Palm Bay Hospital — Pricing

766 procedures published in this hospital's Machine-Readable File (MRF) — 292 with a comparable price, 474 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 766
Lowest published price $2,207
Average published price $15,098
Highest published price $143,406

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

Showing all 766 procedures

Published charges

Showing all 292 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above. Cash-pay prices not published for this hospital.

Across 56 procedures, this hospital's negotiated rates average ≈324% of what Medicare pays.

DRG Description Published price vs. FL median vs. National median vs Medicare
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $143,406 $86,214 +66% $93,390 +54% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $103,313 $111,748 −8% $58,228 +77% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $87,804 $124,795 −30% $71,795 +22% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $83,004 $416,323 −80% $248,521 −67% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $76,292 $69,407 +10% $59,790 +28% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $55,781 $45,890 +22% $35,030 +59% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $55,382 $133,144 −58% $61,470 −10% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $51,368 $79,537 −35% $47,711 +8% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $48,781 $252,151 −81% $131,961 −63% —
501 SOFT TISSUE PROCEDURES WITH CC $48,624 $70,805 −31% $39,619 +23% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $48,028 $244,465 −80% $148,832 −68% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $44,708 $159,548 −72% $116,058 −61% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $43,093 $63,011 −32% $79,225 −46% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $40,560 $52,731 −23% $33,048 +23% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $38,429 $60,423 −36% $40,362 −5% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $36,457 $62,257 −41% $47,583 −23% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $34,750 $154,667 −78% $93,172 −63% ≈335% of Medicare
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $32,887 $165,691 −80% $96,507 −66% —
598 MALIGNANT BREAST DISORDERS WITH CC $32,097 $34,902 −8% $19,073 +68% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $31,588 $69,589 −55% $43,913 −28% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $31,414 $63,830 −51% $42,881 −27% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $30,113 $62,621 −52% $37,844 −20% —
181 RESPIRATORY NEOPLASMS WITH CC $29,904 $27,597 +8% $23,573 +27% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $29,768 $139,861 −79% $82,561 −64% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $29,621 $144,456 −79% $88,050 −66% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $29,477 $31,716 −7% $30,243 −3% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $29,261 $115,121 −75% $77,990 −62% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $29,030 $128,607 −77% $76,001 −62% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $28,447 $164,137 −83% $90,775 −69% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $27,618 $24,356 +13% $20,727 +33% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $27,488 $32,463 −15% $54,196 −49% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $26,433 $134,019 −80% $74,257 −64% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $25,582 $106,612 −76% $75,103 −66% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $25,410 $133,724 −81% $71,755 −65% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $24,760 $43,521 −43% $27,617 −10% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $24,611 $87,042 −72% $66,068 −63% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $24,267 $96,199 −75% $51,953 −53% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $24,209 $30,445 −20% $16,998 +42% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $23,838 $127,874 −81% $70,847 −66% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $23,816 $28,653 −17% $27,163 −12% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $23,331 $36,319 −36% $18,807 +24% —
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $23,013 $39,406 −42% $40,162 −43% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $22,907 $83,057 −72% $71,014 −68% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $22,888 $130,750 −82% $70,132 −67% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $22,799 $16,114 +41% $14,055 +62% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $22,613 $87,122 −74% $89,207 −75% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $22,424 $32,461 −31% $17,298 +30% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $21,640 $38,935 −44% $30,083 −28% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $21,332 $29,833 −28% $17,733 +20% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $20,782 $115,896 −82% $65,653 −68% ≈340% of Medicare
668 TRANSURETHRAL PROCEDURES WITH MCC $20,622 $131,756 −84% $51,608 −60% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $20,594 $92,774 −78% $70,467 −71% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $20,435 $110,988 −82% $77,817 −74% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $20,411 $29,912 −32% $14,064 +45% —
607 MINOR SKIN DISORDERS WITHOUT MCC $20,187 $30,316 −33% $15,889 +27% —
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $20,145 $130,536 −85% $81,706 −75% —
662 MINOR BLADDER PROCEDURES WITH MCC $19,999 $104,590 −81% $54,562 −63% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $19,914 $26,473 −25% $17,118 +16% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $19,531 $116,268 −83% $68,653 −72% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $19,226 $30,608 −37% $27,426 −30% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $19,035 $83,905 −77% $52,405 −64% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $18,850 $37,492 −50% $19,037 −1% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $18,803 $31,576 −40% $32,628 −42% —
302 ATHEROSCLEROSIS WITH MCC $18,577 $34,324 −46% $22,446 −17% —
570 SKIN DEBRIDEMENT WITH MCC $18,522 $69,729 −73% $52,435 −65% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $18,373 $77,531 −76% $52,178 −65% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $17,900 $86,593 −79% $54,929 −67% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $17,727 $30,444 −42% $18,459 −4% —
397 COAGULATION DISORDERS $17,641 $32,112 −45% $53,257 −67% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $17,360 $121,038 −86% $75,573 −77% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $17,321 $114,641 −85% $66,685 −74% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $16,957 $91,177 −81% $53,451 −68% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $16,766 $63,349 −74% $51,985 −68% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $16,717 $60,769 −72% $58,707 −72% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $16,647 $14,905 +12% $14,716 +13% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $16,482 $65,611 −75% $50,394 −67% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $16,359 $71,647 −77% $39,181 −58% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $16,336 $18,896 −14% $16,288 +0% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $16,226 $33,593 −52% $19,264 −16% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $15,915 $18,819 −15% $16,700 −5% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $15,844 $33,249 −52% $15,038 +5% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $15,756 $79,506 −80% $59,500 −74% —
374 DIGESTIVE MALIGNANCY WITH MCC $15,149 $66,916 −77% $39,958 −62% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $15,112 $62,558 −76% $50,011 −70% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $14,898 $89,872 −83% $52,751 −72% ≈336% of Medicare
336 PERITONEAL ADHESIOLYSIS WITH CC $14,356 $65,594 −78% $50,463 −72% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $14,331 $124,879 −89% $70,564 −80% —
100 SEIZURES WITH MCC $14,285 $55,589 −74% $35,481 −60% ≈310% of Medicare
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $14,232 $70,922 −80% $44,139 −68% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $14,133 $69,215 −80% $35,628 −60% ≈326% of Medicare
