HCA Florida Aventura Hospital (Acute Care) — Pricing

799 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 799 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 799
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 799 procedures

Procedures with negotiated rates only

These 799 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
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL — 19 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $3,555 – $84,279 · median $35,202 19 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY — 19 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $3,555 – $66,991 · median $35,202 19 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $3,555 – $41,058 · median $25,154 19 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $3,555 – $40,171 · median $16,916 19 plans
471 CERVICAL SPINAL FUSION WITH MCC $3,555 – $66,991 · median $36,787 18 plans
472 CERVICAL SPINAL FUSION WITH CC $3,555 – $66,991 · median $36,787 18 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $3,555 – $66,991 · median $26,638 18 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $3,555 – $23,277 · median $15,175 18 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $3,555 – $23,277 · median $15,175 18 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,555 – $19,047 · median $13,893 18 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $3,555 – $33,831 · median $15,175 18 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $3,555 – $32,695 · median $15,175 18 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $3,555 – $19,047 · median $13,893 18 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $3,555 – $60,374 · median $45,186 17 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,555 – $50,440 · median $15,160 17 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $3,555 – $101,299 · median $56,184 17 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $3,555 – $22,489 · median $14,357 17 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $3,555 – $146,591 · median $56,184 17 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT — 17 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC — 17 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $11,098 – $54,391 · median $38,004 17 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $11,098 – $54,391 · median $41,767 17 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $11,098 – $52,023 · median $39,657 17 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $11,098 – $50,248 · median $36,917 17 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $3,555 – $66,991 · median $20,864 17 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $3,555 – $40,171 · median $20,423 17 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $3,555 – $40,171 · median $15,697 17 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $6,384 – $16,002 · median $12,322 17 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $6,384 – $16,002 · median $12,322 17 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $6,384 – $16,002 · median $12,322 17 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $9,359 – $44,978 · median $21,613 17 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,359 – $44,978 · median $21,613 17 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $5,080 – $33,600 · median $10,899 16 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,080 – $33,600 · median $10,899 16 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,080 – $33,600 · median $10,899 16 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,194 – $23,134 · median $13,839 16 plans
313 CHEST PAIN $5,080 – $27,203 · median $10,699 16 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,080 – $29,773 · median $10,899 16 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $3,555 – $137,684 · median $64,251 16 plans
603 CELLULITIS WITHOUT MCC $5,080 – $29,773 · median $10,899 16 plans
683 RENAL FAILURE WITH CC $5,080 – $29,773 · median $10,899 16 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $5,080 – $33,600 · median $10,899 16 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,080 – $29,773 · median $10,899 16 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $3,555 – $40,595 · median $26,013 16 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $3,400 – $19,109 · median $9,168 16 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $9,359 – $44,978 · median $20,746 16 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $11,098 – $217,755 · median $81,059 15 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $11,098 – $217,755 · median $81,059 15 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $11,098 – $217,755 · median $81,059 15 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $11,098 – $132,101 · median $80,481 15 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $11,098 – $132,101 · median $80,481 15 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $11,098 – $132,101 · median $80,481 15 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $11,098 – $114,764 · median $71,652 15 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $11,098 – $114,764 · median $71,652 15 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $11,098 – $106,257 · median $81,059 15 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $11,098 – $106,257 · median $76,162 15 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $11,098 – $95,491 · median $74,303 15 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $11,098 – $95,491 · median $73,169 15 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $6,300 – $59,589 · median $30,168 15 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $6,300 – $59,589 · median $30,168 15 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $11,098 – $84,996 · median $50,835 15 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $3,555 – $52,023 · median $40,047 15 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $3,555 – $50,248 · median $40,047 15 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $3,555 – $15,982 · median $8,454 15 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $3,555 – $15,982 · median $8,454 15 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $3,555 – $15,982 · median $8,454 15 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $3,555 – $66,991 · median $51,333 14 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $3,555 – $66,991 · median $51,333 14 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,555 – $66,991 · median $51,168 14 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $3,555 – $98,567 · median $37,614 14 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $3,555 – $98,567 · median $37,614 14 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $3,555 – $98,567 · median $37,614 14 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $3,555 – $66,991 · median $33,618 14 plans
038 EXTRACRANIAL PROCEDURES WITH CC $3,555 – $66,991 · median $33,618 14 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,555 – $66,991 · median $33,618 14 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $3,555 – $66,991 · median $31,287 14 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $3,555 – $48,473 · median $18,721 14 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $3,555 – $48,473 · median $17,453 14 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $3,555 – $58,436 · median $34,423 14 plans
