SGMC Health - Berrien — Pricing

770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770
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 770 procedures

Procedures with negotiated rates only

These 770 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
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $13,000 – $30,417 · median $22,306 4 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $13,000 – $34,321 · median $25,169 4 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $13,000 – $28,646 · median $21,007 4 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $189,659 – $284,488 · median $227,591 3 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $83,360 – $125,040 · median $100,032 3 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $146,363 – $219,545 · median $175,636 3 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $99,405 – $149,108 · median $119,286 3 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $76,856 – $115,284 · median $92,227 3 plans
006 LIVER TRANSPLANT WITHOUT MCC $40,726 – $61,089 · median $48,871 3 plans
007 LUNG TRANSPLANT $93,666 – $140,499 · median $112,400 3 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $46,888 – $70,332 · median $56,265 3 plans
010 PANCREAS TRANSPLANT $56,893 – $85,340 · median $68,272 3 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $45,929 – $68,894 · median $55,115 3 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $38,045 – $57,067 · median $45,654 3 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $29,549 – $44,323 · median $35,458 3 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $87,729 – $131,594 · median $105,275 3 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $48,958 – $73,437 · median $58,750 3 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $45,791 – $68,686 · median $54,949 3 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $286,194 – $429,291 · median $343,433 3 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $56,631 – $84,947 · median $67,958 3 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $61,307 – $91,960 · median $73,568 3 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $44,909 – $67,363 · median $53,890 3 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $31,431 – $47,146 · median $37,717 3 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $47,688 – $71,533 · median $57,226 3 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $36,108 – $54,163 · median $43,330 3 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $40,151 – $60,226 · median $48,181 3 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $30,997 – $46,495 · median $37,196 3 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $27,263 – $40,894 · median $32,716 3 plans
028 SPINAL PROCEDURES WITH MCC $49,459 – $74,188 · median $59,351 3 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $32,922 – $49,384 · median $39,507 3 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $25,176 – $37,764 · median $30,211 3 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $39,729 – $59,594 · median $47,675 3 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $24,767 – $37,151 · median $29,721 3 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $21,786 – $32,679 · median $26,144 3 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $35,846 – $53,769 · median $43,015 3 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $26,420 – $39,630 · median $31,704 3 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $23,569 – $35,353 · median $28,282 3 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $32,161 – $48,242 · median $38,594 3 plans
038 EXTRACRANIAL PROCEDURES WITH CC $21,530 – $32,294 · median $25,836 3 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $18,682 – $28,024 · median $22,419 3 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $35,786 – $53,678 · median $42,943 3 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $25,198 – $37,798 · median $30,238 3 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $22,199 – $33,298 · median $26,639 3 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $22,731 – $34,097 · median $27,278 3 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $17,432 – $26,149 · median $20,919 3 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $20,920 – $31,380 · median $25,104 3 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $17,690 – $26,534 · median $21,228 3 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $25,991 – $38,986 · median $31,189 3 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $19,447 – $29,171 · median $23,337 3 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $22,083 – $33,125 · median $26,500 3 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $19,099 – $28,648 · median $22,919 3 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $17,054 – $25,581 · median $20,465 3 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $28,754 – $43,132 · median $34,505 3 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $22,387 – $33,580 · median $26,864 3 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $20,136 – $30,204 · median $24,164 3 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $24,003 – $36,005 · median $28,804 3 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $17,630 – $26,446 · median $21,156 3 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $15,555 – $23,332 · median $18,666 3 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $20,550 – $30,824 · median $24,660 3 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $16,701 – $25,052 · median $20,042 3 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $16,284 – $24,425 · median $19,540 3 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $21,798 – $32,698 · median $26,158 3 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $17,730 – $26,596 · median $21,276 3 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $16,012 – $24,018 · median $19,215 3 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $21,413 – $32,120 · median $25,696 3 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $17,761 – $26,641 · median $21,313 3 plans
075 VIRAL MENINGITIS WITH CC/MCC $23,408 – $35,111 · median $28,089 3 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $16,452 – $24,677 · median $19,742 3 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $22,723 – $34,085 · median $27,268 3 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $16,900 – $25,350 · median $20,280 3 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $25,752 – $38,628 · median $30,902 3 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $20,085 – $30,128 · median $24,102 3 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $17,283 – $25,925 · median $20,740 3 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $25,665 – $38,497 · median $30,797 3 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $19,492 – $29,239 · median $23,391 3 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $17,022 – $25,532 · median $20,426 3 plans
