HCA Florida Fawcett Hospital — Pricing

789 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 789 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 789
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 789 procedures

Procedures with negotiated rates only

These 789 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
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,799 – $39,637 · median $30,527 20 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $10,799 – $42,170 · median $21,954 20 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL $10,799 – $147,486 · median $65,411 19 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $10,799 – $99,493 · median $57,561 19 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY $9,780 – $113,289 · median $65,411 19 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $10,799 – $99,493 · median $57,561 19 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $2,000 – $26,822 · median $17,284 19 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $2,000 – $26,822 · median $17,284 19 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $2,000 – $20,605 · median $14,629 19 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $2,000 – $26,822 · median $17,284 19 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $2,000 – $26,822 · median $17,284 19 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $2,000 – $20,605 · median $14,629 19 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $1,300 – $15,891 · median $10,311 19 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $1,300 – $15,891 · median $10,311 19 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $1,300 – $15,891 · median $7,972 19 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $10,799 – $72,869 · median $54,198 18 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $9,583 – $25,107 · median $15,550 18 plans
313 CHEST PAIN $5,741 – $19,754 · median $12,298 18 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $9,000 – $74,554 · median $23,753 18 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $9,000 – $26,148 · median $18,837 18 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $10,799 – $65,787 · median $51,022 18 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $10,799 – $64,284 · median $49,712 18 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $10,799 – $72,530 · median $46,774 18 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $10,799 – $64,284 · median $32,707 18 plans
471 CERVICAL SPINAL FUSION WITH MCC $10,799 – $76,534 · median $51,022 18 plans
472 CERVICAL SPINAL FUSION WITH CC $10,799 – $76,534 · median $46,793 18 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $10,799 – $74,994 · median $40,499 18 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,799 – $74,994 · median $23,187 18 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $10,799 – $30,751 · median $22,243 18 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $10,799 – $30,751 · median $19,617 18 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $10,799 – $156,241 · median $74,994 17 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $10,799 – $139,999 · median $74,994 17 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $10,799 – $139,999 · median $74,994 17 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $8,000 – $53,569 · median $19,505 17 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $8,000 – $53,569 · median $19,505 17 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $8,000 – $53,569 · median $19,505 17 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $6,771 – $19,505 · median $14,841 16 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,771 – $19,505 · median $14,841 16 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $6,771 – $19,505 · median $14,841 16 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $10,799 – $127,287 · median $92,372 16 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $6,000 – $72,869 · median $54,234 16 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,771 – $19,505 · median $14,841 16 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $10,614 – $129,881 · median $80,123 16 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $10,799 – $93,616 · median $60,624 16 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $10,799 – $72,530 · median $46,774 16 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $10,799 – $55,248 · median $32,707 16 plans
603 CELLULITIS WITHOUT MCC $6,771 – $19,505 · median $14,841 16 plans
683 RENAL FAILURE WITH CC $6,771 – $19,505 · median $14,841 16 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $6,771 – $19,505 · median $14,841 16 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,771 – $19,505 · median $14,841 16 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $10,799 – $38,265 · median $25,256 16 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $6,000 – $76,534 · median $43,075 15 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $6,000 – $76,534 · median $43,075 15 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $6,000 – $76,534 · median $43,075 15 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $10,799 – $183,631 · median $110,383 15 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $10,799 – $178,437 · median $110,383 15 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $10,799 – $173,239 · median $110,383 15 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $10,799 – $147,232 · median $108,908 15 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $10,799 – $143,065 · median $106,915 15 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $10,799 – $138,900 · median $103,801 15 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $10,799 – $136,806 · median $78,278 15 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $10,799 – $136,806 · median $73,846 15 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $10,799 – $121,395 · median $90,719 15 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $10,799 – $115,161 · median $77,903 15 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $10,799 – $110,498 · median $82,576 15 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $10,799 – $110,209 · median $70,221 15 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $6,000 – $57,147 · median $33,474 15 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $6,000 – $57,147 · median $31,579 15 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $10,799 – $107,140 · median $52,872 15 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $10,799 – $107,140 · median $39,379 15 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $10,799 – $127,287 · median $98,117 15 plans
291 HEART FAILURE AND SHOCK WITH MCC $6,000 – $36,306 · median $12,935 15 plans
292 HEART FAILURE AND SHOCK WITH CC $6,000 – $36,306 · median $12,935 15 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $6,000 – $36,306 · median $12,935 15 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $10,799 – $139,999 · median $74,994 15 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $1,300 – $16,330 · median $11,671 15 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $1,300 – $15,891 · median $7,693 15 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $1,300 – $15,891 · median $7,693 15 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $1,300 – $15,891 · median $7,693 15 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $10,799 – $79,587 · median $55,102 14 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $10,799 – $79,587 · median $53,381 14 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $10,799 – $79,587 · median $51,779 14 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $10,799 – $74,994 · median $30,889 14 plans
038 EXTRACRANIAL PROCEDURES WITH CC $10,799 – $74,994 · median $30,889 14 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $10,799 – $74,994 · median $30,889 14 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $10,799 – $74,994 · median $37,414 14 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $9,780 – $67,355 · median $23,830 14 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $7,566 – $67,355 · median $23,303 14 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $6,000 – $78,604 · median $56,252 14 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $6,000 – $78,604 · median $55,165 14 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $10,799 – $68,872 · median $38,363 14 plans
