St. Mary's Medical Center — Pricing

782 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 782 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 782
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 782 procedures

Procedures with negotiated rates only

These 782 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
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,200 – $21,903 · median $7,951 14 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $3,777 – $31,859 · median $11,796 14 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $3,777 – $18,414 · median $11,155 14 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,777 – $15,577 · median $11,095 14 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $3,777 – $31,458 · median $11,796 14 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $3,777 – $18,900 · median $11,155 14 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $3,777 – $15,374 · median $11,061 14 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,200 – $25,504 · median $7,951 14 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,200 – $17,907 · median $7,951 14 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,200 – $15,326 · median $7,951 14 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,200 – $18,128 · median $7,951 14 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,200 – $15,326 · median $7,805 14 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,200 – $15,326 · median $7,613 14 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $4,900 – $151,983 · median $26,400 13 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $4,900 – $43,746 · median $20,702 13 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $4,900 – $41,347 · median $19,898 13 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $4,900 – $36,016 · median $18,110 13 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,900 – $26,400 · median $11,374 13 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $3,200 – $38,760 · median $15,326 13 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $3,200 – $19,448 · median $12,196 13 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $11,223 – $44,805 · median $18,016 13 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,223 – $44,805 · median $18,000 13 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,223 – $44,805 · median $18,000 13 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $4,900 – $110,429 · median $31,786 12 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $7,217 – $62,515 · median $26,360 12 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $7,217 – $101,931 · median $30,362 12 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $4,900 – $79,404 · median $15,703 12 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $2,700 – $53,100 · median $16,929 12 plans
163 MAJOR CHEST PROCEDURES WITH MCC $4,900 – $84,755 · median $27,202 12 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $4,900 – $33,740 · median $16,713 12 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $4,900 – $72,963 · median $25,325 12 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $4,900 – $32,722 · median $16,542 12 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $4,900 – $55,292 · median $22,048 12 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $4,900 – $25,504 · median $14,924 12 plans
176 PULMONARY EMBOLISM WITHOUT MCC $3,594 – $16,080 · median $10,959 12 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $3,594 – $30,503 · median $15,703 12 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $3,594 – $16,080 · median $9,266 12 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $11,374 – $183,672 · median $47,695 12 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $7,217 – $174,511 · median $30,362 12 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $7,217 – $114,454 · median $30,362 12 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $7,217 – $102,432 · median $30,362 12 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $7,217 – $94,303 · median $30,362 12 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $7,217 – $83,586 · median $29,894 12 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $7,217 – $35,000 · median $13,263 12 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $7,217 – $35,000 · median $13,263 12 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $7,217 – $35,000 · median $13,263 12 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $7,217 – $35,000 · median $13,263 12 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $7,217 – $35,000 · median $13,263 12 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $7,217 – $35,000 · median $13,263 12 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $7,217 – $90,601 · median $30,362 12 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $7,217 – $57,172 · median $25,465 12 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $7,217 – $145,919 · median $27,862 12 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $7,217 – $106,962 · median $27,862 12 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $7,217 – $140,245 · median $27,862 12 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $7,217 – $93,463 · median $27,862 12 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $7,217 – $105,739 · median $27,862 12 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $7,217 – $72,665 · median $27,862 12 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $2,700 – $62,126 · median $15,703 12 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $2,700 – $40,954 · median $15,703 12 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $2,700 – $32,896 · median $15,703 12 plans
245 AICD GENERATOR PROCEDURES $2,700 – $81,479 · median $21,969 12 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $3,500 – $17,981 · median $12,129 12 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $3,500 – $17,981 · median $12,129 12 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $5,096 – $17,981 · median $12,129 12 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $5,096 – $17,981 · median $12,129 12 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $5,096 – $42,270 · median $15,703 12 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $5,096 – $28,534 · median $15,463 12 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $4,900 – $31,199 · median $17,226 12 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $2,700 – $48,703 · median $15,703 12 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $2,700 – $33,563 · median $15,703 12 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $2,700 – $59,611 · median $15,703 12 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $2,700 – $33,837 · median $15,703 12 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $2,700 – $29,584 · median $15,639 12 plans
265 AICD LEAD PROCEDURES $2,700 – $63,547 · median $19,114 12 plans
302 ATHEROSCLEROSIS WITH MCC $4,900 – $24,842 · median $13,727 12 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $4,900 – $24,842 · median $14,303 12 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,900 – $24,842 · median $10,948 12 plans
313 CHEST PAIN $4,900 – $24,842 · median $10,884 12 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,900 – $24,842 · median $10,791 12 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $4,900 – $36,696 · median $17,209 12 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $4,900 – $26,871 · median $15,397 12 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $4,900 – $252,620 11 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 11 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $4,900 – $383,360 · median $123,957 11 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $4,900 – $264,321 · median $86,063 11 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $4,900 – $186,103 · median $61,163 11 plans
006 LIVER TRANSPLANT WITHOUT MCC $4,900 – $86,972 · median $29,606 11 plans
007 LUNG TRANSPLANT $4,900 – $220,562 · median $72,133 11 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $4,900 – $94,611 · median $32,038 11 plans