253 OTHER VASCULAR PROCEDURES WITH CC $3,555 – $49,210 · median $34,423 14 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $3,555 – $49,210 · median $32,712 14 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $3,555 – $250,859 · median $84,671 14 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $3,555 – $188,363 · median $84,671 14 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $3,555 – $143,074 · median $66,809 14 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $3,555 – $88,933 · median $61,877 14 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $3,555 – $107,860 · median $63,928 14 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $3,555 – $79,872 · median $61,877 14 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $3,555 – $79,872 · median $53,067 14 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $3,555 – $59,589 · median $32,987 14 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $3,555 – $105,550 · median $51,210 14 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $3,555 – $95,638 · median $51,210 14 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION — 14 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $3,555 – $92,439 · median $32,987 14 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $3,555 – $59,589 · median $32,987 14 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $3,555 – $59,589 · median $41,521 14 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $3,555 – $44,069 · median $13,864 14 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,555 – $41,312 · median $13,864 14 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $3,555 – $22,885 · median $14,323 14 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $3,555 – $22,885 · median $14,323 14 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $3,555 – $216,200 · median $34,881 14 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC — 14 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $11,098 – $54,391 · median $37,065 14 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $8,150 – $50,248 · median $29,938 14 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $3,555 – $66,991 · median $29,397 14 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $3,555 – $66,991 · median $25,213 14 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $3,555 – $38,006 · median $15,010 14 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $9,359 – $66,991 · median $22,439 13 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $9,359 – $66,991 · median $22,439 13 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $9,359 – $66,991 · median $22,439 13 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $9,355 – $66,991 · median $22,439 13 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $9,355 – $66,991 · median $22,439 13 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $9,359 – $66,991 · median $20,724 13 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $11,098 – $334,628 · median $92,172 13 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $11,098 – $130,401 · median $87,814 13 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $11,098 – $130,401 · median $87,814 13 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $2,900 – $70,426 · median $33,839 13 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $2,900 – $70,426 · median $33,839 13 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $5,080 – $34,088 · median $19,679 13 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,080 – $34,088 · median $19,679 13 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,080 – $34,088 · median $19,679 13 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $8,194 – $23,134 · median $17,680 13 plans
291 HEART FAILURE AND SHOCK WITH MCC $6,240 – $32,223 · median $19,779 13 plans
292 HEART FAILURE AND SHOCK WITH CC $6,240 – $32,223 · median $11,098 13 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $6,240 – $32,223 · median $11,098 13 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $9,359 – $41,198 · median $24,948 13 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $9,359 – $41,198 · median $24,948 13 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $9,359 – $41,198 · median $24,948 13 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,080 – $14,877 · median $10,299 13 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $5,080 – $23,692 · median $10,700 13 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,080 – $16,922 · median $10,700 13 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,080 – $15,229 · median $10,700 13 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $3,555 – $137,684 · median $51,226 13 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $3,555 – $137,684 · median $51,226 13 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $11,098 – $50,248 · median $30,453 13 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $11,098 – $50,248 · median $30,453 13 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $6,700 – $52,878 · median $31,669 13 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $6,700 – $52,878 · median $31,669 13 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $6,700 – $52,878 · median $31,669 13 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $3,555 – $108,797 · median $55,959 12 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $3,555 – $108,797 · median $55,959 12 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $3,555 – $108,797 · median $55,959 12 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $3,555 – $86,700 · median $43,670 12 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $3,555 – $86,700 · median $43,670 12 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $11,098 – $66,991 · median $30,399 12 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $11,098 – $84,996 · median $47,102 12 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $3,555 – $48,954 · median $12,700 11 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $3,555 – $48,954 · median $12,700 11 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $3,555 – $48,954 · median $12,700 11 plans
028 SPINAL PROCEDURES WITH MCC $11,098 – $66,991 · median $41,312 11 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $11,098 – $66,991 · median $41,312 11 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $3,555 – $66,991 · median $45,909 11 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $3,555 – $66,991 · median $45,909 11 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $3,555 – $66,991 · median $45,909 11 plans
113 ORBITAL PROCEDURES WITH CC/MCC $3,555 – $16,184 · median $12,700 11 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $3,555 – $16,184 · median $12,700 11 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $3,555 – $16,184 · median $12,700 11 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $3,555 – $16,184 · median $12,700 11 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
137 MOUTH PROCEDURES WITH CC/MCC $3,555 – $16,184 · median $12,700 11 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
139 SALIVARY GLAND PROCEDURES $3,555 – $16,184 · median $12,700 11 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $3,555 – $43,081 · median $12,700 11 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $3,555 – $43,081 · median $12,700 11 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $3,555 – $43,081 · median $12,700 11 plans
163 MAJOR CHEST PROCEDURES WITH MCC $3,555 – $44,631 · median $12,700 11 plans
164 MAJOR CHEST PROCEDURES WITH CC $3,555 – $44,631 · median $12,700 11 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $3,555 – $44,631 · median $12,700 11 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $3,555 – $38,466 · median $12,700 11 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $3,555 – $38,466 · median $12,700 11 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,555 – $25,083 · median $12,700 11 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $3,555 – $46,091 · median $12,700 11 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $3,555 – $37,990 · median $12,700 11 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $3,555 – $37,990 · median $12,700 11 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $3,555 – $37,990 · median $12,700 11 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $3,555 – $28,356 · median $12,700 11 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $3,555 – $28,356 · median $12,700 11 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $3,555 – $28,356 · median $12,700 11 plans
263 VEIN LIGATION AND STRIPPING $3,555 – $16,184 · median $13,736 11 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $3,555 – $58,587 · median $14,860 11 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $3,555 – $59,589 · median $30,168 11 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $3,555 – $62,054 · median $12,867 11 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $3,555 – $59,589 · median $12,867 11 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $3,555 – $40,284 · median $12,700 11 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $3,555 – $40,284 · median $12,700 11 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $3,555 – $26,833 · median $12,700 11 plans
332 RECTAL RESECTION WITH MCC $3,555 – $46,093 · median $12,700 11 plans
333 RECTAL RESECTION WITH CC $3,555 – $46,093 · median $12,700 11 plans
