Savannah Health Services Llc Dba Memorial Health University Medical Center — Pricing

764 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 764 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 764
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 764 procedures

Procedures with negotiated rates only

These 764 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 $5,980 – $15,318 · median $11,051 8 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $7,219 – $22,775 · median $17,883 8 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,219 – $22,775 · median $17,883 8 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $7,219 – $22,775 · median $17,883 8 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $7,219 – $22,775 · median $17,883 8 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,219 – $22,775 · median $17,883 8 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $7,219 – $22,775 · median $17,883 8 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $5,980 – $15,318 · median $11,051 8 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $5,980 – $15,318 · median $11,051 8 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $5,980 – $15,318 · median $11,051 8 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $5,980 – $15,318 · median $11,051 8 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,980 – $15,318 · median $11,051 8 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,980 – $15,318 · median $11,051 8 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $12,892 – $105,210 · median $61,939 7 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $12,892 – $120,750 · median $60,889 7 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $12,892 – $146,993 · median $60,889 7 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $12,892 – $120,750 · median $60,889 7 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $12,892 – $120,750 · median $60,889 7 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $12,892 – $120,750 · median $60,889 7 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $12,892 – $120,750 · median $60,889 7 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL $12,892 – $126,000 · median $25,198 7 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $12,892 – $126,000 · median $25,198 7 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY $12,892 – $126,000 · median $25,198 7 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $12,892 – $126,000 · median $25,198 7 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $12,892 – $126,000 · median $56,690 7 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $12,892 – $90,000 · median $56,690 7 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $12,892 – $90,000 · median $56,690 7 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $12,892 – $45,617 · median $38,842 7 plans
471 CERVICAL SPINAL FUSION WITH MCC $12,892 – $58,509 · median $38,842 7 plans
472 CERVICAL SPINAL FUSION WITH CC $12,892 – $42,000 · median $38,842 7 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $12,892 – $42,000 · median $28,347 7 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $12,892 – $104,948 · median $62,653 5 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $12,892 – $70,605 · median $62,653 5 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $12,892 – $62,653 · median $62,653 5 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $12,892 – $76,426 · median $57,283 5 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $12,892 – $57,283 · median $57,283 5 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $12,892 – $61,520 · median $61,520 5 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $12,892 – $61,520 · median $61,520 5 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $12,892 – $61,520 · median $61,520 5 plans
028 SPINAL PROCEDURES WITH MCC $12,892 – $48,540 · median $47,437 5 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $12,892 – $47,437 · median $47,437 5 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $12,892 – $44,093 · median $44,093 5 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $12,892 – $57,283 · median $57,283 5 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $12,892 – $57,283 · median $57,283 5 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $12,892 – $57,283 · median $57,283 5 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $12,892 – $60,889 · median $60,889 5 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $12,892 – $60,889 · median $60,889 5 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $12,892 – $60,889 · median $60,889 5 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $12,892 – $27,757 · median $26,852 5 plans
038 EXTRACRANIAL PROCEDURES WITH CC $12,892 – $26,852 · median $26,852 5 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $12,892 – $26,852 · median $26,852 5 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $12,892 – $51,498 · median $51,018 5 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $12,892 – $51,018 · median $51,018 5 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $12,892 – $51,018 · median $51,018 5 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $10,744 – $26,852 · median $26,852 5 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $10,744 – $26,852 · median $26,852 5 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $10,744 – $26,852 · median $26,852 5 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,744 – $17,901 · median $17,901 5 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $10,744 – $17,901 · median $17,901 5 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $10,744 – $17,901 · median $17,901 5 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $12,892 – $214,362 · median $134,256 5 