Good Samaritan Medical Center — Pricing

782 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 782 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 782
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 782 procedures

Procedures with negotiated rates only

These 782 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
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $1,628 – $14,943 · median $8,907 14 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $1,628 – $16,509 · median $8,907 14 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $1,628 – $14,943 · median $8,907 14 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $1,628 – $14,943 · median $8,631 14 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $1,628 – $14,943 · median $8,907 14 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $1,628 – $14,943 · median $8,210 14 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $1,628 – $14,943 · median $7,545 14 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $2,145 – $33,358 · median $13,055 13 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $2,145 – $16,738 · median $11,319 13 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $11,223 – $50,006 · median $18,000 13 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,223 – $50,006 · median $16,790 13 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,223 – $50,006 · median $15,704 13 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $3,465 – $27,419 · median $13,300 13 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $3,465 – $15,848 · median $11,441 13 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,465 – $14,943 · median $11,255 13 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $3,465 – $27,074 · median $13,300 13 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $3,465 – $16,266 · median $11,441 13 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $3,465 – $14,943 · median $11,187 13 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $7,217 – $150,190 · median $29,600 12 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $7,217 – $98,503 · median $29,600 12 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $7,217 – $88,156 · median $29,600 12 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $7,217 – $81,160 · median $28,500 12 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $7,217 – $71,937 · median $28,032 12 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $7,217 – $35,000 · median $12,229 12 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $7,217 – $35,000 · median $12,229 12 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $7,217 – $35,000 · median $12,229 12 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $7,217 – $35,000 · median $12,229 12 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $7,217 – $35,000 · median $12,229 12 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $7,217 – $35,000 · median $12,229 12 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $7,217 – $77,974 · median $28,500 12 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $7,217 – $49,204 · median $23,603 12 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $7,217 – $120,699 · median $27,100 12 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $7,217 – $80,438 · median $27,100 12 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $7,217 – $91,002 · median $26,000 12 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $7,217 – $62,538 · median $26,000 12 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $2,145 – $53,468 · median $14,972 12 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $4,675 – $35,246 · median $14,972 12 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $4,675 – $28,312 · median $14,972 12 plans
245 AICD GENERATOR PROCEDURES $4,675 – $70,123 · median $21,429 12 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $3,500 – $17,325 · median $11,479 12 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $3,500 – $17,325 · median $11,479 12 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $4,675 – $17,325 · median $11,479 12 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $2,145 – $41,916 · median $14,972 12 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $2,145 – $28,886 · median $14,972 12 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $2,145 – $51,303 · median $14,972 12 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $2,145 – $29,121 · median $14,972 12 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $2,145 – $25,461 · median $14,293 12 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $7,217 – $53,802 · median $26,997 11 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $7,217 – $87,725 · median $35,000 11 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $7,217 – $45,699 · median $15,000 11 plans
163 MAJOR CHEST PROCEDURES WITH MCC $11,319 – $72,943 · median $28,901 11 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $11,319 – $29,037 · median $15,559 11 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $11,319 – $62,794 · median $25,147 11 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $11,319 – $28,161 · median $15,090 11 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $11,319 – $47,586 · median $24,290 11 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $9,951 – $24,290 · median $14,491 11 plans
176 PULMONARY EMBOLISM WITHOUT MCC $3,423 – $14,943 · median $10,949 11 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $3,423 – $26,252 · median $14,067 11 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $3,423 – $14,943 · median $9,901 11 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $11,319 – $158,074 · median $60,389 11 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $7,217 – $119,331 · median $35,000 11 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $7,217 – $125,583 · median $30,000 11 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $7,217 – $92,055 · median $30,000 11 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $7,217 – $17,325 · median $11,639 11 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $7,217 – $36,379 · median $14,943 11 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $7,217 – $24,557 · median $13,159 11 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,319 – $36,708 · median $19,669 11 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $11,319 – $80,263 · median $31,608 11 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $11,319 – $53,950 · median $27,055 11 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $11,319 – $41,312 · median $22,130 11 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $11,319 – $48,924 · median $22,000 11 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $11,319 – $31,581 · median $16,922 11 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $10,474 – $23,126 · median $14,943 11 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $11,319 – $169,449 · median $65,720 10 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $11,319 – $189,477 · median $75,937 10 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $11,319 – $329,932 · median $129,280 10 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $11,319 – $227,483 · median $90,371 10 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $11,319 – $160,166 · median $64,805 10 plans
006 LIVER TRANSPLANT WITHOUT MCC $11,319 – $74,851 · median $32,403 10 plans
007 LUNG TRANSPLANT $11,319 – $189,823 · median $76,068 10 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $11,319 – $81,425 · median $34,900 10 plans
010 PANCREAS TRANSPLANT $11,319 – $74,490 · median $32,266 10 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $11,319 – $79,794 · median $34,280 10 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $11,319 – $61,976 · median $27,513 10 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $11,319 – $41,561 · median $19,760 10 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $11,319 – $177,357 · median $71,334 10 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $11,319 – $95,589 · median $40,279 10 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $11,319 – $95,589 · median $40,279 10 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $11,319 – $570,141 · median $220,509 10 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $11,319 – $123,699 · median $50,955 10 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $11,319 – $130,801 · median $53,652 10 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $11,319 – $95,038 · median $40,070 10 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $11,319 – $58,632 · median $26,243 10 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $7,217 – $68,338 · median $23,802 10 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $11,319 – $37,649 · median $18,010 10 plans
