Physicians Regional - Pine Ridge — Pricing

766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 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 —
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 766 procedures

Procedures with negotiated rates only

These 766 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 $153,435 – $636,648 · median $302,232 28 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $100,143 – $415,483 · median $181,554 28 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $39,453 – $163,621 · median $53,205 28 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $30,505 – $126,486 · median $49,295 28 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $20,862 – $90,129 · median $47,481 28 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $56,905 – $236,046 · median $108,983 28 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $38,295 – $199,257 · median $101,016 28 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $22,999 – $199,257 · median $60,631 28 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $41,449 – $171,905 · median $67,285 28 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $28,307 – $123,020 · median $64,809 28 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $32,895 – $136,405 · median $57,523 28 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $22,506 – $105,171 · median $55,406 28 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $18,268 – $98,269 · median $48,142 28 plans
028 SPINAL PROCEDURES WITH MCC $43,458 – $180,243 · median $50,177 28 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $24,691 – $102,360 · median $46,114 28 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $15,900 – $65,876 · median $22,961 28 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $32,417 – $134,419 · median $37,001 28 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $15,436 – $63,950 · median $32,753 28 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $12,053 – $49,911 · median $18,415 28 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $25,938 – $116,130 · median $30,050 28 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $17,312 – $71,734 · median $26,933 28 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $14,076 – $58,306 · median $26,933 28 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $23,828 – $98,776 · median $27,391 28 plans
038 EXTRACRANIAL PROCEDURES WITH CC $11,762 – $48,702 · median $24,246 28 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,530 – $35,292 · median $16,223 28 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $20,156 – $115,845 · median $28,911 28 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $15,925 – $65,981 · median $22,496 28 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $10,850 – $51,854 · median $13,135 28 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $8,468 – $54,362 · median $20,089 28 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,112 – $39,283 · median $11,308 28 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $8,468 – $45,831 · median $16,460 28 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,404 – $30,616 · median $12,638 28 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $8,468 – $69,712 · median $17,402 28 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $8,468 – $38,894 · median $14,477 28 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $8,468 – $51,308 · median $14,233 28 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $8,468 – $37,253 · median $14,054 28 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,682 – $27,622 · median $12,144 28 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $8,468 – $82,729 · median $30,727 28 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $8,468 – $62,016 · median $22,436 28 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $8,468 – $62,016 · median $18,093 28 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $8,468 – $60,351 · median $19,107 28 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,336 – $36,269 · median $13,256 28 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,981 – $36,269 · median $9,914 28 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $8,468 – $44,086 · median $11,008 28 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,282 – $25,961 · median $9,404 28 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,808 – $23,993 · median $10,128 28 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $8,468 – $49,968 · median $13,145 28 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $7,450 – $30,808 · median $12,454 28 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,500 – $22,716 · median $9,811 28 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $8,468 – $48,153 · median $12,023 28 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,485 – $30,952 · median $9,628 28 plans
075 VIRAL MENINGITIS WITH CC/MCC $8,468 – $57,547 · median $19,107 28 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,999 – $36,269 · median $10,981 28 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $8,468 – $54,323 · median $16,339 28 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,507 – $31,015 · median $11,846 28 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $8,468 – $68,587 · median $22,745 28 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $8,468 – $43,174 · median $17,994 28 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,943 – $43,174 · median $12,586 28 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $8,468 – $68,176 · median $17,018 28 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $8,468 – $39,107 · median $13,698 28 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,646 – $27,470 · median $9,394 28 plans
088 CONCUSSION WITH MCC $7,822 – $40,580 · median $10,133 28 plans
089 CONCUSSION WITH CC $7,822 – $32,985 · median $8,444 28 plans
090 CONCUSSION WITHOUT CC/MCC $5,907 – $24,725 · median $6,675 28 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $8,468 – $52,709 · median $14,191 28 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,428 – $30,718 · median $12,962 28 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,790 – $23,918 · median $9,892 28 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $8,468 – $105,593 · median $26,354 28 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $8,468 – $77,393 · median $20,480 28 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $8,468 – $77,393 · median $20,480 28 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $8,468 – $108,364 · median $27,045 28 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $8,468 – $68,866 · median $18,963 28 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $8,468 – $40,898 · median $17,584 28 plans
100 SEIZURES WITH MCC $8,468 – $58,126 · median $14,511 28 plans
101 SEIZURES WITHOUT MCC $6,558 – $27,107 · median $9,414 28 plans
102 HEADACHES WITH MCC $8,136 – $33,654 · median $9,414 28 plans
103 HEADACHES WITHOUT MCC $6,079 – $25,118 · median $8,380 28 plans
113 ORBITAL PROCEDURES WITH CC/MCC $9,720 – $70,552 · median $17,611 28 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $9,720 – $40,616 · median $10,982 28 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $6,008 – $46,071 · median $11,433 28 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $10,322 – $54,266 · median $13,745 28 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,876 – $32,574 · median $10,744 28 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,442 – $34,926 · median $9,516 28 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,714 – $23,603 · median $9,351 28 plans
123 NEUROLOGICAL EYE DISORDERS $5,806 – $23,987 · median $8,464 28 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $8,468 – $39,719 · median $10,002 28 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,584 – $23,064 · median $6,877 28 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $10,014 – $65,120 · median $16,256 28 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,373 – $30,487 · median $10,142 28 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,827 – $44,821 · median $15,080 28 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,440 – $26,615 · median $10,343 28 plans
