Santa Rosa Medical Center — 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 $156,872 – $514,308 · median $210,074 28 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $102,823 – $335,633 · median $129,608 28 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $34,234 – $132,158 · median $42,938 28 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $32,197 – $102,158 · median $35,191 28 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $22,417 – $69,829 · median $33,493 28 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $58,972 – $190,669 · median $76,197 28 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $40,097 – $128,274 · median $66,491 28 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $24,584 – $128,164 · median $43,442 28 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $43,297 – $138,851 · median $48,034 28 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $29,968 – $94,789 · median $44,981 28 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $34,621 – $110,171 · median $41,065 28 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $24,084 – $75,339 · median $37,507 28 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $19,787 – $63,208 · median $33,213 28 plans
028 SPINAL PROCEDURES WITH MCC $32,025 – $145,587 · median $46,260 28 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $26,301 – $82,666 · median $32,920 28 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $15,180 – $53,192 · median $18,066 28 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $23,615 – $108,567 · median $34,832 28 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $16,914 – $51,636 · median $23,615 28 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $12,596 – $40,294 · median $14,004 28 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $18,704 – $93,791 · median $30,271 28 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $18,704 – $57,924 · median $19,750 28 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $15,535 – $47,076 · median $19,227 28 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $17,482 – $79,771 · median $25,944 28 plans
038 EXTRACRANIAL PROCEDURES WITH CC $13,188 – $39,317 · median $17,482 28 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $9,910 – $28,484 · median $11,581 28 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $14,534 – $93,561 · median $30,200 28 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $14,534 – $53,277 · median $18,093 28 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $7,824 – $41,864 · median $14,243 28 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $8,590 – $43,890 · median $15,288 28 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $8,472 – $25,267 · median $12,186 28 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $8,590 – $36,998 · median $12,853 28 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,590 – $24,706 · median $9,788 28 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $8,590 – $56,291 · median $18,696 28 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $8,590 – $31,394 · median $11,135 28 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $8,590 – $41,423 · median $14,107 28 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $8,590 – $30,068 · median $10,809 28 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $8,036 – $22,288 · median $10,262 28 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $8,590 – $66,807 · median $23,556 28 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $8,590 – $42,579 · median $19,856 28 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $8,590 – $39,890 · median $16,372 28 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $8,590 – $48,729 · median $16,511 28 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,590 – $24,481 · median $12,492 28 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $6,311 – $23,329 · median $9,490 28 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $6,542 – $35,588 · median $12,306 28 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,542 – $20,945 · median $7,909 28 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $7,149 – $19,356 · median $7,799 28 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $8,590 – $40,340 · median $13,772 28 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $8,590 – $24,861 · median $9,478 28 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $6,837 – $18,323 · median $7,377 28 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $7,931 – $38,874 · median $13,320 28 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $6,865 – $24,977 · median $9,030 28 plans
075 VIRAL MENINGITIS WITH CC/MCC $8,590 – $46,463 · median $15,805 28 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $7,343 – $23,329 · median $10,668 28 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $8,590 – $43,858 · median $14,858 28 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,859 – $21,701 · median $10,983 28 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $8,590 – $55,382 · median $18,586 28 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $8,590 – $33,822 · median $15,678 28 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $8,300 – $27,770 · median $11,955 28 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $8,590 – $55,050 · median $18,313 28 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $8,590 – $31,566 · median $11,159 28 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,773 – $22,164 · median $8,293 28 plans
088 CONCUSSION WITH MCC $5,640 – $32,755 · median $11,431 28 plans
089 CONCUSSION WITH CC $5,640 – $26,620 · median $9,538 28 plans
090 CONCUSSION WITHOUT CC/MCC $4,260 – $19,947 · median $7,478 28 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $8,590 – $42,554 · median $14,456 28 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,590 – $24,788 · median $10,231 28 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $7,131 – $19,295 · median $7,955 28 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $8,590 – $85,279 · median $27,644 28 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $8,590 – $62,497 · median $20,612 28 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $8,590 – $62,497 · median $20,612 28 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $8,590 – $87,518 · median $28,335 28 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $8,590 – $55,608 · median $18,519 28 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $8,590 – $33,012 · median $14,702 28 plans
100 SEIZURES WITH MCC $8,010 – $46,931 · median $15,807 28 plans
101 SEIZURES WITHOUT MCC $6,556 – $21,871 · median $8,201 28 plans
102 HEADACHES WITH MCC $6,556 – $27,161 · median $9,704 28 plans
103 HEADACHES WITHOUT MCC $5,786 – $20,264 · median $7,576 28 plans
113 ORBITAL PROCEDURES WITH CC/MCC $7,009 – $56,970 · median $18,906 28 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $7,009 – $32,785 · median $11,440 28 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $4,332 – $37,192 · median $12,801 28 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $7,443 – $43,812 · median $14,844 28 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $6,857 – $26,288 · median $9,435 28 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $6,703 – $28,188 · median $10,021 28 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,703 – $19,041 · median $7,309 28 plans
123 NEUROLOGICAL EYE DISORDERS $5,668 – $19,351 · median $7,294 28 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $6,299 – $32,060 · median $11,217 28 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,389 – $18,605 · median $7,063 28 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $7,221 – $52,581 · median $17,551 28 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $6,473 – $24,602 · median $8,915 28 plans
137 MOUTH PROCEDURES WITH CC/MCC $9,625 – $36,182 · median $12,489 28 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,897 – $21,474 · median $8,076 28 plans
