Northside Hospital Duluth (Acute Care) — 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
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $18,223 – $124,285 · median $25,044 32 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $12,313 – $92,079 · median $19,793 32 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $10,000 – $81,374 · median $20,306 32 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,900 – $29,206 · median $15,776 32 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $4,450 – $186,295 · median $25,834 32 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $4,450 – $32,327 · median $15,715 32 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $4,450 – $21,662 · median $15,024 32 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $4,450 – $122,635 · median $19,977 32 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $4,450 – $26,906 · median $16,105 32 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $4,450 – $21,977 · median $15,031 32 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,900 – $38,130 · median $16,470 32 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,900 – $26,607 · median $15,258 32 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,900 – $23,320 · median $14,944 32 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,900 – $41,014 · median $15,831 32 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,900 – $19,594 · median $13,467 32 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,900 – $21,056 · median $12,887 32 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,519 – $34,547 · median $19,520 31 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $58,509 – $303,809 · median $83,059 30 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $50,888 – $162,028 · median $58,575 30 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $46,880 – $86,783 · median $57,460 30 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $60,971 – $302,432 · median $66,995 30 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $41,738 – $111,086 · median $48,857 30 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $36,189 – $129,859 · median $45,965 30 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $39,268 – $99,959 · median $46,149 30 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $24,477 – $91,193 · median $31,808 30 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $66,774 – $312,560 · median $72,732 30 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $36,648 – $194,248 · median $54,407 30 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $47,468 – $215,419 · median $66,742 30 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $41,923 – $151,346 · median $49,783 30 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $44,024 – $120,413 · median $53,181 30 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $32,403 – $99,681 · median $39,782 30 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $26,729 – $165,391 · median $32,132 30 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $17,752 – $59,613 · median $24,064 30 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $14,221 – $69,414 · median $21,548 30 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $48,136 – $373,981 · median $50,302 30 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $22,567 – $76,510 · median $28,143 30 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $26,990 – $64,304 · median $34,464 30 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $20,671 – $115,598 · median $28,662 30 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $25,757 – $88,758 · median $30,937 30 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $14,858 – $33,376 · median $22,559 30 plans
028 SPINAL PROCEDURES WITH MCC $47,906 – $82,839 · median $53,731 29 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $26,451 – $59,319 · median $33,443 29 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $17,536 – $61,352 · median $24,423 29 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $30,643 – $94,877 · median $37,208 29 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $17,925 – $54,593 · median $25,871 29 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $14,445 – $69,163 · median $22,552 29 plans
245 AICD GENERATOR PROCEDURES $38,508 – $97,361 · median $43,211 29 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $27,031 – $123,234 · median $34,011 29 plans
253 OTHER VASCULAR PROCEDURES WITH CC $20,117 – $118,252 · median $27,392 29 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $13,785 – $49,572 · median $21,357 29 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $22,107 – $66,366 · median $31,444 29 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $13,851 – $58,253 · median $23,140 29 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $26,841 – $112,220 · median $32,582 29 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $14,953 – $50,272 · median $22,164 29 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $11,960 – $65,579 · median $20,231 29 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $47,207 – $187,384 · median $54,639 29 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $37,073 – $166,714 · median $44,024 29 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $52,540 – $540,754 · median $70,943 29 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $32,786 – $209,018 · median $39,848 29 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $40,448 – $97,784 · median $47,733 29 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $27,142 – $129,609 · median $34,516 29 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $19,717 – $99,807 · median $27,076 29 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $30,813 – $117,267 · median $38,736 29 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $24,593 – $73,360 · median $32,554 29 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $22,433 – $39,011 · median $28,320 29 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $14,256 – $29,549 · median $21,426 29 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $10,000 – $381,082 · median $45,570 29 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $13,405 – $30,592 · median $20,621 29 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,506 – $48,102 · median $18,119 29 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $10,000 – $157,406 · median $49,187 29 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $72,405 – $273,656 · median $76,025 29 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $52,449 – $110,315 · median $55,072 29 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $41,467 – $146,158 · median $43,540 29 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $66,737 – $325,503 · median $72,529 29 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $45,226 – $98,261 · median $53,389 29 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $34,026 – $107,179 · median $39,852 29 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $56,200 – $176,974 · median $59,010 29 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $34,578 – $79,729 · median $36,306 29 plans
471 CERVICAL SPINAL FUSION WITH MCC $38,275 – $389,337 · median $44,812 29 plans
472 CERVICAL SPINAL FUSION WITH CC $22,830 – $70,030 · median $29,991 29 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $18,655 – $36,898 · median $26,248 29 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $15,273 – $63,525 · median $21,540 29 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $10,170 – $31,318 · median $19,375 29 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $15,852 – $40,643 · median $23,555 29 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $28,242 – $97,896 · median $35,858 29 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $15,538 – $48,442 · median $22,977 29 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $11,294 – $39,308 · median $19,223 29 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,595 – $21,639 · median $15,274 29 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $21,485 – $49,167 · median $29,556 29 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,893 – $41,061 · median $19,264 29 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,983 – $48,537 · median $17,995 29 plans