334 RECTAL RESECTION WITHOUT CC/MCC $3,555 – $34,077 · median $12,700 11 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $3,555 – $35,113 · median $12,700 11 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $3,555 – $35,113 · median $12,700 11 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $3,555 – $23,833 · median $12,700 11 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $3,555 – $21,073 · median $12,700 11 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,555 – $21,073 · median $12,700 11 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,555 – $16,476 · median $12,700 11 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $3,555 – $16,184 · median $12,700 11 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $3,555 – $16,184 · median $12,700 11 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $3,555 – $16,184 · median $12,700 11 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $3,555 – $16,184 · median $12,700 11 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $3,555 – $16,184 · median $12,700 11 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $3,555 – $16,184 · median $12,700 11 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $3,555 – $41,386 · median $12,700 11 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $3,555 – $41,386 · median $12,700 11 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,555 – $34,917 · median $12,700 11 plans
397 APPENDIX PROCEDURES WITH MCC $3,555 – $33,674 · median $12,700 11 plans
398 APPENDIX PROCEDURES WITH CC $3,555 – $22,683 · median $12,700 11 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $3,555 – $16,684 · median $12,700 11 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $3,555 – $66,855 · median $12,700 11 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $3,555 – $66,855 · median $12,700 11 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $3,555 – $60,611 · median $12,700 11 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $3,555 – $42,142 · median $12,700 11 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $3,555 – $42,142 · median $12,700 11 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $3,555 – $31,783 · median $12,700 11 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $3,555 – $34,061 · median $12,700 11 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $3,555 – $34,061 · median $12,700 11 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $3,555 – $23,943 · median $12,700 11 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $3,555 – $25,564 · median $12,700 11 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $3,555 – $25,564 · median $12,700 11 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $3,555 – $17,086 · median $12,700 11 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $3,555 – $39,393 · median $12,700 11 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $3,555 – $39,393 · median $12,700 11 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $3,555 – $35,043 · median $12,700 11 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $3,555 – $40,658 · median $12,700 11 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $3,555 – $40,658 · median $12,700 11 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $3,555 – $40,658 · median $12,700 11 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $3,555 – $34,620 · median $14,860 11 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $3,555 – $34,620 · median $14,860 11 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $3,555 – $34,620 · median $14,860 11 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $3,555 – $29,603 · median $12,700 11 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $3,555 – $29,603 · median $12,700 11 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $3,555 – $29,603 · median $12,700 11 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,555 – $23,330 · median $12,700 11 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,555 – $23,330 · median $12,700 11 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,555 – $23,330 · median $12,700 11 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $3,555 – $40,788 · median $14,860 11 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $3,555 – $50,248 · median $19,558 11 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $3,555 – $50,248 · median $20,680 11 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $3,555 – $50,248 · median $15,643 11 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $3,555 – $27,258 · median $14,860 11 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $3,555 – $27,258 · median $14,860 11 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $3,555 – $17,856 · median $14,860 11 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $3,555 – $16,184 · median $12,700 11 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $3,555 – $16,184 · median $12,700 11 plans
500 SOFT TISSUE PROCEDURES WITH MCC $3,555 – $16,184 · median $12,700 11 plans
501 SOFT TISSUE PROCEDURES WITH CC $3,555 – $16,184 · median $12,700 11 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
503 FOOT PROCEDURES WITH MCC $3,555 – $17,856 · median $12,867 11 plans
504 FOOT PROCEDURES WITH CC $3,555 – $17,856 · median $12,867 11 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $3,555 – $17,856 · median $12,867 11 plans
506 MAJOR THUMB OR JOINT PROCEDURES $3,555 – $16,184 · median $12,700 11 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $3,555 – $25,501 · median $14,860 11 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $3,555 – $25,501 · median $14,860 11 plans
509 ARTHROSCOPY $3,555 – $16,184 · median $12,700 11 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $3,555 – $16,184 · median $12,700 11 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
570 SKIN DEBRIDEMENT WITH MCC $3,555 – $36,233 · median $12,700 11 plans
571 SKIN DEBRIDEMENT WITH CC $3,555 – $36,233 · median $12,700 11 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $3,555 – $32,673 · median $12,700 11 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $3,555 – $36,233 · median $12,700 11 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $3,555 – $36,233 · median $12,700 11 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,555 – $32,673 · median $12,700 11 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $3,555 – $20,935 · median $12,700 11 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $3,555 – $20,935 · median $12,700 11 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $3,555 – $16,989 · median $12,700 11 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $3,555 – $16,989 · median $12,700 11 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $3,555 – $16,184 · median $12,700 11 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $3,555 – $16,184 · median $12,700 11 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $3,555 – $40,061 · median $12,700 11 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $3,555 – $40,061 · median $12,700 11 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $3,555 – $49,043 · median $12,700 11 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $3,555 – $49,043 · median $12,700 11 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $3,555 – $49,043 · median $12,700 11 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $3,555 – $35,638 · median $12,700 11 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $3,555 – $35,638 · median $12,700 11 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $3,555 – $35,638 · median $12,700 11 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $3,555 – $19,941 · median $12,700 11 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $3,555 – $19,941 · median $12,700 11 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $3,555 – $34,668 · median $12,700 11 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $3,555 – $34,668 · median $12,700 11 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $3,555 – $26,920 · median $12,700 11 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $3,555 – $50,149 · median $12,700 11 plans