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $12,892 – $157,500 · median $79,788 5 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $12,892 – $141,558 · median $79,788 5 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $12,892 – $136,500 · median $79,788 5 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $12,892 – $136,500 · median $71,389 5 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $12,892 – $114,809 · median $71,389 5 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $12,892 – $108,509 · median $71,389 5 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $12,892 – $106,511 · median $83,985 5 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $12,892 – $83,985 · median $83,985 5 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $12,892 – $126,000 · median $96,583 5 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $12,892 – $105,000 · median $96,583 5 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $12,892 – $117,600 · median $96,583 5 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $12,892 – $105,000 · median $96,583 5 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $12,892 – $88,200 · median $48,291 5 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $12,892 – $81,900 · median $48,291 5 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $12,892 – $61,939 · median $61,939 5 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $12,892 – $61,939 · median $61,939 5 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $12,892 – $61,939 · median $61,939 5 plans
245 AICD GENERATOR PROCEDURES $12,892 – $80,554 · median $80,554 5 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $12,892 – $43,875 · median $31,704 5 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $12,892 – $32,175 · median $31,704 5 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $12,892 – $44,697 · median $32,221 5 plans
253 OTHER VASCULAR PROCEDURES WITH CC $12,892 – $44,697 · median $32,221 5 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $12,892 – $38,358 · median $32,221 5 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $12,892 – $37,580 · median $35,695 5 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $12,892 – $37,580 · median $35,695 5 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $12,892 – $35,695 · median $35,695 5 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $12,892 – $35,695 · median $35,695 5 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $12,892 – $35,695 · median $35,695 5 plans
265 AICD LEAD PROCEDURES $12,892 – $80,554 · median $80,554 5 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $12,892 – $131,937 · median $71,389 5 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $12,892 – $102,494 · median $71,389 5 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $12,892 – $119,868 · median $31,916 5 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $12,892 – $74,513 · median $31,916 5 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $12,892 – $90,369 · median $31,916 5 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $12,892 – $59,978 · median $31,916 5 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $12,892 – $42,957 · median $31,916 5 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $12,892 – $68,865 · median $31,704 5 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $12,892 – $46,939 · median $31,704 5 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $12,892 – $150,109 · median $79,788 5 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $12,892 – $117,765 · median $71,389 5 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $12,892 – $99,431 · median $72,833 5 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $10,744 – $28,641 · median $28,641 5 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $10,744 – $28,641 · median $28,641 5 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $10,744 – $28,641 · median $28,641 5 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $10,744 – $28,641 · median $28,641 5 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $10,744 – $28,641 · median $28,641 5 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $9,599 – $28,641 · median $28,641 5 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $12,892 – $61,939 · median $61,939 5 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $12,892 – $37,795 · median $37,795 5 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,892 – $37,795 · median $37,795 5 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $12,892 – $37,795 · median $37,795 5 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $12,892 – $70,573 · median $58,790 5 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $12,892 – $58,790 · median $58,790 5 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $12,892 – $58,772 · median $38,842 5 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $12,892 – $47,035 · median $38,842 5 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $12,892 – $38,842 · median $38,842 5 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $12,892 – $38,842 · median $38,842 5 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $12,892 – $37,795 · median $37,795 5 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $12,892 – $37,795 · median $37,795 5 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $12,892 – $37,795 · median $37,795 5 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $12,892 – $38,488 · median $38,488 5 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $12,892 – $32,221 · median $32,221 5 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,892 – $32,221 · median $32,221 5 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,892 – $32,221 · median $32,221 5 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,892 – $32,221 · median $32,221 5 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $12,892 – $27,199 · median $26,852 5 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $12,892 – $27,199 · median $26,852 5 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $12,892 – $26,852 · median $26,852 5 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $12,892 – $42,960 · median $42,960 5 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $12,892 – $42,960 · median $42,960 5 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $12,892 – $32,221 · median $32,221 5 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $12,892 – $25,198 · median $25,198 5 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $12,892 – $25,198 · median $25,198 5 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $12,892 – $25,198 · median $25,198 5 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $12,892 – $33,117 · median $33,117 5 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $12,892 – $33,117 · median $33,117 5 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $10,731 – $26,246 · median $26,246 5 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $12,892 – $26,246 · median $26,246 5 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $12,892 – $26,246 · median $26,246 5 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $10,744 – $35,801 · median $35,801 5 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $10,744 – $35,801 · median $35,801 5 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $10,744 – $35,801 · median $35,801 5 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $12,892 – $105,210 · median $44,575 4 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $12,892 – $58,790 · median $58,790 4 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $12,892 – $58,790 · median $58,790 4 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $12,892 – $58,790 · median $58,790 4 plans
693 URINARY STONES WITH MCC $10,744 – $21,034 · median $21,034 4 plans
694 URINARY STONES WITHOUT MCC $10,744 – $21,034 · median $21,034 4 plans
133 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC $38,488 – $38,488 · median $38,488 3 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC Circulatory Disorders except AMI, w/ Cardiac Cath, w/ MCC, w/out MCC $15,119 – $15,119 · median $15,119 3 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC Cardiac Cath Procedures $20,587 – $20,587 · median $20,587 3 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $12,892 – $14,000 · median $13,446 2 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $12,892 – $14,000 · median $13,446 2 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $10,744 – $11,090 · median $10,917 2 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $10,744 – $11,090 · median $10,917 2 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $10,744 – $11,090 · median $10,917 2 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $10,744 – $11,090 · median $10,917 2 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $10,744 – $11,090 · median $10,917 2 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $10,744 – $11,090 · median $10,917 2 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $10,744 – $11,090 · median $10,917 2 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
075 VIRAL MENINGITIS WITH CC/MCC $10,744 – $11,090 · median $10,917 2 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $10,744 – $11,090 · median $10,917 2 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $10,744 – $11,090 · median $10,917 2 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,744 – $11,090 · median $10,917 2 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $10,744 – $11,090 · median $10,917 2 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $10,744 – $11,090 · median $10,917 2 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
088 CONCUSSION WITH MCC $10,744 – $11,090 · median $10,917 2 plans
089 CONCUSSION WITH CC $10,744 – $11,090 · median $10,917 2 plans
090 CONCUSSION WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $10,744 – $11,090 · median $10,917 2 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $10,744 – $11,090 · median $10,917 2 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $10,744 – $11,090 · median $10,917 2 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $10,744 – $11,090 · median $10,917 2 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $10,744 – $11,090 · median $10,917 2 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
100 SEIZURES WITH MCC $10,744 – $11,090 · median $10,917 2 plans
101 SEIZURES WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
102 HEADACHES WITH MCC $10,744 – $11,090 · median $10,917 2 plans
103 HEADACHES WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
113 ORBITAL PROCEDURES WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $12,892 – $14,000 · median $13,446 2 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $10,744 – $11,090 · median $10,917 2 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
123 NEUROLOGICAL EYE DISORDERS $10,744 – $11,090 · median $10,917 2 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $10,744 – $11,090 · median $10,917 2 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
137 MOUTH PROCEDURES WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
139 SALIVARY GLAND PROCEDURES $12,892 – $14,000 · median $13,446 2 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $10,744 – $11,090 · median $10,917 2 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $10,744 – $11,090 · median $10,917 2 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
149 DYSEQUILIBRIUM $10,744 – $11,090 · median $10,917 2 plans
150 EPISTAXIS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
