Coral Gables Hospital — Pricing

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

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

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

Showing all 766 procedures

Procedures with negotiated rates only

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

DRG Description Insurance rate range Payers
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $51,851 – $212,666 · median $83,588 61 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $35,038 – $146,602 · median $61,250 61 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $32,360 – $146,602 · median $56,518 61 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $41,776 – $211,702 · median $68,237 61 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $28,924 – $127,036 · median $50,555 61 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $25,217 – $127,036 · median $44,070 61 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $27,274 – $132,254 · median $47,341 61 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $17,391 – $132,254 · median $30,380 61 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $45,653 – $218,792 · median $75,583 61 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $33,199 – $147,682 · median $58,034 61 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $42,191 – $150,793 · median $70,336 61 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $29,048 – $132,254 · median $50,542 61 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $32,017 – $104,692 · median $55,900 61 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $22,687 – $104,692 · median $39,065 61 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $10,962 – $115,773 · median $28,343 61 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $10,962 – $62,141 · median $19,512 61 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $10,538 – $48,590 · median $15,807 61 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $13,212 – $86,999 · median $20,090 61 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $9,263 – $64,455 · median $14,845 61 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $10,962 – $49,468 · median $23,711 61 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $10,290 – $40,777 · median $15,435 61 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $10,590 – $78,554 · median $27,642 61 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $10,590 – $35,190 · median $16,540 61 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $9,027 – $45,905 · median $13,715 61 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $27,001 – $378,528 · median $54,213 61 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $20,015 – $146,313 · median $34,913 61 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $27,001 – $132,254 · median $42,916 61 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $19,171 – $132,254 · median $32,722 61 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $14,210 – $132,254 · median $23,771 61 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $7,997 – $61,586 · median $19,034 61 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $5,923 – $28,485 · median $10,160 61 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $11,326 – $54,225 · median $25,977 61 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $7,759 – $33,594 · median $13,342 61 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $10,579 – $48,164 · median $23,522 61 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $3,833 – $25,550 · median $9,920 61 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $7,614 – $130,407 · median $15,335 61 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,738 – $22,629 · median $10,107 61 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,635 – $17,586 · median $8,589 61 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $7,614 – $85,844 · median $13,634 61 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $6,626 – $21,676 · median $9,939 61 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $5,799 – $18,101 · median $8,798 61 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $3,833 – $26,691 · median $11,082 61 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $3,833 – $19,149 · median $8,762 61 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $3,833 – $19,149 · median $8,762 61 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $3,833 – $28,710 · median $8,986 61 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $3,833 – $15,113 · median $7,130 61 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,706 – $14,739 · median $6,587 61 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $11,326 – $36,369 · median $17,559 60 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $9,444 – $56,962 · median $14,795 60 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $8,732 – $42,343 · median $13,608 60 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $13,851 – $82,087 · median $32,436 59 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $13,851 – $54,727 · median $26,203 59 plans
276 NON-MALIGANT BREAST DISORDERS $22,150 – $108,619 · median $51,225 59 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $13,851 – $132,254 · median $36,247 59 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $13,224 – $132,254 · median $20,100 59 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $41,368 – $227,852 · median $68,442 59 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $31,255 – $101,686 · median $49,709 59 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $23,771 – $101,686 · median $41,021 59 plans
471 CERVICAL SPINAL FUSION WITH MCC $18,955 – $272,536 · median $39,916 59 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $12,420 – $68,527 · median $30,288 59 plans
551 MEDICAL BACK PROBLEMS WITH MCC $5,577 – $31,331 · median $14,779 59 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $5,577 – $19,076 · median $9,165 59 plans
245 AICD GENERATOR PROCEDURES $12,998 – $85,690 · median $40,149 58 plans
265 AICD LEAD PROCEDURES $12,998 – $68,156 · median $30,225 58 plans
472 CERVICAL SPINAL FUSION WITH CC $16,290 – $50,981 · median $24,995 58 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $11,573 – $42,238 · median $20,251 58 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $11,418 – $35,712 · median $17,127 58 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $8,582 – $27,515 · median $13,068 58 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $21,919 – $273,656 · median $71,540 57 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $18,636 – $104,103 · median $49,859 57 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $21,919 – $146,158 · median $37,928 57 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $113,879 – $451,570 · median $179,944 56 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $75,924 – $664,448 · median $119,277 56 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $26,628 – $157,601 · median $44,170 56 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $22,643 – $119,080 · median $35,082 56 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $14,988 – $90,406 · median $23,967 56 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $26,400 – $271,029 · median $68,007 56 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $30,138 – $258,611 · median $49,991 56 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $19,624 – $250,323 · median $31,930 56 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $31,074 – $200,839 · median $48,469 56 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $21,052 – $89,341 · median $34,384 56 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $24,583 – $78,422 · median $38,163 56 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $17,140 – $76,378 · median $27,663 56 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $14,029 – $71,366 · median $23,355 56 plans