654 MAJOR BLADDER PROCEDURES WITH CC $3,555 – $50,149 · median $12,700 11 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $3,555 – $50,149 · median $12,700 11 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $3,555 – $41,379 · median $12,700 11 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $3,555 – $41,379 · median $12,700 11 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $3,555 – $41,379 · median $14,860 11 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $3,555 – $41,433 · median $14,860 11 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $3,555 – $54,687 · median $14,860 11 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $3,555 – $22,323 · median $13,421 11 plans
662 MINOR BLADDER PROCEDURES WITH MCC $3,555 – $17,218 · median $12,700 11 plans
663 MINOR BLADDER PROCEDURES WITH CC $3,555 – $17,218 · median $12,700 11 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
665 PROSTATECTOMY WITH MCC $3,555 – $18,876 · median $12,700 11 plans
666 PROSTATECTOMY WITH CC $3,555 – $18,876 · median $12,700 11 plans
667 PROSTATECTOMY WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $3,555 – $16,184 · median $12,700 11 plans
669 TRANSURETHRAL PROCEDURES WITH CC $3,555 – $16,184 · median $12,700 11 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
671 URETHRAL PROCEDURES WITH CC/MCC $3,555 – $16,184 · median $12,700 11 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $3,555 – $41,573 · median $12,700 11 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $3,555 – $41,573 · median $12,700 11 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $3,555 – $41,573 · median $12,700 11 plans
709 PENIS PROCEDURES WITH CC/MCC $3,555 – $16,184 · median $12,700 11 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
711 TESTES PROCEDURES WITH CC/MCC $3,555 – $16,184 · median $12,700 11 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $3,555 – $16,184 · median $12,700 11 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $3,555 – $16,809 · median $12,700 11 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $3,555 – $16,809 · median $12,700 11 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $3,555 – $16,184 · median $12,700 11 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $3,555 – $35,804 · median $12,700 11 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $3,555 – $35,804 · median $12,700 11 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $3,555 – $31,631 · median $12,700 11 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $3,555 – $31,631 · median $12,700 11 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,555 – $31,631 · median $12,700 11 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $3,555 – $48,062 · median $14,860 11 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $3,555 – $31,489 · median $14,860 11 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $3,555 – $16,184 · median $12,700 11 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $3,555 – $16,184 · median $12,700 11 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $3,555 – $28,607 · median $12,700 11 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,555 – $28,607 · median $12,700 11 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $3,555 – $16,184 · median $12,700 11 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,555 – $16,184 · median $12,700 11 plans
799 SPLENIC PROCEDURES WITH MCC $3,555 – $48,696 · median $12,700 11 plans
800 SPLENIC PROCEDURES WITH CC $3,555 – $48,696 · median $12,700 11 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $3,555 – $22,792 · median $12,700 11 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $3,555 – $16,322 · median $12,700 11 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $3,555 – $16,322 · median $12,700 11 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $3,555 – $16,322 · median $12,700 11 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $3,555 – $50,732 · median $12,700 11 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $3,555 – $50,732 · median $12,700 11 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,555 – $19,322 · median $12,700 11 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $3,555 – $28,969 · median $12,700 11 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $3,555 – $28,969 · median $12,700 11 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $12,700 11 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $3,555 – $37,925 · median $12,700 11 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $3,555 – $37,925 · median $12,700 11 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $3,555 – $25,667 · median $12,700 11 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $3,555 – $16,184 · median $12,700 11 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $3,555 – $16,184 · median $12,700 11 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES — 11 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $3,555 – $49,894 · median $12,700 11 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $3,555 – $49,894 · median $12,700 11 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,555 – $49,894 · median $12,700 11 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $3,555 – $49,894 · median $12,700 11 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $3,555 – $49,894 · median $12,700 11 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $3,555 – $49,894 · median $12,700 11 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $3,555 – $30,609 · median $12,700 11 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $3,555 – $30,609 · median $12,700 11 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $3,555 – $30,609 · median $12,700 11 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $3,555 – $24,739 · median $12,700 11 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $3,555 – $24,739 · median $12,700 11 plans
906 HAND PROCEDURES FOR INJURIES $3,555 – $16,184 · median $12,700 11 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $3,555 – $27,195 · median $12,700 11 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $3,555 – $27,195 · median $12,700 11 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $3,555 – $22,245 · median $12,700 11 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $3,555 – $211,574 11 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $3,555 – $63,670 · median $12,700 11 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $3,555 – $25,598 · median $12,700 11 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $3,555 – $20,307 · median $12,700 11 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $3,555 – $20,307 · median $12,700 11 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $3,555 – $20,307 · median $12,700 11 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $3,555 – $104,881 · median $14,860 11 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $3,555 – $61,033 · median $14,860 11 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,555 – $113,862 · median $14,860 11 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $3,555 – $74,350 · median $14,860 11 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,555 – $74,350 · median $14,860 11 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $3,555 – $67,567 · median $12,700 11 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $3,555 – $67,567 · median $12,700 11 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $3,555 – $54,263 · median $12,700 11 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,555 – $54,263 · median $12,700 11 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,555 – $54,263 · median $12,700 11 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $3,555 – $26,172 · median $12,700 11 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,555 – $26,172 · median $12,700 11 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,555 – $26,172 · median $12,700 11 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC $3,555 – $180,297 10 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $5,080 – $21,337 · median $9,878 10 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $5,080 – $21,337 · median $9,878 10 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $5,080 – $16,971 · median $9,878 10 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $5,080 – $13,997 · median $9,878 10 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $5,080 – $14,991 · median $9,878 10 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $5,080 – $14,991 · median $9,878 10 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $5,080 – $14,674 · median $9,878 10 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,080 – $14,674 · median $9,878 10 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $5,080 – $14,674 · median $9,878 10 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $5,080 – $33,685 · median $9,878 10 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $5,080 – $33,685 · median $9,878 10 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $5,080 – $33,685 · median $9,878 10 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $5,080 – $13,553 · median $9,878 10 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $5,080 – $13,553 · median $9,878 10 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,080 – $11,098 · median $9,826 10 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $5,080 – $11,341 · median $9,878 10 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,080 – $11,098 · median $9,637 10 plans