666 PROSTATECTOMY WITH CC $12,981 – $29,579 · median $21,117 29 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,099 – $23,069 · median $16,348 29 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $15,292 – $66,963 · median $22,978 29 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $11,682 – $46,825 · median $19,522 29 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $16,570 – $46,161 · median $23,940 29 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,565 – $41,241 · median $18,123 29 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $14,394 – $35,289 · median $21,751 29 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,446 – $51,988 · median $17,345 29 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $10,000 – $465,668 · median $171,356 29 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $211,710 – $846,592 · median $222,130 28 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $86,834 – $752,887 · median $113,117 28 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $162,286 – $645,099 · median $169,640 28 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $111,343 – $949,211 · median $149,844 28 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $82,940 – $473,562 · median $86,672 28 plans
006 LIVER TRANSPLANT WITHOUT MCC $38,211 – $613,006 · median $79,905 28 plans
007 LUNG TRANSPLANT $102,981 – $2,162,847 · median $351,471 28 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $42,875 – $591,940 · median $77,744 28 plans
010 PANCREAS TRANSPLANT $60,151 – $363,908 · median $62,992 28 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $42,519 – $225,145 · median $49,303 28 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $32,337 – $170,115 · median $39,794 28 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $20,882 – $129,151 · median $29,514 28 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $38,882 – $163,500 · median $99,643 28 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $47,562 – $176,947 · median $53,322 28 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $18,898 – $67,875 · median $49,138 28 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $297,174 – $2,860,061 · median $514,230 28 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $16,369 – $82,544 · median $62,356 28 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $63,521 – $387,184 · median $68,123 28 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $43,555 – $369,445 · median $48,561 28 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $27,819 – $357,604 · median $34,774 28 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $44,956 – $286,914 · median $51,381 28 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $29,957 – $85,955 · median $37,446 28 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $35,241 – $91,615 · median $42,270 28 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $24,102 – $70,360 · median $31,200 28 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $19,446 – $58,167 · median $26,853 28 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $33,022 – $123,250 · median $41,369 28 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $16,828 – $73,551 · median $23,947 28 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $12,572 – $38,492 · median $20,476 28 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $26,168 – $54,638 · median $32,711 28 plans
038 EXTRACRANIAL PROCEDURES WITH CC $12,697 – $81,950 · median $20,177 28 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,969 – $31,965 · median $16,862 28 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $29,724 – $208,936 · median $37,137 28 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $17,794 – $65,394 · median $24,449 28 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $13,850 – $103,214 · median $20,957 28 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $15,858 – $102,606 · median $21,576 28 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,261 – $21,816 · median $15,331 28 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $11,813 – $27,219 · median $19,468 28 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,597 – $22,214 · median $15,706 28 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $19,732 – $53,541 · median $25,371 28 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $10,515 – $75,826 · median $17,753 28 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $14,546 – $29,021 · median $20,822 28 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,642 – $26,848 · median $17,347 28 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $7,032 – $27,026 · median $14,966 28 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $21,303 – $80,018 · median $28,590 28 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $14,033 – $55,958 · median $21,175 28 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $11,070 – $46,419 · median $18,555 28 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $15,675 – $31,995 · median $23,057 28 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,013 – $30,689 · median $15,637 28 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,424 – $18,907 · median $13,220 28 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $11,465 – $61,152 · median $19,036 28 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,946 – $21,884 · median $14,555 28 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,305 – $27,912 · median $14,069 28 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $13,702 – $173,318 · median $20,490 28 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $8,305 – $69,190 · median $15,753 28 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,912 – $19,615 · median $13,685 28 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $12,179 – $27,983 · median $19,943 28 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,214 – $33,329 · median $15,789 28 plans
075 VIRAL MENINGITIS WITH CC/MCC $13,572 – $69,591 · median $22,364 28 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $7,225 – $31,173 · median $14,264 28 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $12,185 – $31,235 · median $19,611 28 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,863 – $22,000 · median $15,469 28 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,254 – $18,733 · median $13,089 28 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $15,664 – $30,012 · median $21,567 28 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,130 – $41,859 · median $14,787 28 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $18,283 – $114,305 · median $25,093 28 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,956 – $42,420 · median $18,496 28 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,534 – $45,680 · median $15,233 28 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $17,856 – $78,235 · median $24,992 28 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $10,335 – $25,007 · median $17,718 28 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,966 – $21,179 · median $14,855 28 plans
088 CONCUSSION WITH MCC $11,116 – $25,568 · median $18,169 28 plans
089 CONCUSSION WITH CC $8,448 – $22,994 · median $16,212 28 plans
090 CONCUSSION WITHOUT CC/MCC $6,755 – $20,277 · median $14,250 28 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $14,364 – $42,379 · median $21,168 28 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,342 – $69,962 · median $15,731 28 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,220 – $20,011 · median $13,981 28 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $28,751 – $104,786 · median $34,578 28 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $18,890 – $67,143 · median $27,270 28 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $18,890 – $37,601 · median $27,137 28 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $28,246 – $72,624 · median $35,270 28 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $16,933 – $34,796 · median $25,039 28 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,979 – $108,969 · median $18,248 28 plans
100 SEIZURES WITH MCC $15,644 – $31,263 · median $22,507 28 plans
101 SEIZURES WITHOUT MCC $7,263 – $21,060 · median $14,838 28 plans
102 HEADACHES WITH MCC $9,137 – $65,520 · median $16,457 28 plans
103 HEADACHES WITHOUT MCC $6,700 – $20,406 · median $14,276 28 plans