010 PANCREAS TRANSPLANT $4,900 – $86,553 · median $29,473 11 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $4,900 – $92,715 · median $31,435 11 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $4,900 – $72,012 · median $24,844 11 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $4,900 – $48,292 · median $17,779 11 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $4,900 – $206,078 · median $67,522 11 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $4,900 – $111,069 · median $37,277 11 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $4,900 – $111,069 · median $37,277 11 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY — 11 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $4,900 – $143,731 · median $47,675 11 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $4,900 – $68,126 · median $23,607 11 plans
028 SPINAL PROCEDURES WITH MCC $4,900 – $108,355 · median $36,413 11 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $4,900 – $61,642 · median $21,543 11 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $4,900 – $41,698 · median $17,779 11 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $4,900 – $74,021 · median $25,483 11 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $4,900 – $38,727 · median $17,779 11 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $4,900 – $29,181 · median $16,080 11 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $4,900 – $70,151 · median $24,252 11 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $4,900 – $32,513 · median $16,935 11 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $4,900 – $60,697 · median $21,242 11 plans
038 EXTRACRANIAL PROCEDURES WITH CC $4,900 – $28,768 · median $16,080 11 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $4,900 – $20,516 · median $12,911 11 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $4,900 – $69,236 · median $23,960 11 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $4,900 – $40,110 · median $16,080 11 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $4,900 – $31,283 · median $16,522 11 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $4,900 – $34,964 · median $17,757 11 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $4,900 – $17,779 · median $12,196 11 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $4,900 – $26,495 · median $15,251 11 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $4,900 – $19,297 · median $12,502 11 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $4,900 – $43,047 · median $17,779 11 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $4,900 – $24,512 · median $14,251 11 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $4,900 – $31,069 · median $16,451 11 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $4,900 – $21,347 · median $13,190 11 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $4,900 – $17,779 · median $11,736 11 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $4,900 – $50,397 · median $17,963 11 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $4,900 – $33,655 · median $17,318 11 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $4,900 – $26,734 · median $15,388 11 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $4,900 – $18,276 · median $12,196 11 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $4,900 – $25,477 · median $14,665 11 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $4,900 – $17,779 · median $11,391 11 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $4,900 – $16,080 · median $10,847 11 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $4,900 – $32,177 · median $16,822 11 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $4,900 – $19,092 · median $12,434 11 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $4,900 – $16,080 · median $10,752 11 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $4,900 – $27,205 · median $15,660 11 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $4,900 – $18,452 · median $12,219 11 plans
075 VIRAL MENINGITIS WITH CC/MCC $4,900 – $34,412 · median $16,080 11 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $4,900 – $17,779 · median $12,064 11 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $4,900 – $27,167 · median $15,638 11 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $4,900 – $18,285 · median $12,196 11 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,900 – $16,080 · median $10,498 11 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $4,900 – $39,715 · median $16,080 11 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $4,900 – $16,354 · median $11,894 11 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $4,900 – $40,966 · median $16,080 11 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $4,900 – $24,389 · median $14,210 11 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $4,900 – $17,779 · median $12,028 11 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $4,900 – $40,867 · median $16,080 11 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $4,900 – $23,683 · median $13,973 11 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $4,900 – $16,080 · median $11,590 11 plans
088 CONCUSSION WITH MCC $4,900 – $27,579 · median $15,875 11 plans
089 CONCUSSION WITH CC $4,900 – $20,676 · median $12,965 11 plans
090 CONCUSSION WITHOUT CC/MCC $4,900 – $16,809 · median $12,196 11 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $4,900 – $32,172 · median $16,080 11 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $4,900 – $18,450 · median $12,218 11 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,900 – $16,080 · median $10,701 11 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $4,900 – $65,140 · median $22,656 11 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $4,900 – $42,870 · median $16,080 11 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,900 – $39,193 · median $17,779 11 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $4,900 – $65,395 · median $22,738 11 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $4,900 – $38,740 · median $16,080 11 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $4,900 – $23,739 · median $13,992 11 plans
100 SEIZURES WITH MCC $4,900 – $35,647 · median $16,080 11 plans
101 SEIZURES WITHOUT MCC $4,900 – $16,356 · median $11,896 11 plans
102 HEADACHES WITH MCC $4,900 – $21,696 · median $13,307 11 plans
103 HEADACHES WITHOUT MCC $4,900 – $16,080 · median $11,329 11 plans
113 ORBITAL PROCEDURES WITH CC/MCC $4,900 – $45,084 · median $16,272 11 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $4,900 – $22,149 · median $13,459 11 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $4,900 – $28,129 · median $15,465 11 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $4,900 – $32,920 · median $16,080 11 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $4,900 – $21,548 · median $13,257 11 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $4,900 – $23,037 · median $13,757 11 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,900 – $16,080 · median $10,520 11 plans
123 NEUROLOGICAL EYE DISORDERS $4,900 – $16,080 · median $10,879 11 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $4,900 – $23,769 · median $14,002 11 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,900 – $16,080 · median $10,840 11 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $4,900 – $47,687 · median $17,101 11 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $4,900 – $16,886 · median $12,196 11 plans
137 MOUTH PROCEDURES WITH CC/MCC $4,900 – $27,056 · median $15,326 11 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $4,900 – $16,080 · median $11,374 11 plans
139 SALIVARY GLAND PROCEDURES $4,900 – $21,356 · median $13,193 11 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $4,900 – $67,934 · median $23,546 11 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $4,900 – $37,251 · median $16,080 11 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $4,900 – $27,781 · median $15,348 11 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $4,900 – $59,798 · median $20,956 11 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $4,900 – $31,116 · median $16,080 11 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $4,900 – $21,957 · median $13,394 11 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $4,900 – $37,958 · median $16,080 11 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $4,900 – $22,221 · median $13,483 11 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $4,900 – $16,080 · median $11,636 11 plans
149 DYSEQUILIBRIUM $4,900 – $16,080 · median $10,521 11 plans
150 EPISTAXIS WITH MCC $4,900 – $23,636 · median $13,958 11 plans
151 EPISTAXIS WITHOUT MCC $4,900 – $16,080 · median $10,678 11 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $4,900 – $16,080 · median $10,462 11 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $4,900 – $27,658 · median $15,326 11 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,900 – $17,021 · median $12,196 11 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,900 – $16,080 · median $9,983 11 plans