253 OTHER VASCULAR PROCEDURES WITH CC $10,799 – $68,872 · median $37,817 14 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $10,799 – $68,872 · median $30,851 14 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $10,799 – $233,623 · median $115,205 14 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $10,799 – $177,122 · median $112,807 14 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $10,799 – $109,888 · median $77,863 14 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $10,799 – $107,140 · median $59,676 14 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $10,799 – $107,140 · median $68,487 14 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $10,799 – $57,147 · median $34,237 14 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $6,771 – $30,609 · median $18,435 14 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,771 – $30,609 · median $18,435 14 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $6,771 – $30,609 · median $15,628 14 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $10,799 – $25,107 · median $15,550 14 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $8,364 – $68,872 · median $23,113 14 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,364 – $68,872 · median $23,113 14 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,797 – $68,872 · median $23,113 14 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $6,771 – $16,529 · median $12,821 14 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $10,799 – $89,320 · median $41,359 14 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $10,799 – $57,147 · median $37,504 14 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $9,000 – $43,695 · median $15,888 14 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,000 – $43,695 · median $15,888 14 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $9,000 – $26,148 · median $17,926 14 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $9,000 – $26,148 · median $17,926 14 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $6,771 – $36,266 · median $13,462 14 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,771 – $28,675 · median $13,462 14 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $6,771 – $24,628 · median $13,462 14 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $10,799 – $64,284 · median $32,167 14 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $10,799 – $55,248 · median $34,434 14 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $10,799 – $55,248 · median $33,559 14 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $10,799 – $55,248 · median $32,861 14 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $10,799 – $74,994 · median $35,350 14 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $10,799 – $74,994 · median $34,980 14 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $8,586 – $41,157 · median $14,237 14 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $8,000 – $74,994 · median $35,719 13 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,000 – $74,994 · median $35,719 13 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $8,000 – $74,994 · median $35,719 13 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $6,327 – $74,994 · median $35,719 13 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,327 – $74,994 · median $35,719 13 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $7,337 – $74,994 · median $34,241 13 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $6,000 – $320,066 · median $115,231 13 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $10,799 – $150,182 · median $94,390 13 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $10,799 – $141,689 · median $94,390 13 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $9,780 – $79,236 · median $20,274 13 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $10,799 – $230,431 · median $35,719 13 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $10,799 – $183,471 · median $35,719 13 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC — 13 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $10,799 – $50,760 · median $25,682 13 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $10,799 – $50,760 · median $25,682 13 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $10,799 – $153,816 · median $74,094 12 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $10,799 – $146,695 · median $74,094 12 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $10,799 – $142,424 · median $74,094 12 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $10,799 – $112,057 · median $56,297 12 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $10,799 – $105,716 · median $56,297 12 plans
028 SPINAL PROCEDURES WITH MCC $10,799 – $74,994 · median $37,576 12 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $10,799 – $74,994 · median $37,427 12 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $10,799 – $74,994 · median $33,331 12 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $6,000 – $56,969 · median $15,888 12 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $6,000 – $65,820 · median $26,223 12 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $10,614 – $126,700 · median $43,577 12 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $10,614 – $121,477 · median $43,577 12 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $10,799 – $75,324 · median $38,154 12 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH $9,000 – $256,710 11 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC $9,000 – $154,074 11 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $9,000 – $41,834 · median $13,160 11 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $9,000 – $41,834 · median $13,160 11 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $9,000 – $41,834 · median $13,160 11 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $10,799 – $76,534 · median $35,719 11 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $10,799 – $76,534 · median $35,719 11 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $10,799 – $76,534 · median $35,719 11 plans
113 ORBITAL PROCEDURES WITH CC/MCC $6,779 – $20,274 · median $10,799 11 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $6,779 – $20,274 · median $10,799 11 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $4,190 – $20,274 · median $10,799 11 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $7,198 – $20,274 · median $10,799 11 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $6,632 – $20,274 · median $10,799 11 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $6,983 – $20,274 · median $10,799 11 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $6,260 – $20,274 · median $10,799 11 plans
137 MOUTH PROCEDURES WITH CC/MCC $9,000 – $20,274 · median $11,098 11 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,670 – $20,274 · median $10,799 11 plans
139 SALIVARY GLAND PROCEDURES $7,129 – $20,274 · median $10,799 11 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $9,000 – $36,816 · median $13,160 11 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $9,000 – $36,816 · median $13,160 11 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $9,000 – $36,816 · median $13,160 11 plans
163 MAJOR CHEST PROCEDURES WITH MCC $9,000 – $38,140 · median $13,160 11 plans
164 MAJOR CHEST PROCEDURES WITH CC $9,000 – $38,140 · median $13,160 11 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $9,000 – $38,140 · median $13,160 11 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $9,000 – $32,872 · median $13,160 11 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $9,000 – $32,872 · median $13,160 11 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,000 – $21,435 · median $13,160 11 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $9,000 – $32,464 · median $13,160 11 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $9,000 – $32,464 · median $13,160 11 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $9,000 – $32,464 · median $13,160 11 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $9,000 – $24,232 · median $13,160 11 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $9,000 – $24,232 · median $13,160 11 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $9,000 – $24,232 · median $13,160 11 plans