113 ORBITAL PROCEDURES WITH CC/MCC $17,782 – $61,669 · median $25,579 28 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $9,315 – $135,937 · median $18,178 28 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $12,064 – $43,892 · median $19,527 28 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $13,148 – $90,657 · median $21,553 28 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,499 – $22,858 · median $16,111 28 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $9,166 – $23,632 · median $16,689 28 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,345 – $19,908 · median $13,904 28 plans
123 NEUROLOGICAL EYE DISORDERS $6,329 – $20,034 · median $14,067 28 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $10,275 – $59,999 · median $17,956 28 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,506 – $19,730 · median $13,771 28 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $18,999 – $51,204 · median $24,236 28 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,708 – $67,030 · median $15,674 28 plans
137 MOUTH PROCEDURES WITH CC/MCC $11,021 – $27,006 · median $19,218 28 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,410 – $20,898 · median $14,645 28 plans
139 SALIVARY GLAND PROCEDURES $10,819 – $30,707 · median $17,308 28 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $33,326 – $184,620 · median $40,163 28 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $16,930 – $70,160 · median $24,319 28 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $12,390 – $55,595 · median $19,983 28 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $26,019 – $121,136 · median $35,927 28 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $13,843 – $41,631 · median $20,995 28 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $9,336 – $73,917 · median $17,061 28 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $18,077 – $33,045 · median $23,729 28 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,809 – $31,770 · median $17,574 28 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,309 – $71,835 · median $14,056 28 plans
149 DYSEQUILIBRIUM $5,890 – $19,570 · median $13,664 28 plans
150 EPISTAXIS WITH MCC $10,892 – $33,685 · median $18,019 28 plans
151 EPISTAXIS WITHOUT MCC $5,973 – $19,396 · median $13,522 28 plans
152 OTITIS MEDIA AND URI WITH MCC $8,942 – $23,818 · median $16,829 28 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,608 – $19,438 · median $13,553 28 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $12,815 – $57,332 · median $19,739 28 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,914 – $21,197 · median $14,868 28 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,298 – $21,886 · median $13,270 28 plans
157 DENTAL AND ORAL DISEASES WITH MCC $12,903 – $29,093 · median $20,876 28 plans
158 DENTAL AND ORAL DISEASES WITH CC $7,412 – $21,131 · median $14,819 28 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,198 – $20,242 · median $13,333 28 plans
163 MAJOR CHEST PROCEDURES WITH MCC $36,320 – $460,004 · median $53,882 28 plans
164 MAJOR CHEST PROCEDURES WITH CC $19,834 – $53,600 · median $26,861 28 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $14,688 – $31,040 · median $22,339 28 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $30,340 – $74,854 · median $36,212 28 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $14,398 – $40,671 · median $21,518 28 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,669 – $26,178 · median $18,278 28 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $16,442 – $41,520 · median $30,221 28 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $11,104 – $70,940 · median $18,331 28 plans
176 PULMONARY EMBOLISM WITHOUT MCC $6,418 – $23,951 · median $14,115 28 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $12,738 – $101,892 · median $19,733 28 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,818 – $92,444 · median $15,383 28 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,065 – $19,604 · median $13,744 28 plans
180 RESPIRATORY NEOPLASMS WITH MCC $13,773 – $29,578 · median $21,241 28 plans
181 RESPIRATORY NEOPLASMS WITH CC $8,749 – $32,331 · median $16,087 28 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,599 – $32,557 · median $13,735 28 plans
183 MAJOR CHEST TRAUMA WITH MCC $12,508 – $27,249 · median $19,490 28 plans
184 MAJOR CHEST TRAUMA WITH CC $8,417 – $22,653 · median $15,957 28 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,128 – $19,914 · median $13,909 28 plans
186 PLEURAL EFFUSION WITH MCC $11,979 – $27,531 · median $19,605 28 plans
187 PLEURAL EFFUSION WITH CC $7,911 – $21,913 · median $15,404 28 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,785 – $24,225 · median $13,464 28 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,751 – $57,631 · median $17,306 28 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,849 – $55,748 · median $16,359 28 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,770 – $20,472 · median $14,396 28 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,100 – $18,489 · median $12,843 28 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $10,383 – $25,123 · median $17,804 28 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,462 – $20,106 · median $14,121 28 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,907 – $18,356 · median $12,806 28 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $14,847 – $37,074 · median $22,139 28 plans
197 INTERSTITIAL LUNG DISEASE WITH CC — 28 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC — 28 plans
199 PNEUMOTHORAX WITH MCC $13,910 – $105,156 · median $21,226 28 plans
200 PNEUMOTHORAX WITH CC $8,727 – $34,352 · median $16,297 28 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,336 – $72,758 · median $13,448 28 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,618 – $21,737 · median $15,347 28 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,489 – $18,765 · median $13,114 28 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,391 – $20,121 · median $14,063 28 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $14,876 – $75,362 · median $21,723 28 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,138 – $27,310 · median $15,124 28 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $50,961 – $557,980 · median $73,210 28 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $21,148 – $68,978 · median $28,527 28 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $85,843 – $148,868 · median $90,953 28 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $80,370 – $335,129 · median $83,986 28 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $39,690 – $195,923 · median $45,297 28 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $22,948 – $51,095 · median $29,282 28 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $11,898 – $68,296 · median $18,411 28 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $20,618 – $41,382 · median $28,147 28 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $13,346 – $41,019 · median $20,736 28 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,028 – $36,217 · median $16,244 28 plans
263 VEIN LIGATION AND STRIPPING $21,135 – $114,668 · median $30,816 28 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $27,541 – $49,580 · median $33,239 28 plans
265 AICD LEAD PROCEDURES $28,109 – $97,365 · median $35,137 28 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $48,758 – $149,022 · median $62,431 28 plans
276 NON-MALIGANT BREAST DISORDERS $45,033 – $71,416 · median $53,976 28 plans
277 CELLULITIS AGE >17 W CC $36,657 – $232,912 · median $43,015 28 plans
278 CELLULITIS AGE >17 W/O CC $14,431 – $67,071 · median $49,351 28 plans
279 CELLULITIS AGE 0-17 $21,134 – $47,735 · median $34,716 28 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $12,934 – $36,023 · median $20,040 28 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,264 – $38,671 · median $14,961 28 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,714 – $19,289 · median $13,507 28 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $15,408 – $42,013 · median $22,833 28 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,839 – $27,554 · median $13,278 28 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,424 – $18,064 · median $12,401 28 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $17,441 – $87,980 · median $24,433 28 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,587 – $37,312 · median $16,080 28 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $21,524 – $187,724 · median $28,212 28 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $12,424 – $66,467 · median $20,802 28 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,714 – $25,901 · median $15,039 28 plans
