HCA Florida Raulerson Hospital — Pricing

794 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 794 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 794
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 794 procedures

Procedures with negotiated rates only

These 794 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 $11,098 – $102,798 · median $50,629 22 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $11,098 – $66,991 · median $47,250 22 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY $8,403 – $78,936 · median $35,276 22 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $11,098 – $66,991 · median $47,250 22 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $11,098 – $49,437 · median $34,315 22 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $11,098 – $51,127 · median $27,345 22 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $9,322 – $26,629 · median $20,129 21 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $9,322 – $26,629 · median $20,129 21 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $9,322 – $23,945 · median $20,129 21 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $9,322 – $26,629 · median $20,129 21 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $9,322 – $26,629 · median $20,129 21 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $9,322 – $23,945 · median $20,129 21 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $7,389 – $19,127 · median $14,543 21 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $7,389 – $19,127 · median $14,543 21 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $7,389 – $19,127 · median $14,543 21 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $11,098 – $101,777 · median $60,795 20 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $9,105 – $51,127 · median $19,589 20 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $9,105 – $47,888 · median $19,589 20 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $11,098 – $64,521 · median $49,798 20 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $11,098 – $64,521 · median $49,798 20 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $11,098 – $56,347 · median $49,798 20 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $11,098 – $56,347 · median $49,687 20 plans
471 CERVICAL SPINAL FUSION WITH MCC $11,098 – $68,872 · median $57,209 20 plans
472 CERVICAL SPINAL FUSION WITH CC $11,098 – $68,872 · median $46,849 20 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $11,098 – $66,991 · median $45,542 20 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $11,098 – $66,991 · median $33,498 20 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $11,098 – $51,127 · median $28,693 20 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $11,098 – $51,127 · median $26,181 20 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $9,535 – $60,703 · median $25,700 20 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $9,535 – $60,703 · median $25,700 20 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,535 – $60,703 · median $25,700 20 plans
313 CHEST PAIN $5,348 – $31,234 · median $12,158 19 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $8,403 – $69,190 · median $19,127 19 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $11,098 – $108,402 · median $61,510 19 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $11,098 – $108,900 · median $61,510 19 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $11,098 – $108,402 · median $61,510 19 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $11,098 – $108,402 · median $61,510 19 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $11,098 – $49,437 · median $34,315 19 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $3,400 – $26,962 · median $15,933 19 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $5,348 – $35,482 · median $12,158 18 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,348 – $35,482 · median $12,158 18 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,348 – $35,482 · median $12,158 18 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $11,098 – $154,700 · median $113,484 18 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $11,098 – $154,700 · median $113,484 18 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $11,098 – $154,700 · median $113,484 18 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $11,098 – $134,053 · median $101,323 18 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $11,098 – $134,053 · median $101,323 18 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $11,098 – $134,053 · median $101,323 18 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $11,098 – $123,592 · median $99,089 18 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $11,098 – $123,592 · median $99,089 18 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $11,098 – $152,506 · median $92,272 18 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $11,098 – $152,506 · median $92,272 18 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $11,098 – $114,034 · median $87,814 18 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $11,098 – $114,034 · median $87,814 18 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $6,300 – $70,384 · median $55,090 18 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $6,300 – $70,384 · median $55,090 18 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,348 – $35,482 · median $12,158 18 plans
603 CELLULITIS WITHOUT MCC $5,348 – $35,482 · median $12,158 18 plans
683 RENAL FAILURE WITH CC $5,348 – $35,482 · median $12,158 18 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $5,348 – $35,482 · median $12,158 18 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,348 – $35,482 · median $12,158 18 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,389 – $19,127 · median $15,402 18 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,389 – $19,127 · median $15,402 18 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,389 – $19,127 · median $15,402 18 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $11,098 – $80,597 · median $61,510 17 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $11,098 – $80,597 · median $61,510 17 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $11,098 – $75,308 · median $61,510 17 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $11,098 – $70,384 · median $61,510 17 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $11,098 – $70,384 · median $61,510 17 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $11,098 – $70,384 · median $61,510 17 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $11,098 – $66,991 · median $45,443 17 plans
038 EXTRACRANIAL PROCEDURES WITH CC $11,098 – $66,991 · median $45,443 17 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $11,098 – $66,991 · median $45,443 17 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $11,098 – $66,991 · median $52,676 17 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $8,403 – $53,320 · median $19,127 17 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $8,403 – $53,320 · median $17,563 17 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $11,098 – $66,991 · median $45,443 17 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $11,098 – $66,991 · median $45,443 17 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $11,098 – $66,991 · median $45,443 17 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $11,098 – $66,991 · median $39,534 17 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $11,098 – $66,991 · median $39,534 17 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $11,098 – $66,991 · median $37,684 17 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $11,098 – $65,700 · median $41,003 17 plans