151 EPISTAXIS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
152 OTITIS MEDIA AND URI WITH MCC $10,744 – $11,090 · median $10,917 2 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $10,744 – $11,090 · median $10,917 2 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $10,744 – $11,090 · median $10,917 2 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
157 DENTAL AND ORAL DISEASES WITH MCC $10,744 – $11,090 · median $10,917 2 plans
158 DENTAL AND ORAL DISEASES WITH CC $10,744 – $11,090 · median $10,917 2 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
163 MAJOR CHEST PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
164 MAJOR CHEST PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $12,892 – $14,000 · median $13,446 2 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,744 – $11,090 · median $10,917 2 plans
176 PULMONARY EMBOLISM WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $10,744 – $11,090 · median $10,917 2 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
180 RESPIRATORY NEOPLASMS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
181 RESPIRATORY NEOPLASMS WITH CC $10,744 – $11,090 · median $10,917 2 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,744 – $11,090 · median $10,917 2 plans
184 MAJOR CHEST TRAUMA WITH CC $10,744 – $11,090 · median $10,917 2 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
186 PLEURAL EFFUSION WITH MCC $10,744 – $11,090 · median $10,917 2 plans
187 PLEURAL EFFUSION WITH CC $10,744 – $11,090 · median $10,917 2 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $10,744 – $11,090 · median $10,917 2 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $10,744 – $11,090 · median $10,917 2 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $10,744 – $11,090 · median $10,917 2 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $10,744 – $11,090 · median $10,917 2 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $10,744 – $11,090 · median $10,917 2 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $10,744 – $11,090 · median $10,917 2 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $10,744 – $11,090 · median $10,917 2 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
199 PNEUMOTHORAX WITH MCC $10,744 – $11,090 · median $10,917 2 plans
200 PNEUMOTHORAX WITH CC $10,744 – $11,090 · median $10,917 2 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $10,744 – $11,090 · median $10,917 2 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $10,744 – $11,090 · median $10,917 2 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $10,744 – $11,090 · median $10,917 2 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS — 2 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $10,744 – $11,090 · median $10,917 2 plans
209 COMPLEX AORTIC ARCH PROCEDURES $12,892 – $136,500 · median $74,696 2 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES — 2 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $12,892 – $115,593 · median $64,243 2 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $12,892 – $14,000 · median $13,446 2 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $12,892 – $14,000 · median $13,446 2 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $12,892 – $14,000 · median $13,446 2 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $12,892 – $14,000 · median $13,446 2 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,892 – $14,000 · median $13,446 2 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
263 VEIN LIGATION AND STRIPPING $12,892 – $32,780 · median $22,836 2 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $12,892 – $54,438 · median $33,665 2 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $12,892 – $44,697 · median $28,795 2 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $12,892 – $44,697 · median $28,795 2 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $10,744 – $33,562 · median $22,153 2 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $10,744 – $14,902 · median $12,823 2 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $10,744 – $12,894 · median $11,819 2 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $10,744 – $58,261 · median $34,503 2 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $10,744 – $36,747 · median $23,746 2 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $10,744 – $20,015 · median $15,380 2 plans
291 HEART FAILURE AND SHOCK WITH MCC $10,744 – $23,626 · median $17,185 2 plans
292 HEART FAILURE AND SHOCK WITH CC $10,744 – $18,278 · median $14,511 2 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $10,744 – $12,185 · median $11,465 2 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $10,744 – $11,090 · median $10,917 2 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $10,744 – $11,090 · median $10,917 2 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
302 ATHEROSCLEROSIS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
303 ATHEROSCLEROSIS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
304 HYPERTENSION WITH MCC $10,744 – $11,090 · median $10,917 2 plans
305 HYPERTENSION WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $10,744 – $11,090 · median $10,917 2 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
311 ANGINA PECTORIS $10,744 – $11,090 · median $10,917 2 plans
312 SYNCOPE AND COLLAPSE $10,744 – $11,090 · median $10,917 2 plans
313 CHEST PAIN $10,744 – $14,700 · median $12,722 2 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $10,744 – $11,090 · median $10,917 2 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $10,744 – $11,090 · median $10,917 2 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $12,892 – $99,423 · median $56,158 2 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $12,892 – $82,601 · median $47,747 2 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $12,892 – $96,081 · median $54,487 2 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $12,892 – $51,783 · median $32,338 2 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $12,892 – $14,000 · median $13,446 2 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $12,892 – $14,000 · median $13,446 2 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