291 HEART FAILURE AND SHOCK WITH MCC $10,282 – $34,429 · median $17,665 28 plans
292 HEART FAILURE AND SHOCK WITH CC $6,786 – $42,397 · median $14,441 28 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,324 – $38,586 · median $12,343 28 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $9,677 – $24,270 · median $17,251 28 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,224 – $19,947 · median $13,933 28 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $12,910 – $55,615 · median $19,727 28 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,551 – $43,221 · median $12,847 28 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,481 – $76,073 · median $11,464 28 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $12,747 – $33,825 · median $20,252 28 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,436 – $27,069 · median $16,061 28 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,622 – $19,255 · median $13,416 28 plans
302 ATHEROSCLEROSIS WITH MCC $9,167 – $23,960 · median $17,018 28 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,298 – $84,215 · median $13,099 28 plans
304 HYPERTENSION WITH MCC $9,257 – $23,895 · median $16,970 28 plans
305 HYPERTENSION WITHOUT MCC $5,915 – $23,823 · median $13,677 28 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,799 – $28,685 · median $19,830 28 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,300 – $27,262 · median $14,917 28 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,502 – $24,033 · median $16,990 28 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,826 – $19,413 · median $13,601 28 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,409 – $17,740 · median $12,162 28 plans
311 ANGINA PECTORIS $5,503 – $23,256 · median $13,285 28 plans
312 SYNCOPE AND COLLAPSE $6,866 – $20,754 · median $14,609 28 plans
313 CHEST PAIN $5,622 – $19,258 · median $13,315 28 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $16,969 – $195,515 · median $23,607 28 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,583 – $21,659 · median $15,214 28 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,380 – $25,627 · median $13,203 28 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $34,615 – $124,093 · median $41,642 28 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $18,240 – $74,171 · median $25,981 28 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY $33,564 – $54,849 · median $40,628 28 plans
324 URINARY STONES W/O CC $21,061 – $43,242 · median $31,491 28 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $22,553 – $63,016 · median $31,951 28 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $19,133 – $215,405 · median $26,269 28 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,557 – $31,579 · median $20,027 28 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $36,184 – $162,068 · median $42,806 28 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $18,626 – $71,059 · median $25,921 28 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $13,010 – $49,813 · median $20,624 28 plans
332 RECTAL RESECTION WITH MCC $27,333 – $98,833 · median $34,993 28 plans
333 RECTAL RESECTION WITH CC $16,747 – $216,636 · median $25,513 28 plans
334 RECTAL RESECTION WITHOUT CC/MCC $13,070 – $28,314 · median $20,291 28 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $28,552 – $91,601 · median $34,963 28 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $16,645 – $87,234 · median $23,782 28 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,096 – $28,869 · median $19,528 28 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $21,232 – $87,866 · median $27,297 28 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,731 – $59,525 · median $19,303 28 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,813 – $63,352 · median $16,941 28 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $18,650 – $294,993 · median $25,168 28 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $4,398 – $25,067 · median $17,763 28 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,941 – $24,450 · median $14,601 28 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $18,404 – $39,166 · median $26,493 28 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $11,855 – $55,245 · median $19,450 28 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,688 – $24,700 · median $16,805 28 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $23,112 – $67,046 · median $29,664 28 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $33,613 – $330,340 · median $41,118 28 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $17,746 – $102,593 · median $25,389 28 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,678 – $58,367 · median $18,511 28 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $13,159 – $39,682 · median $19,950 28 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $8,019 – $38,079 · median $15,562 28 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,500 – $23,048 · median $13,342 28 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $13,774 – $30,196 · median $21,293 28 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,111 – $22,228 · median $15,716 28 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,716 – $19,331 · median $13,473 28 plans
374 DIGESTIVE MALIGNANCY WITH MCC $8,565 – $33,255 · median $23,886 28 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,682 – $24,089 · median $17,115 28 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,958 – $28,697 · median $14,999 28 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $14,327 – $30,190 · median $21,700 28 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,769 – $21,830 · median $15,418 28 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,017 – $24,962 · median $12,820 28 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $15,163 – $31,570 · median $22,584 28 plans
381 COMPLICATED PEPTIC ULCER WITH CC $8,582 – $24,357 · median $16,180 28 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,904 – $20,054 · median $14,082 28 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,962 – $69,496 · median $18,384 28 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,852 – $32,205 · median $14,484 28 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $12,803 – $130,708 · median $19,878 28 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,821 – $54,283 · median $15,385 28 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,282 – $22,344 · median $13,197 28 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,583 – $28,531 · median $19,096 28 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,317 – $35,840 · median $14,002 28 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,312 – $17,522 · median $12,179 28 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $10,122 – $24,668 · median $17,464 28 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,149 – $29,380 · median $13,926 28 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $13,049 – $43,351 · median $20,004 28 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,417 – $61,789 · median $15,084 28 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,015 – $19,631 · median $12,958 28 plans