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $14,108 $60,382 −77% $40,213 −65% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $14,091 $93,523 −85% $58,280 −76% ≈313% of Medicare
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $13,768 $83,218 −83% $46,283 −70% ≈322% of Medicare
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $13,697 $76,373 −82% $39,106 −65% ≈332% of Medicare
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $13,636 $27,354 −50% $33,255 −59% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $13,617 $58,728 −77% $50,607 −73% ≈331% of Medicare
103 HEADACHES WITHOUT MCC $13,577 $33,850 −60% $21,280 −36% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $13,531 $68,614 −80% $59,651 −77% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $13,524 $89,760 −85% $65,788 −79% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $13,523 $61,714 −78% $38,666 −65% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $13,211 $67,081 −80% $37,950 −65% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $13,196 $61,996 −79% $37,387 −65% —
919 COMPLICATIONS OF TREATMENT WITH MCC $13,194 $41,881 −68% $31,105 −58% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $13,067 $50,573 −74% $41,591 −69% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $12,909 $66,293 −81% $52,075 −75% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $12,863 $113,067 −89% $50,919 −75% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $12,657 $47,377 −73% $36,431 −65% —
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $12,572 $79,623 −84% $58,809 −79% ≈307% of Medicare
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,561 $26,998 −53% $33,985 −63% —
380 COMPLICATED PEPTIC ULCER WITH MCC $12,489 $45,750 −73% $39,627 −68% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $12,362 $59,034 −79% $37,842 −67% ≈323% of Medicare
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $12,345 $94,030 −87% $49,710 −75% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $12,326 $42,676 −71% $31,951 −61% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $12,322 $52,058 −76% $33,851 −64% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $12,285 $39,350 −69% $31,159 −61% —
592 SKIN ULCERS WITH MCC $12,214 $41,440 −71% $33,246 −63% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $12,169 $48,013 −75% $33,876 −64% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $12,135 $36,072 −66% $32,496 −63% ≈318% of Medicare
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,074 $66,824 −82% $44,606 −73% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $12,011 $50,709 −76% $32,859 −63% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $11,955 $31,944 −63% $18,956 −37% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $11,951 $31,429 −62% $30,235 −60% —
157 DENTAL AND ORAL DISEASES WITH MCC $11,835 $44,674 −74% $31,300 −62% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $11,819 $75,816 −84% $45,333 −74% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $11,810 $49,639 −76% $27,316 −57% —
551 MEDICAL BACK PROBLEMS WITH MCC $11,783 $47,486 −75% $34,017 −65% ≈310% of Medicare
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,768 $59,663 −80% $33,707 −65% ≈300% of Medicare
606 MINOR SKIN DISORDERS WITH MCC $11,754 $44,210 −73% $27,975 −58% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $11,677 $74,820 −84% $43,943 −73% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,603 $58,067 −80% $44,117 −74% —
199 PNEUMOTHORAX WITH MCC $11,601 $47,278 −75% $33,787 −66% —
183 MAJOR CHEST TRAUMA WITH MCC $11,594 $27,074 −57% $29,933 −61% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $11,575 $8,915 +30% $17,700 −35% —
186 PLEURAL EFFUSION WITH MCC $11,565 $40,621 −72% $33,834 −66% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $11,460 $46,206 −75% $33,633 −66% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $11,435 $64,370 −82% $46,295 −75% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,381 $28,447 −60% $34,607 −67% —
813 COAGULATION DISORDERS $11,356 $50,736 −78% $33,296 −66% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,283 $46,593 −76% $26,463 −57% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,282 $58,148 −81% $34,192 −67% ≈307% of Medicare
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $11,250 $46,841 −76% $39,211 −71% —
180 RESPIRATORY NEOPLASMS WITH MCC $11,235 $50,903 −78% $36,658 −69% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,086 $64,761 −83% $30,828 −64% ≈348% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,084 $65,442 −83% $41,955 −74% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,054 $40,839 −73% $34,273 −68% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $11,047 $23,760 −54% $14,689 −25% —
682 RENAL FAILURE WITH MCC $11,012 $48,136 −77% $29,064 −62% ≈326% of Medicare
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $10,966 $40,754 −73% $39,973 −73% —
571 SKIN DEBRIDEMENT WITH CC $10,952 $65,831 −83% $37,169 −71% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $10,907 $37,031 −71% $33,653 −68% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,902 $42,603 −74% $28,140 −61% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $10,874 $42,137 −74% $33,661 −68% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $10,868 $40,810 −73% $32,944 −67% —
865 VIRAL ILLNESS WITH MCC $10,835 $34,511 −69% $26,910 −60% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,795 $39,991 −73% $30,571 −65% —
669 TRANSURETHRAL PROCEDURES WITH CC $10,744 $70,704 −85% $34,354 −69% —
637 DIABETES WITH MCC $10,703 $38,920 −73% $30,100 −64% ≈286% of Medicare
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,627 $48,581 −78% $29,743 −64% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $10,615 $11,777 −10% $15,495 −31% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $10,477 $25,270 −59% $26,682 −61% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $10,444 $10,935 −4% $24,550 −57% —
885 PSYCHOSES $10,389 $26,024 −60% $21,729 −52% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,383 $40,668 −74% $30,959 −66% ≈326% of Medicare
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,302 $49,488 −79% $31,017 −67% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,218 $35,607 −71% $36,505 −72% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $10,065 $34,456 −71% $30,242 −67% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $10,061 $17,061 −41% $30,010 −66% —
639 DIABETES WITHOUT CC/MCC $10,006 $24,779 −60% $13,910 −28% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,970 $42,616 −77% $24,127 −59% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,763 $40,704 −76% $27,275 −64% ≈329% of Medicare
602 CELLULITIS WITH MCC $9,729 $42,228 −77% $30,598 −68% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $9,655 $46,930 −79% $32,841 −71% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $9,620 $43,603 −78% $27,543 −65% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,607 $27,792 −65% $28,156 −66% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,577 $37,517 −74% $26,051 −63% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $9,545 $37,493 −75% $24,941 −62% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,540 $60,046 −84% $31,264 −69% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $9,491 $19,065 −50% $12,324 −23% —
811 RED BLOOD CELL DISORDERS WITH MCC $9,401 $51,703 −82% $28,226 −67% ≈305% of Medicare
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,225 $41,685 −78% $22,458 −59% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,224 $37,258 −75% $26,580 −65% ≈301% of Medicare
375 DIGESTIVE MALIGNANCY WITH CC $9,179 $52,392 −82% $27,277 −66% —
291 HEART FAILURE AND SHOCK WITH MCC $9,134 $29,310 −69% $26,776 −66% ≈309% of Medicare
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,105 $37,251 −76% $28,050 −68% ≈299% of Medicare
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,004 $29,865 −70% $26,770 −66% ≈309% of Medicare
947 SIGNS AND SYMPTOMS WITH MCC $8,952 $40,771 −78% $27,401 −67% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $8,917 $55,988 −84% $36,937 −76% —