028 SPINAL PROCEDURES WITH MCC $11,319 – $93,254 · median $39,392 10 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $11,319 – $53,051 · median $24,124 10 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $11,319 – $35,887 · median $17,212 10 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $11,319 – $63,704 · median $28,170 10 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $11,319 – $33,330 · median $16,401 10 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $11,209 – $25,114 · median $14,200 10 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $11,319 – $60,374 · median $26,905 10 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $11,319 – $35,585 · median $17,075 10 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $11,319 – $27,982 · median $14,968 10 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $11,319 – $52,237 · median $23,814 10 plans
038 EXTRACRANIAL PROCEDURES WITH CC $11,078 – $24,758 · median $14,105 10 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,451 – $17,657 · median $12,654 10 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $11,319 – $59,586 · median $26,606 10 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $11,319 – $34,520 · median $16,720 10 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $11,319 – $26,923 · median $14,685 10 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $11,319 – $30,091 · median $15,533 10 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,551 – $15,224 · median $11,707 10 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,354 – $22,802 · median $13,985 10 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,063 – $16,608 · median $12,444 10 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $11,319 – $37,047 · median $17,737 10 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $9,723 – $21,096 · median $13,582 10 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $11,319 – $26,739 · median $14,635 10 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $8,715 – $18,372 · median $12,726 10 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $7,057 – $14,943 · median $11,381 10 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $11,319 – $43,373 · median $20,448 10 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $11,319 – $28,965 · median $15,232 10 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,430 – $23,008 · median $13,999 10 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $11,319 – $30,996 · median $15,776 10 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,738 – $15,729 · median $11,995 10 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,701 – $14,943 · median $10,408 10 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,030 – $21,927 · median $13,815 10 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,906 – $14,943 · median $11,301 10 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,492 – $14,943 · median $11,083 10 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $11,319 – $27,693 · median $14,891 10 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $7,998 – $16,431 · median $12,378 10 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $6,402 – $14,943 · median $11,036 10 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $10,580 – $23,414 · median $13,999 10 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,794 – $15,880 · median $12,081 10 plans
075 VIRAL MENINGITIS WITH CC/MCC $11,319 – $29,616 · median $15,406 10 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $7,200 – $14,943 · median $11,456 10 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $10,568 – $23,381 · median $13,999 10 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,741 – $15,737 · median $11,999 10 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $6,143 – $14,943 · median $10,908 10 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $11,319 – $34,180 · median $16,629 10 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,126 – $14,943 · median $11,417 10 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $11,319 – $35,257 · median $16,926 10 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $9,684 – $20,990 · median $13,547 10 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,184 – $14,943 · median $11,448 10 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $11,319 – $35,172 · median $16,895 10 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,459 – $20,382 · median $13,343 10 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,993 – $14,943 · median $11,347 10 plans
088 CONCUSSION WITH MCC $10,699 – $23,736 · median $13,999 10 plans
089 CONCUSSION WITH CC $8,502 – $17,795 · median $12,681 10 plans
090 CONCUSSION WITHOUT CC/MCC $7,271 – $14,943 · median $11,493 10 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $11,319 – $27,688 · median $14,890 10 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,793 – $15,879 · median $12,081 10 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,353 – $14,943 · median $11,010 10 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $11,319 – $56,061 · median $25,267 10 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $11,319 – $36,896 · median $17,668 10 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $11,319 – $33,731 · median $16,509 10 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $11,319 – $56,281 · median $25,350 10 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $11,319 – $33,341 · median $16,404 10 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $9,477 – $20,430 · median $13,359 10 plans
100 SEIZURES WITH MCC $11,319 – $30,679 · median $15,691 10 plans
101 SEIZURES WITHOUT MCC $7,126 – $14,943 · median $11,417 10 plans
102 HEADACHES WITH MCC $8,827 – $18,672 · median $12,771 10 plans
103 HEADACHES WITHOUT MCC $6,742 – $14,943 · median $11,215 10 plans
113 ORBITAL PROCEDURES WITH CC/MCC $11,319 – $38,800 · median $18,531 10 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $8,971 – $19,062 · median $12,902 10 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $10,875 – $24,209 · median $13,999 10 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $11,319 – $28,332 · median $15,062 10 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,780 – $18,545 · median $12,729 10 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $9,254 – $19,827 · median $13,157 10 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,173 – $14,943 · median $10,920 10 plans
123 NEUROLOGICAL EYE DISORDERS $6,522 – $14,943 · median $11,099 10 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $9,487 – $20,456 · median $13,368 10 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,485 – $14,943 · median $11,079 10 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $11,319 – $41,041 · median $19,546 10 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,295 – $14,943 · median $11,506 10 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,533 – $23,285 · median $13,999 10 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,875 – $14,943 · median $11,285 10 plans
139 SALIVARY GLAND PROCEDURES $8,718 – $18,380 · median $12,726 10 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $11,319 – $58,466 · median $26,180 10 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $11,319 – $32,060 · median $16,061 10 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $10,764 – $23,909 · median $13,999 10 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $11,319 – $51,464 · median $23,521 10 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $11,319 – $26,779 · median $14,646 10 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,910 – $18,897 · median $12,846 10 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $11,319 – $32,668 · median $16,224 10 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,994 – $19,124 · median $12,923 10 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $7,013 – $14,943 · median $11,357 10 plans
149 DYSEQUILIBRIUM $6,175 – $14,943 · median $10,920 10 plans
150 EPISTAXIS WITH MCC $9,444 – $20,342 · median $13,330 10 plans