139 SALIVARY GLAND PROCEDURES $7,372 – $29,942 · median $10,563 28 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $30,127 – $103,352 · median $33,865 28 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $17,281 – $52,850 · median $27,874 28 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $12,996 – $51,017 · median $23,331 28 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $12,178 – $90,784 · median $29,343 28 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,178 – $41,990 · median $14,538 28 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,089 – $29,133 · median $10,313 28 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $8,590 – $51,307 · median $17,158 28 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,590 – $30,810 · median $10,924 28 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $7,137 – $19,315 · median $9,742 28 plans
149 DYSEQUILIBRIUM $4,717 – $18,212 · median $6,942 28 plans
150 EPISTAXIS WITH MCC $4,344 – $32,264 · median $11,280 28 plans
151 EPISTAXIS WITHOUT MCC $4,344 – $17,786 · median $6,811 28 plans
152 OTITIS MEDIA AND URI WITH MCC $8,590 – $28,646 · median $10,349 28 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $6,705 – $17,887 · median $7,185 28 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $6,336 – $37,885 · median $13,015 28 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,336 – $22,208 · median $8,176 28 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,467 – $16,746 · median $6,587 28 plans
157 DENTAL AND ORAL DISEASES WITH MCC $7,491 – $41,600 · median $14,161 28 plans
158 DENTAL AND ORAL DISEASES WITH CC $7,491 – $22,045 · median $8,256 28 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,412 – $17,168 · median $6,620 28 plans
163 MAJOR CHEST PROCEDURES WITH MCC $31,211 – $108,599 · median $35,518 28 plans
164 MAJOR CHEST PROCEDURES WITH CC $19,795 – $61,159 · median $30,161 28 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $15,325 – $52,852 · median $27,058 28 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $26,900 – $90,568 · median $29,839 28 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $14,513 – $45,552 · median $24,339 28 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,310 – $33,109 · median $17,435 28 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $23,111 – $72,121 · median $32,232 28 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $8,590 – $33,284 · median $15,128 28 plans
176 PULMONARY EMBOLISM WITHOUT MCC $7,195 – $26,266 · median $10,469 28 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $8,590 – $37,866 · median $17,938 28 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $8,448 – $34,336 · median $12,154 28 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,828 – $25,537 · median $9,976 28 plans
180 RESPIRATORY NEOPLASMS WITH MCC $8,590 – $42,792 · median $14,660 28 plans
181 RESPIRATORY NEOPLASMS WITH CC $8,590 – $25,951 · median $11,801 28 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,819 – $19,983 · median $9,964 28 plans
183 MAJOR CHEST TRAUMA WITH MCC $8,590 – $37,071 · median $12,763 28 plans
184 MAJOR CHEST TRAUMA WITH CC $8,590 – $25,784 · median $9,364 28 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,205 – $19,058 · median $7,315 28 plans
186 PLEURAL EFFUSION WITH MCC $8,590 – $37,764 · median $13,092 28 plans
187 PLEURAL EFFUSION WITH CC $8,544 – $23,967 · median $11,406 28 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $6,551 – $17,378 · median $9,411 28 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,590 – $32,085 · median $14,712 28 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,590 – $26,841 · median $11,287 28 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,473 – $20,427 · median $10,485 28 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $6,000 – $19,113 · median $9,274 28 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $8,590 – $31,849 · median $12,219 28 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $7,201 – $20,691 · median $10,477 28 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,901 – $15,695 · median $8,929 28 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $8,590 – $45,729 · median $15,436 28 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $8,251 – $22,998 · median $11,173 28 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,544 – $17,354 · median $8,824 28 plans
199 PNEUMOTHORAX WITH MCC $8,590 – $42,746 · median $14,646 28 plans
200 PNEUMOTHORAX WITH CC $8,590 – $26,637 · median $12,900 28 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $6,536 – $17,328 · median $8,905 28 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,413 – $23,533 · median $8,876 28 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $6,205 – $16,235 · median $7,759 28 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $7,212 – $19,564 · median $8,526 28 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $8,590 – $44,367 · median $15,016 28 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,171 – $22,804 · median $8,495 28 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $8,590 – $155,919 · median $49,449 28 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $8,590 – $66,604 · median $29,630 28 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $81,000 – $263,490 · median $112,898 28 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $74,278 – $241,268 · median $113,421 28 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $73,001 – $237,047 · median $79,229 28 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $49,490 – $159,326 · median $73,507 28 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $49,490 – $159,326 · median $73,507 28 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $57,575 – $186,053 · median $68,301 28 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $40,383 – $129,219 · median $62,068 28 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $38,238 – $122,129 · median $60,579 28 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $37,558 – $119,880 · median $50,107 28 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $24,380 – $84,850 · median $42,791 28 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $63,084 – $204,265 · median $79,401 28 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $45,732 – $146,903 · median $71,181 28 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $57,333 – $185,251 · median $66,749 28 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $41,335 – $132,367 · median $50,856 28 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $44,310 – $142,202 · median $54,931 28 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $31,998 – $101,499 · median $38,953 28 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $26,567 – $119,258 · median $38,132 28 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $22,188 – $69,070 · median $27,309 28 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $11,442 – $44,987 · median $20,635 28 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $24,697 – $77,365 · median $32,502 28 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $16,913 – $55,037 · median $28,806 28 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $14,543 – $43,798 · median $21,913 28 plans
245 AICD GENERATOR PROCEDURES $32,502 – $110,552 · median $36,133 28 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $12,249 – $36,213 · median $17,808 28 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $26,863 – $84,525 · median $33,356 28 plans
253 OTHER VASCULAR PROCEDURES WITH CC $20,320 – $62,894 · median $31,144 28 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $14,354 – $43,172 · median $21,638 28 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $19,830 – $65,361 · median $21,899 28 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $13,740 – $41,142 · median $19,830 28 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $9,300 – $33,579 · median $16,918 28 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $20,151 – $76,136 · median $25,293 28 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $16,116 – $48,998 · median $20,541 28 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $13,615 – $78,819 · median $25,650 28 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $13,615 – $45,809 · median $15,741 28 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $13,241 – $39,494 · median $14,201 28 plans
263 VEIN LIGATION AND STRIPPING $9,606 – $74,084 · median $24,188 28 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $23,665 – $80,946 · median $26,808 28 plans