028 SPINAL PROCEDURES WITH MCC $24,909 – $106,604 · median $49,569 56 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $18,709 – $61,229 · median $28,837 56 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $11,807 – $42,947 · median $19,129 56 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $18,368 – $86,275 · median $34,650 56 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $12,280 – $51,486 · median $18,715 56 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $9,436 – $29,501 · median $14,217 56 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $14,548 – $68,188 · median $32,266 56 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $13,013 – $40,710 · median $20,449 56 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $10,687 – $48,414 · median $16,283 56 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $13,598 – $58,232 · median $27,781 56 plans
038 EXTRACRANIAL PROCEDURES WITH CC $9,519 – $57,365 · median $14,500 56 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $7,028 – $22,375 · median $10,696 56 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $11,305 – $146,255 · median $31,345 56 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $11,305 – $45,776 · median $19,388 56 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $6,085 – $72,250 · median $15,329 56 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $11,606 – $71,824 · median $17,448 56 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $5,887 – $28,528 · median $8,881 56 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $8,929 – $27,910 · median $13,395 56 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $6,780 – $21,175 · median $10,289 56 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $8,154 – $44,494 · median $21,330 56 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $8,061 – $53,078 · median $12,092 56 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $7,982 – $33,633 · median $16,132 56 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $7,478 – $23,363 · median $11,383 56 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $5,734 – $19,620 · median $8,601 56 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $15,270 – $56,012 · median $23,375 56 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $10,412 – $45,038 · median $16,345 56 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $8,432 – $45,038 · median $13,057 56 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $10,715 – $35,997 · median $17,264 56 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $6,390 – $26,340 · median $9,679 56 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,660 – $26,400 · median $7,026 56 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $5,088 – $42,806 · median $12,920 56 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,088 – $17,718 · median $8,515 56 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,248 – $19,538 · median $7,872 56 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $7,372 – $121,322 · median $15,286 56 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $6,585 – $48,433 · median $9,965 56 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $4,985 – $15,551 · median $7,478 56 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $6,169 – $28,677 · median $13,760 56 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,339 – $23,330 · median $9,786 56 plans
075 VIRAL MENINGITIS WITH CC/MCC $10,104 – $48,713 · median $15,393 56 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,863 – $26,340 · median $8,845 56 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $5,777 – $28,689 · median $13,766 56 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $5,777 – $19,639 · median $9,434 56 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,546 – $14,201 · median $6,819 56 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $9,163 – $35,974 · median $17,253 56 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,799 – $29,301 · median $8,749 56 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $12,755 – $80,014 · median $19,878 56 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $8,356 – $31,354 · median $12,755 56 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,070 – $31,976 · median $9,157 56 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $7,682 – $54,765 · median $19,450 56 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $7,682 – $24,816 · median $11,912 56 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,268 – $17,759 · median $8,469 56 plans
088 CONCUSSION WITH MCC $4,387 – $26,451 · median $12,574 56 plans
089 CONCUSSION WITH CC $4,387 – $20,863 · median $10,021 56 plans
090 CONCUSSION WITHOUT CC/MCC $3,313 – $17,319 · median $8,145 56 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $7,958 – $33,253 · median $15,950 56 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $6,610 – $48,973 · median $10,007 56 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,191 – $16,197 · median $7,787 56 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $11,485 – $73,350 · median $30,370 56 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $11,485 – $47,000 · median $20,486 56 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $11,485 – $42,730 · median $20,486 56 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $11,485 – $62,856 · median $29,864 56 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $11,485 – $38,969 · median $18,686 56 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $8,372 – $76,278 · median $12,747 56 plans
100 SEIZURES WITH MCC $6,231 – $35,933 · median $17,214 56 plans
101 SEIZURES WITHOUT MCC $5,100 – $18,382 · median $8,833 56 plans
102 HEADACHES WITH MCC $5,100 – $45,864 · median $10,711 56 plans
103 HEADACHES WITHOUT MCC $4,500 – $17,202 · median $8,094 56 plans
113 ORBITAL PROCEDURES WITH CC/MCC $5,452 – $43,169 · median $19,376 56 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $5,452 – $95,156 · median $10,889 56 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $3,370 – $30,724 · median $13,515 56 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $5,789 – $63,460 · median $14,592 56 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $5,334 – $20,971 · median $10,072 56 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $5,214 – $22,367 · median $10,740 56 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,607 – $14,365 · median $6,910 56 plans
123 NEUROLOGICAL EYE DISORDERS $4,408 – $16,426 · median $7,822 56 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $4,899 – $41,999 · median $11,851 56 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $3,414 – $16,797 · median $7,882 56 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $5,617 – $42,960 · median $20,596 56 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $5,034 – $46,921 · median $9,279 56 plans
137 MOUTH PROCEDURES WITH CC/MCC $7,486 – $26,251 · median $12,599 56 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,319 – $16,596 · median $7,978 56 plans
139 SALIVARY GLAND PROCEDURES $5,734 – $25,829 · median $12,397 56 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $23,303 – $129,234 · median $34,955 56 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $12,348 – $57,602 · median $19,560 56 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $9,315 – $57,602 · median $14,523 56 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $9,472 – $84,795 · median $27,631 56 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $9,472 – $32,161 · median $15,427 56 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $6,292 – $51,742 · median $10,911 56 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $7,965 – $41,029 · median $19,625 56 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $7,590 – $23,713 · median $11,542 56 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,251 – $50,285 · median $7,920 56 plans
149 DYSEQUILIBRIUM $3,669 – $15,507 · median $7,386 56 plans
150 EPISTAXIS WITH MCC $3,379 – $25,981 · median $12,351 56 plans
151 EPISTAXIS WITHOUT MCC $3,379 – $15,680 · median $7,468 56 plans
152 OTITIS MEDIA AND URI WITH MCC $7,010 – $21,898 · median $10,669 56 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $4,783 – $14,916 · median $7,174 56 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $4,928 – $40,132 · median $14,260 56 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $3,440 – $18,578 · median $8,835 56 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,253 – $15,320 · median $6,864 56 plans
157 DENTAL AND ORAL DISEASES WITH MCC $5,827 – $30,194 · median $14,405 56 plans
158 DENTAL AND ORAL DISEASES WITH CC $5,827 – $18,693 · median $8,982 56 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,432 – $14,170 · median $6,698 56 plans