151 EPISTAXIS WITHOUT MCC $6,331 – $14,943 · median $10,999 10 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $6,093 – $14,943 · median $10,890 10 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $10,725 – $23,804 · median $13,999 10 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,338 – $14,943 · median $11,529 10 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,435 – $14,943 · median $10,064 10 plans
157 DENTAL AND ORAL DISEASES WITH MCC $11,319 – $26,416 · median $14,549 10 plans
158 DENTAL AND ORAL DISEASES WITH CC $7,292 – $14,943 · median $11,505 10 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,599 – $14,943 · median $10,276 10 plans
164 MAJOR CHEST PROCEDURES WITH CC $11,319 – $39,467 · median $18,833 10 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,680 – $20,979 · median $13,543 10 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,568 – $15,269 · median $11,733 10 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,289 – $14,943 · median $10,976 10 plans
180 RESPIRATORY NEOPLASMS WITH MCC $11,319 – $26,899 · median $14,678 10 plans
181 RESPIRATORY NEOPLASMS WITH CC $8,223 – $17,040 · median $12,534 10 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,264 – $14,943 · median $10,963 10 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,932 – $24,365 · median $13,999 10 plans
184 MAJOR CHEST TRAUMA WITH CC $7,941 – $16,278 · median $12,309 10 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,246 – $14,943 · median $10,953 10 plans
186 PLEURAL EFFUSION WITH MCC $10,804 – $24,019 · median $13,999 10 plans
187 PLEURAL EFFUSION WITH CC $7,623 – $15,418 · median $11,817 10 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $6,190 – $14,943 · median $10,926 10 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,972 – $19,065 · median $12,903 10 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,780 – $14,943 · median $11,235 10 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,513 – $20,529 · median $13,392 10 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,187 – $14,943 · median $9,742 10 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $11,319 – $29,331 · median $15,330 10 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,630 – $15,436 · median $11,828 10 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,374 – $14,943 · median $11,021 10 plans
199 PNEUMOTHORAX WITH MCC $11,319 – $27,454 · median $14,827 10 plans
200 PNEUMOTHORAX WITH CC $8,085 – $16,667 · median $12,461 10 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,855 – $14,943 · median $10,608 10 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,401 – $14,943 · median $11,562 10 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,762 – $14,943 · median $10,487 10 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,630 – $14,943 · median $11,156 10 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $11,319 – $28,014 · median $14,977 10 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,149 – $14,943 · median $11,429 10 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $11,319 – $106,901 · median $44,575 10 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $11,319 – $41,841 · median $19,866 10 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES $11,319 – $166,677 · median $67,277 10 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $11,319 – $74,385 · median $32,226 10 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $11,319 – $43,472 · median $20,486 10 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $9,875 – $21,507 · median $13,719 10 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $11,319 – $51,900 · median $23,686 10 plans
253 OTHER VASCULAR PROCEDURES WITH CC $11,319 – $39,478 · median $18,838 10 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $11,319 – $42,516 · median $20,122 10 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $11,306 – $25,374 · median $14,270 10 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,592 – $15,336 · median $11,770 10 plans
263 VEIN LIGATION AND STRIPPING $11,319 – $43,720 · median $20,580 10 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $11,319 – $50,541 · median $23,170 10 plans
265 AICD LEAD PROCEDURES $11,319 – $54,690 · median $24,746 10 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $11,319 – $106,076 · median $44,262 10 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $11,319 – $64,354 · median $28,416 10 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $11,319 – $78,256 · median $33,696 10 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $11,319 – $53,485 · median $24,288 10 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $11,319 – $37,751 · median $18,056 10 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $11,319 – $60,306 · median $26,879 10 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $11,319 – $50,151 · median $23,022 10 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $11,319 – $108,879 · median $45,326 10 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $11,319 – $96,103 · median $40,474 10 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $11,319 – $74,008 · median $32,083 10 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $11,319 – $69,025 · median $30,190 10 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $11,319 – $49,529 · median $22,786 10 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,001 – $24,551 · median $14,049 10 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,146 – $14,943 · median $11,428 10 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $11,319 – $30,507 · median $15,645 10 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $6,134 – $14,943 · median $10,905 10 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,052 – $14,943 · median $8,270 10 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $11,319 – $40,127 · median $19,132 10 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $10,378 – $22,867 · median $13,998 10 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,788 – $15,865 · median $12,073 10 plans
291 HEART FAILURE AND SHOCK WITH MCC $9,269 – $19,868 · median $13,171 10 plans
292 HEART FAILURE AND SHOCK WITH CC $6,823 – $14,943 · median $11,257 10 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,656 – $14,943 · median $9,053 10 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $8,180 – $16,925 · median $12,512 10 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,236 – $14,943 · median $9,806 10 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,097 – $24,810 · median $14,118 10 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $6,042 – $14,943 · median $10,850 10 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,639 – $14,943 · median $7,735 10 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $10,942 – $24,392 · median $14,006 10 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,886 – $14,943 · median $10,648 10 plans
302 ATHEROSCLEROSIS WITH MCC $8,337 – $17,349 · median $12,594 10 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,457 – $14,943 · median $10,092 10 plans
304 HYPERTENSION WITH MCC $8,497 – $17,781 · median $12,679 10 plans
305 HYPERTENSION WITHOUT MCC $6,233 – $14,943 · median $10,947 10 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $10,717 – $23,782 · median $13,999 10 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,315 – $14,943 · median $11,517 10 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,801 – $18,604 · median $12,749 10 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,175 – $14,943 · median $10,920 10 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,585 – $14,943 · median $8,962 10 plans
311 ANGINA PECTORIS $5,789 – $14,943 · median $10,522 10 plans
312 SYNCOPE AND COLLAPSE $6,863 – $14,943 · median $11,278 10 plans
313 CHEST PAIN $6,000 – $14,943 · median $10,796 10 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,744 – $14,943 · median $10,464 10 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $11,319 – $67,500 · median $29,611 10 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $11,319 – $34,447 · median $16,701 10 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $11,319 – $44,486 · median $20,871 10 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $11,319 – $28,217 · median $15,031 10 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $11,319 – $64,067 · median $28,307 10 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $11,319 – $45,939 · median $21,422 10 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $11,319 – $40,921 · median $19,491 10 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $11,319 – $78,598 · median $33,826 10 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $11,319 – $38,647 · median $18,462 10 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,063 – $24,718 · median $14,094 10 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $11,319 – $69,897 · median $30,522 10 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,490 – $32,000 · median $15,528 10 plans