265 AICD LEAD PROCEDURES $27,815 – $87,673 · median $33,410 28 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $46,215 – $159,608 · median $80,021 28 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $36,190 – $119,843 · median $61,322 28 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $25,732 – $102,332 · median $32,908 28 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $34,714 – $127,850 · median $41,581 28 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $27,361 – $86,173 · median $35,141 28 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $20,007 – $61,862 · median $25,864 28 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $17,808 – $79,761 · median $25,941 28 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $53,559 – $172,777 · median $73,749 28 plans
276 NON-MALIGANT BREAST DISORDERS $45,322 – $145,546 · median $53,773 28 plans
277 CELLULITIS AGE >17 W CC $35,147 – $111,911 · median $51,367 28 plans
278 CELLULITIS AGE >17 W/O CC $42,094 – $134,875 · median $48,061 28 plans
279 CELLULITIS AGE 0-17 $27,729 – $87,387 · median $34,486 28 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $8,590 – $38,869 · median $17,741 28 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $8,031 – $31,394 · median $11,593 28 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $6,594 – $23,549 · median $9,687 28 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $8,590 – $47,997 · median $16,283 28 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $6,368 – $24,325 · median $9,530 28 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,684 – $24,325 · median $9,055 28 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $8,590 – $65,574 · median $29,211 28 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $8,590 – $52,959 · median $19,360 28 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $8,109 – $52,959 · median $11,698 28 plans
291 HEART FAILURE AND SHOCK WITH MCC $8,590 – $31,108 · median $11,143 28 plans
292 HEART FAILURE AND SHOCK WITH CC $7,517 – $20,572 · median $10,162 28 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,443 – $17,924 · median $8,888 28 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $8,590 – $37,846 · median $17,284 28 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,941 – $30,528 · median $9,234 28 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,630 – $30,528 · median $8,323 28 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $8,590 – $39,562 · median $13,532 28 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,590 – $25,867 · median $9,382 28 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,570 – $17,439 · median $7,225 28 plans
302 ATHEROSCLEROSIS WITH MCC $8,424 – $28,995 · median $10,358 28 plans
303 ATHEROSCLEROSIS WITHOUT MCC $6,229 – $16,312 · median $7,595 28 plans
304 HYPERTENSION WITH MCC $6,670 – $28,835 · median $10,221 28 plans
305 HYPERTENSION WITHOUT MCC $6,670 – $18,297 · median $7,075 28 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $8,590 – $38,183 · median $13,107 28 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,888 – $22,128 · median $8,329 28 plans
311 ANGINA PECTORIS $6,439 – $17,008 · median $7,428 28 plans
312 SYNCOPE AND COLLAPSE $6,485 – $21,120 · median $7,964 28 plans
313 CHEST PAIN $6,177 – $17,446 · median $6,807 28 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $8,590 – $50,526 · median $16,917 28 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $8,355 – $23,342 · median $11,264 28 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $6,294 – $16,528 · median $8,737 28 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $17,808 – $108,141 · median $34,701 28 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $17,808 – $58,283 · median $19,670 28 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY $33,014 – $104,857 · median $43,395 28 plans
324 URINARY STONES W/O CC $24,391 – $76,352 · median $31,409 28 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $24,826 – $77,791 · median $28,492 28 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $28,171 – $120,850 · median $38,624 28 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $19,210 – $59,225 · median $28,171 28 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $13,039 – $38,825 · median $18,765 28 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $30,818 – $111,378 · median $36,393 28 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $18,865 – $58,087 · median $29,319 28 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $13,630 – $40,778 · median $21,318 28 plans
332 RECTAL RESECTION WITH MCC $27,833 – $87,733 · median $33,134 28 plans
333 RECTAL RESECTION WITH CC $18,462 – $56,754 · median $29,747 28 plans
334 RECTAL RESECTION WITHOUT CC/MCC $13,300 – $40,355 · median $21,962 28 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $24,555 – $86,526 · median $28,566 28 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $16,751 – $51,096 · median $24,555 28 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,546 – $37,195 · median $16,666 28 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $14,737 – $62,584 · median $20,639 28 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,323 – $36,460 · median $15,149 28 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,989 – $28,743 · median $11,844 28 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $7,654 – $55,625 · median $18,490 28 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $7,654 – $31,714 · median $11,110 28 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $5,777 – $21,096 · median $7,832 28 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $10,112 – $60,381 · median $19,959 28 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,112 – $36,940 · median $12,723 28 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $6,851 – $28,297 · median $10,055 28 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $10,479 – $70,318 · median $23,026 28 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $10,479 – $40,766 · median $13,904 28 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $7,816 – $32,591 · median $11,380 28 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $28,942 – $106,442 · median $34,838 28 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $18,340 – $56,349 · median $28,016 28 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,541 – $41,349 · median $20,806 28 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $8,590 – $38,573 · median $13,344 28 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $8,590 – $24,236 · median $11,422 28 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $6,431 – $19,749 · median $9,573 28 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $8,590 – $42,964 · median $14,826 28 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,590 – $24,740 · median $12,598 28 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,626 – $23,746 · median $9,709 28 plans
374 DIGESTIVE MALIGNANCY WITH MCC $8,590 – $51,823 · median $17,317 28 plans
375 DIGESTIVE MALIGNANCY WITH CC $8,590 – $29,310 · median $11,266 28 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $8,069 – $22,397 · median $10,065 28 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $8,590 – $44,294 · median $14,993 28 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $8,483 – $23,763 · median $9,510 28 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,915 – $15,275 · median $7,531 28 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $8,590 – $47,546 · median $15,997 28 plans
381 COMPLICATED PEPTIC ULCER WITH CC $8,590 – $26,254 · median $9,769 28 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $7,162 – $19,399 · median $9,522 28 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $6,934 – $33,456 · median $11,648 28 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,822 – $20,713 · median $7,714 28 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $8,590 – $38,341 · median $13,155 28 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $8,450 – $23,657 · median $10,351 28 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $6,288 – $17,528 · median $9,470 28 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $7,949 – $35,784 · median $12,366 28 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $7,083 – $19,138 · median $8,171 28 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,282 – $13,182 · median $6,279 28 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $6,323 – $30,732 · median $10,807 28 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,350 – $18,890 · median $7,152 28 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $8,590 – $38,753 · median $13,283 28 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $8,153 – $22,673 · median $9,620 28 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $6,051 – $15,726 · median $7,674 28 plans