075 VIRAL MENINGITIS WITH CC/MCC $5,080 – $19,700 · median $9,878 10 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,080 – $19,700 · median $9,878 10 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $5,080 – $11,098 · median $9,878 10 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $5,080 – $11,098 · median $9,878 10 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,080 – $11,098 · median $9,878 10 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $5,080 – $16,846 · median $9,878 10 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,080 – $16,846 · median $9,878 10 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $5,080 – $31,842 · median $9,878 10 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $5,080 – $23,450 · median $9,878 10 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $5,080 – $23,450 · median $9,878 10 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $5,080 – $32,884 · median $9,878 10 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $5,080 – $18,598 · median $9,878 10 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,080 – $12,408 · median $9,571 10 plans
088 CONCUSSION WITH MCC $5,080 – $11,098 · median $9,408 10 plans
089 CONCUSSION WITH CC $5,080 – $11,098 · median $9,408 10 plans
090 CONCUSSION WITHOUT CC/MCC $5,080 – $11,098 · median $9,408 10 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $5,080 – $14,631 · median $9,878 10 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $5,080 – $14,631 · median $9,878 10 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,080 – $11,098 · median $9,878 10 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $5,080 – $21,115 · median $9,878 10 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $5,080 – $21,115 · median $9,878 10 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,080 – $21,115 · median $9,878 10 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $5,080 – $21,115 · median $9,878 10 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $5,080 – $21,115 · median $9,878 10 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $5,080 – $21,115 · median $9,878 10 plans
100 SEIZURES WITH MCC $5,080 – $11,455 · median $9,878 10 plans
101 SEIZURES WITHOUT MCC $5,080 – $11,098 · median $9,416 10 plans
102 HEADACHES WITH MCC $5,080 – $11,098 · median $9,416 10 plans
103 HEADACHES WITHOUT MCC $5,080 – $11,098 · median $9,408 10 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $5,080 – $11,098 · median $9,521 10 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,080 – $11,098 · median $9,521 10 plans
123 NEUROLOGICAL EYE DISORDERS $5,080 – $11,098 · median $9,408 10 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $5,080 – $11,098 · median $9,408 10 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,080 – $11,098 · median $9,408 10 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $5,080 – $14,643 · median $9,878 10 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $5,080 – $14,643 · median $9,878 10 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,080 – $14,643 · median $9,878 10 plans
149 DYSEQUILIBRIUM $5,080 – $11,098 · median $9,408 10 plans
150 EPISTAXIS WITH MCC $5,080 – $11,098 · median $9,408 10 plans
151 EPISTAXIS WITHOUT MCC $5,080 – $11,098 · median $9,408 10 plans
152 OTITIS MEDIA AND URI WITH MCC $5,080 – $14,034 · median $9,878 10 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,080 – $11,098 · median $9,661 10 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $5,080 – $11,098 · median $9,408 10 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,080 – $11,098 · median $9,408 10 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,080 – $11,098 · median $9,408 10 plans
157 DENTAL AND ORAL DISEASES WITH MCC $5,080 – $11,098 · median $9,878 10 plans
158 DENTAL AND ORAL DISEASES WITH CC $5,080 – $11,098 · median $9,878 10 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,080 – $11,098 · median $9,408 10 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $5,080 – $22,181 · median $9,878 10 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,080 – $22,181 · median $9,878 10 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $5,080 – $28,995 · median $9,878 10 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $5,080 – $28,995 · median $9,878 10 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,080 – $21,565 · median $9,878 10 plans
180 RESPIRATORY NEOPLASMS WITH MCC $5,080 – $16,875 · median $9,878 10 plans
181 RESPIRATORY NEOPLASMS WITH CC $5,080 – $16,875 · median $9,878 10 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,080 – $16,875 · median $9,878 10 plans
183 MAJOR CHEST TRAUMA WITH MCC $5,080 – $12,586 · median $9,878 10 plans
184 MAJOR CHEST TRAUMA WITH CC $5,080 – $12,586 · median $9,878 10 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,080 – $11,098 · median $9,408 10 plans
186 PLEURAL EFFUSION WITH MCC $5,080 – $16,782 · median $9,878 10 plans
187 PLEURAL EFFUSION WITH CC $5,080 – $16,782 · median $9,878 10 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,080 – $14,631 · median $9,878 10 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $5,080 – $27,094 · median $9,878 10 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $5,080 – $16,140 · median $9,878 10 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,080 – $16,140 · median $9,878 10 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,080 – $16,140 · median $9,878 10 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $5,080 – $16,660 · median $9,878 10 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $5,080 – $16,660 · median $9,878 10 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,080 – $12,952 · median $9,878 10 plans
199 PNEUMOTHORAX WITH MCC $5,080 – $19,552 · median $9,878 10 plans
200 PNEUMOTHORAX WITH CC $5,080 – $19,552 · median $9,878 10 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,080 – $13,184 · median $9,878 10 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,080 – $12,660 · median $9,878 10 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,080 – $11,098 · median $9,878 10 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,080 – $12,099 · median $9,878 10 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $5,080 – $12,681 · median $9,878 10 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,080 – $11,098 · median $9,855 10 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $5,080 – $47,601 · median $9,878 10 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $5,080 – $47,601 · median $9,878 10 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $2,900 – $70,426 · median $24,104 10 plans
245 AICD GENERATOR PROCEDURES $2,900 – $70,426 · median $24,104 10 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $2,900 – $33,839 · median $22,871 10 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $2,900 – $33,839 · median $22,871 10 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $2,900 – $33,839 · median $14,913 10 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $2,900 – $33,839 · median $14,913 10 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $2,900 – $33,839 · median $14,913 10 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $5,080 – $20,541 · median $9,878 10 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,080 – $20,541 · median $9,878 10 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,080 – $20,541 · median $9,878 10 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $5,080 – $44,721 · median $9,878 10 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $5,080 – $44,721 · median $9,878 10 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $5,080 – $44,721 · median $9,878 10 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $5,080 – $12,675 · median $9,878 10 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,080 – $12,675 · median $9,878 10 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $5,080 – $25,780 · median $9,878 10 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,080 – $25,780 · median $9,878 10 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $5,080 – $25,780 · median $9,878 10 plans