332 RECTAL RESECTION WITH MCC $11,319 – $56,137 · median $25,296 10 plans
333 RECTAL RESECTION WITH CC $11,319 – $32,180 · median $16,093 10 plans
334 RECTAL RESECTION WITHOUT CC/MCC $11,108 – $24,839 · median $14,126 10 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $11,319 – $55,323 · median $24,986 10 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $11,319 – $32,580 · median $16,200 10 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $10,485 – $23,157 · median $13,999 10 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $7,644 – $17,325 · median $11,850 10 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $7,644 – $17,325 · median $11,850 10 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $7,644 – $17,325 · median $11,850 10 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $7,644 – $17,325 · median $11,850 10 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $7,644 – $17,325 · median $11,850 10 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $11,319 – $42,408 · median $20,081 10 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,738 – $23,841 · median $13,999 10 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,291 – $19,929 · median $13,192 10 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $11,319 – $39,447 · median $18,824 10 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $9,369 – $20,139 · median $13,262 10 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $7,505 – $15,101 · median $11,636 10 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $11,319 – $37,140 · median $17,779 10 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,252 – $22,525 · median $13,932 10 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,268 – $17,162 · median $12,558 10 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $11,319 – $45,254 · median $21,162 10 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $9,719 – $21,086 · median $13,579 10 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $11,319 – $66,213 · median $29,122 10 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $11,319 – $33,995 · median $16,579 10 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,253 – $19,825 · median $13,157 10 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,319 – $25,565 · median $14,321 10 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,577 – $15,294 · median $11,747 10 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $6,167 – $14,943 · median $10,917 10 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $11,319 – $27,046 · median $14,717 10 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,886 – $16,130 · median $12,224 10 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,941 – $14,943 · median $10,720 10 plans
374 DIGESTIVE MALIGNANCY WITH MCC $11,319 – $32,482 · median $16,174 10 plans
375 DIGESTIVE MALIGNANCY WITH CC $8,779 – $18,544 · median $12,728 10 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $7,022 – $14,943 · median $11,363 10 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $11,319 – $27,705 · median $14,894 10 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,551 – $15,224 · median $11,707 10 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,250 – $14,943 · median $9,824 10 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $11,319 – $30,153 · median $15,550 10 plans
381 COMPLICATED PEPTIC ULCER WITH CC $8,062 – $16,605 · median $12,443 10 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,254 – $14,943 · median $10,958 10 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,923 – $21,637 · median $13,758 10 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,932 – $14,943 · median $11,315 10 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,889 – $24,248 · median $13,999 10 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,673 – $14,943 · median $10,371 10 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,240 – $22,493 · median $13,925 10 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,479 – $14,943 · median $11,076 10 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,635 – $14,943 · median $9,026 10 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,222 – $19,741 · median $13,129 10 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,417 – $14,943 · median $11,044 10 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,191 – $25,063 · median $14,186 10 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,283 – $14,943 · median $11,500 10 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,369 – $14,943 · median $9,978 10 plans
397 APPENDIX PROCEDURES WITH MCC $11,319 – $34,766 · median $16,786 10 plans
398 APPENDIX PROCEDURES WITH CC $10,582 – $23,418 · median $13,999 10 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,291 – $17,225 · median $12,570 10 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $11,319 – $85,193 · median $36,331 10 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $11,319 – $44,683 · median $20,945 10 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $11,319 – $33,287 · median $16,390 10 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $11,319 – $57,601 · median $25,852 10 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $11,319 – $30,289 · median $15,586 10 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $10,879 – $24,221 · median $13,999 10 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $11,319 – $44,576 · median $20,905 10 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $11,319 – $31,654 · median $15,952 10 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $10,561 – $23,361 · median $13,999 10 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $11,319 – $54,552 · median $24,694 10 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $11,319 – $30,576 · median $15,663 10 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $9,586 – $20,724 · median $13,458 10 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $11,319 – $35,868 · median $17,203 10 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $11,277 – $25,297 · median $14,249 10 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $9,437 – $20,322 · median $13,323 10 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $11,319 – $49,532 · median $22,787 10 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $11,319 – $26,456 · median $14,560 10 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $9,997 – $21,835 · median $13,797 10 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $11,319 – $60,521 · median $26,961 10 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $11,319 – $32,301 · median $16,125 10 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,089 – $24,789 · median $14,113 10 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $11,319 – $29,650 · median $15,415 10 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,821 – $15,955 · median $12,124 10 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,551 – $14,943 · median $10,214 10 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $11,319 – $27,234 · median $14,768 10 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,220 – $17,033 · median $12,533 10 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,677 – $14,943 · median $11,181 10 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $11,319 – $25,825 · median $14,390 10 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,815 – $14,943 · median $11,253 10 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,105 – $14,943 · median $9,635 10 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $11,319 – $28,291 · median $15,051 10 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,366 – $14,943 · median $11,544 10 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,926 – $14,943 · median $10,700 10 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,268 – $25,274 · median $14,243 10 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,141 – $16,818 · median $12,491 10 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,508 – $14,943 · median $11,091 10 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $11,319 – $105,516 · median $44,049 