397 COAGULATION DISORDERS $19,525 – $58,178 · median $25,904 28 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $11,924 – $82,456 · median $19,369 28 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $8,855 – $180,383 · median $16,634 28 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $22,130 – $130,087 · median $29,651 28 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $16,830 – $99,426 · median $24,604 28 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $27,590 – $58,029 · median $34,585 28 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $16,520 – $52,703 · median $24,290 28 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $12,223 – $27,819 · median $19,918 28 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $21,563 – $71,316 · median $32,640 28 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $16,797 – $91,650 · median $23,736 28 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $13,100 – $75,431 · median $20,458 28 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $27,610 – $61,982 · median $34,562 28 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $15,587 – $34,376 · median $23,470 28 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,797 – $99,392 · median $18,255 28 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $18,727 – $38,442 · median $25,841 28 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $13,068 – $42,789 · median $20,689 28 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $10,383 – $25,630 · median $18,273 28 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $21,833 – $52,938 · median $33,573 28 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,904 – $86,822 · median $21,029 28 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $11,579 – $41,265 · median $18,523 28 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $32,051 – $129,420 · median $39,322 28 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $17,992 – $131,286 · median $24,369 28 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $12,181 – $56,248 · median $19,270 28 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $15,438 – $239,741 · median $22,740 28 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,430 – $39,527 · median $15,977 28 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,488 – $19,184 · median $13,386 28 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $14,378 – $30,276 · median $21,684 28 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,886 – $51,738 · median $16,533 28 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,187 – $20,677 · median $14,473 28 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $13,110 – $71,240 · median $20,234 28 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,778 – $20,454 · median $14,383 28 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,847 – $18,286 · median $12,753 28 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $14,896 – $31,897 · median $21,453 28 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,614 – $21,678 · median $15,228 28 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,537 – $19,819 · median $13,334 28 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $13,273 – $100,239 · median $20,535 28 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,546 – $22,952 · median $16,261 28 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,283 – $20,317 · median $14,210 28 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $42,559 – $126,655 · median $50,902 28 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $23,235 – $47,139 · median $31,241 28 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $13,680 – $31,246 · median $21,668 28 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $40,145 – $77,240 · median $47,431 28 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $35,339 – $67,396 · median $40,566 28 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $16,999 – $72,229 · median $25,020 28 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,165 – $76,417 · median $16,897 28 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $27,099 – $89,449 · median $33,874 28 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $18,428 – $36,746 · median $26,381 28 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,993 – $83,074 · median $21,929 28 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $23,175 – $72,083 · median $29,740 28 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $16,350 – $85,846 · median $23,676 28 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $12,501 – $37,525 · median $20,240 28 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $20,080 – $67,917 · median $28,699 28 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $25,368 – $233,890 · median $32,075 28 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $16,713 – $70,711 · median $23,651 28 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,452 – $34,834 · median $19,759 28 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $15,487 – $61,442 · median $21,262 28 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,759 – $43,380 · median $16,427 28 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $27,983 – $67,421 · median $35,371 28 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $18,920 – $37,176 · median $26,951 28 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $14,857 – $42,400 · median $23,024 28 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $27,742 – $127,136 · median $35,030 28 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $15,547 – $92,723 · median $21,522 28 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $10,580 – $24,076 · median $17,105 28 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $19,896 – $41,918 · median $30,366 28 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $9,147 – $130,922 · median $23,034 28 plans
500 SOFT TISSUE PROCEDURES WITH MCC $24,969 – $176,939 · median $31,613 28 plans
501 SOFT TISSUE PROCEDURES WITH CC $14,063 – $62,985 · median $21,108 28 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $11,010 – $51,142 · median $18,126 28 plans
503 FOOT PROCEDURES WITH MCC $20,855 – $204,187 · median $28,842 28 plans
504 FOOT PROCEDURES WITH CC $13,829 – $68,073 · median $22,006 28 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $13,829 – $52,428 · median $21,439 28 plans
506 MAJOR THUMB OR JOINT PROCEDURES $11,813 – $38,743 · median $18,150 28 plans
509 ARTHROSCOPY $13,843 – $136,253 · median $21,172 28 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $22,522 – $61,413 · median $30,543 28 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $15,454 – $43,788 · median $23,564 28 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $12,669 – $43,239 · median $20,420 28 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,864 – $27,687 · median $19,819 28 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,034 – $33,196 · median $15,726 28 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $24,368 – $58,122 · median $31,777 28 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $11,762 – $34,107 · median $19,540 28 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $22,968 – $57,374 · median $29,428 28 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $16,612 – $78,575 · median $23,848 28 plans
533 FRACTURES OF FEMUR WITH MCC $12,016 – $39,680 · median $19,770 28 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,414 – $20,108 · median $14,123 28 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $10,480 – $29,592 · median $17,652 28 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,390 – $20,123 · median $14,065 28 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,242 – $30,271 · median $15,222 28 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,291 – $27,988 · median $13,487 28 plans
539 OSTEOMYELITIS WITH MCC $4,927 – $31,588 · median $22,639 28 plans
540 OSTEOMYELITIS WITH CC $10,197 – $24,944 · median $17,758 28 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,894 – $47,911 · median $13,984 28 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $14,697 – $31,573 · median $21,244 28 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,360 – $22,892 · median $15,768 28 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,955 – $19,600 · median $13,741 28 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $12,537 – $39,825 · median $26,417 28 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $9,123 – $44,913 · median $16,698 28 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,880 – $20,405 · median $14,346 28 plans
548 SEPTIC ARTHRITIS WITH MCC $15,875 – $32,772 · median $22,463 28 plans
549 SEPTIC ARTHRITIS WITH CC $9,496 – $24,065 · median $17,013 28 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,275 – $20,779 · median $14,555 28 plans