139 SALIVARY GLAND PROCEDURES $8,965 – $37,097 · median $11,551 28 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $30,861 – $127,965 · median $44,295 28 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $15,798 – $79,316 · median $41,398 28 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,572 – $79,316 · median $30,462 28 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $16,888 – $112,407 · median $28,054 28 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,559 – $52,010 · median $18,447 28 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,724 – $36,096 · median $12,674 28 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $8,468 – $63,542 · median $16,006 28 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,468 – $38,171 · median $14,189 28 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,796 – $26,959 · median $10,745 28 plans
149 DYSEQUILIBRIUM $5,467 – $22,578 · median $7,391 28 plans
150 EPISTAXIS WITH MCC $6,024 – $39,971 · median $9,777 28 plans
151 EPISTAXIS WITHOUT MCC $5,340 – $22,050 · median $6,806 28 plans
152 OTITIS MEDIA AND URI WITH MCC $8,468 – $35,493 · median $13,419 28 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,370 – $22,176 · median $9,251 28 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $8,468 – $46,929 · median $11,717 28 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,241 – $27,524 · median $8,788 28 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,030 – $20,763 · median $8,315 28 plans
157 DENTAL AND ORAL DISEASES WITH MCC $8,468 – $51,527 · median $12,865 28 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,610 – $27,323 · median $10,061 28 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,155 – $21,285 · median $6,913 28 plans
163 MAJOR CHEST PROCEDURES WITH MCC $32,426 – $134,458 · median $46,168 28 plans
164 MAJOR CHEST PROCEDURES WITH CC $18,276 – $82,170 · median $43,288 28 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $13,869 – $82,170 · median $32,116 28 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $27,048 – $112,141 · median $39,292 28 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $13,068 – $70,820 · median $34,412 28 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,910 – $46,179 · median $23,458 28 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $14,190 – $89,307 · median $44,299 28 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $8,468 – $41,233 · median $17,721 28 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,853 – $40,837 · median $10,804 28 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $8,468 – $53,382 · median $20,046 28 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,089 – $53,382 · median $12,834 28 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,491 – $39,702 · median $10,435 28 plans
180 RESPIRATORY NEOPLASMS WITH MCC $8,468 – $53,003 · median $16,367 28 plans
181 RESPIRATORY NEOPLASMS WITH CC $7,775 – $32,157 · median $14,002 28 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,483 – $31,068 · median $10,426 28 plans
183 MAJOR CHEST TRAUMA WITH MCC $8,468 – $45,921 · median $12,208 28 plans
184 MAJOR CHEST TRAUMA WITH CC $7,725 – $31,951 · median $10,937 28 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,719 – $23,624 · median $8,606 28 plans
186 PLEURAL EFFUSION WITH MCC $8,468 – $46,779 · median $14,068 28 plans
187 PLEURAL EFFUSION WITH CC $7,183 – $30,896 · median $11,779 28 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,218 – $26,936 · median $10,156 28 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,468 – $49,883 · median $16,023 28 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,040 – $33,258 · median $14,110 28 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,127 – $29,715 · median $11,200 28 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,675 – $29,715 · median $8,969 28 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $8,468 – $39,458 · median $13,064 28 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,859 – $32,169 · median $10,810 28 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,577 – $24,400 · median $9,502 28 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $8,468 – $56,638 · median $16,159 28 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $6,894 – $30,673 · median $12,504 28 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,211 – $23,846 · median $10,149 28 plans
199 PNEUMOTHORAX WITH MCC $8,468 – $52,946 · median $18,963 28 plans
200 PNEUMOTHORAX WITH CC $7,980 – $35,996 · median $14,350 28 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,203 – $24,273 · median $10,141 28 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,054 – $29,164 · median $11,751 28 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,877 – $20,130 · median $9,808 28 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,870 – $24,251 · median $9,675 28 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $8,468 – $54,952 · median $13,841 28 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,836 – $28,261 · median $9,945 28 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $8,468 – $193,032 · median $48,872 28 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $8,468 – $87,637 · median $34,623 28 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $78,625 – $326,184 · median $156,584 28 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $71,997 – $321,435 · median $169,337 28 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $70,738 – $293,453 · median $110,410 28 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $47,556 – $201,868 · median $106,347 28 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $45,287 – $201,868 · median $101,658 28 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $55,528 – $230,332 · median $95,675 28 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $38,576 – $174,926 · median $92,153 28 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $36,462 – $174,926 · median $92,153 28 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $35,791 – $148,423 · median $71,239 28 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $22,797 – $131,917 · median $60,098 28 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $60,960 – $252,875 · median $111,224 28 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $43,851 – $203,355 · median $107,131 28 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $55,289 – $229,339 · median $93,501 28 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $39,515 – $163,879 · median $71,238 28 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $42,449 – $176,053 · median $76,947 28 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $30,308 – $125,670 · median $54,565 28 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $35,605 – $147,653 · median $41,625 28 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $20,636 – $85,531 · median $38,254 28 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $10,040 – $69,942 · median $26,417 28 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $23,110 – $95,797 · median $46,088 28 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $15,435 – $85,567 · median $40,662 28 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $13,098 – $57,941 · median $30,524 28 plans
245 AICD GENERATOR PROCEDURES $33,009 – $136,876 · median $47,527 28 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $10,836 – $46,883 · median $24,699 28 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $25,246 – $104,660 · median $46,725 28 plans
253 OTHER VASCULAR PROCEDURES WITH CC $18,794 – $85,429 · median $45,005 28 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $12,912 – $57,182 · median $30,124 28 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $19,530 – $80,939 · median $28,900 28 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,306 – $52,206 · median $27,503 28 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,928 – $52,206 · median $20,841 28 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $22,744 – $94,277 · median $31,326 28 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $14,649 – $60,684 · median $28,888 28 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $18,881 – $97,597 · median $24,714 28 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $13,698 – $56,737 · median $20,295 28 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $11,814 – $48,921 · median $19,605 28 plans