263 VEIN LIGATION AND STRIPPING $9,290 – $26,954 · median $13,160 11 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $6,771 – $27,354 · median $12,887 11 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $6,771 – $24,516 · median $12,887 11 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $6,771 – $23,128 · median $12,887 11 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $6,771 – $38,217 · median $12,887 11 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $6,771 – $38,217 · median $12,887 11 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,771 – $38,217 · median $12,887 11 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $9,000 – $57,147 · median $13,160 11 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $9,000 – $57,147 · median $13,160 11 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $9,000 – $34,425 · median $13,160 11 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $9,000 – $34,425 · median $13,160 11 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $9,000 – $22,931 · median $13,160 11 plans
332 RECTAL RESECTION WITH MCC $9,000 – $39,389 · median $13,160 11 plans
333 RECTAL RESECTION WITH CC $9,000 – $39,389 · median $13,160 11 plans
334 RECTAL RESECTION WITHOUT CC/MCC $9,000 – $29,121 · median $13,160 11 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $9,000 – $30,006 · median $13,160 11 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $9,000 – $30,006 · median $13,160 11 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $9,000 – $20,366 · median $13,160 11 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $9,000 – $20,274 · median $13,160 11 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $9,000 – $20,274 · median $13,160 11 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,000 – $20,274 · median $11,143 11 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $7,402 – $20,274 · median $10,799 11 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $7,402 – $20,274 · median $10,799 11 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $5,587 – $20,274 · median $10,799 11 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $9,000 – $20,274 · median $11,098 11 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $9,000 – $20,274 · median $11,098 11 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $6,626 – $20,274 · median $10,799 11 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $9,000 – $20,274 · median $11,098 11 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $9,000 – $20,274 · median $11,098 11 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $7,559 – $20,274 · median $10,799 11 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $9,000 – $35,367 · median $13,160 11 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $9,000 – $35,367 · median $13,160 11 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,000 – $29,839 · median $13,160 11 plans
397 APPENDIX PROCEDURES WITH MCC $9,000 – $28,777 · median $13,160 11 plans
398 APPENDIX PROCEDURES WITH CC $9,000 – $20,274 · median $13,160 11 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $9,000 – $20,274 · median $11,283 11 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $9,000 – $57,132 · median $13,160 11 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $9,000 – $57,132 · median $13,160 11 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $9,000 – $51,796 · median $13,160 11 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $9,000 – $36,013 · median $13,160 11 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $9,000 – $36,013 · median $13,160 11 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $9,000 – $27,160 · median $13,160 11 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $9,000 – $29,107 · median $13,160 11 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $9,000 – $29,107 · median $13,160 11 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $9,000 – $20,461 · median $13,160 11 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $9,000 – $21,846 · median $13,160 11 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $9,000 – $21,846 · median $13,160 11 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $9,000 – $20,274 · median $11,555 11 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $9,000 – $33,663 · median $13,160 11 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $9,000 – $33,663 · median $13,160 11 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $9,000 – $29,946 · median $13,160 11 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $9,000 – $34,744 · median $13,160 11 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $9,000 – $34,744 · median $13,160 11 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $9,000 – $34,744 · median $13,160 11 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $9,780 – $39,644 · median $18,616 11 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $9,780 – $38,173 · median $18,616 11 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $9,780 – $36,706 · median $18,616 11 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $9,000 – $25,298 · median $13,160 11 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $9,000 – $25,298 · median $13,160 11 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $9,000 – $25,298 · median $13,160 11 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,000 – $20,274 · median $13,160 11 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $9,000 – $20,274 · median $13,160 11 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $9,000 – $20,274 · median $13,160 11 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $9,000 – $55,248 · median $20,023 11 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $9,780 – $32,868 · median $18,616 11 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $10,799 – $55,248 · median $17,673 11 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $10,799 – $55,248 · median $17,673 11 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $10,579 – $55,248 · median $13,367 11 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $9,780 – $24,575 · median $18,366 11 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $9,780 – $23,667 · median $17,687 11 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $9,780 – $22,993 · median $13,160 11 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $9,000 – $20,274 · median $11,098 11 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $9,000 – $20,274 · median $11,098 11 plans
500 SOFT TISSUE PROCEDURES WITH MCC $8,903 – $20,274 · median $11,098 11 plans
501 SOFT TISSUE PROCEDURES WITH CC $8,903 – $20,274 · median $11,098 11 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $6,663 – $20,274 · median $10,799 11 plans
503 FOOT PROCEDURES WITH MCC $6,642 – $32,508 · median $13,160 11 plans
504 FOOT PROCEDURES WITH CC $6,642 – $31,609 · median $13,160 11 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $6,642 – $30,390 · median $13,160 11 plans
506 MAJOR THUMB OR JOINT PROCEDURES $8,292 – $20,274 · median $10,799 11 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $9,780 – $31,906 · median $13,160 11 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $9,780 – $30,101 · median $13,160 11 plans
509 ARTHROSCOPY $6,815 – $20,274 · median $10,799 11 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $5,063 – $20,274 · median $10,799 11 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $5,063 – $20,274 · median $10,799 11 plans
570 SKIN DEBRIDEMENT WITH MCC $9,000 – $30,963 · median $13,160 11 plans
571 SKIN DEBRIDEMENT WITH CC $9,000 – $30,963 · median $13,160 11 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $9,000 – $27,921 · median $13,160 11 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $9,000 – $30,963 · median $13,160 11 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $9,000 – $30,963 · median $13,160 11 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $9,000 – $27,921 · median $13,160 11 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $9,000 – $20,274 · median $13,160 11 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $9,000 – $20,274 · median $13,160 11 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $7,413 – $20,274 · median $10,799 11 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $9,000 – $20,274 · median $11,489 11 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $9,000 – $20,274 · median $11,489 11 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $7,726 – $20,274 · median $10,799 11 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $9,000 – $20,274 · median $11,098 11 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $9,000 – $20,274 · median $11,098 11 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $8,723 – $20,274 · median $11,022 11 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $6,750 – $20,274 · median $10,799 11 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $9,000 – $34,235 · median $13,160 11 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $9,000 – $34,235 · median $13,160 11 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $9,000 – $41,910 · median $13,160 11 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $9,000 – $41,910 · median $13,160 11 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $9,000 – $41,910 · median $13,160 11 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $9,000 – $30,455 · median $13,160 11 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $9,000 – $30,455 · median $13,160 11 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $9,000 – $30,455 · median $13,160 11 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $9,000 – $20,274 · median $13,160 11 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $9,000 – $20,274 · median $13,160 11 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $8,678 – $20,274 · median $10,966 11 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $9,000 – $29,626 · median $13,160 11 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $9,000 – $29,626 · median $13,160 11 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $9,000 – $23,005 · median $13,160 11 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $9,000 – $42,855 · median $13,160 11 plans