551 MEDICAL BACK PROBLEMS WITH MCC $8,515 – $28,691 · median $20,473 28 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $10,291 – $24,944 · median $17,758 28 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,577 – $20,345 · median $14,231 28 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,611 – $76,861 · median $17,947 28 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,434 – $21,057 · median $14,305 28 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $12,212 – $43,707 · median $19,171 28 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,807 – $20,967 · median $14,696 28 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $14,628 – $79,503 · median $21,974 28 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,973 – $55,807 · median $16,496 28 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,443 – $22,378 · median $14,107 28 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $11,532 – $26,212 · median $18,619 28 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $7,043 – $20,990 · median $14,786 28 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $12,365 – $36,874 · median $19,591 28 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $8,035 – $62,514 · median $15,371 28 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $2,473 – $19,547 · median $13,635 28 plans
570 SKIN DEBRIDEMENT WITH MCC — 28 plans
571 SKIN DEBRIDEMENT WITH CC $13,193 – $58,001 · median $20,673 28 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $9,002 – $24,179 · median $16,645 28 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $48,526 – $76,791 · median $57,453 28 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $27,303 – $64,057 · median $34,129 28 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $15,734 – $66,346 · median $21,470 28 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $12,730 – $65,662 · median $45,142 28 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $20,983 – $41,098 · median $27,801 28 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,320 – $79,712 · median $20,057 28 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $25,684 – $66,730 · median $32,159 28 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $13,971 – $29,203 · median $20,856 28 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $11,341 – $76,406 · median $18,846 28 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $13,799 – $47,964 · median $22,431 28 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,944 – $29,168 · median $20,932 28 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $16,133 – $67,319 · median $24,019 28 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $15,642 – $38,958 · median $22,450 28 plans
592 SKIN ULCERS WITH MCC $16,204 – $31,248 · median $22,496 28 plans
593 SKIN ULCERS WITH CC $9,635 – $23,859 · median $16,859 28 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,688 – $51,935 · median $14,573 28 plans
595 MAJOR SKIN DISORDERS WITH MCC $16,667 – $56,655 · median $23,871 28 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,437 – $22,835 · median $16,093 28 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $13,843 – $28,602 · median $20,407 28 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,502 – $181,097 · median $16,534 28 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,737 – $110,652 · median $13,851 28 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,538 – $24,740 · median $15,869 28 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,724 – $19,465 · median $12,632 28 plans
602 CELLULITIS WITH MCC $11,577 – $37,078 · median $18,685 28 plans
603 CELLULITIS WITHOUT MCC $6,941 – $29,893 · median $14,603 28 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,707 – $31,437 · median $19,061 28 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,279 – $65,546 · median $14,938 28 plans
606 MINOR SKIN DISORDERS WITH MCC $12,689 – $27,084 · median $19,366 28 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $6,810 – $21,097 · median $14,794 28 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $17,958 – $72,650 · median $24,398 28 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $11,292 – $28,784 · median $18,521 28 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $30,456 – $128,739 · median $34,505 28 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $15,221 – $41,530 · median $22,014 28 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,811 – $121,878 · median $18,662 28 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $29,487 – $57,055 · median $34,946 28 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $15,073 – $36,502 · median $21,447 28 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,904 – $112,264 · median $17,429 28 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $22,593 – $71,098 · median $30,540 28 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $31,092 – $54,816 · median $36,306 28 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $17,723 – $39,762 · median $24,302 28 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $11,042 – $148,102 · median $18,968 28 plans
637 DIABETES WITH MCC $11,476 – $33,971 · median $18,799 28 plans
638 DIABETES WITH CC $7,227 – $39,582 · median $14,791 28 plans
639 DIABETES WITHOUT CC/MCC $4,938 – $18,284 · median $12,689 28 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,048 – $25,332 · median $17,961 28 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,157 – $31,964 · median $13,916 28 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $4,436 – $26,185 · median $18,599 28 plans
643 ENDOCRINE DISORDERS WITH MCC $13,059 – $36,760 · median $20,351 28 plans
644 ENDOCRINE DISORDERS WITH CC $8,143 – $40,553 · median $15,746 28 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,136 – $30,670 · median $13,843 28 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $36,305 – $236,648 · median $43,428 28 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $27,363 – $219,147 · median $35,624 28 plans
652 KIDNEY TRANSPLANT $24,202 – $177,139 · median $32,092 28 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $43,927 – $432,628 · median $51,032 28 plans
654 MAJOR BLADDER PROCEDURES WITH CC $22,238 – $81,612 · median $28,903 28 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $16,369 – $73,376 · median $23,840 28 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $25,673 – $131,651 · median $32,065 28 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $14,405 – $62,219 · median $21,715 28 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $11,851 – $76,102 · median $19,652 28 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $20,364 – $48,798 · median $26,986 28 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,559 – $28,736 · median $17,946 28 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $8,090 – $30,019 · median $15,823 28 plans
662 MINOR BLADDER PROCEDURES WITH MCC $24,582 – $46,891 · median $30,847 28 plans
663 MINOR BLADDER PROCEDURES WITH CC $12,036 – $27,972 · median $19,418 28 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,509 – $89,992 · median $15,908 28 plans
665 PROSTATECTOMY WITH MCC $27,057 – $117,010 · median $31,750 28 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $22,980 – $127,396 · median $29,798 28 plans
669 TRANSURETHRAL PROCEDURES WITH CC $12,194 – $69,199 · median $19,654 28 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,531 – $21,797 · median $15,322 28 plans
671 URETHRAL PROCEDURES WITH CC/MCC $13,583 – $53,785 · median $21,456 28 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,624 – $83,729 · median $16,150 28 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $33,014 – $174,696 · median $39,686 28 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $18,190 – $53,553 · median $25,486 28 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $12,334 – $136,275 · median $20,317 28 plans
682 RENAL FAILURE WITH MCC $11,835 – $111,871 · median $19,127 28 plans
683 RENAL FAILURE WITH CC $7,004 – $30,636 · median $14,640 28 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,786 – $18,081 · median $12,597 28 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $14,859 – $29,950 · median $21,415 28 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,295 – $34,694 · median $15,915 28 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,707 – $86,133 · median $14,006 28 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $9,222 – $23,602 · median $16,749 28 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,324 – $20,141 · median $14,079 28 plans
693 URINARY STONES WITH MCC $11,587 – $28,634 · median $18,115 28 plans