10 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $11,319 – $44,046 · median $20,704 10 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $11,319 – $87,646 · median $37,262 10 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $11,319 – $46,447 · median $21,615 10 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,319 – $28,951 · median $15,228 10 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $11,666 – $51,529 · median $26,861 10 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $11,666 – $29,119 · median $16,491 10 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $11,319 – $66,586 · median $29,264 10 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $11,319 – $33,189 · median $16,363 10 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,657 – $18,213 · median $12,726 10 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $11,319 – $52,135 · median $23,776 10 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $11,319 – $36,888 · median $17,665 10 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $11,319 – $28,845 · median $15,200 10 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $10,090 – $22,089 · median $13,846 10 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $10,825 – $40,405 · median $18,297 10 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $10,695 – $19,960 · median $13,202 10 plans
509 ARTHROSCOPY $9,511 – $20,523 · median $13,390 10 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $11,319 – $46,335 · median $21,573 10 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $11,319 – $32,686 · median $16,229 10 plans
533 FRACTURES OF FEMUR WITH MCC $11,258 – $25,246 · median $14,235 10 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,556 – $14,943 · median $11,117 10 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,342 – $20,066 · median $13,238 10 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,425 – $14,943 · median $11,048 10 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,455 – $14,964 · median $11,590 10 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,880 – $14,943 · median $10,640 10 plans
539 OSTEOMYELITIS WITH MCC $11,319 – $30,709 · median $15,699 10 plans
540 OSTEOMYELITIS WITH CC $9,351 – $20,090 · median $13,245 10 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,831 – $14,943 · median $11,262 10 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $11,319 – $28,222 · median $15,033 10 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,313 – $14,943 · median $10,989 10 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $11,319 – $38,582 · median $18,432 10 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,785 – $18,559 · median $12,734 10 plans
548 SEPTIC ARTHRITIS WITH MCC $11,319 – $30,173 · median $15,555 10 plans
549 SEPTIC ARTHRITIS WITH CC $8,824 – $18,666 · median $12,769 10 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $7,191 – $14,943 · median $11,451 10 plans
551 MEDICAL BACK PROBLEMS WITH MCC $11,319 – $26,337 · median $14,528 10 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,451 – $14,953 · median $11,588 10 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,656 – $20,914 · median $13,521 10 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,624 – $14,943 · median $11,153 10 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,928 – $21,650 · median $13,761 10 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,639 – $14,943 · median $11,161 10 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $10,831 – $24,091 · median $13,999 10 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,948 – $14,943 · median $11,323 10 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $11,319 – $28,636 · median $15,144 10 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,400 – $17,519 · median $12,628 10 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,386 – $14,943 · median $11,027 10 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,624 – $23,533 · median $13,999 10 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $7,046 – $14,943 · median $11,375 10 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $10,860 – $24,170 · median $13,999 10 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,641 – $15,466 · median $11,845 10 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $6,216 – $14,943 · median $10,938 10 plans
570 SKIN DEBRIDEMENT WITH MCC $11,319 – $45,221 · median $21,150 10 plans
571 SKIN DEBRIDEMENT WITH CC $11,319 – $26,182 · median $14,486 10 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,443 – $17,635 · median $12,650 10 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $11,319 – $96,225 · median $40,521 10 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $11,319 – $52,705 · median $23,992 10 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,319 – $31,662 · median $15,954 10 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $11,319 – $87,946 · median $37,376 10 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $11,319 – $40,995 · median $19,525 10 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,138 – $24,922 · median $14,149 10 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $11,319 – $51,721 · median $23,618 10 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $9,628 – $20,840 · median $13,496 10 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $11,319 – $25,798 · median $14,383 10 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $10,631 – $23,551 · median $13,999 10 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $11,319 – $30,309 · median $15,592 10 plans
592 SKIN ULCERS WITH MCC $11,319 – $32,344 · median $16,137 10 plans
593 SKIN ULCERS WITH CC $8,845 – $18,723 · median $12,788 10 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,427 – $14,943 · median $11,049 10 plans
595 MAJOR SKIN DISORDERS WITH MCC $11,319 – $33,658 · median $16,489 10 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,695 – $15,614 · median $11,930 10 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $11,081 – $24,768 · median $14,107 10 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,782 – $18,551 · median $12,731 10 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,153 – $14,943 · median $9,697 10 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,790 – $15,870 · median $12,075 10 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,163 – $14,943 · median $9,710 10 plans
602 CELLULITIS WITH MCC $10,434 – $23,019 · median $13,999 10 plans
603 CELLULITIS WITHOUT MCC $6,984 – $14,943 · median $11,342 10 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,541 – $23,308 · median $13,999 10 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,122 – $14,943 · median $11,415 10 plans
606 MINOR SKIN DISORDERS WITH MCC $10,997 – $24,540 · median $14,046 10 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $7,034 – $14,943 · median $11,369 10 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $11,319 – $34,856 · median $16,810 10 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,341 – $22,765 · median $13,978 10 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $11,319 – $61,245 · median $27,236 10 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $11,319 – $30,710 · median $15,699 10 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,568 – $17,974 · median $12,716 10 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $11,319 – $59,201 · median $26,459 10 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $11,319 – $28,805 · median $15,189 10 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,299 – $17,247 · median $12,574 10 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $11,319 – $45,206 · median $21,144 10 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $10,460 – $23,087 · median $13,999 10 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $8,995 – $19,127 · median $12,924 10 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $11,319 – $62,124 · median $27,569 10 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $11,319 – $35,017 · median $16,853 10 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $9,912 – $21,608 · median $13,753 10 plans
637 DIABETES WITH MCC $10,216 – $22,428 · median $13,913 10 plans
638 DIABETES WITH CC $7,068 – $14,943 · median $11,387 10 plans
639 DIABETES WITHOUT CC/MCC $5,162 – $14,943 · median $9,709 10 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,448 – $20,353 · median $13,333 10 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,393 – $14,943 · median $11,031 10 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $9,380 – $20,169 · median $13,272 10 plans