654 MAJOR BLADDER PROCEDURES WITH CC $9,000 – $42,855 · median $13,160 11 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $9,000 – $42,855 · median $13,160 11 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $9,000 – $35,361 · median $13,160 11 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $9,000 – $35,361 · median $13,160 11 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $9,780 – $35,361 · median $18,616 11 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $9,780 – $36,575 · median $18,616 11 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,780 – $26,030 · median $18,029 11 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $9,780 – $20,274 · median $15,066 11 plans
662 MINOR BLADDER PROCEDURES WITH MCC $9,000 – $20,274 · median $11,644 11 plans
663 MINOR BLADDER PROCEDURES WITH CC $9,000 – $20,274 · median $11,644 11 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,762 – $20,274 · median $11,072 11 plans
665 PROSTATECTOMY WITH MCC $9,000 – $20,274 · median $12,766 11 plans
666 PROSTATECTOMY WITH CC $9,000 – $20,274 · median $12,766 11 plans
667 PROSTATECTOMY WITHOUT CC/MCC $9,000 – $20,274 · median $11,098 11 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $7,365 – $20,274 · median $10,799 11 plans
669 TRANSURETHRAL PROCEDURES WITH CC $7,365 – $20,274 · median $10,799 11 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $5,640 – $20,274 · median $10,799 11 plans
671 URETHRAL PROCEDURES WITH CC/MCC $7,407 – $20,274 · median $10,799 11 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $5,884 – $20,274 · median $10,799 11 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $9,000 – $35,527 · median $13,160 11 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $9,000 – $35,527 · median $13,160 11 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $9,000 – $35,527 · median $13,160 11 plans
709 PENIS PROCEDURES WITH CC/MCC $9,000 – $20,274 · median $11,098 11 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $9,000 – $20,274 · median $11,098 11 plans
711 TESTES PROCEDURES WITH CC/MCC $9,000 – $20,274 · median $11,098 11 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $5,845 – $20,274 · median $10,799 11 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $9,000 – $20,274 · median $11,098 11 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,895 – $20,274 · median $10,799 11 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $9,000 – $20,274 · median $11,368 11 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $9,000 – $20,274 · median $11,368 11 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $8,285 – $20,274 · median $10,799 11 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $8,285 – $20,274 · median $10,799 11 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $9,000 – $30,597 · median $13,160 11 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,000 – $30,597 · median $13,160 11 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $9,000 – $27,031 · median $13,160 11 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $9,000 – $27,031 · median $13,160 11 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,000 – $27,031 · median $13,160 11 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $9,780 – $66,924 · median $13,749 11 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $9,780 – $30,841 · median $13,749 11 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $6,684 – $20,274 · median $10,799 11 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $6,240 – $20,274 · median $10,799 11 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $6,425 – $20,274 · median $10,799 11 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,425 – $20,274 · median $10,799 11 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $9,000 – $24,446 · median $13,160 11 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,000 – $24,446 · median $13,160 11 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $5,842 – $20,274 · median $10,799 11 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,802 – $20,274 · median $10,799 11 plans
799 SPLENIC PROCEDURES WITH MCC $9,000 – $41,614 · median $13,160 11 plans
800 SPLENIC PROCEDURES WITH CC $9,000 – $41,614 · median $13,160 11 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $9,000 – $20,274 · median $13,160 11 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $9,000 – $20,274 · median $11,098 11 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $9,000 – $20,274 · median $11,098 11 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $9,000 – $20,274 · median $11,098 11 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $9,000 – $43,353 · median $13,160 11 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $9,000 – $43,353 · median $13,160 11 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,000 – $20,274 · median $13,068 11 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $9,000 – $24,756 · median $13,160 11 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $9,000 – $24,756 · median $13,160 11 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,000 – $20,274 · median $11,098 11 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $9,000 – $32,409 · median $13,160 11 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $9,000 – $32,409 · median $13,160 11 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $9,000 – $21,934 · median $13,160 11 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $9,000 – $20,274 · median $11,098 11 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $9,000 – $20,274 · median $11,098 11 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $9,000 – $117,988 · median $13,160 11 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $9,000 – $42,637 · median $13,160 11 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $9,000 – $42,637 · median $13,160 11 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $9,000 – $42,637 · median $13,160 11 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $9,000 – $42,637 · median $13,160 11 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $9,000 – $42,637 · median $13,160 11 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,000 – $42,637 · median $13,160 11 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $9,000 – $26,157 · median $13,160 11 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $9,000 – $26,157 · median $13,160 11 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,000 – $26,157 · median $13,160 11 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $9,000 – $21,141 · median $13,160 11 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $9,000 – $21,141 · median $13,160 11 plans