332 RECTAL RESECTION WITH MCC $12,892 – $14,000 · median $13,446 2 plans
333 RECTAL RESECTION WITH CC $12,892 – $14,000 · median $13,446 2 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $12,892 – $14,000 · median $13,446 2 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $12,892 – $14,000 · median $13,446 2 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $12,892 – $14,000 · median $13,446 2 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,892 – $14,000 · median $13,446 2 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $12,892 – $102,088 · median $57,490 2 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $12,892 – $82,332 · median $47,612 2 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $10,744 – $11,090 · median $10,917 2 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $10,744 – $11,090 · median $10,917 2 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
374 DIGESTIVE MALIGNANCY WITH MCC $10,744 – $11,090 · median $10,917 2 plans
375 DIGESTIVE MALIGNANCY WITH CC $10,744 – $11,090 · median $10,917 2 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $10,744 – $11,090 · median $10,917 2 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $10,744 – $11,090 · median $10,917 2 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $10,744 – $11,090 · median $10,917 2 plans
381 COMPLICATED PEPTIC ULCER WITH CC $10,744 – $11,090 · median $10,917 2 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $10,744 – $11,090 · median $10,917 2 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,744 – $11,090 · median $10,917 2 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $10,744 – $11,090 · median $10,917 2 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,744 – $11,090 · median $10,917 2 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $10,744 – $11,090 · median $10,917 2 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $10,744 – $11,090 · median $10,917 2 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $10,744 – $11,090 · median $10,917 2 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
397 APPENDIX PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
398 APPENDIX PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $12,892 – $14,000 · median $13,446 2 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $12,892 – $14,000 · median $13,446 2 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $12,892 – $14,000 · median $13,446 2 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $12,892 – $14,000 · median $13,446 2 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $12,892 – $14,000 · median $13,446 2 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $12,892 – $14,000 · median $13,446 2 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $12,892 – $14,000 · median $13,446 2 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $10,744 – $11,090 · median $10,917 2 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $10,744 – $11,090 · median $10,917 2 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $10,744 – $11,090 · median $10,917 2 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $10,744 – $11,090 · median $10,917 2 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $10,744 – $11,090 · median $10,917 2 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $10,744 – $11,090 · median $10,917 2 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $10,744 – $11,090 · median $10,917 2 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $10,744 – $11,090 · median $10,917 2 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $12,892 – $70,745 · median $41,819 2 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $12,892 – $41,542 · median $27,217 2 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $12,892 – $24,323 · median $18,608 2 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $12,892 – $14,000 · median $13,446 2 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $12,892 – $14,000 · median $13,446 2 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $12,892 – $14,000 · median $13,446 2 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,892 – $14,000 · median $13,446 2 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $12,892 – $14,000 · median $13,446 2 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $12,892 – $43,041 · median $27,967 2 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $12,892 – $29,354 · median $21,123 2 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $12,892 – $29,354 · median $21,123 2 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $12,892 – $26,761 · median $19,827 2 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $12,892 – $30,960 · median $21,926 2 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $12,892 – $24,059 · median $18,476 2 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $12,892 – $16,115 · median $14,504 2 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $12,892 – $14,000 · median $13,446 2 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $12,892 – $14,000 · median $13,446 2 plans
500 SOFT TISSUE PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
501 SOFT TISSUE PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
503 FOOT PROCEDURES WITH MCC $12,892 – $29,633 · median $21,263 2 plans
504 FOOT PROCEDURES WITH CC $12,892 – $24,930 · median $18,911 2 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $12,892 – $23,911 · median $18,402 2 plans