304 HYPERTENSION WITH MCC $8,802 $47,999 −82% $26,080 −66% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $8,794 $21,357 −59% $24,552 −64% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,681 $48,455 −82% $25,463 −66% ≈339% of Medicare
152 OTITIS MEDIA AND URI WITH MCC $8,525 $28,331 −70% $20,247 −58% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $8,484 $75,995 −89% $43,538 −81% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,457 $36,493 −77% $23,617 −64% ≈319% of Medicare
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $8,454 $43,755 −81% $31,321 −73% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,445 $41,965 −80% $24,386 −65% ≈324% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,093 $34,293 −76% $20,422 −60% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,087 $33,347 −76% $23,749 −66% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $7,980 $42,771 −81% $23,488 −66% ≈311% of Medicare
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,934 $43,125 −82% $23,551 −66% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,850 $31,798 −75% $32,021 −75% ≈324% of Medicare
200 PNEUMOTHORAX WITH CC $7,847 $24,177 −68% $21,368 −63% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,838 $33,096 −76% $22,850 −66% —
381 COMPLICATED PEPTIC ULCER WITH CC $7,831 $36,968 −79% $24,177 −68% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,818 $34,103 −77% $22,888 −66% ≈337% of Medicare
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,758 $17,396 −55% $25,303 −69% —
644 ENDOCRINE DISORDERS WITH CC $7,750 $35,344 −78% $23,198 −67% —
920 COMPLICATIONS OF TREATMENT WITH CC $7,747 $32,703 −76% $22,468 −66% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,692 $47,804 −84% $23,319 −67% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $7,690 $35,076 −78% $25,034 −69% —
184 MAJOR CHEST TRAUMA WITH CC $7,661 $37,484 −80% $22,432 −66% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,621 $13,717 −44% $17,226 −56% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,597 $10,306 −26% $17,698 −57% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $7,565 $31,833 −76% $32,877 −77% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,563 $49,527 −85% $25,970 −71% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,561 $37,010 −80% $22,024 −66% ≈340% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,525 $23,972 −69% $24,914 −70% ≈319% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,519 $28,801 −74% $22,098 −66% ≈322% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,464 $39,518 −81% $23,940 −69% ≈340% of Medicare
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,392 $25,257 −71% $17,724 −58% ≈323% of Medicare
196 INTERSTITIAL LUNG DISEASE WITH MCC $7,352 $39,473 −81% $32,637 −77% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,341 $34,923 −79% $21,275 −65% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,307 $10,917 −33% $20,901 −65% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,239 $44,329 −84% $23,141 −69% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,164 $29,460 −76% $16,968 −58% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $7,153 $42,840 −83% $33,555 −79% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $7,149 $32,974 −78% $35,569 −80% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,143 $37,075 −81% $22,033 −68% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,132 $39,751 −82% $21,396 −67% ≈347% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,130 $29,612 −76% $21,363 −67% ≈312% of Medicare
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,121 $25,841 −72% $20,506 −65% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,094 $41,798 −83% $25,279 −72% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,085 $30,131 −76% $20,488 −65% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,032 $39,039 −82% $21,449 −67% —
197 INTERSTITIAL LUNG DISEASE WITH CC $7,001 $40,745 −83% $21,941 −68% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,000 $35,345 −80% $18,488 −62% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,955 $32,521 −79% $20,181 −66% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $6,841 $22,509 −70% $20,957 −67% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,828 $18,420 −63% $15,452 −56% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,804 $47,860 −86% $20,463 −67% ≈313% of Medicare
312 SYNCOPE AND COLLAPSE $6,738 $23,207 −71% $19,342 −65% ≈336% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,734 $37,293 −82% $19,305 −65% —
638 DIABETES WITH CC $6,704 $24,363 −72% $19,661 −66% ≈318% of Medicare
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,674 $29,525 −77% $19,842 −66% ≈348% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $6,670 $30,014 −78% $16,371 −59% —
603 CELLULITIS WITHOUT MCC $6,630 $24,682 −73% $18,530 −64% ≈331% of Medicare
864 FEVER AND INFLAMMATORY CONDITIONS $6,618 $24,207 −73% $18,640 −64% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,525 $37,338 −83% $19,569 −67% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,517 $31,296 −79% $18,528 −65% —
101 SEIZURES WITHOUT MCC $6,511 $31,557 −79% $20,461 −68% ≈330% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $6,500 $21,438 −70% $17,081 −62% —
683 RENAL FAILURE WITH CC $6,472 $27,364 −76% $19,130 −66% ≈313% of Medicare
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $6,446 $13,863 −54% $16,699 −61% —
914 TRAUMATIC INJURY WITHOUT MCC $6,438 $10,147 −37% $15,855 −59% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,385 $23,223 −73% $18,204 −65% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,372 $27,043 −76% $18,126 −65% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $6,364 $86,669 −93% $68,639 −91% —
176 PULMONARY EMBOLISM WITHOUT MCC $6,350 $31,966 −80% $18,081 −65% ≈298% of Medicare
204 RESPIRATORY SIGNS AND SYMPTOMS $6,327 $23,724 −73% $18,004 −65% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,322 $33,385 −81% $19,096 −67% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,273 $29,358 −79% $17,674 −65% ≈328% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,262 $29,899 −79% $17,578 −64% ≈325% of Medicare
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,256 $41,089 −85% $21,056 −70% ≈322% of Medicare
534 FRACTURES OF FEMUR WITHOUT MCC $6,136 $27,341 −78% $17,559 −65% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,126 $28,392 −78% $17,038 −64% ≈323% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,124 $31,594 −81% $17,322 −65% ≈326% of Medicare
694 URINARY STONES WITHOUT MCC $5,953 $28,782 −79% $17,345 −66% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,919 $12,483 −53% $17,620 −66% —
151 EPISTAXIS WITHOUT MCC $5,904 $13,939 −58% $13,032 −55% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,840 $32,487 −82% $17,303 −66% ≈317% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,792 $26,127 −78% $14,648 −60% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,772 $29,369 −80% $17,921 −68% ≈332% of Medicare
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,769 $24,481 −76% $18,002 −68% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,750 $26,661 −78% $16,767 −66% —
149 DYSEQUILIBRIUM $5,718 $12,109 −53% $18,096 −68% ≈333% of Medicare
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $5,666 $43,842 −87% $30,502 −81% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,664 $26,840 −79% $15,837 −64% —
305 HYPERTENSION WITHOUT MCC $5,582 $31,871 −82% $18,086 −69% ≈331% of Medicare
313 CHEST PAIN $5,578 $26,595 −79% $16,440 −66% ≈332% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,543 $37,994 −85% $19,227 −71% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,498 $34,174 −84% $20,781 −74% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,459 $23,613 −77% $13,651 −60% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $5,439 $62,383 −91% $36,792 −85% —
916 ALLERGIC REACTIONS WITHOUT MCC $5,335 $12,384 −57% $13,942 −62% —
303 ATHEROSCLEROSIS WITHOUT MCC $5,196 $26,306 −80% $14,927 −65% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,114 $11,284 −55% $12,252 −58% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,052 $17,115 −70% $13,824 −63% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,999 $22,569 −78% $15,183 −67% —
684 RENAL FAILURE WITHOUT CC/MCC $4,882 $26,277 −81% $13,642 −64% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,623 $23,464 −80% $13,384 −65% —