906 HAND PROCEDURES FOR INJURIES $7,403 – $20,274 · median $10,799 11 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $9,000 – $23,239 · median $13,160 11 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $9,000 – $23,239 · median $13,160 11 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,000 – $20,274 · median $13,160 11 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $9,000 – $180,803 11 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $9,000 – $54,410 · median $13,160 11 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $9,000 – $21,875 · median $13,160 11 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $9,000 – $20,274 · median $13,160 11 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $9,000 – $20,274 · median $13,160 11 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $9,000 – $20,274 · median $13,160 11 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $9,000 – $89,627 · median $13,160 11 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $9,000 – $41,784 · median $13,160 11 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $9,000 – $63,536 · median $13,160 11 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $9,000 – $63,536 · median $13,160 11 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $9,000 – $63,536 · median $13,160 11 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $9,000 – $57,740 · median $13,160 11 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $9,000 – $57,740 · median $13,160 11 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $9,000 – $46,371 · median $13,160 11 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $9,000 – $46,371 · median $13,160 11 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,000 – $46,371 · median $13,160 11 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $9,000 – $22,366 · median $13,160 11 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $9,000 – $22,366 · median $13,160 11 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,000 – $22,366 · median $13,160 11 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $6,771 – $18,234 · median $10,949 10 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $6,771 – $18,234 · median $10,949 10 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $6,771 – $14,502 · median $10,949 10 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $6,771 – $14,037 · median $10,307 10 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $6,771 – $14,037 · median $10,469 10 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $6,771 – $14,037 · median $10,469 10 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $6,771 – $14,037 · median $10,362 10 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $6,771 – $14,037 · median $10,362 10 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,771 – $14,037 · median $10,362 10 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $6,771 – $28,786 · median $10,949 10 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $6,771 – $28,786 · median $10,949 10 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $6,771 – $28,786 · median $10,949 10 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $6,771 – $14,037 · median $10,307 10 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $6,771 – $14,037 · median $10,307 10 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $6,771 – $14,037 · median $9,814 10 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $6,771 – $14,037 · median $9,814 10 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $6,639 – $14,037 · median $9,814 10 plans
075 VIRAL MENINGITIS WITH CC/MCC $6,771 – $16,835 · median $10,949 10 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,771 – $16,835 · median $10,949 10 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $6,771 – $14,037 · median $9,814 10 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $6,771 – $14,037 · median $9,814 10 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $6,771 – $14,037 · median $9,814 10 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $6,771 – $14,396 · median $10,949 10 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,771 – $14,396 · median $10,949 10 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $6,771 – $20,040 · median $10,949 10 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $6,771 – $20,040 · median $10,949 10 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,771 – $20,040 · median $10,949 10 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $6,771 – $14,037 · median $10,307 10 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $6,771 – $14,037 · median $10,307 10 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,551 – $14,037 · median $9,814 10 plans
088 CONCUSSION WITH MCC $5,455 – $14,037 · median $9,814 10 plans
089 CONCUSSION WITH CC $5,455 – $14,037 · median $9,814 10 plans
090 CONCUSSION WITHOUT CC/MCC $4,120 – $14,037 · median $9,814 10 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $6,771 – $14,037 · median $10,347 10 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $6,771 – $14,037 · median $10,347 10 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,771 – $14,037 · median $9,814 10 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $6,771 – $18,044 · median $10,949 10 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $6,771 – $18,044 · median $10,949 10 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,771 – $18,044 · median $10,949 10 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $6,771 – $18,044 · median $10,949 10 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $6,771 – $18,044 · median $10,949 10 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $6,771 – $18,044 · median $10,949 10 plans
100 SEIZURES WITH MCC $6,771 – $14,037 · median $9,814 10 plans
101 SEIZURES WITHOUT MCC $6,341 – $14,037 · median $9,814 10 plans
102 HEADACHES WITH MCC $6,341 – $14,037 · median $9,814 10 plans
103 HEADACHES WITHOUT MCC $5,596 – $14,037 · median $9,814 10 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $6,483 – $14,037 · median $9,814 10 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,483 – $14,037 · median $9,814 10 plans
123 NEUROLOGICAL EYE DISORDERS $5,481 – $14,037 · median $9,814 10 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $6,091 – $14,037 · median $9,814 10 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,244 – $14,037 · median $9,814 10 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $6,771 – $14,037 · median $10,351 10 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $6,771 – $14,037 · median $10,351 10 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,771 – $14,037 · median $10,351 10 plans
149 DYSEQUILIBRIUM $4,562 – $14,037 · median $9,814 10 plans
150 EPISTAXIS WITH MCC $4,201 – $14,037 · median $9,814 10 plans
151 EPISTAXIS WITHOUT MCC $4,201 – $14,037 · median $9,814 10 plans
152 OTITIS MEDIA AND URI WITH MCC $6,771 – $14,037 · median $10,307 10 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $6,672 – $14,037 · median $9,814 10 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $6,128 – $14,037 · median $9,814 10 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,128 – $14,037 · median $9,814 10 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,287 – $14,037 · median $9,814 10 plans
157 DENTAL AND ORAL DISEASES WITH MCC $6,771 – $14,037 · median $9,814 10 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,771 – $14,037 · median $9,814 10 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,267 – $14,037 · median $9,814 10 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $9,000 – $39,388 · median $13,160 10 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $6,771 – $18,955 · median $10,949 10 plans
176 PULMONARY EMBOLISM WITHOUT MCC $6,771 – $18,955 · median $10,949 10 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $6,771 – $24,778 · median $10,949 10 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,771 – $24,778 · median $10,949 10 plans
180 RESPIRATORY NEOPLASMS WITH MCC $6,771 – $14,420 · median $10,949 10 plans
181 RESPIRATORY NEOPLASMS WITH CC $6,771 – $14,420 · median $10,949 10 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,771 – $14,420 · median $10,949 10 plans
183 MAJOR CHEST TRAUMA WITH MCC $6,771 – $14,037 · median $10,285 10 plans
184 MAJOR CHEST TRAUMA WITH CC $6,771 – $14,037 · median $10,285 10 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,001 – $14,037 · median $9,814 10 plans
186 PLEURAL EFFUSION WITH MCC $6,771 – $14,341 · median $10,949 10 plans
187 PLEURAL EFFUSION WITH CC $6,771 – $14,341 · median $10,949 10 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $6,771 – $14,037 · median $10,347 10 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $6,771 – $23,154 · median $10,949 10 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $6,771 – $14,037 · median $10,857 10 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,771 – $14,037 · median $10,857 10 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $6,771 – $14,037 · median $10,857 10 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $6,771 – $14,237 · median $10,949 10 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $6,771 – $14,237 · median $10,949 10 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,771 – $14,037 · median $10,307 10 plans
199 PNEUMOTHORAX WITH MCC $6,771 – $16,708 · median $10,949 10 plans