253 OTHER VASCULAR PROCEDURES WITH CC $11,098 – $65,700 · median $41,003 17 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $11,098 – $65,700 · median $41,003 17 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $11,098 – $195,836 · median $113,484 17 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $11,098 – $147,047 · median $113,484 17 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $11,098 – $174,152 · median $81,059 17 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $11,098 – $108,256 · median $71,603 17 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $11,098 – $131,295 · median $81,059 17 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $11,098 – $87,859 · median $71,603 17 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $11,098 – $87,859 · median $71,603 17 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $11,098 – $68,920 · median $57,717 17 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $5,348 – $44,787 · median $13,242 17 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,348 – $44,787 · median $13,242 17 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,348 – $44,787 · median $13,242 17 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $9,105 – $51,127 · median $19,589 17 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $11,098 – $48,591 · median $39,992 17 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $11,098 – $48,591 · median $39,992 17 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $11,098 – $48,591 · median $39,992 17 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $11,098 – $85,786 · median $57,717 17 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $11,098 – $66,210 · median $52,463 17 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $11,098 – $101,777 · median $60,795 17 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $9,105 – $47,888 · median $19,589 17 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $9,105 – $47,888 · median $19,589 17 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $11,098 – $100,890 · median $61,510 17 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $11,098 – $91,128 · median $49,918 17 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $11,098 – $64,521 · median $49,798 17 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $11,098 – $54,530 · median $47,888 17 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $11,098 – $54,530 · median $47,888 17 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,098 – $54,530 · median $47,888 17 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $11,098 – $66,991 · median $37,684 17 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $11,098 – $66,991 · median $36,353 17 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $11,098 – $56,347 · median $49,798 17 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $11,098 – $56,347 · median $49,798 17 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $11,098 – $58,169 · median $37,829 17 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,098 – $58,169 · median $37,829 17 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,098 – $58,169 · median $37,829 17 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $11,098 – $110,351 · median $84,380 16 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $11,098 – $110,351 · median $85,631 16 plans
291 HEART FAILURE AND SHOCK WITH MCC $9,724 – $35,444 · median $19,779 16 plans
292 HEART FAILURE AND SHOCK WITH CC $9,724 – $35,444 · median $19,779 16 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $9,724 – $35,444 · median $19,779 16 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,348 – $24,045 · median $12,158 16 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $8,403 – $146,042 · median $18,345 16 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $8,403 – $62,177 · median $17,563 16 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,403 – $45,445 · median $17,563 16 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $11,098 – $221,665 · median $61,510 16 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $11,098 – $176,374 · median $61,510 16 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $5,348 – $24,254 · median $12,158 16 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,348 – $22,286 · median $12,158 16 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,348 – $20,251 · median $12,158 16 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $8,403 – $41,807 · median $17,738 16 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $11,098 – $267,474 · median $128,343 15 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $11,098 – $155,840 · median $101,323 15 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $11,098 – $155,840 · median $101,323 15 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $2,900 – $80,414 · median $39,178 15 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $2,900 – $72,878 · median $39,178 15 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $11,098 – $152,699 · median $61,510 14 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $11,098 – $152,699 · median $61,510 14 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $11,098 – $152,699 · median $61,510 14 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $11,098 – $94,276 · median $61,510 14 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $11,098 – $94,276 · median $61,510 14 plans
028 SPINAL PROCEDURES WITH MCC $11,098 – $66,991 · median $61,510 14 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $11,098 – $66,991 · median $61,510 14 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $11,098 – $66,991 · median $53,477 14 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $11,098 – $66,991 · median $61,510 14 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $11,098 – $66,991 · median $61,510 14 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $11,098 – $66,991 · median $61,510 14 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $11,098 – $66,210 · median $60,795 14 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $11,098 – $107,303 · median $61,510 14 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $11,098 – $107,303 · median $61,510 14 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $11,098 – $78,229 · median $49,918 14 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $11,098 – $54,233 · median $48,843 14 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH $8,403 – $423,836 13 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC $8,403 – $254,381 · median $17,563 13 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $8,403 – $69,069 · median $17,563 13 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $8,403 – $69,069 · median $17,563 13 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $8,403 – $69,069 · median $17,563 13 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $5,348 – $30,104 · median $12,158 13 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $5,348 – $30,104 · median $12,158 13 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $5,348 – $23,944 · median $12,158 13 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $5,348 – $19,748 · median $12,158 13 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $5,348 – $21,150 · median $12,158 13 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $5,348 – $21,150 · median $12,158 13 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $5,348 – $20,704 · median $12,158 13 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,348 – $20,704 · median $12,158 13 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $5,348 – $20,704 · median $12,158 13 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $5,348 – $47,526 · median $12,158 13 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $5,348 – $47,526 · median $12,158 13 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $5,348 – $47,526 · median $12,158 13 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $5,348 – $19,122 · median $12,158 13 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $5,348 – $19,122 · median $12,158 13 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,348 – $14,385 · median $12,158 13 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $5,348 – $16,001 · median $12,158 13 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,348 – $13,850 · median $12,158 13 plans