593 SKIN ULCERS WITH CC $4,486 $32,139 −86% $22,886 −80% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,481 $26,598 −83% $13,361 −66% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $2,207 $27,096 −92% $12,999 −83% —

Procedures with negotiated rates only

These 474 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
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $148,425 – $604,303 · median $441,289 7 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $38,971 – $155,284 · median $113,395 7 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $30,379 – $120,034 · median $87,654 7 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $21,119 – $82,048 · median $59,915 7 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $485,244 – $1,229,457 · median $897,804 7 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $50,634 – $203,129 · median $148,334 7 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $55,730 – $224,033 · median $163,599 7 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $37,859 – $150,720 · median $110,062 7 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $30,947 – $90,464 · median $66,061 7 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $40,888 – $163,147 · median $119,137 7 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $28,268 – $111,376 · median $81,331 7 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $32,674 – $129,449 · median $94,529 7 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $22,697 – $88,522 · median $64,643 7 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $18,628 – $71,829 · median $52,453 7 plans
028 SPINAL PROCEDURES WITH MCC $42,817 – $171,062 · median $124,917 7 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $24,796 – $97,132 · median $70,930 7 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $16,354 – $62,500 · median $45,640 7 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $32,214 – $127,564 · median $93,153 7 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $15,909 – $60,672 · median $44,305 7 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $12,660 – $47,344 · median $34,573 7 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $27,982 – $110,203 · median $80,475 7 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $17,709 – $68,060 · median $49,700 7 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $14,602 – $55,313 · median $40,392 7 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $23,967 – $93,729 · median $68,445 7 plans
038 EXTRACRANIAL PROCEDURES WITH CC $12,380 – $46,197 · median $33,735 7 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $9,277 – $33,468 · median $24,440 7 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $16,378 – $62,599 · median $45,713 7 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $13,110 – $49,189 · median $35,920 7 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $13,690 – $51,570 · median $37,658 7 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,915 – $27,879 · median $20,358 7 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,195 – $29,029 · median $21,198 7 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $7,503 – $26,188 · median $19,123 7 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $20,254 – $78,497 · median $57,322 7 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,862 – $39,968 · median $29,186 7 plans
075 VIRAL MENINGITIS WITH CC/MCC $14,427 – $54,593 · median $39,866 7 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,846 – $23,494 · median $17,157 7 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $13,681 – $51,533 · median $37,631 7 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,335 – $25,499 · median $18,620 7 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $16,981 – $65,073 · median $47,519 7 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,806 – $39,740 · median $29,020 7 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,753 – $27,213 · median $19,872 7 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $16,886 – $64,683 · median $47,235 7 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $10,160 – $37,089 · median $27,084 7 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $7,467 – $26,042 · median $19,017 7 plans
088 CONCUSSION WITH MCC $10,501 – $38,487 · median $28,105 7 plans
089 CONCUSSION WITH CC $8,744 – $31,278 · median $22,841 7 plans
090 CONCUSSION WITHOUT CC/MCC $6,832 – $23,437 · median $17,115 7 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $19,019 – $73,432 · median $53,624 7 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $26,185 – $102,832 · median $75,092 7 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $17,046 – $65,338 · median $47,713 7 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,574 – $38,789 · median $28,325 7 plans
102 HEADACHES WITH MCC $8,898 – $31,913 · median $23,304 7 plans
113 ORBITAL PROCEDURES WITH CC/MCC $17,436 – $66,938 · median $48,881 7 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $10,509 – $38,521 · median $28,130 7 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $11,772 – $43,700 · median $31,912 7 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $13,668 – $51,478 · median $37,592 7 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,648 – $30,888 · median $22,556 7 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $9,193 – $33,120 · median $24,186 7 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,573 – $22,373 · median $16,337 7 plans
123 NEUROLOGICAL EYE DISORDERS $6,662 – $22,737 · median $16,604 7 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $10,302 – $37,670 · median $27,508 7 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $16,179 – $61,782 · median $45,116 7 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,165 – $28,907 · median $21,109 7 plans
137 MOUTH PROCEDURES WITH CC/MCC $11,482 – $42,513 · median $31,045 7 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $7,269 – $25,231 · median $18,425 7 plans
139 SALIVARY GLAND PROCEDURES $9,695 – $35,182 · median $25,691 7 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $30,721 – $121,437 · median $88,679 7 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $16,256 – $62,098 · median $45,347 7 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $12,198 – $45,451 · median $33,190 7 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $27,121 – $106,669 · median $77,895 7 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $13,146 – $49,337 · median $36,028 7 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $9,463 – $34,231 · median $24,997 7 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $15,814 – $60,285 · median $44,022 7 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,944 – $36,201 · median $26,435 7 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,651 – $22,694 · median $16,572 7 plans
150 EPISTAXIS WITH MCC $10,360 – $37,909 · median $27,683 7 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $6,242 – $21,017 · median $15,348 7 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,970 – $44,514 · median $32,506 7 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,915 – $19,676 · median $14,369 7 plans
158 DENTAL AND ORAL DISEASES WITH CC $7,433 – $25,903 · median $18,915 7 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $6,036 – $20,172 · median $14,730 7 plans
163 MAJOR CHEST PROCEDURES WITH MCC $49,091 – $127,601 · median $93,180 7 plans
164 MAJOR CHEST PROCEDURES WITH CC $18,636 – $71,861 · median $52,476 7 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $14,404 – $54,499 · median $39,798 7 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $13,635 – $51,345 · median $37,494 7 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,602 – $38,903 · median $28,409 7 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $21,776 – $84,741 · median $61,882 7 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,578 – $22,392 · median $16,352 7 plans