088 CONCUSSION WITH MCC $19,805 – $29,708 · median $23,766 3 plans
089 CONCUSSION WITH CC $18,193 – $27,289 · median $21,831 3 plans
090 CONCUSSION WITHOUT CC/MCC $16,439 – $24,658 · median $19,727 3 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $22,380 – $33,571 · median $26,857 3 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $17,711 – $26,567 · median $21,254 3 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $16,268 – $24,401 · median $19,521 3 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $33,609 – $50,413 · median $40,331 3 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $27,621 – $41,432 · median $33,146 3 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $27,621 – $41,432 · median $33,146 3 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $34,197 – $51,296 · median $41,037 3 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $25,811 – $38,717 · median $30,973 3 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $19,873 – $29,809 · median $23,847 3 plans
100 SEIZURES WITH MCC $23,531 – $35,296 · median $28,237 3 plans
101 SEIZURES WITHOUT MCC $16,945 – $25,417 · median $20,333 3 plans
102 HEADACHES WITH MCC $18,335 – $27,502 · median $22,002 3 plans
103 HEADACHES WITHOUT MCC $16,522 – $24,783 · median $19,827 3 plans
113 ORBITAL PROCEDURES WITH CC/MCC $26,169 – $39,253 · median $31,403 3 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $19,813 – $29,719 · median $23,775 3 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $20,971 – $31,457 · median $25,165 3 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $22,711 – $34,066 · median $27,253 3 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $18,105 – $27,158 · median $21,727 3 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $18,605 – $27,907 · median $22,326 3 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $16,201 – $24,301 · median $19,441 3 plans
123 NEUROLOGICAL EYE DISORDERS $16,282 – $24,423 · median $19,539 3 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $19,622 – $29,434 · median $23,547 3 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $16,086 – $24,129 · median $19,303 3 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $25,016 – $37,523 · median $30,019 3 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $17,662 – $26,493 · median $21,195 3 plans
137 MOUTH PROCEDURES WITH CC/MCC $20,706 – $31,058 · median $24,847 3 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $16,840 – $25,260 · median $20,208 3 plans
139 SALIVARY GLAND PROCEDURES $19,066 – $28,599 · median $22,879 3 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $38,359 – $57,538 · median $46,031 3 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $25,086 – $37,629 · median $30,104 3 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $21,363 – $32,044 · median $25,635 3 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $35,056 – $52,584 · median $42,067 3 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $22,232 – $33,348 · median $26,678 3 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $18,853 – $28,280 · median $22,624 3 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $24,681 – $37,021 · median $29,617 3 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $19,294 – $28,941 · median $23,153 3 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $16,273 – $24,409 · median $19,527 3 plans
149 DYSEQUILIBRIUM $15,983 – $23,974 · median $19,180 3 plans
150 EPISTAXIS WITH MCC $19,676 – $29,514 · median $23,611 3 plans
151 EPISTAXIS WITHOUT MCC $15,871 – $23,806 · median $19,045 3 plans
152 OTITIS MEDIA AND URI WITH MCC $18,725 – $28,088 · median $22,470 3 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $15,898 – $23,846 · median $19,077 3 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $21,153 – $31,730 · median $25,384 3 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $17,033 – $25,550 · median $20,440 3 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $15,598 – $23,396 · median $18,717 3 plans
157 DENTAL AND ORAL DISEASES WITH MCC $22,130 – $33,194 · median $26,555 3 plans
158 DENTAL AND ORAL DISEASES WITH CC $16,990 – $25,486 · median $20,388 3 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $15,708 – $23,563 · median $18,850 3 plans
163 MAJOR CHEST PROCEDURES WITH MCC $39,738 – $59,606 · median $47,685 3 plans
164 MAJOR CHEST PROCEDURES WITH CC $27,270 – $40,905 · median $32,724 3 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $23,387 – $35,080 · median $28,064 3 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $34,999 – $52,499 · median $41,999 3 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $22,681 – $34,022 · median $27,217 3 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $19,898 – $29,847 · median $23,878 3 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $30,151 – $45,226 · median $36,181 3 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $19,944 – $29,916 · median $23,933 3 plans
176 PULMONARY EMBOLISM WITHOUT MCC $16,323 – $24,484 · median $19,588 3 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $21,148 – $31,722 · median $25,378 3 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $17,412 – $26,118 · median $20,894 3 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $16,005 – $24,007 · median $19,205 3 plans
180 RESPIRATORY NEOPLASMS WITH MCC $22,443 – $33,664 · median $26,931 3 plans
181 RESPIRATORY NEOPLASMS WITH CC $18,017 – $27,025 · median $21,620 3 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $15,997 – $23,995 · median $19,196 3 plans
183 MAJOR CHEST TRAUMA WITH MCC $20,939 – $31,409 · median $25,127 3 plans
184 MAJOR CHEST TRAUMA WITH CC $17,973 – $26,960 · median $21,568 3 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $16,205 – $24,308 · median $19,446 3 plans
186 PLEURAL EFFUSION WITH MCC $21,121 – $31,682 · median $25,346 3 plans