397 COAGULATION DISORDERS $18,849 – $58,031 · median $24,018 28 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $12,389 – $36,676 · median $15,971 28 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $9,685 – $27,737 · median $11,994 28 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $41,392 – $132,556 · median $48,060 28 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $22,552 – $79,170 · median $39,846 28 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $17,564 – $71,776 · median $31,259 28 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $27,430 – $86,398 · median $30,294 28 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $17,254 – $52,758 · median $27,526 28 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $12,932 – $38,472 · median $20,904 28 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $23,819 – $80,042 · median $26,523 28 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $16,705 – $50,946 · median $23,819 28 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $13,465 – $40,236 · median $17,113 28 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $17,877 – $86,325 · median $27,967 28 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $16,443 – $50,078 · median $18,377 28 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $11,287 – $33,034 · median $12,284 28 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $16,004 – $57,825 · median $19,525 28 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $13,693 – $40,989 · median $16,451 28 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $8,630 – $33,095 · median $11,536 28 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $26,268 – $82,557 · median $28,475 28 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $14,030 – $46,649 · median $24,327 28 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $11,552 – $41,498 · median $20,827 28 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $28,432 – $100,631 · median $33,008 28 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $17,331 – $53,015 · median $27,061 28 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $12,291 – $48,147 · median $22,109 28 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $8,590 – $47,691 · median $16,042 28 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,590 – $25,593 · median $11,972 28 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,517 – $20,705 · median $9,633 28 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $8,590 – $44,505 · median $15,058 28 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,590 – $27,408 · median $10,836 28 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,549 – $20,676 · median $10,309 28 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $8,590 – $39,501 · median $13,514 28 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $7,460 – $20,383 · median $9,915 28 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,849 – $17,214 · median $9,169 28 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $8,590 – $43,487 · median $14,744 28 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $8,370 – $23,390 · median $11,042 28 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,423 – $16,954 · median $8,212 28 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $8,150 – $40,488 · median $13,818 28 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,150 – $26,518 · median $9,585 28 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,072 – $20,046 · median $7,626 28 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $53,185 – $203,623 · median $65,448 28 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $45,003 – $144,492 · median $54,671 28 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $31,879 – $101,106 · median $49,536 28 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $20,792 – $65,659 · median $34,634 28 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $24,210 – $138,105 · median $43,950 28 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $24,125 – $75,472 · median $25,564 28 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $14,662 – $44,190 · median $23,097 28 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $26,024 – $85,453 · median $28,228 28 plans
472 CERVICAL SPINAL FUSION WITH CC $22,889 – $71,387 · median $25,051 28 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $14,879 – $59,155 · median $19,580 28 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $20,702 – $104,021 · median $33,429 28 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $17,975 – $55,142 · median $21,281 28 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,945 – $35,056 · median $18,037 28 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $16,315 – $83,708 · median $27,159 28 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $16,315 – $59,589 · median $20,081 28 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $14,920 – $45,043 · median $16,771 28 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $21,296 – $70,568 · median $23,539 28 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $16,647 – $50,752 · median $21,459 28 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $13,249 – $39,521 · median $18,727 28 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $16,385 – $67,166 · median $22,053 28 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $24,948 – $78,196 · median $27,649 28 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $16,622 – $50,669 · median $25,801 28 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,774 – $37,951 · median $16,775 28 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,977 – $42,862 · median $14,813 28 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,480 – $27,061 · median $12,977 28 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $14,462 – $88,967 · median $28,782 28 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $14,462 – $61,452 · median $20,289 28 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $10,939 – $48,620 · median $16,328 28 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $19,062 – $87,854 · median $28,439 28 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $14,517 – $43,710 · median $19,062 28 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $10,151 – $29,278 · median $10,862 28 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $10,646 – $73,100 · median $23,885 28 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $10,646 – $48,821 · median $16,390 28 plans
500 SOFT TISSUE PROCEDURES WITH MCC $9,206 – $76,686 · median $24,992 28 plans
501 SOFT TISSUE PROCEDURES WITH CC $9,206 – $42,358 · median $14,395 28 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $6,890 – $32,613 · median $11,387 28 plans
503 FOOT PROCEDURES WITH MCC $6,868 – $67,631 · median $22,197 28 plans
504 FOOT PROCEDURES WITH CC $6,868 – $45,293 · median $15,301 28 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $6,868 – $43,441 · median $14,730 28 plans
506 MAJOR THUMB OR JOINT PROCEDURES $8,574 – $32,692 · median $11,412 28 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $12,854 – $43,771 · median $15,099 28 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $12,395 – $36,695 · median $13,350 28 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $7,226 – $73,190 · median $23,912 28 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $7,226 – $50,386 · median $16,873 28 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $7,226 – $40,112 · median $13,702 28 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $5,236 – $38,147 · median $13,096 28 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $5,236 – $24,771 · median $8,967 28 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $14,562 – $77,222 · median $25,157 28 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $14,562 – $50,354 · median $17,172 28 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $9,976 – $37,236 · median $12,814 28 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $28,688 – $90,559 · median $33,002 28 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $15,955 – $48,467 · median $17,744 28 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $11,945 – $36,199 · median $12,714 28 plans