200 PNEUMOTHORAX WITH CC $6,771 – $16,708 · median $10,949 10 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $6,771 – $14,037 · median $10,307 10 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $6,771 – $14,037 · median $10,307 10 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $6,771 – $14,037 · median $9,814 10 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,771 – $14,037 · median $10,077 10 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $6,771 – $14,037 · median $10,307 10 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,771 – $14,037 · median $9,814 10 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $6,771 – $40,678 · median $10,949 10 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $6,771 – $40,678 · median $10,949 10 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $6,000 – $61,663 · median $26,004 10 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $6,000 – $52,112 · median $24,869 10 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $6,000 – $49,364 · median $24,869 10 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $6,000 – $49,364 · median $18,094 10 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $6,000 – $49,364 · median $17,641 10 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $6,000 – $49,364 · median $16,931 10 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $10,799 – $146,424 · median $80,722 10 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $6,771 – $14,037 · median $10,307 10 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,771 – $14,037 · median $10,307 10 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $6,771 – $22,030 · median $10,949 10 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $6,771 – $22,030 · median $10,949 10 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $6,771 – $22,030 · median $10,949 10 plans
302 ATHEROSCLEROSIS WITH MCC $6,771 – $14,037 · median $10,054 10 plans
303 ATHEROSCLEROSIS WITHOUT MCC $6,771 – $14,037 · median $9,814 10 plans
304 HYPERTENSION WITH MCC $6,450 – $14,037 · median $9,814 10 plans
305 HYPERTENSION WITHOUT MCC $6,450 – $14,037 · median $9,814 10 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $6,771 – $14,037 · median $10,307 10 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,771 – $14,037 · median $9,814 10 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $6,771 – $14,037 · median $10,118 10 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,771 – $14,037 · median $10,118 10 plans
311 ANGINA PECTORIS $6,771 – $14,037 · median $9,814 10 plans
312 SYNCOPE AND COLLAPSE $6,272 – $14,037 · median $9,814 10 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $6,771 – $14,295 · median $10,949 10 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,771 – $14,295 · median $10,949 10 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $6,771 – $14,037 · median $10,307 10 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $6,771 – $14,251 · median $10,949 10 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $6,771 – $14,251 · median $10,949 10 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $6,771 – $14,251 · median $10,949 10 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $6,771 – $17,136 · median $10,949 10 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $6,771 – $17,136 · median $10,949 10 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,771 – $17,136 · median $10,949 10 plans
374 DIGESTIVE MALIGNANCY WITH MCC $6,771 – $14,037 · median $10,847 10 plans
375 DIGESTIVE MALIGNANCY WITH CC $6,771 – $14,037 · median $10,847 10 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,771 – $14,037 · median $10,307 10 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $6,771 – $14,037 · median $10,307 10 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $6,771 – $14,037 · median $10,307 10 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $6,771 – $14,037 · median $9,814 10 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $6,771 – $14,037 · median $10,307 10 plans
381 COMPLICATED PEPTIC ULCER WITH CC $6,771 – $14,037 · median $10,307 10 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,771 – $14,037 · median $10,307 10 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $6,706 – $14,037 · median $9,814 10 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,630 – $14,037 · median $9,814 10 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $6,771 – $14,037 · median $10,405 10 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,771 – $14,037 · median $10,405 10 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $6,771 – $14,037 · median $10,405 10 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $6,771 – $14,037 · median $9,814 10 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,771 – $14,037 · median $9,814 10 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,907 – $14,037 · median $9,814 10 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $6,115 – $14,037 · median $9,814 10 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $6,771 – $14,037 · median $10,307 10 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,771 – $14,037 · median $10,307 10 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $6,771 – $14,037 · median $9,814 10 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $6,771 – $14,942 · median $10,949 10 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $6,771 – $14,942 · median $10,949 10 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,771 – $14,942 · median $10,949 10 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $6,771 – $14,037 · median $10,639 10 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $6,771 – $14,037 · median $10,639 10 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,771 – $14,037 · median $10,639 10 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $6,771 – $14,037 · median $10,832 10 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,771 – $14,037 · median $10,832 10 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $6,771 – $14,037 · median $9,861 10 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $6,771 – $14,037 · median $9,887 10 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $6,771 – $14,037 · median $9,887 10 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,872 – $14,037 · median $9,814 10 plans
533 FRACTURES OF FEMUR WITH MCC $6,771 – $18,107 · median $10,949 10 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,771 – $18,107 · median $10,949 10 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $6,771 – $14,037 · median $10,829 10 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,771 – $14,037 · median $10,829 10 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,132 – $14,037 · median $9,814 10 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $6,132 – $14,037 · median $9,814 10 plans
539 OSTEOMYELITIS WITH MCC $6,771 – $21,098 · median $10,949 10 plans
540 OSTEOMYELITIS WITH CC $6,771 – $21,098 · median $10,949 10 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,771 – $21,098 · median $10,949 10 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $6,771 – $14,037 · median $10,307 10 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $6,771 – $14,037 · median $10,307 10 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $6,771 – $14,037 · median $10,307 10 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $6,771 – $14,037 · median $10,307 10 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $6,771 – $14,037 · median $10,307 10 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,771 – $14,037 · median $9,814 10 plans
548 SEPTIC ARTHRITIS WITH MCC $6,771 – $18,652 · median $10,949 10 plans
549 SEPTIC ARTHRITIS WITH CC $6,771 – $18,652 · median $10,949 10 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,771 – $18,652 · median $10,949 10 plans
551 MEDICAL BACK PROBLEMS WITH MCC $6,771 – $14,037 · median $9,814 10 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,771 – $14,037 · median $9,814 10 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $6,771 – $14,037 · median $9,814 10 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,488 – $14,037 · median $9,814 10 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,872 – $14,037 · median $9,814 10 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,872 – $14,037 · median $9,814 10 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $5,973 – $14,037 · median $9,814 10 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $5,973 – $14,037 · median $9,814 10 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $6,771 – $14,037 · median $9,951 10 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $6,771 – $14,037 · median $9,951 10 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,771 – $14,037 · median $9,951 10 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $6,408 – $14,037 · median $9,814 10 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $5,229 – $14,037 · median $9,814 10 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $6,771 – $14,037 · median $9,814 10 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,771 – $14,037 · median $9,814 10 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $6,771 – $14,037 · median $9,814 10 plans