187 PLEURAL EFFUSION WITH CC $17,495 – $26,243 · median $20,994 3 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $15,764 – $23,646 · median $18,917 3 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $19,064 – $28,596 · median $22,877 3 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $18,251 – $27,376 · median $21,901 3 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $16,565 – $24,847 · median $19,878 3 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $15,285 – $22,927 · median $18,342 3 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $19,567 – $29,350 · median $23,480 3 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $16,329 – $24,493 · median $19,594 3 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $15,199 – $22,799 · median $18,239 3 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $23,215 – $34,822 · median $27,858 3 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $17,241 – $25,861 · median $20,689 3 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $15,758 – $23,636 · median $18,909 3 plans
199 PNEUMOTHORAX WITH MCC $22,431 – $33,646 · median $26,917 3 plans
200 PNEUMOTHORAX WITH CC $18,197 – $27,296 · median $21,837 3 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $15,750 – $23,626 · median $18,901 3 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $17,381 – $26,072 · median $20,858 3 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $15,463 – $23,195 · median $18,556 3 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $16,338 – $24,507 · median $19,606 3 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $22,857 – $34,285 · median $27,428 3 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $17,190 – $25,785 · median $20,628 3 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $52,174 – $78,261 · median $62,609 3 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $28,701 – $43,051 · median $34,441 3 plans
209 COMPLEX AORTIC ARCH PROCEDURES $83,277 – $124,916 · median $99,933 3 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $80,445 – $120,668 · median $96,534 3 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $47,539 – $71,309 · median $57,047 3 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $74,605 – $111,907 · median $89,526 3 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $73,496 – $110,243 · median $88,195 3 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $53,070 – $79,604 · median $63,683 3 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $53,070 – $79,604 · median $63,683 3 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $60,094 – $90,141 · median $72,112 3 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $45,157 – $67,736 · median $54,188 3 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $43,294 – $64,941 · median $51,952 3 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $42,703 – $64,054 · median $51,243 3 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $31,253 – $46,880 · median $37,504 3 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $64,880 – $97,320 · median $77,856 3 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $49,805 – $74,707 · median $59,765 3 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $59,883 – $89,824 · median $71,859 3 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $45,984 – $68,976 · median $55,181 3 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $48,569 – $72,854 · median $58,283 3 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $37,872 – $56,808 · median $45,446 3 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $42,539 – $63,809 · median $51,047 3 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $29,349 – $44,024 · median $35,219 3 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $20,013 – $30,019 · median $24,015 3 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $31,529 – $47,294 · median $37,835 3 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $24,767 – $37,150 · median $29,720 3 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $22,707 – $34,061 · median $27,249 3 plans
245 AICD GENERATOR PROCEDURES $40,251 – $60,376 · median $48,301 3 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $25,095 – $37,643 · median $30,114 3 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $20,714 – $31,071 · median $24,857 3 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $33,411 – $50,116 · median $40,093 3 plans
253 OTHER VASCULAR PROCEDURES WITH CC $27,726 – $41,589 · median $33,271 3 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $22,543 – $33,814 · median $27,051 3 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $28,374 – $42,561 · median $34,049 3 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $22,009 – $33,014 · median $26,411 3 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $18,152 – $27,228 · median $21,782 3 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $31,206 – $46,809 · median $37,447 3 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $24,074 – $36,111 · median $28,889 3 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $31,911 – $47,867 · median $38,293 3 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $23,236 – $34,854 · median $27,883 3 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $21,576 – $32,364 · median $25,891 3 plans
263 VEIN LIGATION AND STRIPPING $30,667 – $46,000 · median $36,800 3 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $32,470 – $48,705 · median $38,964 3 plans
265 AICD LEAD PROCEDURES $34,238 – $51,357 · median $41,086 3 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $50,224 – $75,335 · median $60,268 3 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $41,514 – $62,272 · median $49,817 3 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $54,997 – $82,495 · median $65,996 3 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $38,091 – $57,136 · median $45,709 3 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $44,797 – $67,196 · median $53,757 3 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $33,844 – $50,766 · median $40,613 3 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $27,455 – $41,182 · median $32,946 3 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $37,469 – $56,203 · median $44,962 3 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $32,159 – $48,238 · median $38,591 3 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $56,605 – $84,907 · median $67,925 3 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $49,448 – $74,172 · median $59,338 3 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $40,608 – $60,912 · median $48,730 3 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $46,643 – $69,965 · median $55,972 3 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $34,163 – $51,244 · median $40,996 3 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $21,412 – $32,118 · median $25,694 3 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $17,050 – $25,574 · median $20,460 3 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $15,801 – $23,702 · median $18,962 3 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $23,811 – $35,716 · median $28,573 3 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $15,605 – $23,407 · median $18,726 3 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $15,011 – $22,516 · median $18,013 3 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $25,288 – $37,932 · median $30,346 3 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $18,011 – $27,017 · median $21,613 3 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $28,430 – $42,645 · median $34,116 3 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $22,066 – $33,100 · median $26,480 3 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $17,117 – $25,676 · median $20,541 3 plans