506 MAJOR THUMB OR JOINT PROCEDURES $12,892 – $14,000 · median $13,446 2 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $12,892 – $24,092 · median $18,492 2 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $12,892 – $20,198 · median $16,545 2 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $12,892 – $36,282 · median $24,587 2 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $12,892 – $28,244 · median $20,568 2 plans
533 FRACTURES OF FEMUR WITH MCC $10,744 – $11,090 · median $10,917 2 plans
534 FRACTURES OF FEMUR WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $10,744 – $11,090 · median $10,917 2 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
539 OSTEOMYELITIS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
540 OSTEOMYELITIS WITH CC $10,744 – $11,090 · median $10,917 2 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $10,744 – $11,090 · median $10,917 2 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $10,744 – $11,090 · median $10,917 2 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $10,744 – $11,090 · median $10,917 2 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $10,744 – $11,090 · median $10,917 2 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
548 SEPTIC ARTHRITIS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
549 SEPTIC ARTHRITIS WITH CC $10,744 – $11,090 · median $10,917 2 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
551 MEDICAL BACK PROBLEMS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $10,744 – $11,090 · median $10,917 2 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,744 – $11,090 · median $10,917 2 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,744 – $11,090 · median $10,917 2 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,744 – $11,090 · median $10,917 2 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $10,744 – $11,090 · median $10,917 2 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $10,744 – $11,090 · median $10,917 2 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $10,744 – $11,090 · median $10,917 2 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $10,744 – $11,090 · median $10,917 2 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
570 SKIN DEBRIDEMENT WITH MCC $12,892 – $14,000 · median $13,446 2 plans
571 SKIN DEBRIDEMENT WITH CC $12,892 – $14,000 · median $13,446 2 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $12,892 – $14,000 · median $13,446 2 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $12,892 – $14,000 · median $13,446 2 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $12,892 – $14,000 · median $13,446 2 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $12,892 – $14,000 · median $13,446 2 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
592 SKIN ULCERS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
593 SKIN ULCERS WITH CC $10,744 – $11,090 · median $10,917 2 plans
594 SKIN ULCERS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
595 MAJOR SKIN DISORDERS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
598 MALIGNANT BREAST DISORDERS WITH CC $10,744 – $11,090 · median $10,917 2 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $10,744 – $11,090 · median $10,917 2 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
602 CELLULITIS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
603 CELLULITIS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,744 – $11,090 · median $10,917 2 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
606 MINOR SKIN DISORDERS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $12,892 – $14,000 · median $13,446 2 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $12,892 – $14,000 · median $13,446 2 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $12,892 – $14,000 · median $13,446 2 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $12,892 – $14,000 · median $13,446 2 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $12,892 – $14,000 · median $13,446 2 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $12,892 – $14,000 · median $13,446 2 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
637 DIABETES WITH MCC $10,744 – $11,090 · median $10,917 2 plans
638 DIABETES WITH CC $10,744 – $11,090 · median $10,917 2 plans
639 DIABETES WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $10,744 – $11,090 · median $10,917 2 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $10,744 – $11,090 · median $10,917 2 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $10,744 – $11,090 · median $10,917 2 plans
643 ENDOCRINE DISORDERS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
644 ENDOCRINE DISORDERS WITH CC $10,744 – $11,090 · median $10,917 2 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
654 MAJOR BLADDER PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $12,892 – $14,000 · median $13,446 2 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $12,892 – $14,000 · median $13,446 2 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $12,892 – $20,054 · median $16,473 2 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $12,892 – $33,889 · median $23,391 2 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $12,892 – $17,628 · median $15,260 2 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $12,892 – $13,809 · median $13,351 2 plans
662 MINOR BLADDER PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
663 MINOR BLADDER PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
665 PROSTATECTOMY WITH MCC $12,892 – $14,000 · median $13,446 2 plans
666 PROSTATECTOMY WITH CC $12,892 – $14,000 · median $13,446 2 plans
667 PROSTATECTOMY WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
669 TRANSURETHRAL PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