694 URINARY STONES WITHOUT MCC $6,157 – $19,867 · median $13,874 28 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,896 – $23,440 · median $16,545 28 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,657 – $18,953 · median $13,190 28 plans
697 URETHRAL STRICTURE $7,894 – $22,788 · median $16,138 28 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $13,245 – $56,416 · median $20,413 28 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,037 – $26,881 · median $15,672 28 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,470 – $18,961 · median $13,196 28 plans
709 PENIS PROCEDURES WITH CC/MCC $17,707 – $69,383 · median $25,401 28 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $11,831 – $25,979 · median $18,536 28 plans
711 TESTES PROCEDURES WITH CC/MCC $15,055 – $35,422 · median $23,597 28 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,428 – $29,207 · median $16,300 28 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $11,394 – $32,318 · median $19,293 28 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,405 – $22,587 · median $15,986 28 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $17,795 – $34,228 · median $24,614 28 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $11,184 – $50,779 · median $19,053 28 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $14,621 – $38,318 · median $22,164 28 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $9,707 – $43,046 · median $18,105 28 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $13,624 – $87,193 · median $21,565 28 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,848 – $23,429 · median $16,619 28 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,741 – $79,043 · median $13,008 28 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,949 – $23,700 · median $16,823 28 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,866 – $27,734 · median $13,499 28 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,579 – $27,914 · median $19,141 28 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,439 – $20,158 · median $14,161 28 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,675 – $22,600 · median $15,918 28 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,782 – $22,931 · median $13,129 28 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $31,028 – $137,231 · median $35,160 28 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $15,747 – $58,068 · median $23,425 28 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,953 – $52,712 · median $19,035 28 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $31,369 – $104,791 · median $35,342 28 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $14,328 – $86,207 · median $21,564 28 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,824 – $146,177 · median $18,720 28 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $15,397 – $69,974 · median $23,340 28 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC — 28 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $13,196 – $35,954 · median $21,026 28 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $7,527 – $26,761 · median $14,520 28 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $10,735 – $25,842 · median $18,342 28 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $20,398 – $59,607 · median $27,184 28 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,161 – $65,013 · median $19,089 28 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $14,257 – $74,667 · median $21,802 28 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,748 – $26,254 · median $16,212 28 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,250 – $21,631 · median $15,043 28 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,152 – $75,493 · median $18,763 28 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,032 – $21,814 · median $15,405 28 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,043 – $18,702 · median $13,002 28 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,766 – $22,095 · median $15,540 28 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,995 – $50,358 · median $12,315 28 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $10,949 – $92,797 · median $20,676 28 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $8,479 – $26,537 · median $15,581 28 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,622 – $18,614 · median $12,937 28 plans
779 ABORTION WITHOUT D&C $7,366 – $20,455 · median $14,313 28 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,354 – $29,935 · median $21,404 28 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $5,125 – $79,804 · median $52,729 28 plans
791 PREMATURITY WITH MAJOR PROBLEMS $8,399 – $55,832 · median $38,431 28 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $12,744 – $36,319 · median $26,178 28 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $8,538 – $57,238 · median $39,255 28 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $5,531 – $26,716 · median $18,996 28 plans
795 NORMAL NEWBORN $1,574 – $14,126 · median $9,486 28 plans
799 SPLENECTOMY WITH MCC $37,467 – $101,530 · median $42,348 28 plans
800 SPLENECTOMY WITH CC $22,961 – $143,243 · median $28,977 28 plans
801 SPLENECTOMY WITHOUT CC/MCC $12,936 – $31,854 · median $22,300 28 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $28,248 – $230,149 · median $37,688 28 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $14,026 – $41,461 · median $21,929 28 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,712 – $25,533 · median $18,200 28 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $17,457 – $35,600 · median $24,397 28 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,759 – $142,873 · median $17,532 28 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,500 – $30,393 · median $15,906 28 plans
811 RED BLOOD CELL DISORDERS WITH MCC $11,086 – $55,261 · median $18,559 28 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,272 – $21,214 · median $14,954 28 plans
813 COAGULATION DISORDERS $12,198 – $38,244 · median $19,456 28 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $16,473 – $34,089 · median $23,915 28 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $8,007 – $22,629 · median $15,664 28 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,196 – $18,390 · median $12,769 28 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $19,976 – $50,452 · median $25,064 28 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $10,149 – $25,612 · median $16,741 28 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,434 – $20,639 · median $14,522 28 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $45,879 – $159,643 · median $52,393 28 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $17,591 – $66,409 · median $24,745 28 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,012 – $47,891 · median $17,073 28 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $36,874 – $170,430 · median $42,762 28 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $17,331 – $39,700 · median $24,945 28 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,699 – $30,788 · median $18,151 28 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $37,631 – $149,955 · median $43,462 28 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $18,596 – $81,701 · median $25,283 28 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,631 – $38,301 · median $20,779 28 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $24,300 – $51,592 · median $31,577 28 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $11,524 – $113,309 · median $19,305 28 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $9,070 – $30,753 · median $17,062 28 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,889 – $19,274 · median $13,496 28 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,096 – $17,314 · median $11,964 28 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $39,816 – $79,587 · median $49,332 28 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $16,831 – $53,175 · median $23,612 28 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $10,013 – $24,186 · median $17,104 28 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $39,456 – $468,312 · median $55,746 28 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $15,982 – $42,671 · median $23,624 28 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,799 – $32,217 · median $18,852 28 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $25,129 – $48,602 · median $32,133 28 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $12,356 – $198,513 · median $20,243 28 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $8,289 – $22,123 · median $15,561 28 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $14,919 – $60,153 · median $22,937 28 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $2,159 – $24,166 · median $17,089 28 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,594 – $32,558 · median $14,460 28 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $11,534 – $38,104 · median $27,235 28 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,013 – $25,062 · median $17,758 28 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,057 – $20,535 · median $14,373 28 plans