157 DENTAL AND ORAL DISEASES WITH MCC $4,900 – $30,694 · median $16,080 11 plans
158 DENTAL AND ORAL DISEASES WITH CC $4,900 – $16,875 · median $12,196 11 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,900 – $16,080 · median $10,102 11 plans
164 MAJOR CHEST PROCEDURES WITH CC $4,900 – $45,859 · median $16,518 11 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,900 – $24,377 · median $14,206 11 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $4,900 – $17,742 · median $12,196 11 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $4,900 – $16,080 · median $10,634 11 plans
180 RESPIRATORY NEOPLASMS WITH MCC $4,900 – $31,255 · median $16,080 11 plans
181 RESPIRATORY NEOPLASMS WITH CC $4,900 – $19,799 · median $12,671 11 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $4,900 – $16,080 · median $10,608 11 plans
183 MAJOR CHEST TRAUMA WITH MCC $4,900 – $28,311 · median $15,526 11 plans
184 MAJOR CHEST TRAUMA WITH CC $4,900 – $18,914 · median $12,374 11 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,900 – $16,080 · median $10,588 11 plans
186 PLEURAL EFFUSION WITH MCC $4,900 – $27,908 · median $15,390 11 plans
187 PLEURAL EFFUSION WITH CC $4,900 – $17,914 · median $12,196 11 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,900 – $16,080 · median $10,532 11 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $4,900 – $22,153 · median $13,460 11 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $4,900 – $16,080 · median $11,374 11 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $4,900 – $23,854 · median $14,031 11 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,900 – $16,080 · median $9,803 11 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $4,900 – $34,081 · median $16,080 11 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $4,900 – $17,936 · median $12,196 11 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,900 – $16,080 · median $10,723 11 plans
199 PNEUMOTHORAX WITH MCC $4,900 – $31,900 · median $16,080 11 plans
200 PNEUMOTHORAX WITH CC $4,900 – $19,366 · median $12,525 11 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $4,900 – $16,080 · median $10,289 11 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $4,900 – $17,217 · median $12,196 11 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,900 – $16,080 · median $10,221 11 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $4,900 – $16,080 · median $11,066 11 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $4,900 – $32,551 · median $16,080 11 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,900 – $16,426 · median $11,947 11 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $4,900 – $124,213 · median $41,461 11 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $4,900 – $48,617 · median $17,396 11 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES $4,900 – $193,668 · median $63,571 11 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $7,217 – $138,655 · median $35,000 11 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $4,900 – $86,431 · median $29,434 11 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $4,900 – $50,512 · median $18,000 11 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $4,900 – $24,990 · median $14,412 11 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $4,900 – $60,305 · median $21,117 11 plans
253 OTHER VASCULAR PROCEDURES WITH CC $4,900 – $45,871 · median $16,522 11 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $4,900 – $49,401 · median $17,646 11 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $4,900 – $29,483 · median $15,919 11 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $4,900 – $17,819 · median $12,196 11 plans
263 VEIN LIGATION AND STRIPPING $4,900 – $50,800 · median $18,091 11 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $4,900 – $58,726 · median $20,615 11 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $4,900 – $123,254 · median $41,156 11 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $4,900 – $74,776 · median $25,724 11 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $4,900 – $90,928 · median $30,866 11 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $4,900 – $62,146 · median $21,703 11 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $4,900 – $43,865 · median $16,080 11 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $4,900 – $70,072 · median $24,226 11 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $4,900 – $58,273 · median $20,470 11 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $4,900 – $126,511 · median $42,193 11 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $4,900 – $111,666 · median $37,467 11 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $4,900 – $85,992 · median $29,294 11 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $4,900 – $80,202 · median $27,451 11 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $4,900 – $57,550 · median $20,240 11 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $4,900 – $28,527 · median $15,598 11 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $4,900 – $16,417 · median $11,940 11 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $4,900 – $35,448 · median $16,080 11 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,900 – $16,080 · median $10,491 11 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,717 – $16,080 · median $8,787 11 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $4,900 – $46,625 · median $16,762 11 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $4,900 – $26,571 · median $15,294 11 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $4,900 – $18,434 · median $12,213 11 plans
291 HEART FAILURE AND SHOCK WITH MCC $4,900 – $23,086 · median $13,773 11 plans
292 HEART FAILURE AND SHOCK WITH CC $4,900 – $16,080 · median $11,374 11 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,900 – $16,080 · median $9,417 11 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $4,900 – $19,666 · median $12,626 11 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,900 – $16,080 · median $9,839 11 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $4,900 – $28,827 · median $15,699 11 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,900 – $16,080 · median $10,424 11 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,432 – $16,080 · median $7,892 11 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $4,900 – $28,342 · median $15,536 11 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,900 – $16,080 · median $10,311 11 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,900 – $16,080 · median $9,999 11 plans
304 HYPERTENSION WITH MCC $4,900 – $20,660 · median $12,960 11 plans
305 HYPERTENSION WITHOUT MCC $4,900 – $16,080 · median $10,574 11 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $4,900 – $27,633 · median $15,326 11 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $4,900 – $16,949 · median $12,196 11 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,900 – $16,080 · median $9,365 11 plans
311 ANGINA PECTORIS $4,900 – $16,080 · median $10,240 11 plans
312 SYNCOPE AND COLLAPSE $4,900 – $16,080 · median $11,374 11 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $4,900 – $37,643 · median $18,655 11 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $4,900 – $24,842 · median $12,650 11 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $4,900 – $78,431 · median $26,887 11 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $4,900 – $40,026 · median $16,080 11 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $4,900 – $51,690 · median $18,375 11 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $4,900 – $32,787 · median $16,080 11 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $4,900 – $74,441 · median $25,617 11 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $4,900 – $53,378 · median $18,912 11 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $4,900 – $47,547 · median $17,056 11 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $4,900 – $91,326 · median $30,992 11 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $4,900 – $44,906 · median $16,215 11 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $4,900 – $28,721 · median $15,663 11 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $4,900 – $81,217 · median $27,774 11 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,374 – $42,653 · median $20,335 11 plans