263 VEIN LIGATION AND STRIPPING $13,321 – $91,736 · median $22,896 28 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $24,178 – $100,230 · median $34,925 28 plans
265 AICD LEAD PROCEDURES $26,185 – $108,556 · median $46,800 28 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $44,326 – $248,143 · median $116,941 28 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $34,442 – $186,320 · median $90,845 28 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $30,557 – $126,702 · median $40,318 28 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $38,168 – $158,288 · median $52,689 28 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $25,737 – $106,700 · median $49,987 28 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $18,486 – $76,607 · median $36,675 28 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $23,825 – $98,764 · median $27,902 28 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $51,568 – $213,899 · median $103,735 28 plans
276 NON-MALIGANT BREAST DISORDERS $43,446 – $180,192 · median $72,552 28 plans
277 CELLULITIS AGE >17 W CC $33,414 – $138,559 · median $72,552 28 plans
278 CELLULITIS AGE >17 W/O CC $12,454 – $166,983 · median $64,845 28 plans
279 CELLULITIS AGE 0-17 $18,239 – $108,202 · median $46,530 28 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $8,468 – $48,809 · median $20,554 28 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,677 – $48,809 · median $12,135 28 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,261 – $36,612 · median $10,200 28 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $8,468 – $59,445 · median $19,923 28 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,037 – $37,818 · median $9,972 28 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,363 – $37,818 · median $8,651 28 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $8,468 – $82,335 · median $34,101 28 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $8,468 – $82,335 · median $21,818 28 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,754 – $82,335 · median $12,265 28 plans
291 HEART FAILURE AND SHOCK WITH MCC $8,468 – $38,540 · median $14,489 28 plans
292 HEART FAILURE AND SHOCK WITH CC $6,171 – $27,866 · median $11,273 28 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,125 – $27,866 · median $9,101 28 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $8,468 – $47,462 · median $20,036 28 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,617 – $47,462 · median $9,543 28 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,324 – $47,462 · median $8,513 28 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $8,468 – $49,005 · median $12,413 28 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,750 – $32,052 · median $11,995 28 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,236 – $21,621 · median $9,243 28 plans
302 ATHEROSCLEROSIS WITH MCC $8,468 – $35,925 · median $11,684 28 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,900 – $20,226 · median $9,832 28 plans
304 HYPERTENSION WITH MCC $8,468 – $35,727 · median $9,493 28 plans
305 HYPERTENSION WITHOUT MCC $5,492 – $22,683 · median $9,251 28 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $8,468 – $47,298 · median $12,993 28 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,635 – $27,425 · median $10,797 28 plans
311 ANGINA PECTORIS $5,108 – $21,087 · median $9,878 28 plans
312 SYNCOPE AND COLLAPSE $6,334 – $26,177 · median $9,338 28 plans
313 CHEST PAIN $5,238 – $21,630 · median $8,662 28 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $8,468 – $62,577 · median $16,224 28 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,997 – $30,797 · median $10,441 28 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,964 – $23,388 · median $9,897 28 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $24,695 – $133,892 · median $33,901 28 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $17,419 – $72,177 · median $25,955 28 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY $31,310 – $129,828 · median $60,187 28 plans
324 URINARY STONES W/O CC $18,176 – $94,544 · median $43,158 28 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $23,237 – $96,325 · median $39,912 28 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $36,080 – $149,623 · median $44,140 28 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $17,700 – $74,167 · median $39,072 28 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,615 – $49,402 · median $26,026 28 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $33,255 – $137,899 · median $46,439 28 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $17,360 – $81,135 · median $42,743 28 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,198 – $58,142 · median $30,630 28 plans
332 RECTAL RESECTION WITH MCC $26,203 – $108,631 · median $46,414 28 plans
333 RECTAL RESECTION WITH CC $16,962 – $84,860 · median $44,373 28 plans
334 RECTAL RESECTION WITHOUT CC/MCC $11,872 – $62,740 · median $27,480 28 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $25,843 – $107,138 · median $36,722 28 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $15,275 – $64,646 · median $34,057 28 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $11,129 – $46,074 · median $23,115 28 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $18,701 – $77,501 · median $23,090 28 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,910 – $45,166 · median $21,220 28 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,608 – $35,613 · median $16,591 28 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $10,614 – $68,887 · median $17,196 28 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $3,795 – $39,290 · median $11,021 28 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,327 – $26,147 · median $9,051 28 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $14,023 – $74,775 · median $18,837 28 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $11,053 – $45,759 · median $15,844 28 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,475 – $35,061 · median $10,734 28 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $14,532 – $87,075 · median $21,734 28 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,194 – $50,495 · median $16,419 28 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $9,755 – $40,376 · median $12,247 28 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $31,783 – $131,789 · median $44,037 28 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $16,842 – $76,195 · median $40,141 28 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,138 – $64,285 · median $26,675 28 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $8,468 – $47,781 · median $16,175 28 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,263 – $30,703 · median $13,132 28 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,100 – $30,703 · median $10,035 28 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $8,468 – $53,216 · median $19,279 28 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,414 – $36,918 · median $13,387 28 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,292 – $36,918 · median $9,281 28 plans
374 DIGESTIVE MALIGNANCY WITH MCC $7,391 – $64,181 · median $16,167 28 plans
375 DIGESTIVE MALIGNANCY WITH CC $8,468 – $36,315 · median $14,556 28 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,715 – $27,757 · median $12,199 28 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $8,468 – $54,862 · median $13,896 28 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,123 – $29,449 · median $12,254 28 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,591 – $19,502 · median $9,516 28 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $8,468 – $58,887 · median $14,833 28 plans
381 COMPLICATED PEPTIC ULCER WITH CC $7,865 – $32,532 · median $12,936 28 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,821 – $25,708 · median $10,771 28 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $8,468 – $41,446 · median $10,437 28 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,213 – $25,673 · median $8,579 28 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $8,468 – $47,493 · median $14,356 28 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,091 – $29,317 · median $12,815 28 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,959 – $27,251 · median $9,891 28 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $8,468 – $44,329 · median $11,230 28 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,743 – $23,723 · median $10,378 28 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,966 – $16,351 · median $8,469 28 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $8,468 – $38,075 · median $9,587 28 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,669 – $23,417 · median $8,227 28 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $8,468 – $48,003 · median $13,343 28 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,797 – $28,099 · median $12,109 28 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,725 – $19,789 · median $9,653 28 plans