075 VIRAL MENINGITIS WITH CC/MCC $5,348 – $27,795 · median $12,158 13 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,348 – $27,795 · median $12,158 13 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $5,348 – $14,985 · median $12,158 13 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $5,348 – $14,985 · median $12,158 13 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,348 – $14,985 · median $12,158 13 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $5,348 – $23,768 · median $12,158 13 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,348 – $23,768 · median $12,158 13 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $5,348 – $33,086 · median $12,158 13 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $5,348 – $33,086 · median $12,158 13 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $5,348 – $33,086 · median $12,158 13 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $5,348 – $19,926 · median $12,158 13 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $5,348 – $19,926 · median $12,158 13 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,348 – $13,666 · median $12,158 13 plans
088 CONCUSSION WITH MCC $5,348 – $13,242 · median $12,158 13 plans
089 CONCUSSION WITH CC $5,348 – $13,242 · median $12,158 13 plans
090 CONCUSSION WITHOUT CC/MCC $5,348 – $13,242 · median $12,158 13 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $5,348 – $20,643 · median $12,158 13 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $5,348 – $20,643 · median $12,158 13 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,348 – $15,614 · median $12,158 13 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $5,348 – $29,791 · median $12,158 13 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $5,348 – $29,791 · median $12,158 13 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,348 – $29,791 · median $12,158 13 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $5,348 – $29,791 · median $12,158 13 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $5,348 – $29,791 · median $12,158 13 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $5,348 – $29,791 · median $12,158 13 plans
100 SEIZURES WITH MCC $5,348 – $16,161 · median $12,158 13 plans
101 SEIZURES WITHOUT MCC $5,348 – $13,242 · median $12,158 13 plans
102 HEADACHES WITH MCC $5,348 – $13,242 · median $12,158 13 plans
103 HEADACHES WITHOUT MCC $5,348 – $13,242 · median $12,158 13 plans
113 ORBITAL PROCEDURES WITH CC/MCC $8,403 – $33,333 · median $17,563 13 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $8,403 – $33,333 · median $17,563 13 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $8,403 – $33,333 · median $17,563 13 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $5,348 – $13,524 · median $12,158 13 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,348 – $13,524 · median $12,158 13 plans
123 NEUROLOGICAL EYE DISORDERS $5,348 – $13,242 · median $12,158 13 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $5,348 – $13,242 · median $12,158 13 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,348 – $13,242 · median $12,158 13 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $8,403 – $33,333 · median $17,563 13 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
137 MOUTH PROCEDURES WITH CC/MCC $8,403 – $33,333 · median $17,563 13 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
139 SALIVARY GLAND PROCEDURES $8,403 – $33,333 · median $17,563 13 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $8,403 – $60,784 · median $17,563 13 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $8,403 – $60,784 · median $17,563 13 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $8,403 – $60,784 · median $17,563 13 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $5,348 – $20,659 · median $12,158 13 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $5,348 – $20,659 · median $12,158 13 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,348 – $20,659 · median $12,158 13 plans
149 DYSEQUILIBRIUM $5,348 – $13,242 · median $12,158 13 plans
150 EPISTAXIS WITH MCC $5,348 – $13,242 · median $12,158 13 plans
151 EPISTAXIS WITHOUT MCC $5,348 – $13,242 · median $12,158 13 plans
152 OTITIS MEDIA AND URI WITH MCC $5,348 – $19,801 · median $12,158 13 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,348 – $13,920 · median $12,158 13 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $5,348 – $13,242 · median $12,158 13 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,348 – $13,242 · median $12,158 13 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,348 – $13,242 · median $12,158 13 plans
157 DENTAL AND ORAL DISEASES WITH MCC $5,348 – $15,114 · median $12,158 13 plans
158 DENTAL AND ORAL DISEASES WITH CC $5,348 – $15,114 · median $12,158 13 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,348 – $13,242 · median $12,158 13 plans
163 MAJOR CHEST PROCEDURES WITH MCC $8,403 – $62,970 · median $17,563 13 plans
164 MAJOR CHEST PROCEDURES WITH CC $8,403 – $62,970 · median $17,563 13 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $8,403 – $62,970 · median $17,563 13 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $8,403 – $54,272 · median $17,563 13 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $8,403 – $54,272 · median $17,563 13 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,403 – $35,389 · median $17,563 13 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $8,403 – $65,030 · median $17,563 13 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $5,348 – $31,295 · median $12,158 13 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,348 – $31,295 · median $12,158 13 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $5,348 – $40,909 · median $12,158 13 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $5,348 – $40,909 · median $12,158 13 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,348 – $30,426 · median $12,158 13 plans
180 RESPIRATORY NEOPLASMS WITH MCC $5,348 – $23,808 · median $12,158 13 plans
181 RESPIRATORY NEOPLASMS WITH CC $5,348 – $23,808 · median $12,158 13 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,348 – $23,808 · median $12,158 13 plans
183 MAJOR CHEST TRAUMA WITH MCC $5,348 – $17,758 · median $12,158 13 plans
184 MAJOR CHEST TRAUMA WITH CC $5,348 – $17,758 · median $12,158 13 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,348 – $13,242 · median $12,158 13 plans
186 PLEURAL EFFUSION WITH MCC $5,348 – $23,677 · median $12,158 13 plans
187 PLEURAL EFFUSION WITH CC $5,348 – $23,677 · median $12,158 13 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,348 – $20,643 · median $12,158 13 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $5,348 – $38,227 · median $12,158 13 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $5,348 – $22,772 · median $12,158 13 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,348 – $22,772 · median $12,158 13 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,348 – $22,772 · median $12,158 13 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $5,348 – $23,506 · median $12,158 13 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $5,348 – $23,506 · median $12,158 13 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,348 – $18,274 · median $12,158 13 plans
199 PNEUMOTHORAX WITH MCC $5,348 – $27,585 · median $12,158 13 plans
200 PNEUMOTHORAX WITH CC $5,348 – $27,585 · median $12,158 13 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,348 – $18,602 · median $12,158 13 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,348 – $17,862 · median $12,158 13 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,348 – $15,229 · median $12,158 13 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,348 – $17,071 · median $12,158 13 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $5,348 – $17,891 · median $12,158 13 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,348 – $14,467 · median $12,158 13 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $5,348 – $67,160 · median $12,158 13 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $5,348 – $67,160 · median $12,158 13 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $8,403 – $53,600 · median $17,563 13 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $8,403 – $53,600 · median $17,563 13 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $8,403 – $53,600 · median $17,563 13 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $8,403 – $40,008 · median $17,563 13 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $8,403 – $40,008 · median $17,563 13 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,403 – $40,008 · median $17,563 13 plans