533 FRACTURES OF FEMUR WITH MCC $8,590 – $37,987 · median $14,817 28 plans
534 FRACTURES OF FEMUR WITHOUT MCC $7,203 – $25,091 · median $10,479 28 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $8,590 – $31,064 · median $11,273 28 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $7,214 – $19,569 · median $10,287 28 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,341 – $23,124 · median $8,458 28 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $6,341 – $17,454 · median $6,810 28 plans
539 OSTEOMYELITIS WITH MCC $8,590 – $47,728 · median $17,265 28 plans
540 OSTEOMYELITIS WITH CC $8,590 – $31,411 · median $15,312 28 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $7,066 – $29,236 · median $10,295 28 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $8,590 – $42,804 · median $14,533 28 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,590 – $24,909 · median $9,715 28 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,825 – $18,285 · median $9,277 28 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $8,590 – $60,134 · median $19,882 28 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,590 – $27,948 · median $10,064 28 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,423 – $20,262 · median $8,054 28 plans
548 SEPTIC ARTHRITIS WITH MCC $8,590 – $46,788 · median $16,083 28 plans
549 SEPTIC ARTHRITIS WITH CC $8,590 – $29,252 · median $14,210 28 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $7,701 – $25,848 · median $11,150 28 plans
551 MEDICAL BACK PROBLEMS WITH MCC $7,170 – $40,614 · median $13,857 28 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,170 – $23,293 · median $8,619 28 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $7,067 – $31,411 · median $11,016 28 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,708 – $20,114 · median $7,648 28 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $6,072 – $32,029 · median $11,207 28 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,072 – $20,126 · median $7,629 28 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $6,176 – $36,029 · median $12,442 28 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,176 – $21,643 · median $8,001 28 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,255 – $45,188 · median $15,269 28 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,255 – $27,287 · median $9,825 28 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $7,187 – $19,479 · median $8,422 28 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $6,626 – $34,524 · median $11,977 28 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $5,407 – $21,699 · median $8,018 28 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $7,328 – $37,403 · median $12,866 28 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,328 – $23,611 · median $8,679 28 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $6,786 – $18,156 · median $7,533 28 plans
570 SKIN DEBRIDEMENT WITH MCC $25,338 – $71,266 · median $27,827 28 plans
571 SKIN DEBRIDEMENT WITH CC $13,678 – $42,907 · median $22,978 28 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $9,696 – $38,691 · median $17,606 28 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $25,338 – $158,747 · median $50,322 28 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $25,338 – $84,115 · median $27,806 28 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $14,466 – $43,543 · median $22,280 28 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $14,640 – $118,761 · median $37,979 28 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $14,640 – $64,229 · median $21,146 28 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $7,665 – $38,925 · median $13,336 28 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $11,880 – $78,472 · median $25,543 28 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $11,880 – $41,871 · median $14,500 28 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $7,989 – $34,968 · median $12,114 28 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $11,142 – $46,683 · median $15,731 28 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $10,163 – $41,784 · median $14,218 28 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $9,020 – $51,871 · median $17,332 28 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $6,980 – $46,744 · median $15,749 28 plans
592 SKIN ULCERS WITH MCC $8,590 – $46,894 · median $15,939 28 plans
593 SKIN ULCERS WITH CC $8,590 – $28,745 · median $13,089 28 plans
594 SKIN ULCERS WITHOUT CC/MCC $7,648 – $22,386 · median $11,078 28 plans
595 MAJOR SKIN DISORDERS WITH MCC $8,590 – $51,387 · median $17,182 28 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,355 – $26,230 · median $9,495 28 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $8,590 – $40,396 · median $13,790 28 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,590 – $27,413 · median $10,867 28 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,934 – $18,643 · median $9,668 28 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $5,951 – $25,239 · median $9,111 28 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,729 – $14,660 · median $6,166 28 plans
602 CELLULITIS WITH MCC $8,590 – $34,440 · median $11,951 28 plans
603 CELLULITIS WITHOUT MCC $7,678 – $21,103 · median $8,255 28 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $5,675 – $35,670 · median $12,331 28 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $4,682 – $22,196 · median $8,172 28 plans
606 MINOR SKIN DISORDERS WITH MCC $6,672 – $36,666 · median $12,639 28 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,419 – $21,963 · median $8,100 28 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $17,360 – $53,110 · median $26,872 28 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $11,551 – $47,440 · median $20,824 28 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $26,856 – $84,503 · median $34,603 28 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $15,003 – $58,076 · median $26,815 28 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $11,690 – $58,076 · median $21,066 28 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $22,146 – $69,965 · median $23,384 28 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $13,024 – $38,777 · median $20,928 28 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $12,351 – $37,502 · median $20,461 28 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $24,922 – $86,243 · median $28,476 28 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,443 – $43,468 · median $23,301 28 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,470 – $42,202 · median $18,949 28 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $13,945 – $73,180 · median $23,909 28 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $12,285 – $36,332 · median $14,335 28 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $8,974 – $32,186 · median $11,275 28 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $24,244 – $90,304 · median $29,755 28 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $17,265 – $52,795 · median $24,244 28 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $11,992 – $35,365 · median $18,552 28 plans
637 DIABETES WITH MCC $8,266 – $34,813 · median $12,066 28 plans
638 DIABETES WITH CC $7,863 – $21,716 · median $8,453 28 plans
639 DIABETES WITHOUT CC/MCC $5,848 – $15,052 · median $7,813 28 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,590 – $32,363 · median $11,310 28 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,998 – $18,857 · median $7,761 28 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $8,429 – $34,459 · median $11,957 28 plans
643 ENDOCRINE DISORDERS WITH MCC $8,590 – $39,887 · median $13,633 28 plans
644 ENDOCRINE DISORDERS WITH CC $8,590 – $24,837 · median $9,799 28 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,926 – $18,617 · median $7,468 28 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $35,070 – $125,914 · median $40,972 28 plans