332 RECTAL RESECTION WITH MCC $4,900 – $65,228 · median $22,684 11 plans
333 RECTAL RESECTION WITH CC $4,900 – $37,391 · median $16,080 11 plans
334 RECTAL RESECTION WITHOUT CC/MCC $4,900 – $28,861 · median $15,710 11 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $4,900 – $64,282 · median $22,383 11 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $4,900 – $37,855 · median $16,080 11 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $4,900 – $26,907 · median $15,326 11 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $4,900 – $17,981 · median $12,196 11 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $4,900 – $17,981 · median $12,196 11 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $4,900 – $17,981 · median $12,196 11 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $4,900 – $17,981 · median $12,196 11 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,900 – $17,981 · median $12,196 11 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $4,900 – $49,275 · median $17,606 11 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $4,900 – $27,702 · median $15,326 11 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $4,900 – $23,156 · median $13,797 11 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $4,900 – $45,835 · median $16,511 11 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $4,900 – $23,400 · median $13,879 11 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $4,900 – $17,546 · median $12,196 11 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $4,900 – $43,154 · median $16,080 11 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $4,900 – $26,173 · median $15,065 11 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $4,900 – $19,941 · median $12,718 11 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $4,900 – $52,582 · median $18,659 11 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $4,900 – $24,501 · median $14,248 11 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $4,900 – $76,935 · median $26,411 11 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $4,900 – $39,501 · median $16,080 11 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,900 – $23,035 · median $13,756 11 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $4,900 – $29,705 · median $15,993 11 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $4,900 – $17,771 · median $12,196 11 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,900 – $16,080 · median $10,515 11 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $4,900 – $31,425 · median $16,080 11 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $4,900 – $18,742 · median $12,316 11 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,900 – $16,080 · median $10,351 11 plans
374 DIGESTIVE MALIGNANCY WITH MCC $4,900 – $37,742 · median $16,080 11 plans
375 DIGESTIVE MALIGNANCY WITH CC $4,900 – $21,547 · median $13,257 11 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $4,900 – $16,080 · median $11,658 11 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $4,900 – $32,191 · median $16,080 11 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $4,900 – $17,690 · median $12,196 11 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,900 – $16,080 · median $9,849 11 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $4,900 – $35,036 · median $16,080 11 plans
381 COMPLICATED PEPTIC ULCER WITH CC $4,900 – $19,294 · median $12,501 11 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,900 – $16,080 · median $10,596 11 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $4,900 – $25,141 · median $14,471 11 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $4,900 – $16,080 · median $11,452 11 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $4,900 – $28,174 · median $15,480 11 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,900 – $16,080 · median $10,156 11 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $4,900 – $26,135 · median $15,044 11 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,900 – $16,080 · median $10,833 11 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,900 – $16,080 · median $9,402 11 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $4,900 – $22,938 · median $13,724 11 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,900 – $16,080 · median $10,768 11 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $4,900 – $29,122 · median $15,798 11 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $4,900 – $16,846 · median $12,196 11 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,900 – $16,080 · median $9,935 11 plans
397 APPENDIX PROCEDURES WITH MCC $4,900 – $40,396 · median $16,080 11 plans
398 APPENDIX PROCEDURES WITH CC $4,900 – $27,211 · median $15,326 11 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $4,900 – $20,015 · median $12,743 11 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $4,900 – $98,989 · median $33,432 11 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $4,900 – $51,918 · median $18,447 11 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $4,900 – $38,677 · median $16,080 11 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $4,900 – $66,929 · median $23,226 11 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $4,900 – $35,194 · median $16,080 11 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $4,900 – $28,144 · median $15,469 11 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $4,900 – $51,794 · median $18,408 11 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $4,900 – $36,780 · median $16,080 11 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $4,900 – $27,144 · median $15,326 11 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $4,900 – $63,387 · median $22,098 11 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $4,900 – $35,527 · median $16,080 11 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $4,900 – $24,080 · median $14,107 11 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $4,900 – $41,676 · median $16,080 11 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $4,900 – $29,394 · median $15,889 11 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $4,900 – $23,613 · median $13,950 11 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $4,900 – $57,554 · median $20,241 11 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $4,900 – $30,740 · median $16,080 11 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $4,900 – $25,371 · median $14,604 11 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $4,900 – $70,322 · median $24,306 11 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $4,900 – $37,532 · median $16,080 11 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $4,900 – $28,804 · median $15,691 11 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $4,900 – $34,452 · median $16,080 11 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $4,900 – $18,538 · median $12,248 11 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,900 – $16,080 · median $10,068 11 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $4,900 – $31,645 · median $16,080 11 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $4,900 – $19,792 · median $12,668 11 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $4,900 – $16,080 · median $11,177 11 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $4,900 – $30,007 · median $16,080 11 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $4,900 – $16,080 · median $11,374 11 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,900 – $16,080 · median $9,743 11 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $4,900 – $32,873 · median $16,080 11 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $4,900 – $17,109 · median $12,196 11 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,900 – $16,080 · median $10,341 11 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $4,900 – $29,367 · median $15,880 11 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $4,900 – $19,542 · median $12,584 11 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,900 – $16,080 · median $10,864 11 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $4,900 – $122,603 · median $40,949 11 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $4,900 – $51,179 · median $18,212 11 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $4,900 – $101,839 · median $34,339 11 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $4,900 – $53,968 · median $19,100 