263 VEIN LIGATION AND STRIPPING $8,403 – $33,333 · median $17,563 13 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $8,403 – $47,746 · median $17,563 13 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $5,348 – $28,981 · median $12,158 13 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,348 – $28,981 · median $12,158 13 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,348 – $28,981 · median $12,158 13 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $5,348 – $63,097 · median $12,158 13 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $5,348 – $63,097 · median $12,158 13 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $5,348 – $63,097 · median $12,158 13 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $5,348 – $17,883 · median $12,158 13 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,348 – $17,883 · median $12,158 13 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $5,348 – $36,372 · median $12,158 13 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,348 – $36,372 · median $12,158 13 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $5,348 – $36,372 · median $12,158 13 plans
302 ATHEROSCLEROSIS WITH MCC $5,348 – $16,997 · median $12,158 13 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,348 – $14,907 · median $12,158 13 plans
304 HYPERTENSION WITH MCC $5,348 – $13,456 · median $12,158 13 plans
305 HYPERTENSION WITHOUT MCC $5,348 – $13,456 · median $12,158 13 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $5,348 – $18,900 · median $12,158 13 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,348 – $15,914 · median $12,158 13 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $5,348 – $17,206 · median $12,158 13 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,348 – $17,206 · median $12,158 13 plans
311 ANGINA PECTORIS $5,348 – $14,579 · median $12,158 13 plans
312 SYNCOPE AND COLLAPSE $5,348 – $13,242 · median $12,158 13 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $5,348 – $23,601 · median $12,158 13 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $5,348 – $23,601 · median $12,158 13 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,348 – $17,923 · median $12,158 13 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $11,098 – $87,553 · median $60,795 13 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $11,098 – $66,210 · median $60,795 13 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $8,403 – $56,837 · median $17,563 13 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $8,403 – $56,837 · median $17,563 13 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $8,403 – $37,859 · median $17,563 13 plans
332 RECTAL RESECTION WITH MCC $8,403 – $65,032 · median $17,563 13 plans
333 RECTAL RESECTION WITH CC $8,403 – $65,032 · median $17,563 13 plans
334 RECTAL RESECTION WITHOUT CC/MCC $8,403 – $48,080 · median $17,563 13 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $8,403 – $49,541 · median $17,563 13 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $8,403 – $49,541 · median $17,563 13 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $8,403 – $33,625 · median $17,563 13 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $8,403 – $33,333 · median $17,563 13 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $8,403 – $33,333 · median $17,563 13 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $8,403 – $33,333 · median $17,563 13 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $8,403 – $33,333 · median $17,563 13 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $8,403 – $33,333 · median $17,563 13 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $8,403 – $33,333 · median $17,563 13 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $8,403 – $33,333 · median $17,563 13 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $8,403 – $33,333 · median $17,563 13 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $8,403 – $58,392 · median $17,563 13 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $8,403 – $58,392 · median $17,563 13 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,403 – $49,264 · median $17,563 13 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $5,348 – $23,529 · median $12,158 13 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,348 – $23,529 · median $12,158 13 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,348 – $23,529 · median $12,158 13 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $5,348 – $28,292 · median $12,158 13 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,348 – $28,292 · median $12,158 13 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,348 – $28,292 · median $12,158 13 plans
374 DIGESTIVE MALIGNANCY WITH MCC $5,348 – $22,730 · median $12,158 13 plans
375 DIGESTIVE MALIGNANCY WITH CC $5,348 – $22,730 · median $12,158 13 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $5,348 – $20,306 · median $12,158 13 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $5,348 – $19,188 · median $12,158 13 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $5,348 – $19,188 · median $12,158 13 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,348 – $14,945 · median $12,158 13 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $5,348 – $19,701 · median $12,158 13 plans
381 COMPLICATED PEPTIC ULCER WITH CC $5,348 – $19,701 · median $12,158 13 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,348 – $19,701 · median $12,158 13 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $5,348 – $13,989 · median $12,158 13 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,348 – $13,242 · median $12,158 13 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $5,348 – $20,884 · median $12,158 13 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $5,348 – $20,884 · median $12,158 13 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,348 – $20,884 · median $12,158 13 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $5,348 – $16,037 · median $12,158 13 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,348 – $16,037 · median $12,158 13 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,348 – $13,242 · median $12,158 13 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $5,348 – $13,242 · median $12,158 13 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $5,348 – $19,410 · median $12,158 13 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $5,348 – $19,410 · median $12,158 13 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,348 – $15,165 · median $12,158 13 plans
397 APPENDIX PROCEDURES WITH MCC $8,403 – $47,511 · median $17,563 13 plans
398 APPENDIX PROCEDURES WITH CC $8,403 – $33,333 · median $17,563 13 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $8,403 – $94,326 · median $17,563 13 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $8,403 – $94,326 · median $17,563 13 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $8,403 – $85,516 · median $17,563 13 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $8,403 – $59,458 · median $17,563 13 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $8,403 – $59,458 · median $17,563 13 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $8,403 – $44,842 · median $17,563 13 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $8,403 – $48,057 · median $17,563 13 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $8,403 – $48,057 · median $17,563 13 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $8,403 – $33,782 · median $17,563 13 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $8,403 – $36,068 · median $17,563 13 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $8,403 – $36,068 · median $17,563 13 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $8,403 – $55,579 · median $17,563 13 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $8,403 – $55,579 · median $17,563 13 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $8,403 – $49,442 · median $17,563 13 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $8,403 – $57,364 · median $17,563 13 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $8,403 – $57,364 · median $17,563 13 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $8,403 – $57,364 · median $17,563 13 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $5,348 – $24,669 · median $12,158 13 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,348 – $24,669 · median $12,158 13 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,348 – $24,669 · median $12,158 13 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $5,348 – $21,863 · median $12,158 13 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,348 – $21,863 · median $12,158 13 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,348 – $21,863 · median $12,158 13 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $5,348 – $22,666 · median $12,158 13 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $5,348 – $22,666 · median $12,158 13 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $5,348 – $16,358 · median $12,158 13 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $5,348 – $16,443 · median $12,158 13 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,348 – $16,443 · median $12,158 13 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,348 – $13,242 · median $12,158 13 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $8,403 – $48,846 · median $17,563 13 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $8,403 – $48,846 · median $17,563 13 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $8,403 – $48,846 · median $17,563 13 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $8,403 – $41,767 · median $17,563 13 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $8,403 – $41,767 · median $17,563 13 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $8,403 – $41,767 · median $17,563 13 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,403 – $33,333 · median $17,563 13 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,403 – $33,333 · median $17,563 13 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $8,403 – $54,266 · median $17,563 13 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $11,098 – $54,233 · median $49,798 13 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $11,098 – $54,233 · median $49,798 13 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $11,098 – $54,233 · median $49,798 13 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $8,403 – $38,458 · median $17,563 13 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $8,403 – $38,458 · median $17,563 13 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $8,403 – $33,333 · median $17,563 13 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $8,403 – $33,333 · median $17,563 13 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $8,403 – $33,333 · median $17,563 13 plans
500 SOFT TISSUE PROCEDURES WITH MCC $8,403 – $33,333 · median $17,563 13 plans
501 SOFT TISSUE PROCEDURES WITH CC $8,403 – $33,333 · median $17,563 13 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
503 FOOT PROCEDURES WITH MCC $8,403 – $33,333 · median $17,563 13 plans
504 FOOT PROCEDURES WITH CC $8,403 – $33,333 · median $17,563 13 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
506 MAJOR THUMB OR JOINT PROCEDURES $8,403 – $33,333 · median $17,563 13 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $8,403 – $33,333 · median $17,563 13 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
509 ARTHROSCOPY $8,403 – $33,333 · median $17,563 13 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $8,403 – $33,333 · median $17,563 13 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
533 FRACTURES OF FEMUR WITH MCC $5,348 – $29,895 · median $12,158 13 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,348 – $29,895 · median $12,158 13 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $5,348 – $22,654 · median $12,158 13 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,348 – $22,654 · median $12,158 13 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $5,348 – $13,242 · median $12,158 13 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,348 – $13,242 · median $12,158 13 plans
539 OSTEOMYELITIS WITH MCC $5,348 – $34,833 · median $12,158 13 plans
540 OSTEOMYELITIS WITH CC $5,348 – $34,833 · median $12,158 13 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,348 – $34,833 · median $12,158 13 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $5,348 – $19,600 · median $12,158 13 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $5,348 – $19,600 · median $12,158 13 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $5,348 – $19,600 · median $12,158 13 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $5,348 – $19,133 · median $12,158 13 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $5,348 – $19,133 · median $12,158 13 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,348 – $15,783 · median $12,158 13 plans
548 SEPTIC ARTHRITIS WITH MCC $5,348 – $30,796 · median $12,158 13 plans
549 SEPTIC ARTHRITIS WITH CC $5,348 – $30,796 · median $12,158 13 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,348 – $30,796 · median $12,158 13 plans
551 MEDICAL BACK PROBLEMS WITH MCC $5,348 – $14,465 · median $12,158 13 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $5,348 – $14,465 · median $12,158 13 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,348 – $14,258 · median $12,158 13 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,348 – $13,535 · median $12,158 13 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,348 – $13,242 · median $12,158 13 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,348 – $13,242 · median $12,158 13 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $5,348 – $13,242 · median $12,158 13 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $5,348 – $13,242 · median $12,158 13 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,348 – $16,654 · median $12,158 13 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,348 – $16,654 · median $12,158 13 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,348 – $16,654 · median $12,158 13 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $5,348 – $13,368 · median $12,158 13 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $5,348 – $13,242 · median $12,158 13 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $5,348 – $14,785 · median $12,158 13 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,348 – $14,785 · median $12,158 13 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,348 – $14,785 · median $12,158 13 plans
570 SKIN DEBRIDEMENT WITH MCC $8,403 – $51,121 · median $17,563 13 plans
571 SKIN DEBRIDEMENT WITH CC $8,403 – $51,121 · median $17,563 13 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,403 – $46,098 · median $17,563 13 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $8,403 – $51,121 · median $17,563 13 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $8,403 – $51,121 · median $17,563 13 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $8,403 – $46,098 · median $17,563 13 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $8,403 – $33,333 · median $17,563 13 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $8,403 – $33,333 · median $17,563 13 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $8,403 – $33,333 · median $17,563 13 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $8,403 – $33,333 · median $17,563 13 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $8,403 – $33,333 · median $17,563 13 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $8,403 – $33,333 · median $17,563 13 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
592 SKIN ULCERS WITH MCC $5,348 – $26,672 · median $12,158 13 plans
593 SKIN ULCERS WITH CC $5,348 – $26,672 · median $12,158 13 plans
594 SKIN ULCERS WITHOUT CC/MCC $5,348 – $26,672 · median $12,158 13 plans
595 MAJOR SKIN DISORDERS WITH MCC $5,348 – $18,027 · median $12,158 13 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $5,348 – $16,857 · median $12,158 13 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $5,348 – $21,924 · median $12,158 13 plans
598 MALIGNANT BREAST DISORDERS WITH CC $5,348 – $21,924 · median $12,158 13 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,348 – $20,894 · median $12,158 13 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $5,348 – $13,242 · median $12,158 13 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,348 – $13,242 · median $12,158 13 plans
602 CELLULITIS WITH MCC $5,348 – $18,739 · median $12,158 13 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $5,348 – $13,242 · median $12,158 13 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,348 – $13,242 · median $12,158 13 plans