291 HEART FAILURE AND SHOCK WITH MCC $19,372 – $29,058 · median $23,247 3 plans
292 HEART FAILURE AND SHOCK WITH CC $16,603 – $24,905 · median $19,924 3 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $14,801 – $22,201 · median $17,761 3 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $21,143 – $31,715 · median $25,372 3 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $15,234 – $22,851 · median $18,281 3 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $14,095 – $21,142 · median $16,914 3 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $21,594 – $32,391 · median $25,913 3 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $17,995 – $26,992 · median $21,594 3 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $15,780 – $23,670 · median $18,936 3 plans
302 ATHEROSCLEROSIS WITH MCC $18,817 – $28,225 · median $22,580 3 plans
303 ATHEROSCLEROSIS WITHOUT MCC $15,484 – $23,225 · median $18,580 3 plans
304 HYPERTENSION WITH MCC $18,775 – $28,162 · median $22,530 3 plans
305 HYPERTENSION WITHOUT MCC $16,005 – $24,008 · median $19,206 3 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $21,232 – $31,847 · median $25,478 3 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $17,012 – $25,518 · median $20,414 3 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $18,864 – $28,296 · median $22,637 3 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $15,882 – $23,823 · median $19,058 3 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $14,802 – $22,202 · median $17,762 3 plans
311 ANGINA PECTORIS $15,666 – $23,500 · median $18,800 3 plans
312 SYNCOPE AND COLLAPSE $16,747 – $25,121 · median $20,097 3 plans
313 CHEST PAIN $15,782 – $23,673 · median $18,938 3 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $24,476 – $36,713 · median $29,371 3 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $17,331 – $25,997 · median $20,797 3 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $15,540 – $23,311 · median $18,648 3 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $53,778 – $80,667 · median $64,533 3 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $26,622 – $39,933 · median $31,946 3 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $39,617 – $59,426 · median $47,541 3 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $26,514 – $39,771 · median $31,817 3 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $28,523 – $42,785 · median $34,228 3 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $22,424 – $33,636 · median $26,908 3 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $38,754 – $58,132 · median $46,505 3 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $31,263 – $46,894 · median $37,515 3 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $31,641 – $47,462 · median $37,969 3 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $42,957 – $64,436 · median $51,549 3 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $26,762 – $40,143 · median $32,114 3 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $21,400 – $32,101 · median $25,680 3 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $40,468 – $60,702 · median $48,562 3 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $26,462 – $39,694 · median $31,755 3 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $21,914 – $32,870 · median $26,296 3 plans
332 RECTAL RESECTION WITH MCC $34,254 – $51,381 · median $41,105 3 plans
333 RECTAL RESECTION WITH CC $26,112 – $39,168 · median $31,335 3 plans
334 RECTAL RESECTION WITHOUT CC/MCC $21,627 – $32,441 · median $25,953 3 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $33,937 – $50,905 · median $40,724 3 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $24,625 – $36,938 · median $29,550 3 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $20,972 – $31,458 · median $25,166 3 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $27,644 – $41,467 · median $33,173 3 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $20,779 – $31,168 · median $24,935 3 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $18,751 – $28,126 · median $22,501 3 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $25,815 – $38,723 · median $30,979 3 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $19,531 – $29,297 · median $23,438 3 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $16,741 – $25,111 · median $20,089 3 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $27,066 – $40,598 · median $32,479 3 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $20,905 – $31,357 · median $25,086 3 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $18,633 – $27,950 · median $22,360 3 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $29,677 – $44,516 · median $35,613 3 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $21,910 – $32,866 · median $26,293 3 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $19,762 – $29,643 · median $23,714 3 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $39,171 – $58,756 · median $47,005 3 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $26,006 – $39,009 · median $31,207 3 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,099 – $30,148 · median $24,118 3 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $33,094 – $49,642 · median $39,713 3 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $26,571 – $39,857 · median $31,886 3 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $21,334 – $32,001 · median $25,601 3 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $17,566 – $26,349 · median $21,079 3 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $15,659 – $23,489 · median $18,791 3 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $22,488 – $33,732 · median $26,986 3 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $17,699 – $26,548 · median $21,238 3 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $15,829 – $23,743 · median $18,995 3 plans