643 ENDOCRINE DISORDERS WITH MCC $11,319 – $25,458 · median $14,292 10 plans
644 ENDOCRINE DISORDERS WITH CC $7,997 – $16,430 · median $12,377 10 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,275 – $14,943 · median $10,969 10 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 10 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 10 plans
652 KIDNEY TRANSPLANT — 10 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $11,319 – $83,775 · median $35,792 10 plans
654 MAJOR BLADDER PROCEDURES WITH CC $11,319 – $42,363 · median $20,064 10 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $11,319 – $32,618 · median $16,210 10 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $11,319 – $48,554 · median $22,416 10 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $11,319 – $28,539 · median $15,118 10 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $10,394 – $22,909 · median $13,999 10 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $11,319 – $40,063 · median $19,103 10 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,624 – $20,828 · median $13,492 10 plans
662 MINOR BLADDER PROCEDURES WITH MCC $11,319 – $46,374 · median $21,588 10 plans
663 MINOR BLADDER PROCEDURES WITH CC $10,271 – $22,578 · median $13,942 10 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,997 – $16,428 · median $12,377 10 plans
665 PROSTATECTOMY WITH MCC $11,319 – $47,804 · median $22,131 10 plans
666 PROSTATECTOMY WITH CC $11,319 – $26,577 · median $14,592 10 plans
667 PROSTATECTOMY WITHOUT CC/MCC $7,928 – $16,243 · median $12,288 10 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $11,319 – $43,609 · median $20,537 10 plans
669 TRANSURETHRAL PROCEDURES WITH CC $10,704 – $23,748 · median $13,999 10 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,430 – $14,943 · median $11,577 10 plans
671 URETHRAL PROCEDURES WITH CC/MCC $11,319 – $26,492 · median $14,569 10 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,201 – $14,943 · median $11,457 10 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $11,319 – $57,227 · median $25,709 10 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $11,319 – $36,865 · median $17,654 10 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $11,001 – $24,551 · median $14,049 10 plans
683 RENAL FAILURE WITH CC $7,076 – $14,943 · median $11,391 10 plans
684 RENAL FAILURE WITHOUT CC/MCC $5,046 – $14,943 · median $9,558 10 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $11,319 – $28,465 · median $15,098 10 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,903 – $16,176 · median $12,250 10 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,390 – $14,943 · median $11,029 10 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,642 – $18,174 · median $12,726 10 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,539 – $14,943 · median $11,108 10 plans
693 URINARY STONES WITH MCC $10,027 – $21,917 · median $13,813 10 plans
694 URINARY STONES WITHOUT MCC $6,400 – $14,943 · median $11,035 10 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,766 – $18,508 · median $12,726 10 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,739 – $14,943 · median $10,457 10 plans
697 URETHRAL STRICTURE $8,291 – $17,225 · median $12,570 10 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,319 – $25,602 · median $14,331 10 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,763 – $15,797 · median $12,034 10 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,873 – $14,943 · median $10,631 10 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $11,319 – $30,360 · median $15,606 10 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,268 – $22,570 · median $13,940 10 plans
709 PENIS PROCEDURES WITH CC/MCC $11,319 – $32,807 · median $16,261 10 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $8,985 – $19,101 · median $12,915 10 plans
711 TESTES PROCEDURES WITH CC/MCC $11,319 – $32,852 · median $16,273 10 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,722 – $18,390 · median $12,726 10 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,224 – $22,450 · median $13,917 10 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,406 – $14,943 · median $11,565 10 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $11,319 – $34,161 · median $16,624 10 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,061 – $22,009 · median $13,831 10 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $11,319 – $28,067 · median $14,991 10 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $8,650 – $18,196 · median $12,726 10 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $11,319 – $29,013 · median $15,244 10 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,298 – $17,244 · median $12,574 10 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,554 – $14,943 · median $11,116 10 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,023 – $19,203 · median $12,949 10 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $6,061 – $14,943 · median $10,874 10 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,199 – $25,085 · median $14,192 10 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,500 – $14,943 · median $11,087 10 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,666 – $15,535 · median $11,884 10 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,154 – $14,943 · median $9,699 10 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $11,319 – $33,636 · median $16,483 10 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,133 – $19,502 · median $13,049 10 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $11,319 – $60,154 · median $26,821 10 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $11,319 – $30,545 · median $15,655 10 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,731 – $21,117 · median $13,589 10 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $11,319 – $55,962 · median $25,229 10 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $11,319 – $27,654 · median $14,880 10 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,357 – $20,107 · median $13,251 10 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $11,319 – $27,575 · median $14,859 10 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $8,571 – $17,982 · median $12,718 10 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $11,319 – $29,130 · median $15,276 10 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $7,849 – $16,031 · median $12,167 10 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $11,319 – $25,938 · median $14,421 10 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,998 – $14,943 · median $11,350 10 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,962 – $21,741 · median $13,779 10 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $11,319 – $38,954 · median $18,601 10 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,705 – $21,046 · median $13,565 10 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,319 – $28,667 · median $15,152 10 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,129 – $16,786 · median $12,485 10 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,585 – $15,316 · median $11,759 10 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,458 – $23,083 · median $13,999 10 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,602 – $15,360 · median $11,785 10 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,358 – $14,943 · median $9,964 10 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,618 – $15,404 · median $11,809 10 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,022 – $14,943 · median $9,527 10 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $10,757 – $23,892 · median $13,999 10 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $6,492 – $14,943 · median $11,083 10 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,943 – $14,943 · median $10,722 10 plans
779 ABORTION WITHOUT D&C $7,582 – $15,308 · median $11,755 10 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY — 10 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE — 10 plans
791 PREMATURITY WITH MAJOR PROBLEMS — 10 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS — 10 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS — 10 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS — 10 plans
795 NORMAL NEWBORN — 10 plans
799 SPLENECTOMY WITH MCC $11,319 – $76,672 · median $33,095 10 plans