397 COAGULATION DISORDERS $17,343 – $71,866 · median $33,909 28 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $10,974 – $45,433 · median $22,164 28 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $8,308 – $34,368 · median $16,534 28 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $39,572 – $164,113 · median $67,322 28 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $20,995 – $123,086 · median $55,341 28 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $16,076 – $111,590 · median $42,354 28 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $25,804 – $106,979 · median $42,435 28 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $15,771 – $77,586 · median $40,874 28 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,509 – $58,515 · median $26,638 28 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $23,909 – $99,111 · median $34,857 28 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $15,230 – $63,096 · median $33,036 28 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,036 – $49,839 · median $23,859 28 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $24,791 – $106,889 · median $28,202 28 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $14,971 – $62,022 · median $25,742 28 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $9,888 – $40,925 · median $17,205 28 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $17,282 – $71,611 · median $24,516 28 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,260 – $50,771 · median $23,045 28 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $9,906 – $40,999 · median $13,521 28 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $18,842 – $102,225 · median $38,207 28 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,592 – $72,525 · median $33,155 28 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,149 – $64,517 · median $26,705 28 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $30,050 – $124,597 · median $42,478 28 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,668 – $32,191 · median $13,820 28 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,184 – $32,191 · median $10,122 28 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $8,468 – $55,123 · median $15,029 28 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,210 – $33,960 · median $13,913 28 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,202 – $28,529 · median $11,326 28 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $8,468 – $48,930 · median $14,099 28 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,114 – $26,763 · median $11,177 28 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,526 – $26,763 · median $9,450 28 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $8,468 – $53,864 · median $15,582 28 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,011 – $29,577 · median $10,932 28 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,092 – $21,346 · median $10,027 28 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $8,468 – $50,150 · median $12,631 28 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,944 – $32,859 · median $11,303 28 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,014 – $24,848 · median $8,766 28 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $60,769 – $252,080 · median $81,849 28 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $43,132 – $178,888 · median $73,764 28 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $30,191 – $140,019 · median $73,764 28 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $19,259 – $102,080 · median $50,758 28 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $33,574 – $170,981 · median $43,290 28 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $22,546 – $93,455 · median $34,861 28 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $13,215 – $63,738 · median $30,236 28 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $25,522 – $105,809 · median $37,600 28 plans
472 CERVICAL SPINAL FUSION WITH CC $21,327 – $88,398 · median $35,091 28 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $17,679 – $73,257 · median $23,313 28 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $28,709 – $128,793 · median $33,291 28 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $16,482 – $68,290 · median $29,810 28 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,564 – $54,502 · median $22,520 28 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $22,625 – $103,649 · median $26,511 28 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,808 – $73,794 · median $25,106 28 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,470 – $55,789 · median $23,493 28 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $21,083 – $87,384 · median $31,051 28 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $15,172 – $62,856 · median $30,217 28 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,822 – $49,303 · median $25,974 28 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $20,068 – $83,173 · median $25,673 28 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $23,358 – $96,826 · median $38,730 28 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $15,148 – $70,811 · median $37,305 28 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,354 – $47,010 · median $23,267 28 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,819 – $53,090 · median $19,220 28 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,106 – $34,164 · median $17,998 28 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $20,055 – $110,158 · median $27,893 28 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $18,364 – $76,101 · median $22,660 28 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $14,536 – $60,216 · median $17,140 28 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $26,239 – $108,781 · median $29,866 28 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $13,072 – $54,140 · median $26,524 28 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $8,767 – $36,276 · median $14,971 28 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $14,763 – $90,518 · median $22,593 28 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $14,596 – $60,465 · median $16,680 28 plans
500 SOFT TISSUE PROCEDURES WITH MCC $12,767 – $94,957 · median $23,700 28 plans
501 SOFT TISSUE PROCEDURES WITH CC $12,669 – $52,466 · median $14,425 28 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $9,555 – $40,403 · median $10,795 28 plans
503 FOOT PROCEDURES WITH MCC $9,524 – $83,749 · median $20,698 28 plans
504 FOOT PROCEDURES WITH CC $9,524 – $56,098 · median $14,005 28 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $9,524 – $53,807 · median $13,451 28 plans
506 MAJOR THUMB OR JOINT PROCEDURES $9,786 – $40,502 · median $13,434 28 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $13,090 – $54,215 · median $19,313 28 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $10,980 – $45,456 · median $18,509 28 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $10,021 – $90,629 · median $22,398 28 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $10,021 – $62,403 · median $15,578 28 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $10,021 – $49,686 · median $12,586 28 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $7,261 – $47,253 · median $11,798 28 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,261 – $30,697 · median $8,204 28 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $20,193 – $95,620 · median $24,213 28 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $15,054 – $62,364 · median $21,923 28 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $11,141 – $46,125 · median $15,630 28 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $27,045 – $112,129 · median $46,228 28 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $14,491 – $60,027 · median $24,856 28 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,832 – $44,842 · median $17,201 28 plans