374 DIGESTIVE MALIGNANCY WITH MCC $24,816 – $37,224 · median $29,780 3 plans
375 DIGESTIVE MALIGNANCY WITH CC $18,900 – $28,349 · median $22,679 3 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $17,083 – $25,624 · median $20,499 3 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $22,838 – $34,257 · median $27,405 3 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $17,442 – $26,163 · median $20,930 3 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $15,211 – $22,817 · median $18,253 3 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $23,692 – $35,538 · median $28,431 3 plans
381 COMPLICATED PEPTIC ULCER WITH CC $18,097 – $27,145 · median $21,716 3 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $16,295 – $24,442 · median $19,554 3 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $19,989 – $29,984 · median $23,987 3 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $16,640 – $24,960 · median $19,968 3 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $21,273 – $31,910 · median $25,528 3 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $17,414 – $26,121 · median $20,897 3 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $15,535 – $23,303 · median $18,642 3 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $20,601 – $30,902 · median $24,721 3 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $16,226 – $24,339 · median $19,471 3 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $14,661 – $21,991 · median $17,593 3 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $19,273 – $28,910 · median $23,128 3 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $16,161 – $24,242 · median $19,393 3 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $21,381 – $32,072 · median $25,658 3 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $17,155 – $25,733 · median $20,586 3 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $15,330 – $22,994 · median $18,395 3 plans
397 APPENDIX PROCEDURES WITH MCC $26,448 – $39,672 · median $31,737 3 plans
398 APPENDIX PROCEDURES WITH CC $20,836 – $31,253 · median $25,003 3 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $18,486 – $27,729 · median $22,184 3 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $36,800 – $55,200 · median $44,160 3 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $46,034 – $69,051 · median $55,241 3 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $29,666 – $44,499 · median $35,599 3 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $25,331 – $37,997 · median $30,398 3 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $33,903 – $50,855 · median $40,684 3 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $25,062 – $37,593 · median $30,075 3 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $21,307 – $31,961 · median $25,569 3 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $32,233 – $48,349 · median $38,679 3 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $24,586 – $36,879 · median $29,503 3 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $21,771 – $32,657 · median $26,125 3 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $33,884 – $50,826 · median $40,661 3 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $24,358 – $36,537 · median $29,229 3 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $19,878 – $29,818 · median $23,854 3 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $26,394 – $39,591 · median $31,672 3 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $21,969 – $32,954 · median $26,363 3 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $19,894 – $29,841 · median $23,873 3 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $32,894 – $49,341 · median $39,472 3 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $22,261 – $33,392 · median $26,714 3 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $20,109 – $30,163 · median $24,131 3 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $37,644 – $56,466 · median $45,173 3 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $25,130 – $37,694 · median $30,156 3 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $20,751 – $31,126 · median $24,901 3 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $81,382 – $122,073 · median $97,658 3 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $57,166 – $85,749 · median $68,599 3 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $46,999 – $70,498 · median $56,398 3 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $68,572 – $102,858 · median $82,286 3 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $47,923 – $71,884 · median $57,507 3 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $23,731 – $35,596 · median $28,477 3 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $17,923 – $26,884 · median $21,507 3 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $15,734 – $23,601 · median $18,881 3 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $22,893 – $34,340 · median $27,472 3 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $18,400 – $27,599 · median $22,080 3 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $16,631 – $24,946 · median $19,957 3 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $21,578 – $32,367 · median $25,894 3 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $16,554 – $24,830 · median $19,864 3 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $15,154 – $22,731 · median $18,185 3 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $22,626 – $33,938 · median $27,151 3 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $17,344 – $26,016 · median $20,813 3 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $15,652 – $23,479 · median $18,783 3 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $21,837 – $32,756 · median $26,205 3 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $18,166 – $27,249 · median $21,799 3 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $16,465 – $24,698 · median $19,758 3 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $53,746 – $80,620 · median $64,496 3 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $38,203 – $57,304 · median $45,844 3 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $45,137 – $67,705 · median $54,164 3 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $31,768 – $47,653 · median $38,122 3 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $64,711 – $97,067 · median $77,654 3 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $49,171 – $73,756 · median $59,005 3 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $37,769 – $56,653 · median $45,322 3 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $46,368 – $69,552 · median $55,642 3 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $28,136 – $42,204 · median $33,763 3 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $47,492 – $71,238 · median $56,991 3 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $31,032 – $46,548 · median $37,238 3 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $22,810 – $34,215 · median $27,372 3 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $44,346 – $66,519 · median $53,215 3 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $33,655 – $50,482 · median $40,386 3 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $28,696 – $43,045 · median $34,436 3 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $30,513 – $45,769 · median $36,615 3 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $23,480 – $35,220 · median $28,176 3 plans
471 CERVICAL SPINAL FUSION WITH MCC $41,947 – $62,920 · median $50,336 3 plans
472 CERVICAL SPINAL FUSION WITH CC $29,958 – $44,937 · median $35,950 3 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $26,743 – $40,115 · median $32,092 3 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $38,535 – $57,802 · median $46,242 3 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $25,689 – $38,533 · median $30,826 3 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $18,712 – $28,069 · median $22,455 3 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $33,196 – $49,794 · median $39,835 3 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $26,857 – $40,286 · median $32,229 3 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $23,034 – $34,552 · median $27,641 3 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $29,743 – $44,614 · median $35,691 3 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $24,535 – $36,802 · median $29,442 3 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $21,583 – $32,375 · median $25,900 3 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $28,849 – $43,273 · median $34,618 3 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $31,747 – $47,621 · median $38,097 3 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $24,513 – $36,770 · median $29,416 3 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $21,170 – $31,756 · median $25,405 3 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $22,461 – $33,692 · median $26,954 3 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $18,309 – $27,463 · median $21,970 3 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $34,578 – $51,867 · median $41,494 3 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $27,347 – $41,021 · median $32,816 3 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $23,974 – $35,962 · median $28,769 3 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $34,286 – $51,429 · median $41,143 3 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $22,684 – $34,026 · median $27,221 3 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $18,891 – $28,337 · median $22,670 3 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $30,408 – $45,612 · median $36,490 3 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $24,027 – $36,041 · median $28,833 3 plans
500 SOFT TISSUE PROCEDURES WITH MCC $31,351 – $47,026 · median $37,621 3 plans
501 SOFT TISSUE PROCEDURES WITH CC $22,329 – $33,493 · median $26,795 3 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $19,768 – $29,651 · median $23,721 3 plans
503 FOOT PROCEDURES WITH MCC $28,971 – $43,456 · median $34,765 3 plans
504 FOOT PROCEDURES WITH CC $23,100 – $34,650 · median $27,720 3 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $22,614 – $33,920 · median $27,136 3 plans
506 MAJOR THUMB OR JOINT PROCEDURES $19,789 – $29,683 · median $23,746 3 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $22,700 – $34,050 · median $27,240 3 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $20,841 – $31,261 · median $25,009 3 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $30,432 – $45,648 · median $36,518 3 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $24,439 – $36,658 · median $29,326 3 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $21,739 – $32,608 · median $26,086 3 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $21,222 – $31,833 · median $25,466 3 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $17,707 – $26,560 · median $21,248 3 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $31,491 – $47,237 · median $37,790 3 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $24,430 – $36,646 · median $29,316 3 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $20,983 – $31,474 · median $25,179 3 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $34,997 – $52,495 · median $41,996 3 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $23,934 – $35,901 · median $28,721 3 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $20,710 – $31,065 · median $24,852 3 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $29,475 – $44,212 · median $35,370 3 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $24,683 – $37,024 · median $29,619 3 plans
533 FRACTURES OF FEMUR WITH MCC $21,180 – $31,770 · median $25,416 3 plans
534 FRACTURES OF FEMUR WITHOUT MCC $16,330 – $24,495 · median $19,596 3 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $19,361 – $29,041 · median $23,233 3 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $16,340 – $24,509 · median $19,607 3 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $17,274 – $25,911 · median $20,729 3 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $15,784 – $23,675 · median $18,940 3 plans
539 OSTEOMYELITIS WITH MCC $23,740 – $35,610 · median $28,488 3 plans
540 OSTEOMYELITIS WITH CC $19,452 – $29,178 · median $23,342 3 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $16,211 – $24,316 · median $19,453 3 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $22,446 – $33,669 · median $26,935 3 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $17,743 – $26,615 · median $21,292 3 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $16,002 – $24,003 · median $19,202 3 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $27,001 – $40,501 · median $32,401 3 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $18,542 – $27,813 · median $22,250 3 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $16,522 – $24,783 · median $19,826 3 plans
548 SEPTIC ARTHRITIS WITH MCC $23,493 – $35,239 · median $28,192 3 plans