302 ATHEROSCLEROSIS WITH MCC $5,080 – $12,047 · median $9,878 10 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,080 – $11,098 · median $9,878 10 plans
304 HYPERTENSION WITH MCC $5,080 – $11,098 · median $9,497 10 plans
305 HYPERTENSION WITHOUT MCC $5,080 – $11,098 · median $9,497 10 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $5,080 – $13,396 · median $9,878 10 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,080 – $11,279 · median $9,878 10 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $5,080 – $12,195 · median $9,878 10 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,080 – $12,195 · median $9,878 10 plans
311 ANGINA PECTORIS $5,080 – $11,098 · median $9,878 10 plans
312 SYNCOPE AND COLLAPSE $5,080 – $11,098 · median $9,408 10 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $5,080 – $16,728 · median $9,878 10 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $5,080 – $16,728 · median $9,878 10 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,080 – $12,703 · median $9,878 10 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $5,080 – $16,677 · median $9,878 10 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,080 – $16,677 · median $9,878 10 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,080 – $16,677 · median $9,878 10 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $5,080 – $20,052 · median $9,878 10 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,080 – $20,052 · median $9,878 10 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,080 – $20,052 · median $9,878 10 plans
374 DIGESTIVE MALIGNANCY WITH MCC $5,080 – $16,110 · median $9,878 10 plans
375 DIGESTIVE MALIGNANCY WITH CC $5,080 – $16,110 · median $9,878 10 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $5,080 – $14,392 · median $9,878 10 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $5,080 – $13,600 · median $9,878 10 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $5,080 – $13,600 · median $9,878 10 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,080 – $11,098 · median $9,878 10 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $5,080 – $13,964 · median $9,878 10 plans
381 COMPLICATED PEPTIC ULCER WITH CC $5,080 – $13,964 · median $9,878 10 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,080 – $13,964 · median $9,878 10 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $5,080 – $11,098 · median $9,686 10 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,080 – $11,098 · median $9,408 10 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $5,080 – $14,802 · median $9,878 10 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $5,080 – $14,802 · median $9,878 10 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,080 – $14,802 · median $9,878 10 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $5,080 – $11,366 · median $9,878 10 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,080 – $11,366 · median $9,878 10 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,080 – $11,098 · median $9,408 10 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $5,080 – $11,098 · median $9,408 10 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $5,080 – $13,757 · median $9,878 10 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $5,080 – $13,757 · median $9,878 10 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,080 – $11,098 · median $9,878 10 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $5,080 – $17,485 · median $9,878 10 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,080 – $17,485 · median $9,878 10 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,080 – $17,485 · median $9,878 10 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $5,080 – $15,496 · median $9,878 10 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,080 – $15,496 · median $9,878 10 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,080 – $15,496 · median $9,878 10 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $5,080 – $16,065 · median $9,878 10 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $5,080 – $16,065 · median $9,878 10 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $5,080 – $11,594 · median $9,878 10 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $5,080 – $11,654 · median $9,878 10 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,080 – $11,654 · median $9,878 10 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,080 – $11,098 · median $9,408 10 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $11,098 – $50,248 · median $24,435 10 plans
533 FRACTURES OF FEMUR WITH MCC $5,080 – $21,188 · median $9,878 10 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,080 – $21,188 · median $9,878 10 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $5,080 – $16,056 · median $9,878 10 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,080 – $16,056 · median $9,878 10 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $5,080 – $11,098 · median $9,408 10 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,080 – $11,098 · median $9,408 10 plans
539 OSTEOMYELITIS WITH MCC $5,080 – $24,688 · median $9,878 10 plans
540 OSTEOMYELITIS WITH CC $5,080 – $24,688 · median $9,878 10 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,080 – $24,688 · median $9,878 10 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $5,080 – $13,892 · median $9,878 10 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $5,080 – $13,892 · median $9,878 10 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $5,080 – $13,892 · median $9,878 10 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $5,080 – $13,561 · median $9,878 10 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $5,080 – $13,561 · median $9,878 10 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,080 – $11,186 · median $9,878 10 plans
548 SEPTIC ARTHRITIS WITH MCC $5,080 – $21,827 · median $9,878 10 plans
549 SEPTIC ARTHRITIS WITH CC $5,080 – $21,827 · median $9,878 10 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,080 – $21,827 · median $9,878 10 plans
551 MEDICAL BACK PROBLEMS WITH MCC $5,080 – $25,875 · median $9,855 10 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $5,080 – $14,467 · median $9,855 10 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,080 – $11,098 · median $9,781 10 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,080 – $11,098 · median $9,525 10 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,080 – $11,098 · median $9,408 10 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,080 – $11,098 · median $9,408 10 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $5,080 – $11,098 · median $9,408 10 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $5,080 – $11,098 · median $9,408 10 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,080 – $11,804 · median $9,878 10 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,080 – $11,804 · median $9,878 10 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,080 – $11,804 · median $9,878 10 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $5,080 – $11,098 · median $9,466 10 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $5,080 – $11,098 · median $9,408 10 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $5,080 – $11,098 · median $9,878 10 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,080 – $11,098 · median $9,878 10 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,080 – $11,098 · median $9,878 10 plans
592 SKIN ULCERS WITH MCC $5,080 – $18,904 · median $9,878 10 plans
593 SKIN ULCERS WITH CC $5,080 – $18,904 · median $9,878 10 plans
594 SKIN ULCERS WITHOUT CC/MCC $5,080 – $18,904 · median $9,878 10 plans
595 MAJOR SKIN DISORDERS WITH MCC $5,080 – $12,777 · median $9,878 10 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $5,080 – $11,948 · median $9,878 10 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $5,080 – $15,539 · median $9,878 10 plans