11 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,900 – $33,639 · median $16,080 11 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $11,374 – $93,260 · median $31,608 11 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $11,374 – $62,687 · median $27,055 11 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $11,374 – $48,002 · median $22,130 11 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $4,900 – $77,369 · median $26,549 11 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $4,900 – $38,564 · median $16,080 11 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,900 – $21,162 · median $13,128 11 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,900 – $60,578 · median $21,204 11 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $4,900 – $42,861 · median $16,080 11 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,900 – $33,517 · median $16,080 11 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $4,900 – $53,024 · median $23,814 11 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $4,900 – $37,309 · median $18,543 11 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $4,900 – $30,318 · median $16,080 11 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $4,900 – $43,185 · median $20,514 11 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $4,900 – $33,610 · median $17,303 11 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $4,900 – $25,666 · median $14,774 11 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $4,900 – $46,948 · median $16,080 11 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $4,900 – $23,192 · median $13,809 11 plans
509 ARTHROSCOPY $4,900 – $23,846 · median $14,028 11 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $4,900 – $35,851 · median $18,054 11 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $4,900 – $30,318 · median $16,080 11 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $4,900 – $56,847 · median $20,016 11 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $4,900 – $53,839 · median $19,059 11 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $4,900 – $37,979 · median $16,080 11 plans
533 FRACTURES OF FEMUR WITH MCC $4,900 – $29,334 · median $15,869 11 plans
534 FRACTURES OF FEMUR WITHOUT MCC $4,900 – $16,080 · median $10,915 11 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $4,900 – $23,316 · median $13,850 11 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $4,900 – $16,080 · median $10,777 11 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $4,900 – $17,388 · median $12,196 11 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,900 – $16,080 · median $10,307 11 plans
539 OSTEOMYELITIS WITH MCC $4,900 – $35,682 · median $16,080 11 plans
540 OSTEOMYELITIS WITH CC $4,900 – $23,343 · median $13,859 11 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $4,900 – $16,080 · median $11,374 11 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $4,900 – $32,792 · median $16,080 11 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $4,900 – $16,080 · median $10,659 11 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $4,900 – $44,830 · median $16,191 11 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $4,900 – $21,565 · median $13,263 11 plans
548 SEPTIC ARTHRITIS WITH MCC $4,900 – $35,059 · median $16,080 11 plans
549 SEPTIC ARTHRITIS WITH CC $4,900 – $21,689 · median $13,304 11 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $4,900 – $16,557 · median $12,042 11 plans
551 MEDICAL BACK PROBLEMS WITH MCC $4,900 – $30,602 · median $16,080 11 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $4,900 – $17,375 · median $12,196 11 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $4,900 – $24,301 · median $14,181 11 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,900 – $16,080 · median $11,052 11 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,900 – $25,155 · median $14,480 11 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $4,900 – $16,080 · median $11,087 11 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $4,900 – $27,993 · median $15,419 11 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,900 – $16,080 · median $11,488 11 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,900 – $33,274 · median $16,080 11 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $4,900 – $20,356 · median $12,858 11 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,900 – $16,080 · median $10,735 11 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $4,900 – $27,344 · median $15,326 11 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $4,900 – $16,104 · median $11,713 11 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $4,900 – $28,085 · median $15,450 11 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $4,900 – $17,970 · median $12,196 11 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $4,900 – $16,080 · median $10,556 11 plans
570 SKIN DEBRIDEMENT WITH MCC $4,900 – $52,544 · median $18,647 11 plans
571 SKIN DEBRIDEMENT WITH CC $4,900 – $30,422 · median $16,080 11 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $4,900 – $20,491 · median $12,903 11 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $4,900 – $111,808 · median $37,512 11 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $4,900 – $61,240 · median $21,415 11 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $4,900 – $36,789 · median $16,080 11 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $4,900 – $102,188 · median $34,450 11 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $4,900 – $47,633 · median $17,083 11 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $4,900 – $28,958 · median $15,743 11 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $4,900 – $60,096 · median $21,051 11 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $4,900 – $24,215 · median $14,152 11 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $4,900 – $29,976 · median $16,080 11 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $4,900 – $27,365 · median $15,326 11 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $4,900 – $35,218 · median $16,080 11 plans
592 SKIN ULCERS WITH MCC $4,900 – $37,582 · median $16,080 11 plans
593 SKIN ULCERS WITH CC $4,900 – $21,755 · median $13,327 11 plans
594 SKIN ULCERS WITHOUT CC/MCC $4,900 – $16,080 · median $10,779 11 plans
595 MAJOR SKIN DISORDERS WITH MCC $4,900 – $39,109 · median $16,080 11 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $4,900 – $18,143 · median $12,196 11 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $4,900 – $28,779 · median $15,682 11 plans
598 MALIGNANT BREAST DISORDERS WITH CC $4,900 – $21,556 · median $13,260 11 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,900 – $16,080 · median $9,778 11 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $4,900 – $18,440 · median $12,215 11 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,900 – $16,080 · median $9,785 11 plans
602 CELLULITIS WITH MCC $4,900 – $26,747 · median $15,326 11 plans
603 CELLULITIS WITHOUT MCC $4,900 – $16,080 · median $11,570 11 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $4,900 – $27,083 · median $15,326 11 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $4,900 – $16,341 · median $11,885 11 plans
606 MINOR SKIN DISORDERS WITH MCC $4,900 – $28,514 · median $15,594 11 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $4,900 – $16,080 · median $11,685 11 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $4,900 – $40,500 · median $16,080 11 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $4,900 – $26,452 · median $15,226 11 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $4,900 – $71,163 · median $24,574 11 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $4,900 – $35,683 · median $16,080 11 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $4,900 – $20,885 · median $13,035 11 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $4,900 – $68,788 · median $23,818 11 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $4,900 – $33,470 · median $16,080 11 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $4,900 – $20,040 · median $12,751 11 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $4,900 – $52,526 · median $18,641 11 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $4,900 – $26,826 · median $15,326 11 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $4,900 – $22,225 · median $13,484 11 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $4,900 – $72,185 · median $24,899 11 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $4,900 – $40,687 · median $16,080 11 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $4,900 – $25,107 · median $14,452 11 plans