533 FRACTURES OF FEMUR WITH MCC $8,468 – $47,055 · median $18,820 28 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,861 – $39,010 · median $10,812 28 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $8,468 – $38,486 · median $14,926 28 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,871 – $29,561 · median $10,057 28 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,932 – $28,657 · median $9,130 28 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,241 – $21,639 · median $8,794 28 plans
539 OSTEOMYELITIS WITH MCC $4,252 – $59,112 · median $18,013 28 plans
540 OSTEOMYELITIS WITH CC $8,468 – $45,453 · median $14,955 28 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,725 – $45,453 · median $10,674 28 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $8,468 – $53,018 · median $13,474 28 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,464 – $30,868 · median $12,628 28 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,488 – $25,576 · median $10,432 28 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $8,468 – $74,469 · median $18,405 28 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,371 – $34,629 · median $13,084 28 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,078 – $25,115 · median $10,373 28 plans
548 SEPTIC ARTHRITIS WITH MCC $8,468 – $57,949 · median $20,915 28 plans
549 SEPTIC ARTHRITIS WITH CC $8,468 – $40,185 · median $12,830 28 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,416 – $40,185 · median $10,003 28 plans
551 MEDICAL BACK PROBLEMS WITH MCC $7,349 – $50,306 · median $12,436 28 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,982 – $28,867 · median $9,944 28 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $8,468 – $38,915 · median $9,859 28 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,034 – $24,932 · median $9,510 28 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,421 – $39,680 · median $9,953 28 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,038 – $24,947 · median $8,766 28 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $8,468 – $44,632 · median $11,144 28 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,490 – $26,825 · median $8,656 28 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,468 – $55,969 · median $13,973 28 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,173 – $33,810 · median $11,449 28 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,845 – $24,146 · median $10,591 28 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $8,468 – $42,769 · median $10,679 28 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,507 – $26,894 · median $8,269 28 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $8,468 – $46,332 · median $11,668 28 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,077 – $29,260 · median $10,164 28 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $2,135 – $22,509 · median $9,389 28 plans
570 SKIN DEBRIDEMENT WITH MCC $21,291 – $88,248 · median $36,486 28 plans
571 SKIN DEBRIDEMENT WITH CC $12,245 – $66,708 · median $32,239 28 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,319 – $60,154 · median $21,212 28 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $35,138 – $196,533 · median $49,499 28 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $25,124 – $104,153 · median $36,817 28 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,022 – $60,154 · median $31,690 28 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $10,986 – $147,038 · median $36,333 28 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $19,192 – $79,538 · median $22,939 28 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $10,630 – $48,216 · median $12,402 28 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $16,475 – $97,168 · median $24,252 28 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,523 – $51,863 · median $17,107 28 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $10,464 – $43,318 · median $12,518 28 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $13,959 – $57,820 · median $17,458 28 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,497 – $51,755 · median $15,924 28 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $12,508 – $64,241 · median $16,270 28 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $9,680 – $57,895 · median $14,453 28 plans
592 SKIN ULCERS WITH MCC $8,468 – $58,081 · median $18,335 28 plans
593 SKIN ULCERS WITH CC $8,468 – $35,616 · median $11,862 28 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,299 – $34,804 · median $11,492 28 plans
595 MAJOR SKIN DISORDERS WITH MCC $8,468 – $63,641 · median $15,887 28 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,281 – $32,502 · median $10,660 28 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $8,468 – $50,036 · median $15,072 28 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,211 – $33,966 · median $13,935 28 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,595 – $27,265 · median $10,541 28 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,563 – $31,276 · median $8,675 28 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,407 – $18,181 · median $8,361 28 plans
602 CELLULITIS WITH MCC $8,468 – $42,664 · median $12,882 28 plans
603 CELLULITIS WITHOUT MCC $6,329 – $26,156 · median $10,630 28 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $7,870 – $44,188 · median $11,033 28 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,493 – $27,509 · median $7,336 28 plans
606 MINOR SKIN DISORDERS WITH MCC $8,468 – $45,421 · median $11,341 28 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $6,396 – $27,221 · median $7,803 28 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $15,876 – $73,756 · median $38,856 28 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,148 – $73,756 · median $25,578 28 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $25,239 – $104,633 · median $49,384 28 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,552 – $90,291 · median $35,506 28 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,285 – $90,291 · median $27,064 28 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $20,903 – $86,637 · median $30,716 28 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,601 – $58,305 · median $30,403 28 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $10,936 – $58,305 · median $28,783 28 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $25,758 – $106,787 · median $36,938 28 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,000 – $65,612 · median $32,619 28 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,083 – $65,612 · median $23,889 28 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $19,339 – $90,617 · median $22,947 28 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $10,871 – $45,007 · median $20,080 28 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,635 – $39,875 · median $14,060 28 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $26,969 – $111,814 · median $37,256 28 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $15,782 – $65,384 · median $33,625 28 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,583 – $49,562 · median $26,110 28 plans
637 DIABETES WITH MCC $8,468 – $43,126 · median $11,465 28 plans
638 DIABETES WITH CC $6,512 – $26,915 · median $10,976 28 plans
639 DIABETES WITHOUT CC/MCC $4,524 – $20,570 · median $9,416 28 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $6,946 – $40,094 · median $11,096 28 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,659 – $23,375 · median $10,102 28 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $3,828 – $42,688 · median $11,257 28 plans
643 ENDOCRINE DISORDERS WITH MCC $8,468 – $49,407 · median $13,590 28 plans
644 ENDOCRINE DISORDERS WITH CC $7,443 – $30,778 · median $12,672 28 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,587 – $23,079 · median $9,869 28 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $37,591 – $155,892 · median $52,561 28 plans