163 MAJOR CHEST PROCEDURES WITH MCC $24,276 – $322,003 · median $37,956 56 plans
164 MAJOR CHEST PROCEDURES WITH CC $14,288 – $59,674 · median $22,781 56 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $10,850 – $59,674 · median $17,072 56 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $20,923 – $67,515 · median $31,963 56 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $10,656 – $51,431 · median $16,750 56 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,164 – $33,537 · median $12,612 56 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $5,179 – $61,626 · median $25,971 56 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $8,455 – $49,658 · median $12,874 56 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,324 – $29,657 · median $8,030 56 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $9,547 – $71,324 · median $14,908 56 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,259 – $64,711 · median $9,462 56 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,088 – $28,833 · median $7,674 56 plans
180 RESPIRATORY NEOPLASMS WITH MCC $9,179 – $32,014 · median $15,357 56 plans
181 RESPIRATORY NEOPLASMS WITH CC $6,881 – $22,632 · median $10,457 56 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,445 – $22,790 · median $8,213 56 plans
183 MAJOR CHEST TRAUMA WITH MCC $6,846 – $29,365 · median $14,090 56 plans
184 MAJOR CHEST TRAUMA WITH CC $6,326 – $20,797 · median $9,989 56 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,827 – $16,005 · median $7,695 56 plans
186 PLEURAL EFFUSION WITH MCC $8,385 – $29,245 · median $14,032 56 plans
187 PLEURAL EFFUSION WITH CC $6,322 – $22,438 · median $9,510 56 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,901 – $19,562 · median $7,391 56 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $7,551 – $40,342 · median $11,593 56 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $6,948 – $39,023 · median $10,568 56 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,559 – $21,580 · median $8,385 56 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,443 – $21,580 · median $6,665 56 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $7,974 – $24,916 · median $12,035 56 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,353 – $23,362 · median $8,074 56 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,314 – $17,720 · median $6,504 56 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $9,062 – $34,263 · median $16,434 56 plans
197 INTERSTITIAL LUNG DISEASE WITH CC — 56 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,723 – $104,210 · median $7,085 56 plans
199 PNEUMOTHORAX WITH MCC $10,330 – $73,609 · median $15,495 56 plans
200 PNEUMOTHORAX WITH CC $6,867 – $26,141 · median $10,458 56 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $4,601 – $50,931 · median $6,937 56 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $6,125 – $19,124 · median $9,188 56 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,703 – $14,667 · median $7,055 56 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,306 – $16,555 · median $7,958 56 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $6,897 – $52,754 · median $16,463 56 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,577 – $19,117 · median $8,707 56 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $25,891 – $390,586 · median $52,631 56 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $15,166 – $63,644 · median $24,273 56 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $46,893 – $215,856 · median $89,131 56 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $56,820 – $234,590 · median $93,363 56 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $20,664 – $137,146 · median $41,334 56 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $16,369 – $51,229 · median $25,121 56 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $8,985 – $50,794 · median $13,976 56 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $19,097 – $86,264 · median $29,453 56 plans
253 OTHER VASCULAR PROCEDURES WITH CC $14,478 – $82,776 · median $23,096 56 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $10,247 – $41,527 · median $16,556 56 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $14,812 – $46,349 · median $22,382 56 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $9,953 – $37,914 · median $15,311 56 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $5,732 – $37,914 · median $8,646 56 plans
263 VEIN LIGATION AND STRIPPING $7,471 – $80,268 · median $22,736 56 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $18,407 – $61,287 · median $29,157 56 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $32,579 – $180,209 · median $54,183 56 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $25,807 – $135,311 · median $42,551 56 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $38,245 – $141,004 · median $58,363 56 plans
277 CELLULITIS AGE >17 W CC $25,529 – $163,038 · median $40,489 56 plans
278 CELLULITIS AGE >17 W/O CC $4,546 – $89,391 · median $41,370 56 plans
279 CELLULITIS AGE 0-17 $6,657 – $64,143 · median $27,052 56 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $9,678 – $35,447 · median $14,742 56 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,889 – $35,447 · median $8,884 56 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,853 – $26,588 · median $7,319 56 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $11,173 – $35,440 · median $16,997 56 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,937 – $27,464 · median $7,445 56 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,852 – $27,464 · median $5,987 56 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $15,418 – $131,407 · median $23,991 56 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $9,337 – $59,794 · median $14,560 56 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,190 – $59,794 · median $9,347 56 plans
291 HEART FAILURE AND SHOCK WITH MCC $7,906 – $24,703 · median $11,947 56 plans
292 HEART FAILURE AND SHOCK WITH CC $5,570 – $29,678 · median $8,355 56 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,925 – $27,010 · median $5,904 56 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $6,894 – $23,436 · median $11,252 56 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,194 – $16,947 · median $7,791 56 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $9,662 – $38,930 · median $14,718 56 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,744 – $34,469 · median $7,154 56 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,361 – $53,251 · median $5,042 56 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $6,727 – $29,865 · median $14,329 56 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $6,672 – $20,839 · median $10,009 56 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,792 – $14,944 · median $7,188 56 plans
302 ATHEROSCLEROSIS WITH MCC $6,553 – $22,368 · median $10,741 56 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,576 – $58,951 · median $6,864 56 plans
304 HYPERTENSION WITH MCC $5,188 – $22,558 · median $10,832 56 plans
305 HYPERTENSION WITHOUT MCC $4,988 – $16,676 · median $7,482 56 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $7,286 – $27,882 · median $13,380 56 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,913 – $19,083 · median $8,870 56 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $6,633 – $23,071 · median $11,077 56 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,928 – $16,305 · median $7,392 56 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,355 – $13,055 · median $5,972 56 plans
311 ANGINA PECTORIS $4,712 – $16,279 · median $7,068 56 plans
312 SYNCOPE AND COLLAPSE $5,044 – $17,550 · median $8,435 56 plans
313 CHEST PAIN $4,792 – $14,944 · median $7,188 56 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $9,099 – $136,860 · median $18,561 56 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,102 – $22,366 · median $9,153 56 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,630 – $17,939 · median $6,945 56 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $12,288 – $57,612 · median $24,433 56 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $5,539 – $36,543 · median $15,842 56 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY $16,746 – $82,970 · median $35,790 56 plans