592 SKIN ULCERS WITH MCC $6,771 – $16,155 · median $10,949 10 plans
593 SKIN ULCERS WITH CC $6,771 – $16,155 · median $10,949 10 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,771 – $16,155 · median $10,949 10 plans
595 MAJOR SKIN DISORDERS WITH MCC $6,771 – $14,037 · median $10,307 10 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $6,771 – $14,037 · median $10,012 10 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $6,771 – $14,037 · median $10,654 10 plans
598 MALIGNANT BREAST DISORDERS WITH CC $6,771 – $14,037 · median $10,654 10 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,771 – $14,037 · median $10,407 10 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $5,755 – $14,037 · median $9,814 10 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,755 – $14,037 · median $9,814 10 plans
602 CELLULITIS WITH MCC $6,771 – $14,037 · median $10,307 10 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $5,488 – $14,037 · median $9,814 10 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $4,528 – $14,037 · median $9,814 10 plans
606 MINOR SKIN DISORDERS WITH MCC $6,452 – $14,037 · median $9,814 10 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,241 – $14,037 · median $9,814 10 plans
637 DIABETES WITH MCC $6,771 – $14,037 · median $9,958 10 plans
638 DIABETES WITH CC $6,771 – $14,037 · median $9,958 10 plans
639 DIABETES WITHOUT CC/MCC $6,771 – $14,037 · median $9,814 10 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $6,771 – $14,037 · median $10,204 10 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $6,771 – $14,037 · median $9,814 10 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $6,771 – $14,037 · median $10,057 10 plans
643 ENDOCRINE DISORDERS WITH MCC $6,771 – $14,037 · median $10,307 10 plans
644 ENDOCRINE DISORDERS WITH CC $6,771 – $14,037 · median $10,307 10 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,771 – $14,037 · median $9,814 10 plans
682 RENAL FAILURE WITH MCC $6,771 – $16,921 · median $10,949 10 plans
684 RENAL FAILURE WITHOUT CC/MCC $6,771 – $16,921 · median $10,949 10 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $6,771 – $14,037 · median $10,307 10 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $6,771 – $14,037 · median $10,307 10 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,771 – $14,037 · median $9,814 10 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $6,592 – $14,037 · median $9,814 10 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,587 – $14,037 · median $9,814 10 plans
697 URETHRAL STRICTURE $6,020 – $14,037 · median $9,814 10 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $6,771 – $14,037 · median $10,241 10 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $6,771 – $14,037 · median $10,241 10 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $6,771 – $14,037 · median $9,974 10 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $6,771 – $14,037 · median $10,307 10 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $6,771 – $14,037 · median $10,307 10 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,529 – $14,037 · median $9,814 10 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $6,343 – $14,037 · median $9,814 10 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,919 – $14,037 · median $9,814 10 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $6,356 – $14,037 · median $9,814 10 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,356 – $14,037 · median $9,814 10 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $5,427 – $14,037 · median $9,814 10 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,379 – $14,037 · median $9,814 10 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $6,771 – $14,037 · median $10,307 10 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,771 – $14,037 · median $10,307 10 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,426 – $14,037 · median $9,814 10 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $6,771 – $14,037 · median $9,814 10 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,771 – $14,037 · median $9,814 10 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,771 – $14,037 · median $9,814 10 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $5,571 – $14,037 · median $9,814 10 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,571 – $14,037 · median $9,814 10 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,303 – $14,037 · median $9,814 10 plans
779 ABORTION WITHOUT D&C $3,317 – $14,037 · median $9,814 10 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $6,771 – $16,265 · median $10,949 10 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $6,771 – $16,265 · median $10,949 10 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $6,771 – $16,265 · median $10,949 10 plans
811 RED BLOOD CELL DISORDERS WITH MCC $6,771 – $14,037 · median $9,814 10 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $2,992 – $14,037 · median $9,814 10 plans
813 COAGULATION DISORDERS $6,771 – $14,037 · median $10,452 10 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $6,771 – $14,037 · median $10,342 10 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $6,771 – $14,037 · median $10,342 10 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $6,771 – $14,037 · median $9,814 10 plans
834 ACUTE LEUKEMIA WITH MCC $6,771 – $29,813 · median $10,949 10 plans
835 ACUTE LEUKEMIA WITH CC $6,771 – $29,813 · median $10,949 10 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $6,771 – $14,037 · median $10,674 10 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $6,771 – $32,965 · median $10,949 10 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $6,771 – $32,965 · median $10,949 10 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,771 – $32,965 · median $10,949 10 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $6,771 – $17,283 · median $10,949 10 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $6,771 – $17,283 · median $10,949 10 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $6,771 – $14,037 · median $10,307 10 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $6,771 – $14,037 · median $10,699 10 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $6,771 – $14,037 · median $10,699 10 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $6,771 – $14,037 · median $10,307 10 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $4,343 – $14,037 · median $9,814 10 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $4,343 – $14,037 · median $9,814 10 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,343 – $14,037 · median $9,814 10 plans
849 RADIOTHERAPY $6,771 – $14,037 · median $10,395 10 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $6,771 – $14,037 · median $10,479 10 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $6,771 – $14,037 · median $10,479 10 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,771 – $14,037 · median $10,307 10 plans
865 VIRAL ILLNESS WITH MCC $6,673 – $14,037 · median $9,814 10 plans
866 VIRAL ILLNESS WITHOUT MCC $5,750 – $14,037 · median $9,814 10 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $6,771 – $16,914 · median $10,949 10 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $6,771 – $16,914 · median $10,949 10 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,771 – $16,914 · median $10,949 10 plans
913 TRAUMATIC INJURY WITH MCC $6,771 – $14,037 · median $9,814 10 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,096 – $14,037 · median $9,814 10 plans
915 ALLERGIC REACTIONS WITH MCC $4,531 – $14,037 · median $9,814 10 plans
916 ALLERGIC REACTIONS WITHOUT MCC $3,518 – $14,037 · median $9,814 10 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $6,771 – $14,037 · median $9,814 10 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,572 – $14,037 · median $9,814 10 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $6,771 – $14,037 · median $10,081 10 plans