549 SEPTIC ARTHRITIS WITH CC $18,884 – $28,326 · median $22,661 3 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $16,763 – $25,145 · median $20,116 3 plans
551 MEDICAL BACK PROBLEMS WITH MCC $21,870 – $32,806 · median $26,244 3 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $17,318 – $25,978 · median $20,782 3 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $19,452 – $29,178 · median $23,342 3 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $16,483 – $24,724 · median $19,779 3 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $19,614 – $29,421 · median $23,537 3 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $16,486 – $24,729 · median $19,783 3 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $20,665 – $30,998 · median $24,799 3 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $16,885 – $25,327 · median $20,262 3 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,073 – $34,609 · median $27,687 3 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $18,368 – $27,552 · median $22,041 3 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $16,316 – $24,474 · median $19,579 3 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $20,270 – $30,405 · median $24,324 3 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $16,899 – $25,349 · median $20,279 3 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $21,027 – $31,540 · median $25,232 3 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $17,402 – $26,103 · median $20,882 3 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $15,968 – $23,952 · median $19,162 3 plans
570 SKIN DEBRIDEMENT WITH MCC $29,926 – $44,889 · median $35,911 3 plans
571 SKIN DEBRIDEMENT WITH CC $21,956 – $32,934 · median $26,347 3 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $18,496 – $27,745 · median $22,196 3 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $52,917 – $79,376 · median $63,501 3 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $33,303 – $49,955 · median $39,964 3 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $22,640 – $33,960 · median $27,168 3 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $42,409 – $63,613 · median $50,890 3 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $28,077 – $42,115 · median $33,692 3 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $21,426 – $32,140 · median $25,712 3 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $31,820 – $47,730 · median $38,184 3 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $22,201 – $33,301 · median $26,641 3 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $20,387 – $30,580 · median $24,464 3 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $23,466 – $35,198 · median $28,159 3 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $22,178 – $33,267 · median $26,614 3 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $24,829 – $37,244 · median $29,795 3 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $23,482 – $35,222 · median $28,178 3 plans
592 SKIN ULCERS WITH MCC $23,521 – $35,282 · median $28,225 3 plans
593 SKIN ULCERS WITH CC $18,751 – $28,127 · median $22,501 3 plans
594 SKIN ULCERS WITHOUT CC/MCC $16,717 – $25,075 · median $20,060 3 plans
595 MAJOR SKIN DISORDERS WITH MCC $24,702 – $37,052 · median $29,642 3 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $18,090 – $27,135 · median $21,708 3 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $21,813 – $32,720 · median $26,176 3 plans
598 MALIGNANT BREAST DISORDERS WITH CC $18,401 – $27,601 · median $22,081 3 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $16,096 – $24,144 · median $19,316 3 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $17,830 – $26,745 · median $21,396 3 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $15,049 – $22,574 · median $18,059 3 plans
602 CELLULITIS WITH MCC $20,248 – $30,372 · median $24,297 3 plans
603 CELLULITIS WITHOUT MCC $16,743 – $25,114 · median $20,091 3 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $20,571 – $30,857 · median $24,685 3 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $17,030 – $25,545 · median $20,436 3 plans
606 MINOR SKIN DISORDERS WITH MCC $20,833 – $31,249 · median $25,000 3 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $16,969 – $25,453 · median $20,362 3 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $25,154 – $37,732 · median $30,185 3 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $20,108 – $30,161 · median $24,129 3 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $33,405 – $50,108 · median $40,086 3 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $23,107 – $34,661 · median $27,728 3 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $20,229 – $30,343 · median $24,274 3 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $29,584 – $44,376 · median $35,501 3 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $21,388 – $32,081 · median $25,665 3 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $20,802 – $31,204 · median $24,963 3 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $33,862 – $50,794 · median $40,635 3 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $22,621 – $33,931 · median $27,145 3 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $19,169 – $28,753 · median $23,003 3 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $30,429 – $45,644 · median $36,515 3 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $20,745 – $31,118 · median $24,894 3 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $19,655 – $29,483 · median $23,587 3 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $34,930 – $52,394 · median $41,916 3 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $25,072 – $37,607 · median $30,086 3 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $20,491 – $30,736 · median $24,589 3 plans
637 DIABETES WITH MCC $20,346 – $30,519 · median $24,415 3 plans
638 DIABETES WITH CC $16,904 – $25,356 · median $20,285 3 plans
639 DIABETES WITHOUT CC/MCC $15,153 – $22,729 · median $18,183 3 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $19,702 – $29,553 · median $23,642 3 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $16,152 – $24,228 · median $19,383 3 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $20,253 – $30,379 · median $24,303 3 plans
643 ENDOCRINE DISORDERS WITH MCC $21,679 – $32,519 · median $26,015 3 plans
644 ENDOCRINE DISORDERS WITH CC $17,724 – $26,586 · median $21,269 3 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $16,089 – $24,134 · median $19,307 3 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $41,136 – $61,704 · median $49,363 3 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $34,796 – $52,194 · median $41,755 3 plans