187 PLEURAL EFFUSION WITH CC $7,984 – $28,161 · median $20,564 7 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $6,097 – $20,419 · median $14,911 7 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,575 – $18,278 · median $13,348 7 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,090 – $20,391 · median $14,890 7 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $6,082 – $20,360 · median $14,867 7 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $76,587 – $309,597 · median $226,081 7 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $70,222 – $283,486 · median $207,014 7 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $69,013 – $278,526 · median $203,392 7 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $46,753 – $187,205 · median $136,706 7 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $46,753 – $187,205 · median $136,706 7 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $54,407 – $218,609 · median $159,638 7 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $38,129 – $151,830 · median $110,873 7 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $36,099 – $143,500 · median $104,790 7 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $35,455 – $140,857 · median $102,860 7 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $22,977 – $89,669 · median $65,481 7 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $59,624 – $240,008 · median $175,264 7 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $43,194 – $172,608 · median $126,046 7 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $54,178 – $217,666 · median $158,950 7 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $39,031 – $155,529 · median $113,574 7 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $41,848 – $167,085 · median $122,013 7 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $30,190 – $119,259 · median $87,088 7 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $10,727 – $39,415 · median $28,783 7 plans
245 AICD GENERATOR PROCEDURES $32,783 – $129,896 · median $94,856 7 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $16,266 – $62,138 · median $45,376 7 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $25,328 – $99,315 · median $72,524 7 plans
253 OTHER VASCULAR PROCEDURES WITH CC $19,133 – $73,899 · median $53,965 7 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $13,484 – $50,727 · median $37,043 7 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $19,839 – $76,798 · median $56,081 7 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,699 – $31,096 · median $22,708 7 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $22,926 – $89,459 · median $65,327 7 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $15,153 – $57,571 · median $42,041 7 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $23,694 – $92,610 · median $67,628 7 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $14,239 – $53,824 · median $39,305 7 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $12,431 – $46,405 · median $33,887 7 plans
263 VEIN LIGATION AND STRIPPING $22,338 – $87,047 · median $63,566 7 plans
265 AICD LEAD PROCEDURES $26,230 – $103,014 · median $75,225 7 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $43,651 – $174,482 · median $127,414 7 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $34,160 – $135,545 · median $98,981 7 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $65,231 – $195,821 · median $142,997 7 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $30,429 – $120,239 · median $87,804 7 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $37,737 – $150,222 · median $109,698 7 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $18,837 – $72,686 · median $53,079 7 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $29,751 – $117,457 · median $85,772 7 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $23,964 – $93,718 · median $68,437 7 plans
276 NON-MALIGANT BREAST DISORDERS $42,806 – $171,014 · median $124,882 7 plans
277 CELLULITIS AGE >17 W CC $33,172 – $131,493 · median $96,022 7 plans
278 CELLULITIS AGE >17 W/O CC $39,749 – $158,475 · median $115,726 7 plans
279 CELLULITIS AGE 0-17 $26,148 – $102,678 · median $74,980 7 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $14,866 – $56,395 · median $41,182 7 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,923 – $19,708 · median $14,391 7 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,276 – $17,051 · median $12,452 7 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $19,901 – $77,048 · median $56,264 7 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $12,965 – $48,597 · median $35,488 7 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,571 – $26,469 · median $19,329 7 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,519 – $18,051 · median $13,181 7 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,278 – $12,957 · median $9,462 7 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $12,055 – $44,865 · median $32,762 7 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,457 – $26,000 · median $18,986 7 plans
311 ANGINA PECTORIS $5,990 – $19,984 · median $14,593 7 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $32,092 – $127,063 · median $92,787 7 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $17,812 – $68,481 · median $50,008 7 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY $31,152 – $123,205 · median $89,970 7 plans
324 URINARY STONES W/O CC $22,987 – $89,712 · median $65,512 7 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $23,400 – $91,403 · median $66,747 7 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $37,130 – $141,996 · median $103,692 7 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $18,082 – $69,589 · median $50,817 7 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,239 – $45,619 · median $33,313 7 plans
332 RECTAL RESECTION WITH MCC $26,247 – $103,085 · median $75,277 7 plans
333 RECTAL RESECTION WITH CC $17,374 – $66,685 · median $48,696 7 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,486 – $46,633 · median $34,053 7 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $19,044 – $73,535 · median $53,698 7 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,352 – $33,772 · median $24,662 7 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $19,740 – $65,358 · median $47,727 7 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $10,202 – $37,263 · median $27,211 7 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $7,161 – $24,787 · median $18,100 7 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $18,413 – $70,947 · median $51,809 7 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $9,224 – $33,248 · median $24,279 7 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $21,259 – $82,623 · median $60,335 7 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,795 – $47,900 · median $34,978 7 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $17,258 – $66,209 · median $48,349 7 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,675 – $22,794 · median $16,645 7 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,623 – $18,478 · median $13,493 7 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $39,085 – $155,751 · median $113,736 7 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $21,247 – $82,572 · median $60,297 7 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $16,523 – $63,194 · median $46,147 7 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $25,865 – $101,516 · median $74,132 7 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $16,230 – $61,990 · median $45,268 7 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $12,138 – $45,203 · median $33,010 7 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $24,044 – $94,048 · median $68,678 7 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $15,711 – $59,860 · median $43,713 7 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,643 – $47,276 · median $34,523 7 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $25,844 – $101,431 · median $74,069 7 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,581 – $38,815 · median $28,344 7 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $13,178 – $49,468 · median $36,124 7 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,832 – $39,845 · median $29,097 7 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $16,303 – $62,292 · median $45,488 7 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,531 – $42,715 · median $31,192 7 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,064 – $20,286 · median $14,813 7 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,041 – $24,294 · median $17,741 7 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,975 – $19,921 · median $14,547 7 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $59,440 – $239,253 · median $174,713 7 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $42,504 – $169,775 · median $123,978 7 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $30,077 – $118,798 · median $86,752 7 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $39,449 – $157,245 · median $114,828 7 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $19,580 – $75,733 · median $55,303 7 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $13,776 – $51,923 · median $37,916 7 plans