598 MALIGNANT BREAST DISORDERS WITH CC $5,080 – $15,539 · median $9,878 10 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,080 – $14,809 · median $9,878 10 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $5,080 – $11,098 · median $9,408 10 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,080 – $11,098 · median $9,408 10 plans
602 CELLULITIS WITH MCC $5,080 – $13,282 · median $9,878 10 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $5,080 – $20,999 · median $9,408 10 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,080 – $12,748 · median $9,408 10 plans
606 MINOR SKIN DISORDERS WITH MCC $5,080 – $11,098 · median $9,499 10 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,080 – $11,098 · median $9,408 10 plans
637 DIABETES WITH MCC $5,080 – $11,820 · median $9,878 10 plans
638 DIABETES WITH CC $5,080 – $11,820 · median $9,878 10 plans
639 DIABETES WITHOUT CC/MCC $5,080 – $11,173 · median $9,878 10 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $5,080 – $12,397 · median $9,878 10 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $5,080 – $11,098 · median $9,878 10 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $5,080 – $12,053 · median $9,878 10 plans
643 ENDOCRINE DISORDERS WITH MCC $5,080 – $14,012 · median $9,878 10 plans
644 ENDOCRINE DISORDERS WITH CC $5,080 – $14,012 · median $9,878 10 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,080 – $11,098 · median $9,878 10 plans
682 RENAL FAILURE WITH MCC $5,080 – $19,800 · median $9,878 10 plans
684 RENAL FAILURE WITHOUT CC/MCC $5,080 – $19,800 · median $9,878 10 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $5,080 – $13,814 · median $9,878 10 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,080 – $13,814 · median $9,878 10 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,080 – $11,114 · median $9,878 10 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,080 – $11,098 · median $9,602 10 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,080 – $11,098 · median $9,408 10 plans
697 URETHRAL STRICTURE $5,080 – $11,098 · median $9,408 10 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $5,080 – $12,484 · median $9,878 10 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $5,080 – $12,484 · median $9,878 10 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,080 – $11,859 · median $9,878 10 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $5,080 – $12,843 · median $9,878 10 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $5,080 – $12,843 · median $9,878 10 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,080 – $11,098 · median $9,556 10 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $5,080 – $11,098 · median $9,418 10 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,080 – $11,098 · median $9,408 10 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $5,080 – $11,098 · median $9,428 10 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,080 – $11,098 · median $9,428 10 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $5,080 – $11,098 · median $9,408 10 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,996 – $11,098 · median $9,408 10 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,080 – $12,927 · median $9,878 10 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,080 – $12,927 · median $9,878 10 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,080 – $11,098 · median $9,408 10 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,080 – $11,407 · median $9,878 10 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,080 – $11,407 · median $9,878 10 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,080 – $11,407 · median $9,878 10 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $5,080 – $11,098 · median $9,408 10 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,080 – $11,098 · median $9,408 10 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,080 – $11,098 · median $9,408 10 plans
779 ABORTION WITHOUT D&C $4,904 – $11,098 · median $9,408 10 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $5,080 – $19,033 · median $9,878 10 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $5,080 – $19,033 · median $9,878 10 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $5,080 – $19,033 · median $9,878 10 plans
811 RED BLOOD CELL DISORDERS WITH MCC $5,080 – $11,098 · median $9,878 10 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,425 – $11,098 · median $9,408 10 plans
813 COAGULATION DISORDERS $5,080 – $14,943 · median $9,878 10 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $5,080 – $14,617 · median $9,878 10 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $5,080 – $14,617 · median $9,878 10 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,080 – $11,098 · median $9,878 10 plans
834 ACUTE LEUKEMIA WITH MCC $5,080 – $34,887 · median $9,878 10 plans
835 ACUTE LEUKEMIA WITH CC $5,080 – $34,887 · median $9,878 10 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $5,080 – $15,599 · median $9,878 10 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $5,080 – $38,576 · median $9,878 10 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $5,080 – $38,576 · median $9,878 10 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,080 – $38,576 · median $9,878 10 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $5,080 – $20,225 · median $9,878 10 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $5,080 – $20,225 · median $9,878 10 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $5,080 – $13,641 · median $9,878 10 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $5,080 – $15,671 · median $9,878 10 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $5,080 – $15,671 · median $9,878 10 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $5,080 – $13,465 · median $9,878 10 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $5,080 – $11,098 · median $9,408 10 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $5,080 – $11,098 · median $9,408 10 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,080 – $11,098 · median $9,408 10 plans
849 RADIOTHERAPY $5,080 – $14,772 · median $9,878 10 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $5,080 – $15,022 · median $9,878 10 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $5,080 – $15,022 · median $9,878 10 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,080 – $13,947 · median $9,878 10 plans
865 VIRAL ILLNESS WITH MCC $5,080 – $11,098 · median $9,662 10 plans
866 VIRAL ILLNESS WITHOUT MCC $5,080 – $11,098 · median $9,408 10 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $5,080 – $19,793 · median $9,878 10 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $5,080 – $19,793 · median $9,878 10 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,080 – $19,793 · median $9,878 10 plans
913 TRAUMATIC INJURY WITH MCC $5,080 – $11,098 · median $9,878 10 plans
914 TRAUMATIC INJURY WITHOUT MCC $5,080 – $11,098 · median $9,408 10 plans
915 ALLERGIC REACTIONS WITH MCC $5,080 – $11,098 · median $9,408 10 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,080 – $11,098 · median $9,408 10 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $5,080 – $11,098 · median $9,878 10 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,080 – $11,098 · median $9,408 10 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $5,080 – $12,110 · median $9,878 10 plans
920 COMPLICATIONS OF TREATMENT WITH CC $5,080 – $12,110 · median $9,878 10 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,080 – $11,194 · median $9,878 10 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $5,080 – $12,140 · median $9,878 10 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $5,080 – $11,098 · median $9,408 10 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $5,080 – $26,793 · median $9,878 10 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $5,080 – $21,251 · median $9,878 10 plans
935 NON-EXTENSIVE BURNS $5,080 – $17,432 · median $9,878 10 plans
947 SIGNS AND SYMPTOMS WITH MCC $5,080 – $11,915 · median $9,878 10 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,080 – $11,098 · median $9,878 10 plans
949 AFTERCARE WITH CC/MCC $5,080 – $11,098 · median $9,408 10 plans