671 URETHRAL PROCEDURES WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
682 RENAL FAILURE WITH MCC $10,744 – $11,090 · median $10,917 2 plans
683 RENAL FAILURE WITH CC $10,744 – $11,090 · median $10,917 2 plans
684 RENAL FAILURE WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $10,744 – $11,090 · median $10,917 2 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
697 URETHRAL STRICTURE $10,744 – $11,090 · median $10,917 2 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $10,744 – $11,090 · median $10,917 2 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $10,744 – $11,090 · median $10,917 2 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
709 PENIS PROCEDURES WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
711 TESTES PROCEDURES WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $10,744 – $11,090 · median $10,917 2 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $10,744 – $11,090 · median $10,917 2 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $10,744 – $11,090 · median $10,917 2 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,744 – $11,090 · median $10,917 2 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $10,744 – $11,090 · median $10,917 2 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $12,892 – $14,000 · median $13,446 2 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $12,892 – $14,000 · median $13,446 2 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $12,892 – $46,301 · median $29,597 2 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $12,892 – $24,135 · median $18,514 2 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $12,892 – $14,657 · median $13,775 2 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,744 – $11,090 · median $10,917 2 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $10,744 – $11,090 · median $10,917 2 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,744 – $11,090 · median $10,917 2 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $10,744 – $11,090 · median $10,917 2 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $10,744 – $11,090 · median $10,917 2 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $12,892 – $14,000 · median $13,446 2 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $12,892 – $14,000 · median $13,446 2 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $10,744 – $11,090 · median $10,917 2 plans
779 ABORTION WITHOUT D&C $10,744 – $11,090 · median $10,917 2 plans
799 SPLENIC PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
800 SPLENIC PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $12,892 – $14,000 · median $13,446 2 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,892 – $14,000 · median $13,446 2 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $10,744 – $11,090 · median $10,917 2 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $10,744 – $11,090 · median $10,917 2 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $10,744 – $11,090 · median $10,917 2 plans
811 RED BLOOD CELL DISORDERS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
813 COAGULATION DISORDERS $10,744 – $11,090 · median $10,917 2 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $10,744 – $11,090 · median $10,917 2 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $12,892 – $14,000 · median $13,446 2 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $12,892 – $14,000 · median $13,446 2 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $12,892 – $14,000 · median $13,446 2 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $12,892 – $14,000 · median $13,446 2 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $12,892 – $14,000 · median $13,446 2 plans
834 ACUTE LEUKEMIA WITH MCC $10,744 – $11,090 · median $10,917 2 plans
835 ACUTE LEUKEMIA WITH CC $10,744 – $11,090 · median $10,917 2 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $10,744 – $11,090 · median $10,917 2 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $10,744 – $11,090 · median $10,917 2 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $10,744 – $11,090 · median $10,917 2 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $10,744 – $11,090 · median $10,917 2 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $10,744 – $11,090 · median $10,917 2 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $10,744 – $11,090 · median $10,917 2 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $10,744 – $11,090 · median $10,917 2 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,744 – $11,090 · median $10,917 2 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
849 RADIOTHERAPY $10,744 – $11,090 · median $10,917 2 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES — 2 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $12,892 – $14,000 · median $13,446 2 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
864 FEVER AND INFLAMMATORY CONDITIONS $10,744 – $11,090 · median $10,917 2 plans
865 VIRAL ILLNESS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
866 VIRAL ILLNESS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $10,744 – $11,090 · median $10,917 2 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $10,744 – $11,090 · median $10,917 2 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,892 – $14,000 · median $13,446 2 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
906 HAND PROCEDURES FOR INJURIES $12,892 – $14,000 · median $13,446 2 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $12,892 – $14,000 · median $13,446 2 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
913 TRAUMATIC INJURY WITH MCC $10,744 – $11,090 · median $10,917 2 plans
914 TRAUMATIC INJURY WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
915 ALLERGIC REACTIONS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
