 – $148,227 · median $35,534 13 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $10,055 – $64,403 · median $24,580 13 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,479 – $55,068 · median $25,098 13 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $10,479 – $99,806 · median $27,771 13 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $7,036 – $50,334 · median $17,200 13 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $10,479 – $33,957 · median $16,361 13 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $5,931 – $37,560 · median $14,497 13 plans
845 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $10,479 – $44,132 · median $20,060 13 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,110 – $79,986 · median $22,269 13 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $5,915 – $40,362 · median $14,459 13 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,479 – $46,124 · median $20,965 13 plans
849 ACUTE LEUKEMIA WITH OTHER PROCEDURES $10,479 – $147,411 · median $67,005 13 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,479 – $77,433 · median $35,197 13 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $10,479 – $140,341 · median $36,455 13 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $9,700 – $66,072 · median $23,711 13 plans
858 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $10,479 – $42,975 · median $19,279 13 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $6,949 – $56,267 · median $16,987 13 plans
863 FEVER AND INFLAMMATORY CONDITIONS $6,182 – $30,788 · median $13,812 13 plans
864 FEVER AND INFLAMMATORY CONDITIONS $10,434 – $27,388 · median $12,753 13 plans
865 VIRAL ILLNESS WITH MCC $6,056 – $46,227 · median $14,803 13 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,181 – $64,582 · median $17,552 13 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $5,082 – $31,813 · median $12,422 13 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $10,100 – $117,660 · median $22,513 13 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $10,479 – $213,250 · median $33,067 13 plans
876 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $6,687 – $119,244 · median $16,345 13 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $6,552 – $29,625 · median $13,290 13 plans
881 Depressive neuroses $7,478 – $29,030 · median $13,023 13 plans
882 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $10,479 – $33,472 · median $16,128 13 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $10,479 – $60,666 · median $27,216 13 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $9,727 – $49,639 · median $22,269 13 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $7,458 – $64,029 · median $18,230 13 plans
887 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,296 – $33,040 · median $10,501 13 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $8,539 – $24,098 · median $10,954 13 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $10,479 – $43,676 · median $19,593 13 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $10,479 – $129,478 · median $32,591 13 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $8,145 – $59,068 · median $19,910 13 plans
903 SKIN GRAFTS FOR INJURIES WITH CC/MCC $10,479 – $62,527 · median $28,421 13 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $10,330 – $113,326 · median $25,252 13 plans
905 HAND PROCEDURES FOR INJURIES $10,479 – $45,767 · median $20,532 13 plans
906 Hand procedures for injuries $10,479 – $65,356 · median $31,490 13 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $10,479 – $118,454 · median $33,964 13 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $9,142 – $61,558 · median $22,346 13 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $10,479 – $40,501 · median $18,169 13 plans
913 TRAUMATIC INJURY WITH MCC $6,167 – $50,432 · median $15,074 13 plans
914 ALLERGIC REACTIONS WITH MCC $10,479 – $28,626 · median $14,161 13 plans
915 ALLERGIC REACTIONS WITH MCC $4,640 – $51,882 · median $11,342 13 plans
919 COMPLICATIONS OF TREATMENT WITH CC $6,980 – $56,486 · median $17,062 13 plans
920 COMPLICATIONS OF TREATMENT WITH CC $4,794 – $30,924 · median $11,719 13 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $9,528 – $29,780 · median $13,536 13 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $7,087 – $53,974 · median $17,324 13 plans
923 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT — 13 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $10,479 – $658,727 · median $122,101 13 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $10,479 – $221,299 · median $54,828 13 plans
929 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $10,479 – $99,371 · median $44,579 13 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $10,479 – $120,148 · median $37,631 13 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $10,479 – $68,204 · median $30,597 13 plans
935 Non-extensive burns $10,479 – $63,557 · median $30,884 13 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $10,479 – $111,950 · median $39,781 13 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $10,479 – $72,100 · median $32,345 13 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $10,479 – $62,561 · median $26,362 13 plans
945 REHABILITATION WITH CC/MCC $7,986 – $47,779 · median $19,522 13 plans
946 REHABILITATION WITHOUT CC/MCC $8,840 – $35,382 · median $15,873 13 plans
947 SIGNS AND SYMPTOMS WITH MCC $5,575 – $39,165 · median $13,627 13 plans
949 AFTERCARE WITH CC/MCC $4,371 – $36,706 · median $10,685 13 plans
950 AFTERCARE WITHOUT CC/MCC $3,872 – $19,366 · median $9,350 13 plans
951 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $7,696 – $114,584 · median $17,154 13 plans
955 Craniotomy for multiple significant trauma $10,479 – $207,675 · median $64,058 13 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $10,479 – $129,714 · median $61,909 13 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,479 – $235,097 · median $71,733 13 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,479 – $130,011 · median $50,117 13 plans
959 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $10,479 – $90,834 · median $40,749 13 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,479 – $84,346 · median $26,089 13 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $6,550 – $47,285 · median $16,010 13 plans
965 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $10,479 – $104,203 · median $29,017 13 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $10,479 – $188,860 · median $44,896 13 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $10,479 – $81,372 · median $36,504 13 plans
974 HIV WITH MAJOR RELATED CONDITION WITH CC $9,018 – $89,042 · median $22,045 13 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $6,282 – $39,955 · median $15,356 13 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $9,020 – $27,851 · median $12,494 13 plans
977 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $10,479 – $79,869 · median $36,304 13 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $10,479 – $144,756 · median $41,851 13 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $10,479 – $105,776 · median $27,979 13 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $8,351 – $50,710 · median $20,414 13 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $10,479 – $206,299 · median $30,709 12 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $10,479 – $124,044 · median $44,934 12 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $10,479 – $340,037 · median $123,176 12 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $10,479 – $222,715 · median $80,677 12 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $10,479 – $173,456 · median $62,833 12 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $10,479 – $277,973 · median $100,694 12 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $10,479 – $177,932 · median $64,455 12 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $10,479 – $206,147 · median $74,675 12 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $10,479 – $130,841 · median $47,396 12 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $10,479 – $164,434 · median $59,565 12 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $10,479 – $99,668 · median $36,104 12 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $10,479 – $267,172 · median $63,052 12 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,479 – $36,999 · median $19,772 5 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $24,668 – $24,668 · median $24,668 1 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $15,920 – $15,920 · median $15,920 1 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $10,636 – $10,636 · median $10,636 1 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $19,590 – $19,590 · median $19,590 1 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $12,600 – $12,600 · median $12,600 1 plans
509 Arthroscopy $28,025 – $28,025 · median $28,025 1 plans
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