920 COMPLICATIONS OF TREATMENT WITH CC $6,771 – $14,037 · median $10,081 10 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,771 – $14,037 · median $9,814 10 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $6,771 – $14,037 · median $10,094 10 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,084 – $14,037 · median $9,814 10 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $6,771 – $22,896 · median $10,949 10 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $6,771 – $18,161 · median $10,949 10 plans
935 NON-EXTENSIVE BURNS $6,771 – $14,897 · median $10,949 10 plans
947 SIGNS AND SYMPTOMS WITH MCC $6,771 – $14,037 · median $9,998 10 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,771 – $14,037 · median $9,814 10 plans
949 AFTERCARE WITH CC/MCC $4,209 – $14,037 · median $9,814 10 plans
950 AFTERCARE WITHOUT CC/MCC $2,920 – $14,037 · median $9,814 10 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $6,771 – $14,037 · median $9,814 10 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $6,771 – $23,471 · median $10,949 10 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $6,771 – $23,471 · median $10,949 10 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,771 – $23,471 · median $10,949 10 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $6,771 – $26,481 · median $10,949 10 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $6,771 – $26,481 · median $10,949 10 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,771 – $26,481 · median $10,949 10 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $6,771 – $15,125 · median $10,949 10 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $9,780 – $165,346 9 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $9,780 – $165,346 · median $13,160 9 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $9,780 – $146,883 · median $13,160 9 plans
006 LIVER TRANSPLANT WITHOUT MCC $9,780 – $146,883 · median $13,160 9 plans
007 LUNG TRANSPLANT $9,780 – $121,905 · median $13,160 9 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $9,780 – $74,805 · median $13,160 9 plans
010 PANCREAS TRANSPLANT $9,780 – $74,053 · median $13,160 9 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $9,000 – $34,636 · median $11,777 9 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $9,000 – $34,636 · median $11,777 9 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $7,823 – $34,636 · median $10,799 9 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,771 – $18,428 · median $10,799 9 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $9,000 – $137,962 · median $11,098 9 plans
245 AICD GENERATOR PROCEDURES $10,799 – $85,424 · median $39,717 9 plans
265 AICD LEAD PROCEDURES $10,799 – $68,503 · median $39,717 9 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $10,799 – $57,133 · median $39,916 9 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $10,799 – $53,078 · median $39,666 9 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $9,000 – $57,147 · median $26,805 9 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $9,780 – $32,868 · median $20,274 9 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,780 – $26,147 · median $18,616 9 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $9,780 – $26,863 · median $15,858 9 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,780 – $24,346 · median $15,858 9 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $6,988 – $55,248 · median $23,844 9 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $6,988 – $55,248 · median $22,098 9 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $6,988 – $55,248 · median $20,849 9 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $10,799 – $55,503 · median $23,815 9 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $10,799 – $51,391 · median $23,815 9 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $9,647 – $49,364 · median $23,815 9 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $9,780 – $59,263 · median $13,160 9 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $9,780 – $59,263 · median $13,160 9 plans
652 KIDNEY TRANSPLANT $9,780 – $59,263 · median $13,160 9 plans
693 URINARY STONES WITH MCC $4,152 – $18,372 · median $11,098 9 plans
694 URINARY STONES WITHOUT MCC $4,152 – $18,372 · median $11,098 9 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $3,513 – $20,274 · median $11,098 9 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $3,513 – $20,274 · median $11,098 9 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,092 – $20,274 · median $11,098 9 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $3,513 – $14,037 · median $9,814 9 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,513 – $14,037 · median $9,814 9 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,092 – $14,037 · median $9,814 9 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $4,250 – $11,098 · median $6,346 8 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $11,098 – $54,201 · median $27,215 8 plans
791 PREMATURITY WITH MAJOR PROBLEMS $11,098 – $54,201 · median $27,215 8 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $4,250 – $11,098 · median $6,346 8 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $11,098 – $54,201 · median $27,215 8 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,250 – $11,098 · median $6,346 8 plans
795 NORMAL NEWBORN $1,048 – $11,098 · median $1,526 8 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 7 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $6,771 – $14,037 · median $10,799 7 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $6,771 – $14,037 · median $10,799 7 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 7 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $9,780 – $20,274 · median $13,160 7 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,960 – $14,037 · median $8,000 7 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $6,771 – $14,037 · median $9,421 7 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $4,052 – $14,037 · median $8,000 7 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $4,052 – $14,037 · median $8,000 7 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $9,000 – $28,325 · median $11,098 5 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $6,173 – $11,098 · median $7,900 4 plans
881 DEPRESSIVE NEUROSES $8,000 – $11,098 · median $9,559 4 plans
882 NEUROSES EXCEPT DEPRESSIVE $7,114 – $11,098 · median $8,495 4 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $8,000 – $11,098 · median $9,767 4 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $8,000 – $11,098 · median $9,659 4 plans
885 PSYCHOSES $8,000 – $13,782 · median $11,003 4 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $8,000 – $11,098 · median $9,744 4 plans
887 OTHER MENTAL DISORDER DIAGNOSES $7,063 – $11,098 · median $8,463 4 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK $63,606 – $102,063 · median $102,063 3 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK $63,606 – $102,063 · median $102,063 3 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH $63,606 – $102,063 · median $102,063 3 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH $63,606 – $102,063 · median $102,063 3 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $62,579 – $100,416 · median $100,416 3 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $62,579 – $100,416 · median $100,416 3 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ AR $34,659 – $55,615 · median $55,615 3 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $34,659 – $55,615 · median $55,615 3 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4 $33,290 – $53,419 · median $53,419 3 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $33,290 – $53,419 · median $53,419 3 plans
945 REHABILITATION WITH CC/MCC $9,746 – $15,639 · median $15,639 3 plans
946 REHABILITATION WITHOUT CC/MCC $9,746 – $15,639 · median $15,639 3 plans
133 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC $26,492 – $35,211 · median $30,852 2 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $75,435 – $75,435 · median $75,435 2 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $62,710 – $62,710 · median $62,710 2 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $10,137 – $12,809 · median $11,473 2 plans
999 UNGROUPABLE $10,137 – $12,809 · median $11,473 2 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $10,614 – $10,614 · median $10,614 1 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $10,614 – $10,614 · median $10,614 1 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $10,614 – $10,614 · median $10,614 1 plans
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