324 URINARY STONES W/O CC $6,634 – $59,494 · median $26,978 56 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $16,105 – $52,994 · median $24,556 56 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $21,912 – $266,758 · median $41,667 56 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $13,820 – $150,784 · median $21,515 56 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $9,426 – $35,877 · median $14,493 56 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $23,971 – $113,448 · median $37,820 56 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $13,481 – $58,923 · median $21,441 56 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,728 – $42,224 · median $15,210 56 plans
332 RECTAL RESECTION WITH MCC $19,299 – $69,183 · median $29,773 56 plans
333 RECTAL RESECTION WITH CC $12,226 – $151,645 · median $19,357 56 plans
334 RECTAL RESECTION WITHOUT CC/MCC $9,768 – $45,563 · median $15,276 56 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $19,099 – $64,121 · median $30,170 56 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $12,157 – $61,064 · median $18,836 56 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $9,118 – $31,865 · median $13,887 56 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $11,462 – $61,506 · median $22,834 56 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $8,874 – $41,667 · median $13,514 56 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $7,592 – $44,346 · median $11,557 56 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $5,953 – $206,495 · median $20,246 56 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $3,079 – $23,946 · median $11,496 56 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $4,493 – $17,708 · median $8,439 56 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $7,865 – $43,085 · median $20,459 56 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $7,865 – $38,672 · median $13,436 56 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $5,329 – $21,367 · median $10,261 56 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $8,151 – $51,572 · median $24,718 56 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $8,151 – $31,243 · median $14,988 56 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $6,080 – $33,671 · median $12,083 56 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $22,511 – $231,238 · median $35,243 56 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $12,893 – $71,815 · median $20,464 56 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,170 – $46,686 · median $12,623 56 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $9,071 – $30,730 · median $14,743 56 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $6,393 – $26,655 · median $9,630 56 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,711 – $22,298 · median $7,103 56 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $10,239 – $32,017 · median $15,599 56 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $6,455 – $26,811 · median $9,788 56 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,855 – $26,811 · median $7,282 56 plans
374 DIGESTIVE MALIGNANCY WITH MCC $5,995 – $38,014 · median $18,229 56 plans
375 DIGESTIVE MALIGNANCY WITH CC $7,505 – $23,448 · median $11,424 56 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $5,685 – $20,088 · median $8,527 56 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $7,397 – $33,176 · median $15,913 56 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $6,226 – $19,441 · median $9,353 56 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,388 – $17,473 · median $6,582 56 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $7,595 – $34,926 · median $16,751 56 plans
381 COMPLICATED PEPTIC ULCER WITH CC $6,770 – $21,144 · median $10,272 56 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,981 – $18,670 · median $7,511 56 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $5,393 – $48,647 · median $11,538 56 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $4,528 – $22,544 · median $8,341 56 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $8,051 – $91,495 · median $14,386 56 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,261 – $37,998 · median $9,410 56 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,565 – $19,790 · median $6,882 56 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $6,182 – $27,428 · median $13,162 56 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,256 – $25,088 · median $7,884 56 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,917 – $12,202 · median $5,875 56 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $4,918 – $24,368 · median $11,698 56 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,161 – $20,566 · median $7,642 56 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $7,483 – $30,499 · median $14,632 56 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $5,992 – $43,252 · median $8,987 56 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,386 – $14,371 · median $6,579 56 plans
397 COAGULATION DISORDERS $14,082 – $45,024 · median $21,438 56 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $9,003 – $57,719 · median $13,711 56 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $6,953 – $126,268 · median $10,575 56 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $29,619 – $110,184 · median $46,159 56 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $15,822 – $91,061 · median $25,400 56 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $12,281 – $81,040 · median $19,449 56 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $19,471 – $61,395 · median $30,046 56 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $12,074 – $56,345 · median $19,105 56 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $9,202 – $42,495 · median $14,336 56 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $15,443 – $49,921 · median $23,651 56 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $12,259 – $64,155 · median $18,683 56 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $9,789 – $52,801 · median $14,912 56 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $13,905 – $61,439 · median $29,226 56 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $11,451 – $35,814 · median $17,449 56 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $8,250 – $69,574 · median $12,562 56 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $12,448 – $42,389 · median $20,323 56 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $9,767 – $30,599 · median $14,879 56 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $6,712 – $24,915 · median $11,959 56 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $15,283 – $61,890 · median $29,922 56 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $9,658 – $60,776 · median $15,093 56 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $8,772 – $46,854 · median $13,622 56 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $22,115 – $90,594 · median $33,677 56 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $13,058 – $91,900 · median $20,738 56 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $9,175 – $54,361 · median $14,290 56 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $9,510 – $167,818 · median $17,026 56 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $6,668 – $27,669 · median $10,104 56 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,703 – $23,378 · median $7,091 56 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $8,429 – $33,281 · median $15,964 56 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $6,973 – $36,217 · median $10,609 56 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,170 – $20,718 · median $7,797 56 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $7,907 – $49,868 · median $14,693 56 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,565 – $19,436 · median $8,347 56 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,274 – $19,436 · median $6,443 56 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $8,738 – $34,367 · median $16,483 56 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,123 – $21,480 · median $9,184 56 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,735 – $15,502 · median $7,103 56 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $6,339 – $70,167 · median $14,856 56 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $6,339 – $21,068 · median $10,118 56 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,723 – $16,329 · median $7,850 56 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $21,919 – $176,974 · median $53,934 56 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $16,584 – $79,729 · median $30,443 56 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $18,831 – $94,707 · median $44,210 56 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $16,561 – $51,829 · median $25,425 56 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,176 – $46,289 · median $15,954 56 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $20,241 – $89,334 · median $41,790 56 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $16,102 – $78,639 · median $36,973 56 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $12,394 – $50,561 · median $18,890 56 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,160 – $53,492 · median $10,944 56 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,690 – $62,614 · median $28,714 56 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $12,690 – $41,763 · median $20,023 56 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,386 – $58,152 · median $15,823 56 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $16,521 – $51,704 · median $24,781 56 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $11,960 – $60,092 · median $18,227 56 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $9,388 – $35,805 · median $14,450 56 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $12,745 – $47,542 · median $21,679 56 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $17,986 – $163,723 · median $27,688 56 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $12,203 – $51,425 · median $19,318 56 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,356 – $32,074 · median $14,250 56 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $10,093 – $43,009 · median $17,076 56 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $7,556 – $30,366 · median $11,502 56 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $11,249 – $62,270 · median $29,600 56 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $11,249 – $42,793 · median $20,516 56 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $8,508 – $34,284 · median $16,444 56 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $14,826 – $88,995 · median $29,359 56 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $11,424 – $64,906 · median $17,408 56 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $8,087 – $25,327 · median $12,157 56 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $8,280 – $44,837 · median $21,290 56 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $7,147 – $91,645 · median $10,878 56 plans
500 SOFT TISSUE PROCEDURES WITH MCC $7,161 – $123,858 · median $26,579 56 plans
501 SOFT TISSUE PROCEDURES WITH CC $7,161 – $44,090 · median $15,649 56 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $5,359 – $35,799 · median $12,588 56 plans
503 FOOT PROCEDURES WITH MCC $5,342 – $142,931 · median $22,456 56 plans
504 FOOT PROCEDURES WITH CC $5,342 – $47,651 · median $15,307 56 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $5,342 – $36,700 · median $15,307 56 plans
506 MAJOR THUMB OR JOINT PROCEDURES $6,669 – $27,910 · median $13,393 56 plans
509 ARTHROSCOPY $5,481 – $95,377 · median $15,321 56 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $5,621 – $50,336 · median $24,126 56 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $5,621 – $35,535 · median $17,014 56 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $5,621 – $30,268 · median $14,116 56 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $4,072 – $28,017 · median $13,316 56 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $4,072 – $23,237 · median $9,606 56 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $16,015 – $51,270 · median $24,573 56 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $12,135 – $55,003 · median $18,494 56 plans
533 FRACTURES OF FEMUR WITH MCC $9,064 – $28,335 · median $13,805 56 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,321 – $28,330 · median $8,026 56 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $8,038 – $25,118 · median $12,238 56 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,305 – $21,468 · median $8,002 56 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $4,932 – $21,190 · median $8,771 56 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,571 – $19,592 · median $6,857 56 plans
539 OSTEOMYELITIS WITH MCC $3,449 – $36,545 · median $17,644 56 plans
540 OSTEOMYELITIS WITH CC $7,849 – $33,010 · median $12,089 56 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,642 – $33,538 · median $8,511 56 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $7,556 – $33,949 · median $16,284 56 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $6,621 – $20,679 · median $10,026 56 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,014 – $18,574 · median $7,539 56 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $7,376 – $44,870 · median $21,306 56 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $7,131 – $31,439 · median $10,704 56 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,964 – $15,485 · median $7,447 56 plans
548 SEPTIC ARTHRITIS WITH MCC $11,643 – $36,416 · median $17,464 56 plans
549 SEPTIC ARTHRITIS WITH CC $7,381 – $29,184 · median $11,234 56 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $4,393 – $29,184 · median $8,362 56 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,497 – $24,723 · median $11,868 56 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,218 – $16,944 · median $8,145 56 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,723 – $53,803 · median $12,072 56 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $4,723 – $16,646 · median $8,002 56 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $4,804 – $30,595 · median $13,661 56 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,804 – $17,426 · median $8,296 56 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $6,420 – $55,652 · median $16,146 56 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $6,420 – $39,065 · median $10,547 56 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,340 – $16,664 · median $8,011 56 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $5,154 – $27,322 · median $12,800 56 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $4,205 – $17,921 · median $8,552 56 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $5,700 – $29,067 · median $13,947 56 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,700 – $43,759 · median $9,607 56 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,731 – $15,517 · median $7,462 56 plans
570 SKIN DEBRIDEMENT WITH MCC $17,474 – $393,238 · median $26,646 56 plans
571 SKIN DEBRIDEMENT WITH CC $9,851 – $48,445 · median $15,413 56 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $7,050 – $43,685 · median $10,763 56 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $19,708 – $107,984 · median $49,712 56 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $19,279 – $60,757 · median $28,919 56 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,549 – $46,442 · median $17,706 56 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $8,911 – $94,607 · median $43,744 56 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $11,387 – $47,113 · median $22,584 56 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $5,962 – $55,798 · median $14,780 56 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $9,241 – $57,154 · median $27,296 56 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $9,241 – $32,430 · median $15,556 56 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $6,214 – $53,484 · median $12,920 56 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $8,667 – $33,575 · median $15,384 56 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $7,905 – $30,279 · median $14,527 56 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $7,016 – $47,123 · median $17,723 56 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $5,429 – $35,930 · median $17,212 56 plans
592 SKIN ULCERS WITH MCC $10,283 – $37,105 · median $17,794 56 plans
593 SKIN ULCERS WITH CC $7,473 – $25,276 · median $11,279 56 plans
594 SKIN ULCERS WITHOUT CC/MCC $5,504 – $36,355 · median $8,302 56 plans