637 DIABETES WITH MCC $4,900 – $26,060 · median $15,000 11 plans
638 DIABETES WITH CC $4,900 – $16,172 · median $11,762 11 plans
639 DIABETES WITHOUT CC/MCC $4,900 – $16,080 · median $9,784 11 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $4,900 – $23,649 · median $13,962 11 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,900 – $16,080 · median $10,743 11 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $4,900 – $23,435 · median $13,890 11 plans
643 ENDOCRINE DISORDERS WITH MCC $4,900 – $29,581 · median $15,951 11 plans
644 ENDOCRINE DISORDERS WITH CC $4,900 – $19,090 · median $12,433 11 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $4,900 – $16,080 · median $10,619 11 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 11 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 11 plans
652 KIDNEY TRANSPLANT — 11 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $4,900 – $97,342 · median $32,907 11 plans
654 MAJOR BLADDER PROCEDURES WITH CC $4,900 – $49,223 · median $17,589 11 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $4,900 – $37,900 · median $16,080 11 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $4,900 – $56,417 · median $19,880 11 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $4,900 – $33,161 · median $16,080 11 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $4,900 – $26,619 · median $15,322 11 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $4,900 – $46,551 · median $16,739 11 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $4,900 – $24,201 · median $14,147 11 plans
662 MINOR BLADDER PROCEDURES WITH MCC $4,900 – $53,884 · median $19,073 11 plans
663 MINOR BLADDER PROCEDURES WITH CC $4,900 – $26,234 · median $15,101 11 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $4,900 – $19,089 · median $12,432 11 plans
665 PROSTATECTOMY WITH MCC $4,900 – $55,545 · median $19,602 11 plans
666 PROSTATECTOMY WITH CC $4,900 – $30,881 · median $16,080 11 plans
667 PROSTATECTOMY WITHOUT CC/MCC $4,900 – $18,873 · median $12,360 11 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $4,900 – $50,670 · median $18,050 11 plans
669 TRANSURETHRAL PROCEDURES WITH CC $4,900 – $27,594 · median $15,326 11 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $4,900 – $17,309 · median $12,196 11 plans
671 URETHRAL PROCEDURES WITH CC/MCC $4,900 – $30,782 · median $16,080 11 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $4,900 – $16,591 · median $12,067 11 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $4,900 – $66,494 · median $23,087 11 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $4,900 – $42,834 · median $16,080 11 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $4,900 – $28,527 · median $15,598 11 plans
683 RENAL FAILURE WITH CC $4,900 – $16,197 · median $11,781 11 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,900 – $16,080 · median $9,700 11 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $4,900 – $33,074 · median $16,080 11 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $4,900 – $18,796 · median $12,334 11 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,900 – $16,080 · median $10,740 11 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $4,900 – $21,117 · median $13,113 11 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $4,900 – $16,080 · median $10,897 11 plans
693 URINARY STONES WITH MCC $4,900 – $25,466 · median $14,659 11 plans
694 URINARY STONES WITHOUT MCC $4,900 – $16,080 · median $10,751 11 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $4,900 – $21,505 · median $13,243 11 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,900 – $16,080 · median $10,204 11 plans
697 URETHRAL STRICTURE $4,900 – $20,015 · median $12,743 11 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $4,900 – $29,748 · median $16,007 11 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $4,900 – $18,355 · median $12,196 11 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,900 – $16,080 · median $10,302 11 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $4,900 – $35,277 · median $16,080 11 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $4,900 – $26,225 · median $15,095 11 plans
709 PENIS PROCEDURES WITH CC/MCC $4,900 – $38,120 · median $16,080 11 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $4,900 – $22,194 · median $13,474 11 plans
711 TESTES PROCEDURES WITH CC/MCC $4,900 – $38,172 · median $16,080 11 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $4,900 – $21,369 · median $13,197 11 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $4,900 – $26,085 · median $15,015 11 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $4,900 – $17,235 · median $12,196 11 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $4,900 – $39,693 · median $16,080 11 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $4,900 – $25,573 · median $14,720 11 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $4,900 – $32,612 · median $16,080 11 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $4,900 – $21,142 · median $13,121 11 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $4,900 – $33,711 · median $16,080 11 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $4,900 – $20,036 · median $12,750 11 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,900 – $16,080 · median $10,912 11 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $4,900 – $22,313 · median $13,514 11 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,900 – $16,080 · median $10,438 11 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $4,900 – $29,147 · median $15,806 11 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,900 – $16,080 · median $10,856 11 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $4,900 – $18,051 · median $12,196 11 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,900 – $16,080 · median $9,779 11 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $4,900 – $39,084 · median $16,080 11 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $4,900 – $22,660 · median $13,630 11 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $4,900 – $69,896 · median $24,170 11 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $4,900 – $35,491 · median $16,080 11 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $4,900 – $24,537 · median $14,260 11 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $4,900 – $65,025 · median $22,620 11 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $4,900 – $32,132 · median $16,080 11 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $4,900 – $23,363 · median $13,866 11 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $4,900 – $32,040 · median $16,080 11 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $4,900 – $20,894 · median $13,038 11 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $4,900 – $33,847 · median $16,080 11 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $4,900 – $18,627 · median $12,277 11 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $4,900 – $30,138 · median $16,080 11 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $4,900 – $16,080 · median $11,603 11 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $4,900 – $25,262 · median $14,541 11 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $4,900 – $45,262 · median $16,328 11 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,900 – $24,454 · median $14,232 11 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $4,900 – $33,310 · median $16,080 11 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,900 – $19,504 · median $12,572 11 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,900 – $17,796 · median $12,196 11 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $4,900 – $26,820 · median $15,326 11 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,900 – $17,848 · median $12,196 11 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,900 – $16,080 · median $9,927 11 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $4,900 – $17,898 · median $12,196 11 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,900 – $16,080 · median $9,683 11 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $4,900 – $27,761 · median $15,341 11 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $4,900 – $16,080 · median $10,847 11 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,900 – $16,080 · median $10,353 11 plans