654 MAJOR BLADDER PROCEDURES WITH CC $21,813 – $67,830 · median $33,491 28 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $16,809 – $59,386 · median $29,948 28 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $24,631 – $77,147 · median $29,745 28 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $14,708 – $49,001 · median $25,492 28 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $12,669 – $49,001 · median $22,764 28 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $19,919 – $61,569 · median $21,897 28 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,982 – $36,072 · median $19,088 28 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $8,884 – $26,435 · median $14,786 28 plans
662 MINOR BLADDER PROCEDURES WITH MCC $12,041 – $74,183 · median $24,219 28 plans
663 MINOR BLADDER PROCEDURES WITH CC $12,041 – $36,836 · median $12,914 28 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,968 – $25,367 · median $9,528 28 plans
665 PROSTATECTOMY WITH MCC $13,200 – $75,630 · median $24,666 28 plans
666 PROSTATECTOMY WITH CC $13,200 – $42,387 · median $14,663 28 plans
667 PROSTATECTOMY WITHOUT CC/MCC $9,403 – $26,804 · median $10,328 28 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $7,615 – $70,755 · median $23,161 28 plans
669 TRANSURETHRAL PROCEDURES WITH CC $7,615 – $37,607 · median $12,929 28 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $5,832 – $23,681 · median $8,630 28 plans
671 URETHRAL PROCEDURES WITH CC/MCC $7,659 – $43,495 · median $14,746 28 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $6,084 – $26,157 · median $9,395 28 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $29,073 – $101,809 · median $33,379 28 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $18,436 – $56,667 · median $28,148 28 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $13,325 – $49,231 · median $23,904 28 plans
682 RENAL FAILURE WITH MCC $8,590 – $35,886 · median $13,847 28 plans
683 RENAL FAILURE WITH CC $7,714 – $23,448 · median $11,167 28 plans
684 RENAL FAILURE WITHOUT CC/MCC $5,694 – $23,448 · median $9,062 28 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $8,590 – $43,705 · median $14,811 28 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,590 – $25,389 · median $9,660 28 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $7,087 – $19,150 · median $7,990 28 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,590 – $28,115 · median $10,083 28 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $7,228 – $19,615 · median $7,692 28 plans
693 URINARY STONES WITH MCC $4,293 – $32,579 · median $11,377 28 plans
694 URINARY STONES WITHOUT MCC $4,293 – $18,941 · median $7,167 28 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $6,816 – $27,715 · median $9,876 28 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,777 – $16,695 · median $6,571 28 plans
697 URETHRAL STRICTURE $6,225 – $26,116 · median $9,382 28 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $8,590 – $40,088 · median $13,695 28 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,590 – $24,594 · median $9,139 28 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $6,351 – $16,717 · median $8,293 28 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $15,956 – $48,469 · median $19,433 28 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $12,540 – $37,175 · median $15,778 28 plans
709 PENIS PROCEDURES WITH CC/MCC $10,451 – $56,388 · median $18,726 28 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,451 – $33,952 · median $12,006 28 plans
711 TESTES PROCEDURES WITH CC/MCC $9,336 – $50,493 · median $16,906 28 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $6,044 – $26,647 · median $9,546 28 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,345 – $36,429 · median $12,786 28 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,163 – $25,622 · median $9,382 28 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $11,755 – $54,212 · median $18,054 28 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $11,755 – $35,644 · median $12,539 28 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $8,567 – $45,809 · median $15,461 28 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $8,567 – $32,545 · median $11,366 28 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $8,590 – $43,851 · median $14,856 28 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,590 – $27,689 · median $9,950 28 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,100 – $15,888 · median $6,940 28 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $6,559 – $28,355 · median $10,073 28 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,087 – $17,495 · median $6,721 28 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $6,572 – $35,932 · median $12,412 28 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,572 – $19,656 · median $7,503 28 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $5,612 – $25,653 · median $9,239 28 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,494 – $16,283 · median $6,347 28 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $16,907 – $51,612 · median $25,038 28 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $11,157 – $42,399 · median $20,140 28 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $22,120 – $86,614 · median $28,056 28 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $16,398 – $49,930 · median $22,120 28 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,058 – $37,458 · median $20,245 28 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $14,217 – $86,815 · median $28,118 28 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $14,217 – $43,848 · median $15,123 28 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,858 – $34,556 · median $12,196 28 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $11,690 – $44,459 · median $15,044 28 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,918 – $30,063 · median $10,781 28 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $6,912 – $49,652 · median $16,647 28 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $6,453 – $27,563 · median $9,829 28 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $6,643 – $42,092 · median $14,313 28 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,643 – $20,831 · median $7,873 28 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $8,878 – $33,616 · median $11,697 28 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $20,005 – $62,216 · median $21,123 28 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,112 – $35,760 · median $19,224 28 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $8,590 – $44,626 · median $15,096 28 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,590 – $26,358 · median $9,580 28 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,611 – $23,274 · median $8,505 28 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $7,977 – $34,696 · median $12,030 28 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,977 – $23,722 · median $8,713 28 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,158 – $16,080 · median $7,977 28 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $5,761 – $24,413 · median $8,856 28 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,476 – $13,824 · median $5,931 28 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $8,115 – $25,966 · median $10,772 28 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $6,041 – $40,946 · median $13,959 28 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,932 – $24,296 · median $8,820 28 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,450 – $15,864 · median $6,217 28 plans
779 ABORTION WITHOUT D&C $3,430 – $20,386 · median $7,613 28 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $11,337 – $59,490 · median $19,683 28 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $9,065 – $25,687 · median $11,465 28 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $8,165 – $23,208 · median $8,622 28 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $10,651 – $39,969 · median $13,658 28 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $9,480 – $27,061 · median $10,948 28 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $8,322 – $23,233 · median $10,719 28 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $8,590 – $43,669 · median $18,642 28 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $8,590 – $144,017 · median $58,216 28 plans