471 CERVICAL SPINAL FUSION WITH MCC $38,240 – $137,478 · median $100,392 7 plans
472 CERVICAL SPINAL FUSION WITH CC $21,565 – $83,878 · median $61,252 7 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $18,062 – $69,506 · median $50,757 7 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $30,912 – $122,223 · median $89,253 7 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $16,913 – $64,791 · median $47,314 7 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,310 – $33,601 · median $24,537 7 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $18,186 – $70,016 · median $51,129 7 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $14,020 – $52,925 · median $38,648 7 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $23,516 – $91,879 · median $67,094 7 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $15,632 – $59,536 · median $43,476 7 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,989 – $44,591 · median $32,563 7 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $13,396 – $50,362 · median $36,777 7 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,870 – $31,796 · median $23,219 7 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $26,282 – $103,227 · median $75,381 7 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $13,638 – $51,359 · median $37,505 7 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,505 – $34,402 · median $25,122 7 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $22,056 – $85,891 · median $62,722 7 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $15,102 – $57,363 · median $41,889 7 plans
500 SOFT TISSUE PROCEDURES WITH MCC $23,083 – $90,105 · median $65,799 7 plans
503 FOOT PROCEDURES WITH MCC $20,490 – $79,465 · median $58,029 7 plans
504 FOOT PROCEDURES WITH CC $14,092 – $53,218 · median $38,862 7 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $13,561 – $51,043 · median $37,274 7 plans
506 MAJOR THUMB OR JOINT PROCEDURES $10,483 – $38,413 · median $28,051 7 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $13,656 – $51,430 · median $37,556 7 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $11,629 – $43,116 · median $31,486 7 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $22,082 – $85,997 · median $62,799 7 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $12,608 – $47,131 · median $34,417 7 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $12,045 – $44,822 · median $32,731 7 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,214 – $29,106 · median $21,254 7 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $23,237 – $90,734 · median $66,258 7 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $15,541 – $59,166 · median $43,205 7 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $11,784 – $43,751 · median $31,949 7 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $27,056 – $106,405 · median $77,701 7 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $11,487 – $42,533 · median $31,059 7 plans
533 FRACTURES OF FEMUR WITH MCC $11,999 – $44,634 · median $32,594 7 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,742 – $27,170 · median $19,841 7 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $6,118 – $20,508 · median $14,976 7 plans
539 OSTEOMYELITIS WITH MCC $14,789 – $56,079 · median $40,952 7 plans
540 OSTEOMYELITIS WITH CC $10,116 – $36,907 · median $26,951 7 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,584 – $22,418 · median $16,371 7 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,356 – $21,484 · median $15,689 7 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $9,124 – $32,838 · median $23,980 7 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,922 – $23,807 · median $17,385 7 plans
548 SEPTIC ARTHRITIS WITH MCC $14,520 – $54,975 · median $40,145 7 plans
549 SEPTIC ARTHRITIS WITH CC $9,497 – $34,370 · median $25,099 7 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $7,185 – $24,887 · median $18,173 7 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,318 – $25,430 · median $18,570 7 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $14,062 – $53,096 · median $38,773 7 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,698 – $22,888 · median $16,714 7 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,882 – $27,742 · median $20,259 7 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $9,075 – $32,636 · median $23,832 7 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $46,587 – $186,525 · median $136,209 7 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $25,211 – $98,834 · median $72,173 7 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,591 – $51,162 · median $37,361 7 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $35,134 – $139,542 · median $101,900 7 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $19,515 – $75,468 · median $55,110 7 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,268 – $45,736 · median $33,398 7 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $23,595 – $92,203 · median $67,331 7 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $13,112 – $49,198 · median $35,926 7 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $11,134 – $41,087 · median $30,003 7 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $14,490 – $54,852 · median $40,056 7 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $13,087 – $49,095 · median $35,852 7 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $14,507 – $54,923 · median $40,108 7 plans
594 SKIN ULCERS WITHOUT CC/MCC $7,135 – $24,679 · median $18,021 7 plans
595 MAJOR SKIN DISORDERS WITH MCC $15,837 – $60,378 · median $44,091 7 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $12,689 – $47,464 · median $34,660 7 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,459 – $21,906 · median $15,996 7 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,318 – $17,225 · median $12,578 7 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $16,330 – $62,403 · median $45,569 7 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,830 – $39,839 · median $29,093 7 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,962 – $40,380 · median $29,488 7 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $21,158 – $78,416 · median $50,344 7 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $12,225 – $41,145 · median $33,271 7 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,588 – $39,710 · median $31,361 7 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,569 – $51,074 · median $37,297 7 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,807 – $35,643 · median $26,028 7 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $22,079 – $85,985 · median $62,790 7 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,525 – $42,689 · median $31,174 7 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $10,338 – $37,818 · median $27,616 7 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $16,240 – $62,033 · median $45,299 7 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $11,248 – $41,553 · median $30,344 7 plans
643 ENDOCRINE DISORDERS WITH MCC $12,543 – $46,866 · median $34,224 7 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,451 – $21,874 · median $15,974 7 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $45,664 – $147,947 · median $108,037 7 plans
654 MAJOR BLADDER PROCEDURES WITH CC $20,547 – $79,699 · median $58,200 7 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $15,809 – $60,262 · median $44,006 7 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $23,215 – $90,646 · median $66,194 7 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $13,820 – $52,102 · median $38,047 7 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $11,889 – $44,181 · median $32,263 7 plans