654 MAJOR BLADDER PROCEDURES WITH CC $20,266 – $92,328 · median $48,640 28 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $15,332 – $92,328 · median $40,389 28 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $23,045 – $95,527 · median $41,667 28 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $13,261 – $76,182 · median $34,920 28 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $11,250 – $76,182 · median $29,611 28 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $18,399 – $76,245 · median $30,673 28 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,587 – $56,081 · median $22,429 28 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,518 – $41,099 · median $19,757 28 plans
662 MINOR BLADDER PROCEDURES WITH MCC $16,698 – $91,859 · median $23,261 28 plans
663 MINOR BLADDER PROCEDURES WITH CC $11,022 – $45,630 · median $17,338 28 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,601 – $31,435 · median $13,047 28 plans
665 PROSTATECTOMY WITH MCC $18,305 – $93,650 · median $23,715 28 plans
666 PROSTATECTOMY WITH CC $12,677 – $52,502 · median $19,291 28 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,030 – $33,213 · median $14,467 28 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $10,560 – $87,615 · median $21,653 28 plans
669 TRANSURETHRAL PROCEDURES WITH CC $10,560 – $46,584 · median $12,154 28 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,098 – $29,347 · median $9,138 28 plans
671 URETHRAL PROCEDURES WITH CC/MCC $10,621 – $53,873 · median $13,646 28 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,837 – $32,412 · median $9,532 28 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $30,401 – $126,054 · median $43,194 28 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $16,936 – $76,540 · median $40,323 28 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $11,898 – $76,540 · median $31,321 28 plans
682 RENAL FAILURE WITH MCC $8,468 – $44,455 · median $17,720 28 plans
683 RENAL FAILURE WITH CC $6,364 – $36,454 · median $11,603 28 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,373 – $36,454 · median $9,294 28 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $8,468 – $54,134 · median $13,634 28 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,607 – $31,462 · median $12,688 28 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,746 – $23,738 · median $10,256 28 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,421 – $34,836 · median $12,540 28 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,885 – $24,314 · median $9,952 28 plans
693 URINARY STONES WITH MCC $5,954 – $40,361 · median $9,834 28 plans
694 URINARY STONES WITHOUT MCC $5,684 – $23,480 · median $6,727 28 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,088 – $34,341 · median $9,454 28 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,019 – $20,700 · median $8,232 28 plans
697 URETHRAL STRICTURE $7,824 – $32,361 · median $8,964 28 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $8,468 – $49,656 · median $12,578 28 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,370 – $30,478 · median $11,882 28 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,021 – $21,834 · median $9,101 28 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $14,491 – $60,030 · median $27,221 28 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $11,123 – $46,050 · median $21,960 28 plans
709 PENIS PROCEDURES WITH CC/MCC $14,492 – $69,832 · median $17,686 28 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,162 – $42,061 · median $15,527 28 plans
711 TESTES PROCEDURES WITH CC/MCC $12,947 – $62,535 · median $15,838 28 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $7,983 – $33,018 · median $9,470 28 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,900 – $45,127 · median $15,951 28 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,677 – $31,750 · median $12,130 28 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $16,204 – $67,139 · median $17,391 28 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,666 – $44,155 · median $16,926 28 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $11,880 – $56,737 · median $14,371 28 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $9,742 – $40,319 · median $13,423 28 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $8,468 – $54,313 · median $13,680 28 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,293 – $34,308 · median $12,456 28 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,774 – $19,701 · median $9,364 28 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,468 – $35,133 · median $9,416 28 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,253 – $21,690 · median $7,970 28 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $8,468 – $44,512 · median $11,114 28 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,897 – $24,365 · median $9,385 28 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,686 – $31,789 · median $8,423 28 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,845 – $20,190 · median $5,474 28 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $15,429 – $65,919 · median $34,727 28 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,759 – $65,919 · median $25,675 28 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $25,869 – $107,246 · median $34,659 28 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $14,927 – $61,839 · median $30,680 28 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,648 – $58,236 · median $28,022 28 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $19,715 – $107,495 · median $27,219 28 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $13,113 – $54,311 · median $20,471 28 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,342 – $42,808 · median $15,954 28 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $13,295 – $55,066 · median $18,315 28 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,002 – $37,247 · median $14,341 28 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $9,585 – $61,494 · median $15,351 28 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,256 – $34,152 · median $10,110 28 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $9,213 – $52,136 · median $13,023 28 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,248 – $25,820 · median $10,023 28 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $10,061 – $41,644 · median $13,114 28 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $18,592 – $77,045 · median $28,806 28 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,701 – $52,667 · median $27,746 28 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $8,468 – $55,273 · median $13,922 28 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,897 – $32,661 · median $12,454 28 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,394 – $28,843 · median $8,080 28 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $8,468 – $42,982 · median $11,063 28 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,110 – $29,398 · median $11,063 28 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,831 – $21,001 · median $9,761 28 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,316 – $30,253 · median $8,534 28 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,158 – $17,146 · median $8,203 28 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,682 – $35,182 · median $14,009 28 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $8,377 – $50,717 · median $12,662 28 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $5,452 – $30,109 · median $7,630 28 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,766 – $19,671 · median $6,972 28 plans
779 ABORTION WITHOUT D&C $4,756 – $25,268 · median $6,405 28 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $12,163 – $73,671 · median $18,536 28 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,696 – $31,831 · median $14,809 28 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,957 – $28,762 · median $11,745 28 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $8,992 – $49,509 · median $12,469 28 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $8,106 – $33,531 · median $9,784 28 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,964 – $28,792 · median $9,784 28 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,031 – $54,089 · median $16,554 28 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $4,423 – $178,300 · median $52,633 28 plans