606 MINOR SKIN DISORDERS WITH MCC $5,348 – $13,461 · median $12,158 13 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,348 – $13,242 · median $12,158 13 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $8,403 – $56,522 · median $17,563 13 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $8,403 – $56,522 · median $17,563 13 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $8,403 – $69,194 · median $17,563 13 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $8,403 – $69,194 · median $17,563 13 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $8,403 – $69,194 · median $17,563 13 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $8,403 – $50,281 · median $17,563 13 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $8,403 – $50,281 · median $17,563 13 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $8,403 – $50,281 · median $17,563 13 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $8,403 – $33,333 · median $17,563 13 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $8,403 – $33,333 · median $17,563 13 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $8,403 – $48,913 · median $17,563 13 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $8,403 – $48,913 · median $17,563 13 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $8,403 – $37,982 · median $17,563 13 plans
637 DIABETES WITH MCC $5,348 – $16,677 · median $12,158 13 plans
638 DIABETES WITH CC $5,348 – $16,677 · median $12,158 13 plans
639 DIABETES WITHOUT CC/MCC $5,348 – $15,764 · median $12,158 13 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $5,348 – $17,492 · median $12,158 13 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $5,348 – $15,233 · median $12,158 13 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $5,348 – $17,005 · median $12,158 13 plans
643 ENDOCRINE DISORDERS WITH MCC $5,348 – $19,769 · median $12,158 13 plans
644 ENDOCRINE DISORDERS WITH CC $5,348 – $19,769 · median $12,158 13 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,348 – $14,554 · median $12,158 13 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $8,403 – $70,755 · median $17,563 13 plans
654 MAJOR BLADDER PROCEDURES WITH CC $8,403 – $70,755 · median $17,563 13 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $8,403 – $70,755 · median $17,563 13 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $8,403 – $58,381 · median $17,563 13 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $8,403 – $58,381 · median $17,563 13 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $8,403 – $58,381 · median $17,563 13 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $8,403 – $47,797 · median $17,563 13 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $8,403 – $42,977 · median $17,563 13 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
662 MINOR BLADDER PROCEDURES WITH MCC $8,403 – $33,333 · median $17,563 13 plans
663 MINOR BLADDER PROCEDURES WITH CC $8,403 – $33,333 · median $17,563 13 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
665 PROSTATECTOMY WITH MCC $8,403 – $33,333 · median $17,563 13 plans
666 PROSTATECTOMY WITH CC $8,403 – $33,333 · median $17,563 13 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $8,403 – $33,333 · median $17,563 13 plans
669 TRANSURETHRAL PROCEDURES WITH CC $8,403 – $33,333 · median $17,563 13 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
671 URETHRAL PROCEDURES WITH CC/MCC $8,403 – $33,333 · median $17,563 13 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $8,403 – $58,656 · median $17,563 13 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $8,403 – $58,656 · median $17,563 13 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $8,403 – $58,656 · median $17,563 13 plans
682 RENAL FAILURE WITH MCC $5,348 – $27,937 · median $12,158 13 plans
684 RENAL FAILURE WITHOUT CC/MCC $5,348 – $27,937 · median $12,158 13 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $5,348 – $19,490 · median $12,158 13 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,348 – $19,490 · median $12,158 13 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,348 – $15,681 · median $12,158 13 plans
693 URINARY STONES WITH MCC $8,078 – $40,001 · median $13,915 13 plans
694 URINARY STONES WITHOUT MCC $8,078 – $40,001 · median $13,915 13 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,348 – $13,753 · median $12,158 13 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,348 – $13,242 · median $12,158 13 plans
697 URETHRAL STRICTURE $5,348 – $13,242 · median $12,158 13 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $5,348 – $17,614 · median $12,158 13 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $5,348 – $17,614 · median $12,158 13 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,348 – $16,732 · median $12,158 13 plans
709 PENIS PROCEDURES WITH CC/MCC $8,403 – $33,333 · median $17,563 13 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
711 TESTES PROCEDURES WITH CC/MCC $8,403 – $33,333 · median $17,563 13 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $8,403 – $33,333 · median $17,563 13 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $8,403 – $33,333 · median $17,563 13 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $8,403 – $33,333 · median $17,563 13 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $5,348 – $18,120 · median $12,158 13 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $5,348 – $18,120 · median $12,158 13 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,348 – $13,621 · median $12,158 13 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $5,348 – $13,242 · median $12,158 13 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,348 – $13,242 · median $12,158 13 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $5,348 – $13,260 · median $12,158 13 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,348 – $13,260 · median $12,158 13 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $5,348 – $13,242 · median $12,158 13 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,348 – $13,242 · median $12,158 13 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $8,403 – $50,516 · median $17,563 13 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $8,403 – $50,516 · median $17,563 13 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $8,403 – $44,629 · median $17,563 13 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $8,403 – $44,629 · median $17,563 13 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $8,403 – $44,629 · median $17,563 13 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $8,403 – $48,865 · median $17,563 13 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $8,403 – $36,116 · median $17,563 13 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $8,403 – $33,333 · median $17,563 13 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $8,403 – $33,333 · median $17,563 13 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $8,403 – $40,361 · median $17,563 13 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,403 – $40,361 · median $17,563 13 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,348 – $18,238 · median $12,158 13 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,348 – $18,238 · median $12,158 13 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,348 – $13,242 · median $12,158 13 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,348 – $16,094 · median $12,158 13 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,348 – $16,094 · median $12,158 13 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,348 – $16,094 · median $12,158 13 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $5,348 – $13,242 · median $12,158 13 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,348 – $13,242 · median $12,158 13 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $8,403 – $33,333 · median $17,563 13 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,933 – $33,333 · median $17,563 13 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,348 – $13,242 · median $12,158 13 plans
779 ABORTION WITHOUT D&C $5,348 – $13,242 · median $12,158 13 plans
799 SPLENIC PROCEDURES WITH MCC $8,403 – $68,706 · median $17,563 13 plans