595 MAJOR SKIN DISORDERS WITH MCC $6,950 – $39,659 · median $18,258 56 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $5,906 – $21,012 · median $10,092 56 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $8,452 – $32,161 · median $15,427 56 plans
598 MALIGNANT BREAST DISORDERS WITH CC $6,716 – $126,768 · median $10,183 56 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,537 – $77,457 · median $8,305 56 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $4,628 – $18,957 · median $9,098 56 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,192 – $13,626 · median $6,288 56 plans
602 CELLULITIS WITH MCC $7,224 – $27,416 · median $13,157 56 plans
603 CELLULITIS WITHOUT MCC $5,673 – $20,925 · median $8,510 56 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $4,414 – $27,689 · median $13,161 56 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $3,642 – $45,882 · median $8,812 56 plans
606 MINOR SKIN DISORDERS WITH MCC $5,189 – $29,745 · median $14,135 56 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $4,215 – $17,433 · median $8,214 56 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $13,035 – $53,564 · median $20,701 56 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $8,581 – $53,564 · median $13,304 56 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $21,386 – $90,117 · median $33,086 56 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $11,206 – $65,572 · median $17,663 56 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,591 – $85,315 · median $11,661 56 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $19,385 – $65,616 · median $31,107 56 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $11,107 – $47,649 · median $17,499 56 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $6,317 – $78,585 · median $9,558 56 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $10,847 – $50,484 · median $24,197 56 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $18,857 – $69,188 · median $32,716 56 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $12,878 – $46,353 · median $19,628 56 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $8,414 – $103,671 · median $13,027 56 plans
637 DIABETES WITH MCC $6,429 – $27,204 · median $13,055 56 plans
638 DIABETES WITH CC $5,865 – $27,707 · median $8,797 56 plans
639 DIABETES WITHOUT CC/MCC $4,335 – $14,939 · median $6,502 56 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $5,634 – $25,086 · median $12,042 56 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,150 – $22,375 · median $7,725 56 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $3,105 – $23,652 · median $11,355 56 plans
643 ENDOCRINE DISORDERS WITH MCC $7,621 – $30,520 · median $14,642 56 plans
644 ENDOCRINE DISORDERS WITH CC $6,477 – $28,387 · median $9,780 56 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,136 – $21,469 · median $7,703 56 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $27,277 – $302,839 · median $45,581 56 plans
654 MAJOR BLADDER PROCEDURES WITH CC $15,895 – $67,051 · median $25,524 56 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $11,973 – $67,051 · median $18,937 56 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $18,190 – $92,156 · median $28,012 56 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $10,661 – $55,325 · median $16,758 56 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $8,954 – $55,325 · median $13,924 56 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $14,642 – $45,818 · median $22,379 56 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $8,091 – $40,727 · median $12,491 56 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $6,441 – $29,847 · median $9,764 56 plans
662 MINOR BLADDER PROCEDURES WITH MCC $9,365 – $54,702 · median $25,942 56 plans
663 MINOR BLADDER PROCEDURES WITH CC $9,078 – $28,377 · median $13,616 56 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $6,721 – $62,994 · median $10,191 56 plans
665 PROSTATECTOMY WITH MCC $10,267 – $81,907 · median $28,671 56 plans
666 PROSTATECTOMY WITH CC $9,709 – $30,355 · median $14,789 56 plans
667 PROSTATECTOMY WITHOUT CC/MCC $6,447 – $20,132 · median $9,727 56 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $5,923 – $89,177 · median $24,586 56 plans
669 TRANSURETHRAL PROCEDURES WITH CC $5,923 – $48,439 · median $13,775 56 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $4,536 – $18,943 · median $9,090 56 plans
671 URETHRAL PROCEDURES WITH CC/MCC $5,957 – $37,650 · median $15,048 56 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $4,732 – $58,610 · median $10,197 56 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $22,613 – $122,287 · median $34,642 56 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $13,190 – $55,586 · median $20,958 56 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $9,277 – $95,393 · median $14,460 56 plans
682 RENAL FAILURE WITH MCC $8,943 – $78,310 · median $13,620 56 plans
683 RENAL FAILURE WITH CC $5,716 – $26,474 · median $8,622 56 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,234 – $26,474 · median $6,382 56 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $7,514 – $34,289 · median $16,446 56 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $6,578 – $24,286 · median $9,955 56 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,849 – $60,293 · median $7,273 56 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $7,033 – $22,484 · median $10,796 56 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,261 – $16,416 · median $7,892 56 plans
693 URINARY STONES WITH MCC $3,339 – $27,436 · median $13,041 56 plans
694 URINARY STONES WITHOUT MCC $3,339 – $16,066 · median $7,651 56 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $4,127 – $21,783 · median $10,460 56 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $3,260 – $14,588 · median $7,017 56 plans
697 URETHRAL STRICTURE $4,842 – $19,703 · median $9,465 56 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $6,791 – $39,491 · median $14,829 56 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $6,406 – $20,002 · median $9,652 56 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,691 – $15,856 · median $7,036 56 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $11,253 – $46,874 · median $17,148 56 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $8,841 – $32,777 · median $13,464 56 plans
709 PENIS PROCEDURES WITH CC/MCC $8,129 – $48,568 · median $19,301 56 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $8,129 – $27,948 · median $13,411 56 plans
711 TESTES PROCEDURES WITH CC/MCC $7,262 – $34,700 · median $16,643 56 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $4,701 – $20,822 · median $10,001 56 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $8,046 – $27,034 · median $12,974 56 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $5,983 – $18,679 · median $8,975 56 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $9,143 – $40,438 · median $19,389 56 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $8,508 – $35,545 · median $12,956 56 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $6,663 – $33,791 · median $16,208 56 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $6,663 – $30,132 · median $11,283 56 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $6,985 – $61,035 · median $15,208 56 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $6,948 – $21,702 · median $10,422 56 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,872 – $55,330 · median $7,308 56 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $5,101 – $24,007 · median $11,525 56 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,957 – $19,414 · median $7,362 56 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $5,112 – $27,420 · median $13,033 56 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,112 – $16,655 · median $8,007 56 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $4,365 – $21,339 · median $10,248 56 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,717 – $16,052 · median $6,286 56 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $17,205 – $96,062 · median $32,652 56 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $11,558 – $42,293 · median $17,612 56 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,022 – $42,293 · median $14,037 56 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $11,058 – $73,354 · median $32,994 56 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $10,609 – $60,345 · median $16,046 56 