791 PREMATURITY WITH MAJOR PROBLEMS $7,248 – $121,777 · median $33,182 28 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $8,290 – $73,494 · median $17,736 28 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,682 – $35,037 · median $8,847 28 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,265 – $30,040 · median $8,469 28 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,952 – $28,741 · median $8,469 28 plans
799 SPLENECTOMY WITH MCC $32,766 – $135,871 · median $49,036 28 plans
800 SPLENECTOMY WITH CC $20,339 – $89,654 · median $47,231 28 plans
801 SPLENECTOMY WITHOUT CC/MCC $13,831 – $57,289 · median $22,951 28 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $15,828 – $119,531 · median $29,831 28 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $13,470 – $55,789 · median $17,884 28 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $9,835 – $40,706 · median $16,349 28 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $4,557 – $32,403 · median $8,093 28 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,557 – $22,650 · median $5,742 28 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,557 – $20,256 · median $5,136 28 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $8,468 – $66,257 · median $17,624 28 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,468 – $38,003 · median $16,291 28 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,599 – $35,041 · median $13,702 28 plans
811 RED BLOOD CELL DISORDERS WITH MCC $8,468 – $42,154 · median $10,679 28 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,291 – $27,575 · median $6,888 28 plans
813 COAGULATION DISORDERS $8,468 – $45,783 · median $14,493 28 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $8,468 – $63,821 · median $16,076 28 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,363 – $30,448 · median $12,911 28 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,602 – $19,999 · median $8,895 28 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $5,038 – $68,467 · median $16,923 28 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $5,038 – $34,803 · median $8,692 28 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $4,433 – $25,826 · median $6,452 28 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $42,421 – $175,939 · median $55,587 28 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $16,214 – $93,401 · median $42,717 28 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,736 – $36,147 · median $18,741 28 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $28,094 – $137,548 · median $34,827 28 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $16,409 – $67,987 · median $29,171 28 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,787 – $40,508 · median $15,869 28 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $33,843 – $140,337 · median $41,555 28 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $16,738 – $69,823 · median $36,784 28 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,349 – $51,137 · median $25,014 28 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $15,263 – $94,813 · median $23,664 28 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $10,912 – $45,175 · median $16,452 28 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $5,038 – $36,102 · median $8,927 28 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,038 – $21,678 · median $5,736 28 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,771 – $15,718 · median $4,604 28 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $8,468 – $164,695 · median $40,694 28 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $8,468 – $64,230 · median $26,475 28 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,468 – $36,611 · median $12,158 28 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $8,468 – $144,131 · median $37,415 28 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $8,468 – $71,021 · median $26,495 28 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $8,468 – $71,021 · median $18,585 28 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $8,468 – $97,060 · median $24,225 28 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $8,468 – $48,966 · median $18,666 28 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,337 – $30,340 · median $10,907 28 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $8,468 – $59,865 · median $15,199 28 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $1,863 – $36,548 · median $11,690 28 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,189 – $25,577 · median $11,305 28 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $6,227 – $77,792 · median $18,771 28 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $6,227 – $39,272 · median $9,658 28 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,364 – $25,511 · median $6,592 28 plans
849 RADIOTHERAPY $8,468 – $81,301 · median $20,180 28 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $35,727 – $148,159 · median $51,161 28 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $14,476 – $91,859 · median $38,127 28 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,855 – $91,859 · median $25,119 28 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $32,910 – $136,465 · median $50,242 28 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $15,255 – $91,859 · median $35,929 28 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $10,102 – $91,859 · median $26,449 28 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $8,468 – $54,733 · median $14,570 28 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,247 – $29,965 · median $11,675 28 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,450 – $26,660 · median $11,749 28 plans
865 VIRAL ILLNESS WITH MCC $8,468 – $44,974 · median $11,297 28 plans
866 VIRAL ILLNESS WITHOUT MCC $6,320 – $26,117 · median $8,453 28 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $8,468 – $62,817 · median $19,197 28 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,487 – $36,441 · median $13,512 28 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,308 – $36,441 · median $10,082 28 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $8,468 – $207,342 · median $49,988 28 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $8,468 – $58,297 · median $22,149 28 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,430 – $44,656 · median $13,416 28 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $29,684 – $125,904 · median $33,538 28 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $13,871 – $57,457 · median $29,688 28 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,488 – $56,354 · median $22,318 28 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $23,992 – $110,203 · median $28,149 28 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $10,756 – $45,547 · median $23,995 28 plans
906 HAND PROCEDURES FOR INJURIES $10,616 – $58,951 · median $14,931 28 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $26,373 – $115,188 · median $30,188 28 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $14,455 – $59,877 · median $27,384 28 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,522 – $40,955 · median $21,576 28 plans
913 TRAUMATIC INJURY WITH MCC $8,468 – $49,062 · median $12,249 28 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,434 – $26,594 · median $9,077 28 plans
915 ALLERGIC REACTIONS WITH MCC $6,498 – $50,471 · median $12,262 28 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,850 – $20,019 · median $5,469 28 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $8,468 – $47,076 · median $11,856 28 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,847 – $25,742 · median $8,230 28 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $8,468 – $54,946 · median $13,834 28 plans
920 COMPLICATIONS OF TREATMENT WITH CC $6,667 – $30,097 · median $10,633 28 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,444 – $20,682 · median $9,101 28 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $8,468 – $52,505 · median $13,224 28 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $2,726 – $30,559 · median $8,726 28 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $154,341 – $640,406 · median $216,239 28 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $50,318 – $215,167 · median $64,114 28 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $23,312 – $96,637 · median $28,048 28 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $8,468 – $116,834 · median $29,437 28 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $8,468 – $66,338 · median $20,612 28 plans