663 MINOR BLADDER PROCEDURES WITH CC $11,670 – $43,282 · median $31,606 7 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,385 – $29,806 · median $21,766 7 plans
665 PROSTATECTOMY WITH MCC $22,781 – $88,864 · median $64,892 7 plans
666 PROSTATECTOMY WITH CC $13,259 – $49,804 · median $36,369 7 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,796 – $31,495 · median $22,999 7 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,902 – $27,825 · median $20,319 7 plans
671 URETHRAL PROCEDURES WITH CC/MCC $13,577 – $51,105 · median $37,319 7 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,611 – $30,734 · median $22,444 7 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $12,511 – $46,732 · median $34,126 7 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,391 – $29,832 · median $21,785 7 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,604 – $22,501 · median $16,431 7 plans
693 URINARY STONES WITH MCC $10,450 – $38,279 · median $27,953 7 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $9,057 – $32,565 · median $23,781 7 plans
697 URETHRAL STRICTURE $8,599 – $30,686 · median $22,408 7 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,907 – $19,642 · median $14,344 7 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $15,001 – $56,951 · median $41,588 7 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $11,767 – $43,680 · median $31,897 7 plans
709 PENIS PROCEDURES WITH CC/MCC $17,270 – $66,255 · median $48,382 7 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,844 – $39,894 · median $29,132 7 plans
711 TESTES PROCEDURES WITH CC/MCC $15,581 – $59,328 · median $43,324 7 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,751 – $31,310 · median $22,864 7 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $11,553 – $42,803 · median $31,257 7 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,458 – $30,105 · median $21,984 7 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $16,646 – $63,698 · median $46,515 7 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $11,328 – $41,881 · median $30,583 7 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $14,239 – $53,824 · median $39,305 7 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $10,440 – $38,239 · median $27,924 7 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $13,679 – $51,524 · median $37,625 7 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,050 – $32,534 · median $23,758 7 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,670 – $18,668 · median $13,633 7 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,240 – $33,317 · median $24,329 7 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $6,130 – $20,556 · median $15,011 7 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,467 – $30,142 · median $22,011 7 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,783 – $19,133 · median $13,971 7 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $15,902 – $60,643 · median $44,284 7 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $10,457 – $38,308 · median $27,974 7 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $25,927 – $101,770 · median $74,317 7 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $15,420 – $58,667 · median $42,841 7 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,311 – $41,810 · median $30,531 7 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $25,984 – $102,006 · median $74,489 7 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $13,678 – $51,521 · median $37,623 7 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,016 – $40,602 · median $29,650 7 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $13,853 – $52,239 · median $38,147 7 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,730 – $35,324 · median $25,795 7 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $15,340 – $58,340 · median $42,602 7 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $9,901 – $32,386 · median $23,650 7 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $13,175 – $49,457 · median $36,116 7 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $7,086 – $24,477 · median $17,874 7 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $18,939 – $73,102 · median $53,382 7 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,361 – $42,018 · median $30,683 7 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,901 – $52,435 · median $38,290 7 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,785 – $27,346 · median $19,970 7 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,057 – $40,768 · median $29,770 7 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,725 – $18,893 · median $13,797 7 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $8,111 – $28,685 · median $20,947 7 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,078 – $16,243 · median $11,861 7 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $8,556 – $29,103 · median $18,684 7 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $12,847 – $48,110 · median $35,132 7 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,663 – $18,640 · median $13,612 7 plans
779 ABORTION WITHOUT D&C $6,958 – $23,953 · median $17,491 7 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $14,209 – $66,676 · median $42,807 7 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,476 – $28,790 · median $21,672 7 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $7,766 – $26,012 · median $19,913 7 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $12,567 – $44,797 · median $28,760 7 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $8,870 – $30,330 · median $22,185 7 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $7,773 – $26,039 · median $19,934 7 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $13,627 – $51,310 · median $37,469 7 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $42,368 – $169,217 · median $123,570 7 plans
791 PREMATURITY WITH MAJOR PROBLEMS $29,289 – $115,564 · median $84,390 7 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $18,117 – $69,731 · median $50,921 7 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $30,057 – $118,713 · median $86,689 7 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $11,362 – $42,020 · median $30,685 7 plans
795 NORMAL NEWBORN $2,506 – $5,689 · median $4,154 7 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $9,218 – $31,693 · median $20,348 7 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $8,062 – $27,169 · median $17,443 7 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,762 – $25,993 · median $16,688 7 plans
799 SPLENECTOMY WITH MCC $32,550 – $128,942 · median $94,159 7 plans
800 SPLENECTOMY WITH CC $20,617 – $79,986 · median $58,410 7 plans
801 SPLENECTOMY WITHOUT CC/MCC $14,367 – $54,348 · median $39,688 7 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $28,769 – $113,431 · median $82,833 7 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $14,020 – $52,925 · median $38,648 7 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $10,530 – $38,607 · median $28,192 7 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $8,609 – $29,309 · median $18,817 7 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $6,352 – $20,477 · median $14,688 7 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,798 – $18,310 · median $13,966 7 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $8,383 – $29,798 · median $21,760 7 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,505 – $17,994 · median $13,140 7 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $16,954 – $64,959 · median $47,436 7 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,164 – $33,004 · median $24,101 7 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $7,087 – $24,482 · median $17,878 7 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $41,822 – $166,977 · median $121,934 7 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $16,655 – $63,735 · median $46,542 7 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,475 – $34,279 · median $25,032 7 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $32,938 – $130,534 · median $95,322 7 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $16,843 – $64,504 · median $47,104 7 