779 ABORTION WITHOUT D&C $4,900 – $17,787 · median $12,196 11 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY — 11 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE — 11 plans
791 PREMATURITY WITH MAJOR PROBLEMS — 11 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS — 11 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS — 11 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS — 11 plans
795 NORMAL NEWBORN — 11 plans
799 SPLENECTOMY WITH MCC $4,900 – $89,089 · median $30,280 11 plans
800 SPLENECTOMY WITH CC $4,900 – $50,665 · median $18,048 11 plans
801 SPLENECTOMY WITHOUT CC/MCC $4,900 – $32,181 · median $16,080 11 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $4,900 – $60,961 · median $21,326 11 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $4,900 – $33,412 · median $16,080 11 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $4,900 – $21,764 · median $13,330 11 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $4,900 – $39,380 · median $16,080 11 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $4,900 – $17,877 · median $12,196 11 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,900 – $16,080 · median $10,313 11 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $4,900 – $40,547 · median $16,080 11 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $4,900 – $21,094 · median $13,105 11 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $4,900 – $16,312 · median $11,864 11 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $4,900 – $108,726 · median $36,531 11 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $4,900 – $40,135 · median $16,080 11 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $4,900 – $22,275 · median $13,501 11 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $4,900 – $80,949 · median $27,689 11 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $4,900 – $40,150 · median $16,080 11 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $4,900 – $23,221 · median $13,818 11 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $4,900 – $78,915 · median $27,041 11 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $4,900 – $41,666 · median $16,080 11 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $4,900 – $29,496 · median $15,923 11 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $4,900 – $56,708 · median $19,972 11 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $4,900 – $28,432 · median $15,566 11 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $4,900 – $18,157 · median $12,196 11 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,900 – $16,080 · median $10,479 11 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,849 – $16,080 · median $9,117 11 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $4,900 – $100,676 · median $33,969 11 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $4,900 – $40,197 · median $16,080 11 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $4,900 – $21,529 · median $13,251 11 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $4,900 – $33,455 · median $16,080 11 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $4,900 – $20,808 · median $13,009 11 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $4,900 – $16,080 · median $11,374 11 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $4,900 – $43,946 · median $16,080 11 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $4,900 – $21,804 · median $13,343 11 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,900 – $16,080 · median $10,611 11 plans
849 RADIOTHERAPY $4,900 – $48,394 · median $17,326 11 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $4,900 – $89,892 · median $30,536 11 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $4,900 – $36,649 · median $16,080 11 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $4,900 – $30,600 · median $16,080 11 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $4,900 – $79,627 · median $27,268 11 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $4,900 – $38,402 · median $16,080 11 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $4,900 – $23,077 · median $13,770 11 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $4,900 – $33,121 · median $16,080 11 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $4,900 – $18,080 · median $12,196 11 plans
864 FEVER AND INFLAMMATORY CONDITIONS $4,900 – $16,080 · median $11,545 11 plans
865 VIRAL ILLNESS WITH MCC $4,900 – $29,487 · median $15,920 11 plans
866 VIRAL ILLNESS WITHOUT MCC $4,900 – $16,501 · median $12,002 11 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $4,900 – $37,622 · median $16,080 11 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $4,900 – $19,518 · median $12,577 11 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,900 – $16,080 · median $10,196 11 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $4,900 – $125,236 · median $41,787 11 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $4,900 – $35,649 · median $16,080 11 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $4,900 – $18,519 · median $12,241 11 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $4,900 – $67,096 · median $23,279 11 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $4,900 – $17,165 · median $12,196 11 plans
881 DEPRESSIVE NEUROSES $4,900 – $16,300 · median $11,855 11 plans
882 NEUROSES EXCEPT DEPRESSIVE $4,900 – $16,890 · median $12,196 11 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $4,900 – $33,722 · median $16,080 11 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $4,900 – $31,591 · median $16,080 11 plans
885 PSYCHOSES $4,900 – $24,569 · median $14,271 11 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $4,900 – $30,239 · median $16,080 11 plans
887 OTHER MENTAL DISORDER DIAGNOSES $4,900 – $23,296 · median $13,844 11 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,900 – $16,080 · median $9,495 11 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $4,900 – $28,928 · median $15,732 11 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $4,900 – $31,972 · median $16,080 11 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $4,900 – $16,080 · median $11,374 11 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $4,900 – $77,818 · median $26,692 11 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $4,900 – $33,889 · median $16,080 11 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $4,900 – $22,323 · median $13,517 11 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $4,900 – $58,550 · median $20,558 11 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $4,900 – $28,477 · median $15,581 11 plans
906 HAND PROCEDURES FOR INJURIES $4,900 – $33,833 · median $16,080 11 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $4,900 – $66,880 · median $23,210 11 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $4,900 – $36,036 · median $16,080 11 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $4,900 – $24,388 · median $14,210 11 plans
913 TRAUMATIC INJURY WITH MCC $4,900 – $26,873 · median $15,326 11 plans
914 TRAUMATIC INJURY WITHOUT MCC $4,900 – $16,321 · median $11,871 11 plans
915 ALLERGIC REACTIONS WITH MCC $4,900 – $31,898 · median $16,080 11 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,900 – $16,080 · median $10,003 11 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $4,900 – $28,696 · median $15,655 11 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,900 – $16,080 · median $11,374 11 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $4,900 – $32,810 · median $16,080 11 plans
920 COMPLICATIONS OF TREATMENT WITH CC $4,900 – $18,589 · median $12,265 11 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,900 – $16,080 · median $10,239 11 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $4,900 – $31,375 · median $16,080 11 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $4,900 – $18,186 · median $12,196 11 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $4,900 – $473,956 · median $152,797 11 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $4,900 – $124,423 · median $41,528 11 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $4,900 – $57,818 · median $20,325 11 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $4,900 – $54,518 · median $19,275 11 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $4,900 – $37,625 · median $16,080 11 plans