935 NON-EXTENSIVE BURNS $8,468 – $61,821 · median $16,286 28 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $19,693 – $108,865 · median $27,566 28 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $16,924 – $70,126 · median $22,251 28 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $14,690 – $60,852 · median $21,407 28 plans
945 REHABILITATION WITH CC/MCC $8,468 – $59,066 · median $19,872 28 plans
946 REHABILITATION WITHOUT CC/MCC $8,323 – $59,066 · median $14,934 28 plans
947 SIGNS AND SYMPTOMS WITH MCC $8,468 – $38,108 · median $11,556 28 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,820 – $24,044 · median $9,920 28 plans
949 AFTERCARE WITH CC/MCC $6,035 – $35,718 · median $8,703 28 plans
950 AFTERCARE WITHOUT CC/MCC $4,188 – $18,861 · median $4,877 28 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,053 – $19,902 · median $8,334 28 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $48,682 – $201,922 · median $101,725 28 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $27,231 – $112,899 · median $49,237 28 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $55,106 – $228,580 · median $77,108 28 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $30,490 – $136,884 · median $67,611 28 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $21,313 – $136,884 · median $56,179 28 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $8,468 – $82,030 · median $26,639 28 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $8,468 – $50,567 · median $18,217 28 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,832 – $50,567 · median $12,398 28 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $44,275 – $183,632 · median $68,038 28 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $19,096 – $124,397 · median $50,326 28 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $8,468 – $86,595 · median $30,053 28 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $8,468 – $57,052 · median $13,367 28 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,559 – $57,052 · median $11,933 28 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $8,468 – $38,957 · median $14,302 28 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $33,944 – $140,757 · median $54,641 28 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $17,803 – $99,903 · median $46,913 28 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,422 – $99,903 · median $32,706 28 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $16,815 – $102,864 · median $26,686 28 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,913 – $49,332 · median $24,812 28 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,702 – $48,185 · median $20,120 28 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $15,847 – $74,854 · median $39,429 27 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $10,878 – $74,854 · median $28,214 27 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $8,468 – $59,067 · median $16,956 27 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $27,967 – $115,956 · median $38,034 27 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $6,974 – $28,834 · median $9,529 27 plans
881 DEPRESSIVE NEUROSES $6,835 – $28,255 · median $12,111 27 plans
882 NEUROSES EXCEPT DEPRESSIVE $4,070 – $32,242 · median $10,201 27 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $8,468 – $59,010 · median $14,672 27 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $8,468 – $48,291 · median $12,244 27 plans
885 PSYCHOSES $8,468 – $41,929 · median $15,641 27 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $8,468 – $62,280 · median $15,611 27 plans
887 OTHER MENTAL DISORDER DIAGNOSES $7,774 – $32,154 · median $10,131 27 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,493 – $18,538 · median $6,415 26 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $8,468 – $42,493 · median $10,765 26 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $5,810 – $52,376 · median $12,647 26 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,810 – $26,513 · median $6,804 26 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $163,997 – $1,295,228 · median $318,464 25 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $187,639 – $840,563 · median $210,804 23 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $81,933 – $356,226 · median $140,121 22 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $51,599 – $214,025 · median $84,890 21 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $15,808 – $65,495 · median $16,597 21 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $49,743 – $206,325 · median $52,245 21 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $29,851 – $123,772 · median $31,342 21 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $8,468 – $66,404 · median $16,645 21 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,769 – $32,131 · median $8,155 21 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,468 – $36,147 · median $9,057 21 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,352 – $22,101 · median $5,618 21 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,126 – $17,014 · median $4,300 21 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $19,699 – $81,640 · median $20,682 21 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $12,776 – $52,913 · median $13,414 21 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $39,951 – $165,687 · median $41,953 21 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $37,656 – $156,162 · median $39,540 21 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $19,895 – $82,456 · median $20,888 21 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $21,957 – $91,010 · median $23,053 21 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $13,975 – $57,889 · median $14,672 21 plans
471 CERVICAL SPINAL FUSION WITH MCC $34,933 – $144,863 · median $36,679 21 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $20,778 – $86,121 · median $21,816 21 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $15,340 – $63,551 · median $16,105 21 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $34,013 – $141,045 · median $67,254 21 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $26,818 – $127,678 · median $54,659 21 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $7,368 – $125,095 · median $31,074 21 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,773 – $44,302 · median $11,021 21 plans
795 NORMAL NEWBORN $1,473 – $9,734 · median $1,551 21 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $74,552 – $316,449 · median $159,381 20 plans
006 LIVER TRANSPLANT WITHOUT MCC $33,548 – $316,449 · median $77,798 20 plans
007 LUNG TRANSPLANT $138,341 – $593,508 · median $150,246 20 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $40,541 – $168,135 · median $83,778 20 plans
010 PANCREAS TRANSPLANT $51,896 – $215,257 · median $84,049 20 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $86,892 – $360,491 · median $164,019 20 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $42,890 – $311,341 · median $99,486 20 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $39,296 – $311,341 · median $91,141 20 plans
652 KIDNEY TRANSPLANT $23,375 – $127,678 · median $54,183 20 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $11,210 – $46,413 · median $11,589 16 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,247 – $29,965 · median $7,485 16 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,853 – $20,031 · median $5,006 16 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $8,910 – $36,866 · median $9,207 16 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,743 – $23,723 · median $5,928 16 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $64,079 – $265,817 · median $66,329 16 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $44,239 – $183,483 · median $45,787 16 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $33,321 – $138,172 · median $34,482 16 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $47,968 – $198,959 · median $49,648 16 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $26,471 – $109,747 · median $27,390 16 plans
509 ARTHROSCOPY $12,731 – $52,724 · median $13,163 16 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,676 – $6,827 · median $4,251 2 plans
999 UNGROUPABLE $1,676 – $13,059 · median $7,368 2 plans
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