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $8,268 – $102,324 · median $12,402 56 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $5,376 – $48,982 · median $16,955 56 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $5,019 – $170,264 · median $9,647 56 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $5,167 – $30,806 · median $14,641 56 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $5,167 – $18,934 · median $9,086 56 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $6,906 – $25,652 · median $12,312 56 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $14,665 – $45,889 · median $22,415 56 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,825 – $45,509 · median $12,049 56 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $7,031 – $52,267 · median $15,843 56 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,880 – $21,490 · median $10,321 56 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,364 – $18,931 · median $9,038 56 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $6,204 – $52,845 · median $12,731 56 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,204 – $19,992 · median $9,604 56 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,405 – $15,251 · median $6,608 56 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $4,481 – $19,436 · median $9,315 56 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,373 – $35,250 · median $6,560 56 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $4,699 – $64,958 · median $12,408 56 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,058 – $20,928 · median $9,956 56 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,461 – $14,946 · median $7,120 56 plans
779 ABORTION WITHOUT D&C $2,668 – $18,598 · median $8,789 56 plans
799 SPLENECTOMY WITH MCC $26,071 – $83,375 · median $39,106 56 plans
800 SPLENECTOMY WITH CC $16,377 – $100,270 · median $25,862 56 plans
801 SPLENECTOMY WITHOUT CC/MCC $9,679 – $30,474 · median $14,744 56 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $8,878 – $161,104 · median $29,866 56 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $8,878 – $32,545 · median $15,611 56 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $6,857 – $21,823 · median $10,416 56 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $10,353 – $40,966 · median $19,642 56 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $7,556 – $100,011 · median $11,503 56 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $6,047 – $25,448 · median $9,123 56 plans
811 RED BLOOD CELL DISORDERS WITH MCC $5,832 – $38,683 · median $12,665 56 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $2,407 – $18,401 · median $8,687 56 plans
813 COAGULATION DISORDERS $8,128 – $28,717 · median $13,779 56 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $7,951 – $37,669 · median $18,064 56 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $6,386 – $19,939 · median $9,616 56 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,507 – $14,524 · median $6,761 56 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $2,826 – $45,006 · median $21,575 56 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $2,826 – $24,426 · median $11,614 56 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,487 – $16,646 · median $7,765 56 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $27,595 – $111,750 · median $47,537 56 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $12,790 – $67,831 · median $20,293 56 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $7,057 – $33,524 · median $10,741 56 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $15,757 – $119,301 · median $38,511 56 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $12,616 – $39,466 · median $19,228 56 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $7,516 – $23,482 · median $11,441 56 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $20,629 – $104,968 · median $39,270 56 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $13,461 – $57,190 · median $20,598 56 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,475 – $34,318 · median $14,432 56 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $8,561 – $54,074 · median $25,909 56 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $8,561 – $79,316 · median $13,104 56 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $2,826 – $22,165 · median $10,542 56 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,826 – $15,505 · median $7,227 56 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,487 – $11,749 · median $5,524 56 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $18,976 – $96,921 · median $45,207 56 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $12,282 – $46,645 · median $18,869 56 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $7,726 – $24,141 · median $11,661 56 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $20,983 – $327,819 · median $41,100 56 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $11,714 – $51,578 · median $18,508 56 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $8,251 – $51,578 · median $12,756 56 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $11,001 – $55,919 · median $26,740 56 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $9,291 – $138,959 · median $14,152 56 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $6,574 – $20,530 · median $9,889 56 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $8,524 – $42,107 · median $16,506 56 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $1,511 – $22,895 · median $11,060 56 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,441 – $22,790 · median $8,162 56 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $3,493 – $45,314 · median $21,516 56 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $3,493 – $24,141 · median $11,313 56 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,493 – $16,685 · median $7,830 56 plans
849 RADIOTHERAPY $8,035 – $186,276 · median $22,649 56 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $27,139 – $87,698 · median $41,053 56 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $11,556 – $66,710 · median $18,245 56 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $9,595 – $66,710 · median $14,988 56 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $24,790 – $79,111 · median $38,492 56 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $12,374 – $66,710 · median $19,063 56 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $7,819 – $66,710 · median $12,039 56 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $8,171 – $33,514 · median $16,075 56 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $6,300 – $20,085 · median $9,475 56 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,764 – $18,648 · median $8,646 56 plans
865 VIRAL ILLNESS WITH MCC $5,367 – $43,964 · median $13,201 56 plans
866 VIRAL ILLNESS WITHOUT MCC $4,624 – $17,773 · median $8,392 56 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $10,766 – $115,030 · median $18,489 56 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $6,565 – $26,464 · median $9,970 56 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,824 – $26,464 · median $7,275 56 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $13,193 – $143,744 · median $56,495 56 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $11,366 – $44,022 · median $17,320 56 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $6,464 – $32,430 · median $9,803 56 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $5,997 – $172,079 · median $12,989 56 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $16,649 – $77,689 · median $36,545 56 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $11,027 – $40,926 · median $16,802 56 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $7,454 – $40,926 · median $11,433 56 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $13,457 – $89,735 · median $32,048 56 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $9,714 – $84,069 · median $14,797 56 plans
906 HAND PROCEDURES FOR INJURIES $5,954 – $39,187 · median $18,790 56 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $14,792 – $69,854 · median $33,016 56 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $11,656 – $139,314 · median $17,763 56 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $7,713 – $29,789 · median $11,864 56 plans
913 TRAUMATIC INJURY WITH MCC $5,766 – $40,882 · median $14,254 56 plans