800 SPLENIC PROCEDURES WITH CC $8,403 – $68,706 · median $17,563 13 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $8,403 – $33,333 · median $17,563 13 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $8,403 – $33,333 · median $17,563 13 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $5,348 – $26,854 · median $12,158 13 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $5,348 – $26,854 · median $12,158 13 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $5,348 – $26,854 · median $12,158 13 plans
811 RED BLOOD CELL DISORDERS WITH MCC $5,348 – $15,127 · median $12,158 13 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,348 – $13,242 · median $12,158 13 plans
813 COAGULATION DISORDERS $5,348 – $21,082 · median $12,158 13 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $5,348 – $20,624 · median $12,158 13 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $5,348 – $20,624 · median $12,158 13 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,348 – $15,326 · median $12,158 13 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $8,403 – $71,578 · median $17,563 13 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $8,403 – $71,578 · median $17,563 13 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $8,403 – $40,873 · median $17,563 13 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $8,403 – $40,873 · median $17,563 13 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $8,403 – $53,509 · median $17,563 13 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $8,403 – $53,509 · median $17,563 13 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $8,403 – $36,214 · median $17,563 13 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $8,403 – $33,333 · median $17,563 13 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $8,403 – $33,333 · median $17,563 13 plans
834 ACUTE LEUKEMIA WITH MCC $5,348 – $49,222 · median $12,158 13 plans
835 ACUTE LEUKEMIA WITH CC $5,348 – $49,222 · median $12,158 13 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $5,348 – $22,009 · median $12,158 13 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $5,348 – $54,426 · median $12,158 13 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $5,348 – $54,426 · median $12,158 13 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,348 – $54,426 · median $12,158 13 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $5,348 – $28,535 · median $12,158 13 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $5,348 – $28,535 · median $12,158 13 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $5,348 – $19,247 · median $12,158 13 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $5,348 – $22,110 · median $12,158 13 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $5,348 – $22,110 · median $12,158 13 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $5,348 – $18,997 · median $12,158 13 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $5,348 – $13,242 · median $12,158 13 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $5,348 – $13,242 · median $12,158 13 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,348 – $13,242 · median $12,158 13 plans
849 RADIOTHERAPY $5,348 – $20,841 · median $12,158 13 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $8,403 – $194,801 · median $17,563 13 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $8,403 – $70,395 · median $17,563 13 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $8,403 – $70,395 · median $17,563 13 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,403 – $70,395 · median $17,563 13 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $8,403 – $70,395 · median $17,563 13 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $8,403 – $70,395 · median $17,563 13 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $8,403 – $70,395 · median $17,563 13 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $5,348 – $21,195 · median $12,158 13 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $5,348 – $21,195 · median $12,158 13 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,348 – $19,678 · median $12,158 13 plans
865 VIRAL ILLNESS WITH MCC $5,348 – $13,922 · median $12,158 13 plans
866 VIRAL ILLNESS WITHOUT MCC $5,348 – $13,242 · median $12,158 13 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $5,348 – $27,926 · median $12,158 13 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $5,348 – $27,926 · median $12,158 13 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,348 – $27,926 · median $12,158 13 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $8,403 – $43,186 · median $17,563 13 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $8,403 – $43,186 · median $17,563 13 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,403 – $43,186 · median $17,563 13 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $8,403 – $34,905 · median $17,563 13 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $8,403 – $34,905 · median $17,563 13 plans
906 HAND PROCEDURES FOR INJURIES $8,403 – $33,333 · median $17,563 13 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $8,403 – $38,369 · median $17,563 13 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $8,403 – $38,369 · median $17,563 13 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $8,403 – $33,333 · median $17,563 13 plans
913 TRAUMATIC INJURY WITH MCC $5,348 – $14,956 · median $12,158 13 plans
914 TRAUMATIC INJURY WITHOUT MCC $5,348 – $13,242 · median $12,158 13 plans
915 ALLERGIC REACTIONS WITH MCC $5,348 – $13,242 · median $12,158 13 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,348 – $13,242 · median $12,158 13 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $5,348 – $14,700 · median $12,158 13 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,348 – $13,242 · median $12,158 13 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $5,348 – $17,085 · median $12,158 13 plans
920 COMPLICATIONS OF TREATMENT WITH CC $5,348 – $17,085 · median $12,158 13 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,348 – $15,793 · median $12,158 13 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $5,348 – $17,128 · median $12,158 13 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $5,348 – $13,242 · median $12,158 13 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $8,403 – $298,510 13 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $8,403 – $89,832 · median $17,563 13 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $8,403 – $36,117 · median $17,563 13 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $5,348 – $37,802 · median $12,158 13 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $5,348 – $29,984 · median $12,158 13 plans
935 NON-EXTENSIVE BURNS $5,348 – $24,595 · median $12,158 13 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $8,403 – $33,333 · median $17,563 13 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $8,403 – $33,333 · median $17,563 13 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $8,403 – $33,333 · median $17,563 13 plans
947 SIGNS AND SYMPTOMS WITH MCC $5,348 – $16,811 · median $12,158 13 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,348 – $14,702 · median $12,158 13 plans
949 AFTERCARE WITH CC/MCC $5,348 – $13,242 · median $12,158 13 plans
950 AFTERCARE WITHOUT CC/MCC $5,348 – $13,242 · median $12,158 13 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,348 – $15,252 · median $12,158 13 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $8,403 – $147,977 · median $17,563 13 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $8,403 – $68,987 · median $17,563 13 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $8,403 – $104,900 · median $17,563 13 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $8,403 – $104,900 · median $17,563 13 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,403 – $104,900 · median $17,563 13 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $5,348 – $38,752 · median $12,158 13 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $5,348 – $38,752 · median $12,158 13 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,348 – $38,752 · median $12,158 13 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $8,403 – $95,331 · median $17,563 13 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $8,403 – $95,331 · median $17,563 13 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $5,348 – $43,721 · median $12,158 13 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $5,348 – $43,721 · median $12,158 13 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $5,348 – $43,721 · median $12,158 13 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $5,348 – $24,972 · median $12,158 13 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $8,403 – $76,560 · median $17,563 13 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $8,403 – $76,560 · median $17,563 13 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,403 – $76,560 · median $17,563 13 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $8,403 – $36,927 · median $17,563 13 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $8,403 – $36,927 · median $17,563 13 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,403 – $36,927 · median $17,563 13 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $8,403 – $272,991 12 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $8,403 – $272,991 · median $17,563 12 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $8,403 – $242,508 · median $17,563 12 plans