800 SPLENECTOMY WITH CC $11,319 – $43,604 · median $20,536 10 plans
801 SPLENECTOMY WITHOUT CC/MCC $11,319 – $27,696 · median $14,892 10 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $11,319 – $52,465 · median $23,901 10 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $11,319 – $28,756 · median $15,176 10 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,848 – $18,731 · median $12,791 10 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $11,319 – $33,892 · median $16,552 10 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,611 – $15,385 · median $11,799 10 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,889 – $14,943 · median $10,652 10 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $11,319 – $34,896 · median $16,821 10 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,635 – $18,154 · median $12,726 10 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $7,113 – $14,943 · median $11,410 10 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $11,319 – $93,573 · median $39,513 10 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $11,319 – $34,542 · median $16,726 10 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,011 – $19,170 · median $12,938 10 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $11,319 – $69,667 · median $30,434 10 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $11,319 – $34,554 · median $16,729 10 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,312 – $19,984 · median $13,210 10 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $11,319 – $67,917 · median $29,769 10 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $11,319 – $35,859 · median $17,199 10 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,310 – $25,385 · median $14,273 10 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $11,319 – $48,805 · median $22,511 10 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $10,971 – $24,469 · median $14,027 10 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $7,700 – $15,627 · median $11,937 10 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,117 – $14,943 · median $10,899 10 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,244 – $14,943 · median $8,519 10 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $11,319 – $86,645 · median $36,882 10 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $11,319 – $34,594 · median $16,740 10 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,773 – $18,528 · median $12,726 10 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $11,319 – $28,793 · median $15,186 10 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $8,544 – $17,908 · median $12,703 10 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,871 – $14,943 · median $11,283 10 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $11,319 – $37,821 · median $18,088 10 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $8,861 – $18,765 · median $12,802 10 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,267 – $14,943 · median $10,965 10 plans
849 RADIOTHERAPY $11,319 – $41,649 · median $19,793 10 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $11,319 – $77,364 · median $33,357 10 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $11,319 – $31,541 · median $15,922 10 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,319 – $26,335 · median $14,527 10 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $11,319 – $68,529 · median $30,002 10 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $11,319 – $33,050 · median $16,326 10 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,266 – $19,861 · median $13,169 10 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $11,319 – $28,505 · median $15,108 10 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,675 – $15,560 · median $11,899 10 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,973 – $14,943 · median $11,337 10 plans
865 VIRAL ILLNESS WITH MCC $11,307 – $25,377 · median $14,271 10 plans
866 VIRAL ILLNESS WITHOUT MCC $7,173 – $14,943 · median $11,442 10 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $11,319 – $32,378 · median $16,146 10 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,133 – $16,798 · median $12,487 10 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,727 – $14,943 · median $10,442 10 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $11,319 – $107,782 · median $44,910 10 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $11,319 – $30,681 · median $15,691 10 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,815 – $15,938 · median $12,114 10 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $11,319 – $57,745 · median $25,906 10 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,384 – $14,943 · median $11,553 10 plans
881 DEPRESSIVE NEUROSES $7,109 – $14,943 · median $11,408 10 plans
882 NEUROSES EXCEPT DEPRESSIVE $7,297 – $14,943 · median $11,507 10 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $11,319 – $29,022 · median $15,247 10 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $11,319 – $27,188 · median $14,756 10 plans
885 PSYCHOSES $9,741 – $21,145 · median $13,598 10 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $11,319 – $26,024 · median $14,444 10 plans
887 OTHER MENTAL DISORDER DIAGNOSES $9,336 – $20,049 · median $13,232 10 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,764 – $14,943 · median $9,193 10 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $11,129 – $24,896 · median $14,142 10 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $11,319 – $27,516 · median $14,844 10 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $6,817 – $14,943 · median $11,255 10 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $11,319 – $66,973 · median $29,411 10 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $11,319 – $29,166 · median $15,285 10 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,026 – $19,212 · median $12,952 10 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $11,319 – $50,390 · median $23,113 10 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $10,985 – $24,508 · median $14,038 10 plans
906 HAND PROCEDURES FOR INJURIES $11,319 – $29,118 · median $15,273 10 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $11,319 – $57,559 · median $25,836 10 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $11,319 – $31,013 · median $15,781 10 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,683 – $20,989 · median $13,546 10 plans
913 TRAUMATIC INJURY WITH MCC $10,474 – $23,127 · median $13,999 10 plans
914 TRAUMATIC INJURY WITHOUT MCC $7,116 – $14,943 · median $11,412 10 plans
915 ALLERGIC REACTIONS WITH MCC $11,319 – $27,453 · median $14,827 10 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,463 – $14,943 · median $10,099 10 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $11,055 – $24,697 · median $14,088 10 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,848 – $14,943 · median $11,271 10 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $11,319 – $28,237 · median $15,037 10 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,837 – $15,998 · median $12,149 10 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,786 – $14,943 · median $10,519 10 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $11,319 – $27,002 · median $14,706 10 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,709 – $15,651 · median $11,951 10 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $11,319 – $407,901 · median $158,892 10 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $11,319 – $107,082 · median $44,644 10 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $11,319 – $49,760 · median $22,874 10 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $11,319 – $46,920 · median $21,795 10 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $11,319 – $32,381 · median $16,147 10 plans
935 NON-EXTENSIVE BURNS $11,319 – $31,586 · median $15,934 10 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $11,319 – $49,757 · median $22,872 10 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $11,319 – $33,528 · median $16,454 10 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $11,319 – $28,722 · median $15,166 10 plans
945 REHABILITATION WITH CC/MCC $10,560 – $23,360 · median $13,999 10 plans
946 REHABILITATION WITHOUT CC/MCC $7,717 – $15,672 · median $11,962 10 plans
947 SIGNS AND SYMPTOMS WITH MCC $9,084 – $19,369 · median $13,004 10 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,505 – $14,943 · median $11,090 10 plans
949 AFTERCARE WITH CC/MCC $7,851 – $16,034 · median $12,169 10 plans