935 NON-EXTENSIVE BURNS $4,900 – $36,701 · median $16,080 11 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $4,900 – $57,814 · median $20,324 11 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $4,900 – $38,958 · median $16,080 11 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $4,900 – $33,373 · median $16,080 11 plans
945 REHABILITATION WITH CC/MCC — 11 plans
946 REHABILITATION WITHOUT CC/MCC $4,900 – $18,209 · median $12,196 11 plans
947 SIGNS AND SYMPTOMS WITH MCC $4,900 – $22,505 · median $13,578 11 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,900 – $16,080 · median $10,861 11 plans
949 AFTERCARE WITH CC/MCC $4,900 – $18,630 · median $12,279 11 plans
950 AFTERCARE WITHOUT CC/MCC $4,900 – $16,080 · median $9,819 11 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,900 – $16,080 · median $9,588 11 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $4,900 – $109,508 · median $42,757 11 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $4,900 – $69,734 · median $29,418 11 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $4,900 – $130,048 · median $43,319 11 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $4,900 – $72,730 · median $25,072 11 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $4,900 – $45,535 · median $16,415 11 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $4,900 – $49,165 · median $17,571 11 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $4,900 – $26,989 · median $15,326 11 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $4,900 – $17,188 · median $12,196 11 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $4,900 – $123,576 · median $41,259 11 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $4,900 – $43,234 · median $16,080 11 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $4,900 – $52,442 · median $18,614 11 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $4,900 – $24,514 · median $14,252 11 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $4,900 – $16,080 · median $11,368 11 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $4,900 – $25,463 · median $14,657 11 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $4,900 – $85,237 · median $29,054 11 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $4,900 – $44,701 · median $16,150 11 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,900 – $29,403 · median $15,892 11 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $4,900 – $60,716 · median $21,248 11 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $4,900 – $30,514 · median $16,080 11 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,900 – $19,425 · median $12,545 11 plans
999 UNGROUPABLE $4,900 – $17,981 · median $12,196 11 plans
152 OTITIS MEDIA AND URI WITH MCC $4,900 – $21,365 · median $14,261 10 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $4,900 – $19,815 · median $13,544 10 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $4,900 – $16,080 · median $11,023 10 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $4,900 – $112,311 · median $40,685 10 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $4,900 – $87,751 · median $32,657 10 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,900 – $16,080 · median $10,009 10 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $4,900 – $19,186 · median $13,210 10 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,490 – $32,000 · median $16,709 10 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,900 – $17,981 · median $12,637 10 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $4,900 – $30,888 · median $16,235 10 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $4,900 – $17,470 · median $12,451 10 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $4,900 – $159,337 · median $37,774 10 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $4,900 – $109,977 · median $29,497 10 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $4,900 – $82,813 · median $24,942 10 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $4,900 – $151,569 · median $36,472 10 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $4,900 – $109,240 · median $29,374 10 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $4,900 – $81,472 · median $24,717 10 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $4,900 – $119,255 · median $33,618 10 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $4,900 – $65,773 · median $24,650 10 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $11,666 – $59,873 · median $27,055 10 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $11,666 – $33,835 · median $18,427 10 plans
471 CERVICAL SPINAL FUSION WITH MCC $4,900 – $88,449 · median $25,887 10 plans
472 CERVICAL SPINAL FUSION WITH CC $4,900 – $53,141 · median $19,966 10 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $4,900 – $44,244 · median $18,474 10 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $4,900 – $44,668 · median $18,575 10 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $4,900 – $59,229 · median $23,335 10 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $4,900 – $36,111 · median $17,111 10 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $4,900 – $27,779 · median $15,668 10 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $4,900 – $37,879 · median $17,407 10 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $4,900 – $22,255 · median $14,410 10 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $4,900 – $62,252 · median $24,323 10 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $4,900 – $64,394 · median $25,023 10 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $4,900 – $35,737 · median $17,048 10 plans
500 SOFT TISSUE PROCEDURES WITH MCC $4,900 – $58,309 · median $23,034 10 plans
501 SOFT TISSUE PROCEDURES WITH CC $4,900 – $31,210 · median $16,289 10 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $4,900 – $24,862 · median $14,847 10 plans
503 FOOT PROCEDURES WITH MCC $4,900 – $48,223 · median $19,142 10 plans
504 FOOT PROCEDURES WITH CC $4,900 – $31,055 · median $16,263 10 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $4,900 – $30,670 · median $16,198 10 plans
506 MAJOR THUMB OR JOINT PROCEDURES $4,900 – $26,299 · median $15,232 10 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $4,900 – $38,330 · median $17,483 10 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $4,900 – $25,785 · median $15,084 10 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $4,900 – $48,919 · median $19,965 10 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $4,900 – $29,147 · median $15,943 10 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $4,900 – $18,727 · median $12,966 10 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $4,900 – $65,663 · median $25,438 10 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $4,900 – $35,397 · median $17,435 10 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $4,900 – $25,740 · median $15,703 10 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $4,900 – $19,612 · median $13,436 10 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,900 – $16,080 · median $10,937 10 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $4,900 – $31,406 · median $16,321 10 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $4,900 – $30,280 · median $16,133 10 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $4,900 – $18,851 · median $13,032 10 plans
682 RENAL FAILURE WITH MCC $4,900 – $26,986 · median $15,430 10 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $4,900 – $21,656 · median $14,310 10 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $4,900 – $18,062 · median $12,666 10 plans
811 RED BLOOD CELL DISORDERS WITH MCC $4,900 – $25,238 · median $14,927 10 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,900 – $16,195 · median $11,946 10 plans
813 COAGULATION DISORDERS $4,900 – $28,050 · median $15,759 10 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $4,900 – $38,265 · median $17,472 10 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $4,900 – $85,528 · median $31,931 10 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $4,900 – $35,106 · median $16,942 10 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,900 – $23,431 · median $14,607 10 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $4,900 – $56,194 · median $22,343 10 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $4,900 – $28,293 · median $15,799 10 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $4,900 – $19,175 · median $13,204 10 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $4,900 – $17,981 · median $12,129 10 plans
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