791 PREMATURITY WITH MAJOR PROBLEMS $8,590 – $98,354 · median $31,934 28 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $5,978 – $59,347 · median $19,639 28 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $5,881 – $28,278 · median $10,049 28 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $5,881 – $24,241 · median $8,803 28 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $5,881 – $23,191 · median $8,479 28 plans
799 SPLENECTOMY WITH MCC $34,054 – $109,740 · median $35,958 28 plans
800 SPLENECTOMY WITH CC $21,887 – $68,075 · median $33,034 28 plans
801 SPLENECTOMY WITHOUT CC/MCC $15,286 – $46,255 · median $16,514 28 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $11,414 – $96,539 · median $31,120 28 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $11,414 – $45,043 · median $15,224 28 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $11,234 – $32,857 · median $11,973 28 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $5,397 – $26,150 · median $9,392 28 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,397 – $18,270 · median $6,960 28 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,397 – $16,337 · median $6,458 28 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $8,590 – $53,500 · median $17,835 28 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,590 – $30,674 · median $13,310 28 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $8,590 – $25,360 · median $12,467 28 plans
811 RED BLOOD CELL DISORDERS WITH MCC $7,498 – $34,028 · median $11,824 28 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $3,094 – $22,249 · median $8,188 28 plans
813 COAGULATION DISORDERS $8,590 – $36,960 · median $12,841 28 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $8,590 – $51,532 · median $17,227 28 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $8,590 – $24,570 · median $10,222 28 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,927 – $15,314 · median $7,633 28 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $3,633 – $55,285 · median $18,386 28 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $3,633 – $28,089 · median $9,991 28 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,197 – $20,836 · median $7,752 28 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $35,477 – $142,110 · median $45,186 28 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $17,703 – $60,077 · median $30,842 28 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $10,119 – $29,174 · median $13,512 28 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $20,259 – $111,094 · median $35,612 28 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $17,901 – $54,898 · median $20,825 28 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $11,021 – $32,697 · median $11,637 28 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $26,522 – $113,348 · median $36,308 28 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $18,235 – $56,003 · median $26,522 28 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $13,783 – $41,285 · median $17,949 28 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $11,006 – $76,570 · median $24,956 28 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $11,006 – $36,468 · median $12,798 28 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $3,633 – $29,138 · median $10,315 28 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,633 – $17,485 · median $6,718 28 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,197 – $12,674 · median $5,232 28 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $8,590 – $133,026 · median $42,382 28 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $8,590 – $50,541 · median $22,968 28 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,590 – $29,550 · median $10,909 28 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $8,590 – $116,413 · median $37,254 28 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $8,590 – $50,580 · median $23,111 28 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $8,590 – $45,681 · median $16,767 28 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $8,590 – $78,385 · median $25,516 28 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $8,590 – $39,530 · median $14,143 28 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $8,590 – $24,483 · median $9,540 28 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $8,590 – $48,336 · median $16,241 28 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $8,590 – $29,499 · median $10,959 28 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $7,536 – $20,635 · median $9,416 28 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $4,490 – $62,819 · median $20,711 28 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $4,490 – $31,699 · median $11,105 28 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,490 – $20,582 · median $7,674 28 plans
849 RADIOTHERAPY $8,590 – $65,654 · median $21,586 28 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $34,891 – $119,667 · median $39,004 28 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $15,940 – $59,084 · median $28,441 28 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,268 – $59,084 · median $22,070 28 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $34,636 – $110,220 · median $36,795 28 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $16,991 – $59,084 · median $30,055 28 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $11,504 – $59,084 · median $20,743 28 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $8,590 – $44,190 · median $14,961 28 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $8,590 – $24,180 · median $10,505 28 plans
864 FEVER AND INFLAMMATORY CONDITIONS $7,801 – $21,510 · median $9,754 28 plans
865 VIRAL ILLNESS WITH MCC $6,900 – $36,305 · median $12,527 28 plans
866 VIRAL ILLNESS WITHOUT MCC $5,945 – $21,071 · median $7,825 28 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $8,590 – $50,720 · median $17,132 28 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,590 – $24,985 · median $12,659 28 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,643 – $23,439 · median $9,726 28 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $8,590 – $167,480 · median $53,017 28 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $8,590 – $47,069 · median $16,962 28 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $8,590 – $28,723 · median $12,621 28 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $21,405 – $101,688 · median $32,709 28 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $15,327 – $46,390 · median $21,405 28 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,867 – $36,247 · median $17,902 28 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $17,301 – $89,003 · median $28,793 28 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $12,167 – $35,944 · median $17,301 28 plans
906 HAND PROCEDURES FOR INJURIES $7,655 – $47,597 · median $16,013 28 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $19,017 – $93,030 · median $30,037 28 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $15,919 – $48,346 · median $19,549 28 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $10,916 – $31,808 · median $15,556 28 plans
913 TRAUMATIC INJURY WITH MCC $7,413 – $39,608 · median $13,547 28 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,304 – $21,457 · median $7,944 28 plans
915 ALLERGIC REACTIONS WITH MCC $4,685 – $40,747 · median $13,898 28 plans
916 ALLERGIC REACTIONS WITHOUT MCC $3,637 – $16,145 · median $6,304 28 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $7,286 – $38,004 · median $13,051 28 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,762 – $20,768 · median $7,731 28 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $8,468 – $44,362 · median $15,014 28 plans
920 COMPLICATIONS OF TREATMENT WITH CC $8,468 – $24,287 · median $8,952 28 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,340 – $16,681 · median $8,018 28 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $8,489 – $42,390 · median $14,405 28 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,291 – $24,660 · median $8,932 28 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $147,957 – $517,344 · median $164,262 28 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $44,525 – $173,802 · median $55,944 28 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $17,901 – $78,043 · median $25,410 28 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $8,590 – $94,360 · median $30,447 28 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $8,590 – $53,565 · median $18,019 28 plans