950 AFTERCARE WITHOUT CC/MCC $5,209 – $14,943 · median $9,770 10 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,892 – $14,943 · median $9,359 10 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $11,319 – $94,246 · median $46,629 10 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $11,319 – $60,015 · median $30,788 10 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $11,319 – $111,923 · median $46,482 10 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,319 – $62,593 · median $27,748 10 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $11,319 – $39,189 · median $18,707 10 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $11,319 – $42,313 · median $20,045 10 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,512 – $23,228 · median $13,999 10 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,392 – $14,943 · median $11,557 10 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $11,319 – $106,353 · median $44,367 10 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $11,319 – $37,208 · median $17,810 10 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $11,319 – $45,133 · median $21,116 10 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,723 – $21,097 · median $13,582 10 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,758 – $14,943 · median $11,224 10 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,026 – $21,914 · median $13,812 10 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $11,319 – $73,358 · median $31,836 10 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,319 – $38,471 · median $18,382 10 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,319 – $25,305 · median $14,251 10 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $11,319 – $52,254 · median $23,821 10 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,319 – $26,261 · median $14,507 10 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,104 – $16,718 · median $12,471 10 plans
999 UNGROUPABLE $7,644 – $17,325 · median $11,850 10 plans
152 OTITIS MEDIA AND URI WITH MCC $8,721 – $18,387 · median $13,055 9 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,228 – $17,053 · median $12,676 9 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,626 – $14,943 · median $10,989 9 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $11,852 – $26,851 · median $14,943 9 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $12,398 – $96,658 · median $43,698 9 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $12,398 – $75,521 · median $35,461 9 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,954 – $14,943 · median $10,361 9 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,027 – $16,512 · median $12,419 9 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $12,398 – $32,397 · median $17,359 9 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,457 – $14,969 · median $11,864 9 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $7,644 – $17,325 · median $12,061 9 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $11,753 – $26,583 · median $14,943 9 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,481 – $15,036 · median $11,890 9 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $7,217 – $137,130 · median $59,469 9 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $7,217 – $94,650 · median $42,915 9 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $7,217 – $71,272 · median $33,805 9 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $7,217 – $130,445 · median $56,864 9 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $7,217 – $94,015 · median $42,668 9 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $7,217 – $70,117 · median $33,355 9 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $7,217 – $102,635 · median $46,027 9 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $7,217 – $56,606 · median $28,089 9 plans
471 CERVICAL SPINAL FUSION WITH MCC $7,217 – $76,122 · median $35,695 9 plans
472 CERVICAL SPINAL FUSION WITH CC $7,217 – $45,735 · median $23,853 9 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $7,217 – $38,078 · median $20,403 9 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $10,825 – $45,634 · median $23,814 9 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $10,825 – $32,109 · median $17,205 9 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $10,825 – $24,580 · median $14,943 9 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $12,398 – $38,443 · median $20,599 9 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $12,398 – $50,975 · median $25,895 9 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $12,398 – $31,078 · median $16,653 9 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,763 – $23,907 · median $14,943 9 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $10,825 – $32,600 · median $17,468 9 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,263 – $19,153 · median $13,055 9 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $13,055 – $53,576 · median $26,909 9 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $10,825 – $37,166 · median $19,915 9 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $10,825 – $28,926 · median $15,499 9 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $12,398 – $55,419 · median $27,627 9 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $10,825 – $30,757 · median $16,480 9 plans
500 SOFT TISSUE PROCEDURES WITH MCC $12,398 – $50,182 · median $25,586 9 plans
501 SOFT TISSUE PROCEDURES WITH CC $11,855 – $26,860 · median $14,943 9 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,825 – $21,397 · median $14,311 9 plans
503 FOOT PROCEDURES WITH MCC $10,825 – $41,502 · median $22,204 9 plans
504 FOOT PROCEDURES WITH CC $10,825 – $26,727 · median $14,943 9 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $10,825 – $26,396 · median $14,943 9 plans
506 MAJOR THUMB OR JOINT PROCEDURES $10,825 – $22,634 · median $14,851 9 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $12,398 – $32,988 · median $17,676 9 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $10,128 – $22,191 · median $14,678 9 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $12,398 – $42,101 · median $22,437 9 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $12,398 – $30,854 · median $16,533 9 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $10,825 – $24,974 · median $14,943 9 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,199 – $25,085 · median $14,943 9 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,881 – $16,117 · median $12,311 9 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $13,055 – $56,512 · median $28,053 9 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $13,055 – $30,464 · median $16,968 9 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,114 – $22,152 · median $14,816 9 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,163 – $16,879 · median $12,608 9 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,576 – $14,943 · median $10,936 9 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $11,917 – $27,029 · median $14,943 9 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $11,559 – $26,060 · median $14,943 9 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,921 – $16,224 · median $12,353 9 plans
682 RENAL FAILURE WITH MCC $10,511 – $23,225 · median $14,943 9 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,814 – $18,638 · median $13,055 9 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,670 – $15,545 · median $12,088 9 plans
811 RED BLOOD CELL DISORDERS WITH MCC $9,954 – $21,721 · median $14,495 9 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,076 – $14,943 · median $11,462 9 plans
813 COAGULATION DISORDERS $10,849 – $24,141 · median $14,943 9 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $12,398 – $32,932 · median $17,646 9 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $12,398 – $73,608 · median $34,715 9 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $12,398 – $30,213 · median $16,189 9 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,379 – $20,165 · median $13,487 9 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $12,398 – $48,362 · median $24,877 9 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $10,927 – $24,350 · median $14,943 9 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $8,024 – $16,503 · median $12,412 9 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $7,644 – $15,475 · median $11,639 9 plans
← Back to Good Samaritan Medical Center profile