914 TRAUMATIC INJURY WITHOUT MCC $4,903 – $18,294 · median $8,673 56 plans
915 ALLERGIC REACTIONS WITH MCC $3,644 – $66,003 · median $15,165 56 plans
916 ALLERGIC REACTIONS WITHOUT MCC $2,829 – $14,131 · median $6,636 56 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $5,667 – $43,357 · median $14,365 56 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,482 – $17,769 · median $8,390 56 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $6,587 – $33,265 · median $15,956 56 plans
920 COMPLICATIONS OF TREATMENT WITH CC $5,408 – $19,936 · median $9,577 56 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,605 – $14,967 · median $6,985 56 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $6,603 – $31,050 · median $14,896 56 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $2,211 – $20,002 · median $9,608 56 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $115,082 – $415,979 · median $188,914 56 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $34,632 – $117,115 · median $54,303 56 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $13,924 – $113,407 · median $26,672 56 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $14,573 – $96,675 · median $35,727 56 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $11,559 – $38,582 · median $18,501 56 plans
935 NON-EXTENSIVE BURNS $9,482 – $39,417 · median $18,900 56 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $11,046 – $97,157 · median $26,621 56 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $11,046 – $38,014 · median $18,229 56 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $11,046 – $35,421 · median $16,988 56 plans
947 SIGNS AND SYMPTOMS WITH MCC $6,481 – $24,396 · median $11,711 56 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,219 – $27,584 · median $7,828 56 plans
949 AFTERCARE WITH CC/MCC $3,385 – $20,977 · median $9,835 56 plans
950 AFTERCARE WITHOUT CC/MCC $2,349 – $75,784 · median $5,990 56 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,021 – $14,454 · median $6,031 56 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $36,988 – $142,364 · median $58,094 56 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $21,161 – $72,480 · median $32,730 56 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $40,337 – $130,885 · median $60,505 56 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $22,675 – $99,409 · median $37,170 56 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $14,956 – $137,959 · median $23,912 56 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $14,940 – $88,107 · median $23,009 56 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $8,934 – $36,723 · median $13,890 56 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,841 – $36,723 · median $8,811 56 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $35,453 – $518,620 · median $53,332 56 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $15,006 – $203,225 · median $23,997 56 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $16,759 – $52,450 · median $25,138 56 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $8,520 – $41,433 · median $12,973 56 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,317 – $62,377 · median $9,557 56 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $8,627 – $26,966 · median $13,024 56 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $26,066 – $83,360 · median $40,517 56 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $13,926 – $80,225 · median $22,181 56 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,819 – $72,552 · median $15,360 56 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $13,639 – $61,420 · median $29,217 56 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $10,071 – $34,994 · median $15,206 56 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $7,119 – $34,994 · median $10,877 56 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $30,159 – $261,787 · median $50,020 55 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $16,114 – $74,134 · median $24,803 55 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $19,070 – $60,061 · median $29,153 55 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $14,848 – $80,919 · median $22,690 55 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $16,015 – $62,130 · median $27,369 55 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $10,963 – $39,367 · median $16,665 55 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $9,998 – $44,468 · median $16,861 55 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $7,831 – $24,576 · median $11,893 55 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $8,982 – $28,743 · median $13,647 55 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $6,980 – $33,976 · median $11,559 55 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $12,107 – $47,872 · median $18,496 55 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $7,427 – $47,872 · median $11,332 55 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $9,092 – $33,316 · median $15,980 55 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $7,347 – $36,391 · median $11,156 55 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $1,648 – $35,643 · median $15,790 54 plans
791 PREMATURITY WITH MAJOR PROBLEMS $5,879 – $70,168 · median $33,618 54 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $4,650 – $43,597 · median $20,403 54 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $4,167 – $71,993 · median $33,670 54 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,528 – $27,532 · median $12,820 54 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $18,029 – $68,906 · median $32,589 54 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $4,965 – $43,359 · median $9,124 54 plans
881 DEPRESSIVE NEUROSES $5,848 – $42,982 · median $8,823 54 plans
882 NEUROSES EXCEPT DEPRESSIVE $3,301 – $19,047 · median $9,151 54 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $6,900 – $33,765 · median $16,195 54 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $6,864 – $30,733 · median $14,744 54 plans
885 PSYCHOSES $8,457 – $26,433 · median $12,730 54 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $6,924 – $58,008 · median $15,742 54 plans
887 OTHER MENTAL DISORDER DIAGNOSES $5,681 – $22,799 · median $10,947 54 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,185 – $13,471 · median $6,482 54 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $3,259 – $123,094 · median $15,618 54 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $3,259 – $39,341 · median $8,370 54 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $27,217 – $229,740 · median $106,627 53 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $13,229 – $226,105 · median $50,193 53 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $91,983 – $2,002,043 · median $314,174 53 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $11,458 – $139,005 · median $65,124 53 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $3,588 – $111,306 · median $48,505 53 plans
795 NORMAL NEWBORN $978 – $6,469 · median $2,982 53 plans
945 REHABILITATION WITH CC/MCC $9,073 – $51,665 · median $13,851 53 plans
946 REHABILITATION WITHOUT CC/MCC $6,914 – $42,896 · median $10,526 53 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $32,816 – $226,105 · median $50,073 50 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $25,294 – $165,653 · median $38,218 50 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $19,319 – $153,403 · median $29,464 50 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $57,107 – $331,494 · median $90,433 48 plans
006 LIVER TRANSPLANT WITHOUT MCC $27,028 – $429,105 · median $43,525 48 plans
007 LUNG TRANSPLANT $77,593 – $1,513,993 · median $190,308 48 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $29,773 – $414,358 · median $46,574 48 plans
010 PANCREAS TRANSPLANT $43,015 – $254,736 · median $65,007 48 plans
652 KIDNEY TRANSPLANT $17,207 – $123,997 · median $27,629 48 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $105,244 – $592,614 · median $224,024 47 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $59,057 – $527,021 · median $90,358 47 plans
999 UNGROUPABLE $1,400 – $21,765 · median $21,765 19 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,400 – $11,378 · median $11,378 17 plans
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