006 LIVER TRANSPLANT WITHOUT MCC $8,403 – $242,508 · median $17,563 12 plans
007 LUNG TRANSPLANT $8,403 – $201,268 · median $17,563 12 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $8,403 – $123,504 · median $17,563 12 plans
010 PANCREAS TRANSPLANT $8,403 – $122,263 · median $17,563 12 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $5,348 – $238,594 · median $12,158 12 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $5,348 – $238,594 · median $12,158 12 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $5,348 – $238,594 · median $12,158 12 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 12 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $8,403 – $123,504 · median $17,563 12 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $2,900 – $59,125 · median $39,178 12 plans
245 AICD GENERATOR PROCEDURES $2,900 – $65,574 · median $39,178 12 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $2,900 – $42,669 · median $39,178 12 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $2,900 – $42,669 · median $39,178 12 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $2,900 – $42,669 · median $39,178 12 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $2,900 – $42,669 · median $39,178 12 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $2,900 – $42,669 · median $39,178 12 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $8,403 – $97,845 · median $17,563 12 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $8,403 – $97,845 · median $17,563 12 plans
652 KIDNEY TRANSPLANT $8,403 – $97,845 · median $17,563 12 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $7,330 – $33,333 · median $17,563 12 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $7,330 – $33,333 · median $17,563 12 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,450 – $33,333 · median $17,563 12 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $5,348 – $13,242 · median $12,158 12 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,348 – $13,242 · median $12,158 12 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $5,348 – $13,242 · median $12,158 12 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $11,098 – $36,784 · median $33,774 11 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $11,098 – $36,784 · median $33,774 11 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $11,098 – $36,784 · median $33,774 11 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $8,403 – $227,779 · median $17,563 11 plans
265 AICD LEAD PROCEDURES $11,098 – $65,574 · median $39,178 11 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $11,098 – $148,793 · median $113,484 11 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $11,098 – $94,329 · median $41,003 11 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $11,098 – $67,686 · median $41,003 11 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $11,098 – $66,210 · median $60,795 11 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $8,403 – $54,266 · median $17,563 11 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,403 – $33,855 · median $17,563 11 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $8,403 – $26,181 · median $17,563 11 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,403 – $26,181 · median $17,563 11 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $11,098 – $54,233 · median $49,798 11 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $11,098 – $54,233 · median $49,798 11 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $11,098 – $54,233 · median $49,798 11 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $11,098 – $42,463 · median $38,989 11 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $11,098 – $42,463 · median $38,989 11 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $11,098 – $42,463 · median $38,989 11 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,348 – $13,242 · median $12,158 11 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $5,348 – $15,554 · median $12,158 11 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $5,348 – $13,242 · median $12,158 11 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,348 – $13,242 · median $12,158 11 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $4,514 – $8,486 · median $7,654 6 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $10,959 – $70,230 · median $38,933 6 plans
791 PREMATURITY WITH MAJOR PROBLEMS $10,959 – $70,230 · median $38,933 6 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $4,514 – $8,486 · median $7,654 6 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $10,959 – $70,230 · median $38,933 6 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,514 – $8,486 · median $7,654 6 plans
795 NORMAL NEWBORN $2,571 – $4,521 · median $3,147 6 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK $21,000 – $103,615 · median $87,896 4 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK $21,000 – $103,615 · median $87,896 4 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH $21,000 – $103,615 · median $87,896 4 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH $21,000 – $103,615 · median $87,896 4 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $19,000 – $101,795 · median $83,350 4 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $19,000 – $101,795 · median $83,350 4 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ AR $6,300 – $115,429 · median $51,525 4 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $6,300 – $115,429 · median $51,525 4 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4 $6,300 – $54,530 · median $47,355 4 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $6,300 – $54,530 · median $47,355 4 plans
133 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC $25,934 – $42,958 · median $35,181 3 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $11,098 – $46,765 · median $15,919 3 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $11,098 – $12,879 · median $12,025 3 plans
881 DEPRESSIVE NEUROSES $11,098 – $17,621 · median $12,025 3 plans
882 NEUROSES EXCEPT DEPRESSIVE $11,098 – $14,842 · median $12,025 3 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $11,098 – $18,003 · median $12,025 3 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $11,098 – $17,805 · median $12,025 3 plans
885 PSYCHOSES $11,098 – $22,755 · median $12,025 3 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $11,098 – $17,961 · median $12,025 3 plans
887 OTHER MENTAL DISORDER DIAGNOSES $11,098 – $14,736 · median $12,025 3 plans
945 REHABILITATION WITH CC/MCC $26,121 – $32,927 · median $31,314 3 plans
946 REHABILITATION WITHOUT CC/MCC $26,121 – $32,927 · median $31,314 3 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $72,221 – $87,033 · median $79,627 2 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $61,112 – $74,071 · median $67,592 2 plans
230 OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC $25,000 – $25,000 · median $25,000 1 plans
237 MAJOR CARDIOVASC PROCEDURES W MCC $19,000 – $19,000 · median $19,000 1 plans
238 MAJOR CARDIOVASC PROCEDURES W/O MCC $19,000 – $19,000 · median $19,000 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 $21,148 – $21,148 · median $21,148 1 plans
999 UNGROUPABLE $21,148 – $21,148 · median $21,148 1 plans
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