950 AFTERCARE WITHOUT CC/MCC $4,318 – $11,098 · median $9,408 10 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,080 – $11,098 · median $9,878 10 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $5,080 – $45,029 · median $9,878 10 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $5,080 – $27,466 · median $9,878 10 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,080 – $27,466 · median $9,878 10 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $5,080 – $30,988 · median $9,878 10 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $5,080 – $30,988 · median $9,878 10 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $5,080 – $30,988 · median $9,878 10 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $5,080 – $17,699 · median $9,878 10 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $3,555 – $193,487 9 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 9 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 9 plans
006 LIVER TRANSPLANT WITHOUT MCC $3,555 – $171,882 · median $12,867 9 plans
007 LUNG TRANSPLANT — 9 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $3,555 – $87,536 · median $12,867 9 plans
010 PANCREAS TRANSPLANT $3,555 – $86,656 · median $12,867 9 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $3,555 – $87,536 · median $12,867 9 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $3,555 – $32,371 · median $12,867 9 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $3,555 – $32,371 · median $12,867 9 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $3,555 – $32,371 · median $12,700 9 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $3,555 – $161,442 · median $12,700 9 plans
265 AICD LEAD PROCEDURES $3,555 – $70,426 · median $31,073 9 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $3,555 – $105,460 · median $75,869 9 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $3,555 – $66,857 · median $37,829 9 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $3,555 – $49,210 · median $37,829 9 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $3,555 – $59,589 · median $12,867 9 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $3,555 – $40,788 · median $14,860 9 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,555 – $40,788 · median $14,860 9 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $3,555 – $20,424 · median $14,860 9 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,555 – $20,424 · median $14,860 9 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $3,555 – $50,248 · median $25,439 9 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $3,555 – $50,248 · median $25,439 9 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $3,555 – $50,248 · median $25,439 9 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $8,000 – $50,150 · median $20,823 9 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $8,000 – $50,150 · median $20,823 9 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $11,098 – $50,150 · median $20,589 9 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $3,555 – $69,350 · median $12,867 9 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $3,555 – $69,350 · median $12,867 9 plans
652 KIDNEY TRANSPLANT $3,555 – $69,350 · median $12,867 9 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $3,555 – $16,184 · median $11,768 9 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $3,555 – $16,184 · median $11,768 9 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,555 – $16,184 · median $11,768 9 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH $3,555 – $300,401 8 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $5,080 – $169,107 8 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $5,080 – $169,107 · median $9,408 8 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $5,080 – $169,107 · median $9,408 8 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 8 plans
693 URINARY STONES WITH MCC $6,139 – $15,416 · median $12,009 8 plans
694 URINARY STONES WITHOUT MCC $6,139 – $15,416 · median $12,009 8 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $5,080 – $11,098 · median $8,425 8 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,080 – $11,098 · median $8,425 8 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,572 – $11,098 · median $8,425 8 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $4,670 – $9,450 · median $7,275 7 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $4,345 – $57,542 · median $14,505 7 plans
791 PREMATURITY WITH MAJOR PROBLEMS $3,945 – $57,542 · median $14,505 7 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $2,420 – $7,654 · median $7,275 7 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $3,075 – $57,542 · median $14,505 7 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,110 – $7,654 · median $7,275 7 plans
795 NORMAL NEWBORN $1,386 – $2,572 · median $2,472 7 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,080 – $11,098 · median $10,299 7 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $5,080 – $11,098 · median $10,700 7 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $5,080 – $11,098 · median $10,299 7 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,080 – $11,098 · median $10,299 7 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK $21,000 – $94,194 · median $65,837 5 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK $21,000 – $94,194 · median $65,837 5 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH $21,000 – $92,544 · median $65,837 5 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH $21,000 – $92,544 · median $65,837 5 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $19,000 – $92,544 · median $63,526 5 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $19,000 – $92,544 · median $63,526 5 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ AR $6,300 – $51,722 · median $38,023 5 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $6,300 – $51,722 · median $38,023 5 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4 $6,300 – $51,638 · median $34,652 5 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $6,300 – $51,638 · median $34,652 5 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $3,555 – $33,145 · median $12,700 5 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $9,128 – $11,098 · median $10,700 4 plans
881 DEPRESSIVE NEUROSES $10,700 – $12,489 · median $10,899 4 plans
882 NEUROSES EXCEPT DEPRESSIVE $10,519 – $11,098 · median $10,700 4 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $10,700 – $12,760 · median $10,899 4 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $10,700 – $12,619 · median $10,899 4 plans
885 PSYCHOSES $10,700 – $16,128 · median $10,899 4 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $10,700 – $12,730 · median $10,899 4 plans
887 OTHER MENTAL DISORDER DIAGNOSES $10,444 – $11,098 · median $10,700 4 plans
945 REHABILITATION WITH CC/MCC $11,998 – $18,055 · median $14,992 3 plans
946 REHABILITATION WITHOUT CC/MCC $11,998 – $18,055 · median $14,992 3 plans
133 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC $21,761 – $26,027 · median $23,894 2 plans
230 OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC $25,000 – $30,100 · median $27,550 2 plans
237 MAJOR CARDIOVASC PROCEDURES W MCC $19,000 – $26,200 · median $22,600 2 plans
238 MAJOR CARDIOVASC PROCEDURES W/O MCC $19,000 – $26,200 · median $22,600 2 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $53,498 – $62,413 · median $57,956 2 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $35,664 – $41,013 · median $38,339 2 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $13,300 – $13,300 · median $13,300 1 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $13,300 – $13,300 · median $13,300 1 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $13,300 – $13,300 · median $13,300 1 plans
490 BACK & NECK PROC EXC SPINAL FUSION W CC/MCC OR DISC DEVICE/NEUROSTIM $9,000 – $9,000 · median $9,000 1 plans
491 BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC $9,000 – $9,000 · median $9,000 1 plans
765 CESAREAN SECTION W CC/MCC $4,900 – $4,900 · median $4,900 1 plans
766 CESAREAN SECTION W/O CC/MCC $4,900 – $4,900 · median $4,900 1 plans
767 VAGINAL DELIVERY W STERILIZATION &/OR D&C $3,800 – $3,800 · median $3,800 1 plans
774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES $3,400 – $3,400 · median $3,400 1 plans
775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES $3,400 – $3,400 · median $3,400 1 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $14,989 – $14,989 · median $14,989 1 plans
999 UNGROUPABLE $14,989 – $14,989 · median $14,989 1 plans
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