849 RADIOTHERAPY $21,048 – $266,108 · median $28,237 28 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $39,410 – $84,615 · median $45,424 28 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $15,745 – $53,028 · median $22,962 28 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,810 – $27,516 · median $19,247 28 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $35,551 – $71,289 · median $42,285 28 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $17,170 – $33,529 · median $23,907 28 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $10,153 – $30,942 · median $18,474 28 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $14,489 – $30,258 · median $21,668 28 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,879 – $22,000 · median $15,469 28 plans
864 FEVER AND INFLAMMATORY CONDITIONS $7,076 – $21,116 · median $14,728 28 plans
865 VIRAL ILLNESS WITH MCC $11,630 – $62,806 · median $19,256 28 plans
866 VIRAL ILLNESS WITHOUT MCC $6,972 – $20,734 · median $14,522 28 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $16,897 – $164,329 · median $23,667 28 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,275 – $22,328 · median $15,791 28 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,670 – $19,354 · median $13,490 28 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $54,817 – $205,349 · median $60,853 28 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $15,461 – $62,888 · median $22,549 28 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $8,124 – $22,891 · median $15,733 28 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $30,965 – $86,300 · median $37,165 28 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,554 – $61,942 · median $15,191 28 plans
881 DEPRESSIVE NEUROSES $7,203 – $61,403 · median $15,048 28 plans
882 NEUROSES EXCEPT DEPRESSIVE $4,716 – $22,749 · median $15,871 28 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $9,857 – $31,554 · median $22,614 28 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $13,161 – $31,045 · median $20,076 28 plans
885 PSYCHOSES $11,108 – $27,226 · median $18,503 28 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $14,156 – $82,868 · median $23,419 28 plans
887 OTHER MENTAL DISORDER DIAGNOSES $9,372 – $22,720 · median $16,008 28 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,918 – $18,241 · median $12,658 28 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $11,409 – $245,827 · median $18,642 28 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $14,033 – $175,849 · median $21,086 28 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $6,952 – $56,202 · median $14,691 28 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $34,912 – $89,424 · median $39,841 28 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $14,953 – $44,389 · median $22,342 28 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,606 – $39,599 · median $16,818 28 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $30,425 – $128,193 · median $35,902 28 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $12,988 – $120,098 · median $19,145 28 plans
906 HAND PROCEDURES FOR INJURIES $17,198 – $31,535 · median $22,711 28 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $31,391 – $76,056 · median $37,125 28 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $15,895 – $199,020 · median $22,940 28 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,994 – $42,556 · median $17,879 28 plans
913 TRAUMATIC INJURY WITH MCC $12,752 – $58,403 · median $20,266 28 plans
914 TRAUMATIC INJURY WITHOUT MCC $7,221 – $20,891 · median $14,640 28 plans
915 ALLERGIC REACTIONS WITH MCC $13,695 – $94,291 · median $20,615 28 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,233 – $18,729 · median $12,894 28 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $12,921 – $61,939 · median $19,775 28 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,775 – $20,611 · median $14,288 28 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $14,370 – $30,217 · median $21,721 28 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,725 – $22,044 · median $15,501 28 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,150 – $18,947 · median $13,185 28 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $13,312 – $29,414 · median $21,117 28 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $3,159 – $22,195 · median $15,600 28 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $52,629 – $87,130 · median $61,933 28 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $25,061 – $162,010 · median $32,028 28 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $34,096 – $138,108 · median $37,929 28 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $16,909 – $33,965 · median $24,537 28 plans
935 NON-EXTENSIVE BURNS $17,333 – $42,620 · median $23,995 28 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $25,011 – $138,796 · median $35,051 28 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $16,638 – $37,232 · median $25,474 28 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $15,400 – $41,482 · median $23,181 28 plans
945 REHABILITATION WITH CC/MCC $12,029 – $73,807 · median $19,629 28 plans
946 REHABILITATION WITHOUT CC/MCC $8,798 – $44,072 · median $16,649 28 plans
947 SIGNS AND SYMPTOMS WITH MCC $10,135 – $29,601 · median $17,558 28 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,261 – $39,406 · median $14,081 28 plans
949 AFTERCARE WITH CC/MCC $8,502 – $23,892 · median $16,884 28 plans
950 AFTERCARE WITHOUT CC/MCC $4,618 – $108,263 · median $12,737 28 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,468 – $17,640 · median $12,208 28 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $53,807 – $203,377 · median $59,480 28 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $30,120 – $103,543 · median $36,402 28 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $58,817 – $179,466 · median $66,042 28 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $32,385 – $73,140 · median $39,778 28 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $20,834 – $197,084 · median $29,976 28 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $21,407 – $125,867 · median $28,417 28 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,821 – $27,275 · median $19,510 28 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,191 – $36,821 · median $15,119 28 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $49,835 – $740,886 · median $103,603 28 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $20,908 – $290,321 · median $27,702 28 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $23,531 – $42,925 · median $29,545 28 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $11,201 – $24,931 · median $17,661 28 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,904 – $89,110 · median $14,839 28 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $11,362 – $24,958 · median $17,681 28 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $37,460 – $88,335 · median $43,567 28 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $19,292 – $114,607 · median $26,375 28 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,145 – $81,808 · median $20,855 28 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $10,073 – $51,354 · median $33,732 28 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $10,073 – $28,680 · median $20,233 28 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,105 – $23,986 · median $17,038 28 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,364 – $11,378 · median $7,081 8 plans
999 UNGROUPABLE $1,364 – $21,765 · median $13,545 8 plans
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