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $10,484 – $38,419 · median $28,055 7 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $33,584 – $133,182 · median $97,255 7 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $17,159 – $65,802 · median $48,052 7 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,944 – $48,509 · median $35,423 7 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $23,050 – $89,968 · median $65,699 7 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $11,564 – $42,849 · median $31,290 7 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $9,465 – $34,236 · median $25,001 7 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,127 – $20,545 · median $15,003 7 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,748 – $14,887 · median $10,872 7 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $39,220 – $156,303 · median $114,139 7 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,583 – $34,720 · median $25,354 7 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $50,854 – $136,783 · median $99,885 7 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $15,606 – $59,430 · median $43,399 7 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $11,140 – $41,109 · median $30,020 7 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $8,131 – $28,767 · median $21,007 7 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $9,568 – $34,661 · median $25,311 7 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $19,111 – $73,811 · median $53,900 7 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,198 – $37,246 · median $27,199 7 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,014 – $24,183 · median $17,660 7 plans
849 RADIOTHERAPY $19,923 – $77,142 · median $56,333 7 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,510 – $42,627 · median $31,128 7 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $10,786 – $39,657 · median $28,959 7 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $15,646 – $59,596 · median $43,519 7 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,275 – $29,356 · median $21,437 7 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,183 – $20,775 · median $15,171 7 plans
881 DEPRESSIVE NEUROSES $7,649 – $26,788 · median $19,562 7 plans
882 NEUROSES EXCEPT DEPRESSIVE $8,571 – $30,572 · median $22,325 7 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $14,766 – $55,983 · median $40,881 7 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $15,522 – $59,086 · median $43,147 7 plans
887 OTHER MENTAL DISORDER DIAGNOSES $8,551 – $30,490 · median $22,265 7 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $10,944 – $40,304 · median $29,431 7 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $30,244 – $119,481 · median $87,251 7 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $14,406 – $54,508 · median $39,804 7 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,236 – $33,300 · median $24,317 7 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $26,611 – $104,577 · median $76,367 7 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $11,414 – $42,234 · median $30,841 7 plans
906 HAND PROCEDURES FOR INJURIES $14,752 – $55,926 · median $40,839 7 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $14,966 – $56,805 · median $41,482 7 plans
913 TRAUMATIC INJURY WITH MCC $12,463 – $46,539 · median $33,985 7 plans
915 ALLERGIC REACTIONS WITH MCC $12,790 – $47,877 · median $34,962 7 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,897 – $19,599 · median $14,312 7 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $13,260 – $49,807 · median $36,371 7 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $8,182 – $28,975 · median $21,159 7 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $149,294 – $607,870 · median $443,894 7 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $50,899 – $204,214 · median $149,126 7 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $23,472 – $91,699 · median $66,963 7 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $28,145 – $110,872 · median $80,963 7 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $16,461 – $62,938 · median $45,960 7 plans
935 NON-EXTENSIVE BURNS $15,416 – $58,650 · median $42,829 7 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $26,301 – $103,307 · median $75,439 7 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $17,338 – $66,534 · median $48,586 7 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $15,192 – $57,731 · median $42,157 7 plans
945 REHABILITATION WITH CC/MCC $11,867 – $44,090 · median $32,197 7 plans
946 REHABILITATION WITHOUT CC/MCC $9,078 – $32,651 · median $23,843 7 plans
949 AFTERCARE WITH CC/MCC $9,376 – $33,872 · median $24,735 7 plans
950 AFTERCARE WITHOUT CC/MCC $5,475 – $17,871 · median $13,050 7 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,978 – $15,830 · median $11,560 7 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $47,834 – $191,641 · median $139,945 7 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $54,002 – $216,946 · median $158,424 7 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $30,364 – $119,974 · median $87,610 7 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $21,552 – $83,821 · median $61,210 7 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $20,092 – $77,834 · median $56,838 7 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,756 – $43,635 · median $31,864 7 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,646 – $26,777 · median $19,554 7 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $96,265 – $174,280 · median $127,267 7 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $19,571 – $75,089 · median $54,834 7 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $21,148 – $82,167 · median $60,002 7 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,107 – $36,870 · median $26,924 7 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,384 – $25,701 · median $18,768 7 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,125 – $36,947 · median $26,980 7 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,526 – $46,795 · median $34,172 7 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,442 – $34,142 · median $24,932 7 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $84,525 – $326,382 · median $249,862 6 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $38,820 – $147,530 · median $112,942 6 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $33,747 – $133,854 · median $85,117 6 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $26,838 – $105,508 · median $67,092 6 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $195,608 – $761,073 · median $507,361 5 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $105,164 – $307,749 · median $205,157 5 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $72,675 – $280,013 · median $186,667 5 plans
006 LIVER TRANSPLANT WITHOUT MCC $73,800 – $125,932 · median $83,951 5 plans
007 LUNG TRANSPLANT $217,136 – $357,764 · median $332,963 5 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $71,722 – $152,210 · median $101,469 5 plans
010 PANCREAS TRANSPLANT $50,919 – $194,878 · median $129,913 5 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $42,272 – $161,039 · median $107,355 5 plans
652 KIDNEY TRANSPLANT $23,532 – $87,707 · median $58,469 5 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,746 – $13,561 · median $6,797 4 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $9,642 – $17,980 · median $10,105 4 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,427 – $9,868 · median $6,827 4 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $62,618 – $273,656 · median $108,867 4 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $43,567 – $89,597 · median $48,019 4 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $33,083 – $146,158 · median $57,943 4 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $47,148 – $176,974 · median $73,971 4 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $26,505 – $79,729 · median $36,143 4 plans
509 ARTHROSCOPY $13,311 – $136,253 · median $44,600 4 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $6,258 – $11,378 · median $8,818 3 plans
999 UNGROUPABLE $11,971 – $21,765 · median $16,868 3 plans
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