935 NON-EXTENSIVE BURNS $8,590 – $49,916 · median $16,728 28 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $14,201 – $87,922 · median $28,460 28 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $14,201 – $56,625 · median $18,799 28 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $14,201 – $49,133 · median $16,788 28 plans
945 REHABILITATION WITH CC/MCC $8,590 – $37,992 · median $17,799 28 plans
946 REHABILITATION WITHOUT CC/MCC $8,590 – $37,992 · median $13,838 28 plans
947 SIGNS AND SYMPTOMS WITH MCC $8,332 – $30,759 · median $10,815 28 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $7,162 – $19,397 · median $7,632 28 plans
949 AFTERCARE WITH CC/MCC $4,352 – $28,828 · median $10,219 28 plans
950 AFTERCARE WITHOUT CC/MCC $3,020 – $15,210 · median $6,015 28 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,370 – $13,472 · median $7,560 28 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $50,632 – $163,101 · median $72,633 28 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $28,877 – $91,181 · median $35,149 28 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $51,994 – $184,638 · median $59,468 28 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $32,182 – $102,107 · median $49,150 28 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $22,874 – $88,045 · median $40,474 28 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $8,590 – $66,243 · median $21,972 28 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $8,590 – $37,136 · median $17,641 28 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,188 – $32,525 · median $11,804 28 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $47,251 – $148,325 · median $50,599 28 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $20,626 – $80,013 · median $36,573 28 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $8,590 – $69,931 · median $23,122 28 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $8,590 – $36,696 · median $15,299 28 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,911 – $36,696 · median $11,432 28 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $8,590 – $31,445 · median $12,377 28 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $35,685 – $113,687 · median $39,008 28 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $19,315 – $64,259 · median $33,195 28 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,858 – $64,259 · median $24,827 28 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $18,303 – $83,074 · median $26,963 28 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $13,342 – $39,826 · median $18,303 28 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,084 – $30,993 · median $16,966 28 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $118,259 – $1,046,362 · median $324,305 26 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $23,179 – $93,650 · median $30,519 26 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $6,384 – $23,267 · median $8,546 26 plans
881 DEPRESSIVE NEUROSES $8,358 – $22,799 · median $8,978 26 plans
882 NEUROSES EXCEPT DEPRESSIVE $7,356 – $26,019 · median $9,352 26 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $8,590 – $47,645 · median $16,027 26 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $8,590 – $38,985 · median $13,354 26 plans
885 PSYCHOSES $8,590 – $33,846 · median $11,973 26 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $8,590 – $50,287 · median $16,843 26 plans
887 OTHER MENTAL DISORDER DIAGNOSES $7,304 – $25,949 · median $9,330 26 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,094 – $14,948 · median $5,978 26 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $7,710 – $34,301 · median $11,909 26 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $4,190 – $42,286 · median $14,373 26 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $4,190 – $21,391 · median $7,923 26 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $135,308 – $552,285 · median $210,925 22 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $84,355 – $229,128 · median $114,243 22 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $54,684 – $140,606 · median $61,215 21 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $17,292 – $52,884 · median $17,969 21 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $51,708 – $166,658 · median $53,805 21 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $31,534 – $99,965 · median $32,798 21 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $8,590 – $53,618 · median $18,200 21 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,590 – $25,930 · median $9,479 21 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,590 – $29,174 · median $10,501 21 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,687 – $17,827 · median $6,927 21 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,444 – $13,717 · median $5,633 21 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $21,237 – $65,928 · median $22,078 21 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $14,217 – $42,719 · median $14,768 21 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $41,777 – $133,828 · median $43,464 21 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $39,449 – $126,132 · median $41,040 21 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $21,437 – $66,587 · median $22,285 21 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $23,527 – $73,497 · median $24,462 21 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $15,433 – $46,739 · median $16,034 21 plans
471 CERVICAL SPINAL FUSION WITH MCC $36,688 – $117,004 · median $38,165 21 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $22,332 – $69,548 · median $23,218 21 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $16,817 – $51,314 · median $17,475 21 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $36,485 – $92,654 · median $48,497 21 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $29,038 – $82,124 · median $41,136 21 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $8,590 – $101,034 · median $33,135 21 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $8,590 – $35,763 · median $12,576 21 plans
795 NORMAL NEWBORN $2,759 – $8,590 · median $2,837 21 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $78,438 – $203,543 · median $114,273 20 plans
006 LIVER TRANSPLANT WITHOUT MCC $36,003 – $203,543 · median $62,008 20 plans
007 LUNG TRANSPLANT $99,758 – $485,726 · median $199,203 20 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $43,240 – $110,454 · median $60,837 20 plans
010 PANCREAS TRANSPLANT $54,991 – $141,416 · median $62,294 20 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $91,208 – $236,845 · median $118,259 20 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $45,672 – $200,257 · median $78,452 20 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $41,951 – $200,257 · median $72,125 20 plans
652 KIDNEY TRANSPLANT $25,476 – $82,124 · median $42,393 20 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $12,628 – $31,342 · median $12,886 16 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $8,609 – $21,338 · median $8,784 16 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $6,181 – $15,297 · median $6,307 16 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $10,295 – $25,536 · median $10,505 16 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $7,083 – $17,543 · median $7,228 16 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $66,247 – $164,774 · median $67,599 16 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $46,126 – $114,702 · median $47,067 16 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $35,053 – $87,146 · median $35,768 16 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $49,908 – $124,114 · median $50,927 16 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $28,106 – $69,859 · median $28,680 16 plans
509 ARTHROSCOPY $14,171 – $35,179 · median $14,460 16 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,676 – $1,676 · median $1,676 1 plans
999 UNGROUPABLE $1,676 – $1,676 · median $1,676 1 plans
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