916 ALLERGIC REACTIONS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $10,744 – $11,090 · median $10,917 2 plans
920 COMPLICATIONS OF TREATMENT WITH CC $10,744 – $11,090 · median $10,917 2 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $10,744 – $11,090 · median $10,917 2 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT — 2 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $12,892 – $14,000 · median $13,446 2 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $10,744 – $11,090 · median $10,917 2 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $10,744 – $11,090 · median $10,917 2 plans
935 NON-EXTENSIVE BURNS $10,744 – $11,090 · median $10,917 2 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $12,892 – $14,000 · median $13,446 2 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $12,892 – $14,000 · median $13,446 2 plans
947 SIGNS AND SYMPTOMS WITH MCC $10,744 – $11,090 · median $10,917 2 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $10,744 – $11,090 · median $10,917 2 plans
949 AFTERCARE WITH CC/MCC $10,744 – $11,090 · median $10,917 2 plans
950 AFTERCARE WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $10,744 – $11,090 · median $10,917 2 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $12,892 – $14,000 · median $13,446 2 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $12,892 – $14,000 · median $13,446 2 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $12,892 – $14,000 · median $13,446 2 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $12,892 – $14,000 · median $13,446 2 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $10,744 – $11,090 · median $10,917 2 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,744 – $11,090 · median $10,917 2 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $12,892 – $14,000 · median $13,446 2 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $12,892 – $14,000 · median $13,446 2 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $10,744 – $11,090 · median $10,917 2 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,744 – $11,090 · median $10,917 2 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $10,744 – $11,090 · median $10,917 2 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,744 – $11,090 · median $10,917 2 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $12,892 – $14,000 · median $13,446 2 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,892 – $14,000 · median $13,446 2 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $12,892 – $14,000 · median $13,446 2 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,892 – $14,000 · median $13,446 2 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,892 – $14,000 · median $13,446 2 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $362,250 – $362,250 · median $362,250 1 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $243,960 – $243,960 · median $243,960 1 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH $283,086 – $283,086 · median $283,086 1 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC $184,740 – $184,740 · median $184,740 1 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 1 plans
006 LIVER TRANSPLANT WITHOUT MCC $12,892 – $12,892 · median $12,892 1 plans
007 LUNG TRANSPLANT — 1 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $12,892 – $12,892 · median $12,892 1 plans
010 PANCREAS TRANSPLANT $12,892 – $12,892 · median $12,892 1 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 1 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 1 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $10,744 – $10,744 · median $10,744 1 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 1 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 1 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $12,892 – $12,892 · median $12,892 1 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $12,892 – $12,892 · median $12,892 1 plans
652 KIDNEY TRANSPLANT $12,892 – $12,892 · median $12,892 1 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $12,892 – $12,892 · median $12,892 1 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $12,892 – $12,892 · median $12,892 1 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,892 – $12,892 · median $12,892 1 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $10,744 – $10,744 · median $10,744 1 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $10,744 – $10,744 · median $10,744 1 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $10,744 – $10,744 · median $10,744 1 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $14,000 – $14,000 · median $14,000 1 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $11,090 – $11,090 · median $11,090 1 plans
881 DEPRESSIVE NEUROSES $11,090 – $11,090 · median $11,090 1 plans
882 NEUROSES EXCEPT DEPRESSIVE $11,090 – $11,090 · median $11,090 1 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $11,090 – $11,090 · median $11,090 1 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $11,090 – $11,090 · median $11,090 1 plans
885 PSYCHOSES $11,090 – $11,090 · median $11,090 1 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $11,090 – $11,090 · median $11,090 1 plans
887 OTHER MENTAL DISORDER DIAGNOSES $11,090 – $11,090 · median $11,090 1 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $11,090 – $11,090 · median $11,090 1 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $11,090 – $11,090 · median $11,090 1 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $11,090 – $11,090 · median $11,090 1 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $11,090 – $11,090 · median $11,090 1 plans
945 REHABILITATION WITH CC/MCC $10,744 – $10,744 · median $10,744 1 plans
946 REHABILITATION WITHOUT CC/MCC $10,744 – $10,744 · median $10,744 1 plans
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