652 KIDNEY TRANSPLANT $31,763 – $47,644 · median $38,115 3 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $44,288 – $66,433 · median $53,146 3 plans
654 MAJOR BLADDER PROCEDURES WITH CC $29,023 – $43,535 · median $34,828 3 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $24,676 – $37,013 · median $29,611 3 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $31,472 – $47,208 · median $37,766 3 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $22,850 – $34,276 · median $27,420 3 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $21,079 – $31,618 · median $25,295 3 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $27,378 – $41,066 · median $32,853 3 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $19,613 – $29,420 · median $23,536 3 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $17,790 – $26,685 · median $21,348 3 plans
662 MINOR BLADDER PROCEDURES WITH MCC $30,693 – $46,039 · median $36,831 3 plans
663 MINOR BLADDER PROCEDURES WITH CC $20,878 – $31,316 · median $25,053 3 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $17,863 – $26,795 · median $21,436 3 plans
665 PROSTATECTOMY WITH MCC $31,073 – $46,610 · median $37,288 3 plans
666 PROSTATECTOMY WITH CC $22,337 – $33,505 · median $26,804 3 plans
667 PROSTATECTOMY WITHOUT CC/MCC $18,241 – $27,362 · median $21,889 3 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $29,792 – $44,688 · median $35,750 3 plans
669 TRANSURETHRAL PROCEDURES WITH CC $21,080 – $31,620 · median $25,296 3 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $17,420 – $26,130 · median $20,904 3 plans
671 URETHRAL PROCEDURES WITH CC/MCC $22,628 – $33,941 · median $27,153 3 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $18,071 – $27,107 · median $21,685 3 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $37,953 – $56,930 · median $45,544 3 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $26,089 – $39,134 · median $31,307 3 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $21,649 – $32,474 · median $25,979 3 plans
682 RENAL FAILURE WITH MCC $20,628 – $30,942 · median $24,753 3 plans
683 RENAL FAILURE WITH CC $16,774 – $25,161 · median $20,129 3 plans
684 RENAL FAILURE WITHOUT CC/MCC $15,019 – $22,529 · median $18,023 3 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $22,683 – $34,024 · median $27,220 3 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $17,869 – $26,804 · median $21,443 3 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $16,229 – $24,344 · median $19,475 3 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $18,586 – $27,878 · median $22,303 3 plans
690 KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY $16,352 – $24,527 · median $19,622 3 plans
693 URINARY STONES WITH MCC $19,759 – $29,638 · median $23,710 3 plans
694 URINARY STONES WITHOUT MCC $16,175 – $24,262 · median $19,410 3 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $18,481 – $27,721 · median $22,177 3 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $15,584 – $23,376 · median $18,701 3 plans
697 URETHRAL STRICTURE $18,060 – $27,090 · median $21,672 3 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $21,732 – $32,598 · median $26,079 3 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $17,660 – $26,490 · median $21,192 3 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $15,590 – $23,385 · median $18,708 3 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $23,935 – $35,902 · median $28,722 3 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $20,967 – $31,450 · median $25,160 3 plans
709 PENIS PROCEDURES WITH CC/MCC $26,016 – $39,024 · median $31,219 3 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $20,120 – $30,180 · median $24,144 3 plans
711 TESTES PROCEDURES WITH CC/MCC $24,467 – $36,700 · median $29,360 3 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $18,200 – $27,300 · median $21,840 3 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $20,771 – $31,156 · median $24,925 3 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $17,930 – $26,896 · median $21,516 3 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $25,444 – $38,166 · median $30,533 3 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $20,564 – $30,846 · median $24,677 3 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $23,236 – $34,854 · median $27,883 3 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $19,750 – $29,625 · median $23,700 3 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $22,721 – $34,082 · median $27,265 3 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $18,474 – $27,710 · median $22,168 3 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $15,372 – $23,058 · median $18,447 3 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $18,649 – $27,973 · median $22,378 3 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $15,794 – $23,692 · median $18,953 3 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $20,640 – $30,960 · median $24,768 3 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $16,362 – $24,544 · median $19,635 3 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $17,939 – $26,908 · median $21,526 3 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $15,476 – $23,214 · median $18,571 3 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $24,761 – $37,141 · median $29,713 3 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $19,765 – $29,648 · median $23,718 3 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $33,960 – $50,940 · median $40,752 3 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $24,319 – $36,478 · median $29,183 3 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $20,548 – $30,822 · median $24,658 3 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $34,013 – $51,019 · median $40,815 3 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $22,721 – $34,081 · median $27,265 3 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $24,246 – $36,369 · median $29,095 3 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $18,440 – $27,661 · median $22,129 3 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $22,259 – $33,388 · median $26,711 3 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $16,671 – $25,007 · median $20,006 3 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $20,031 – $30,047 · median $24,037 3 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $27,548 – $41,321 · median $33,057 3 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,595 – $30,892 · median $24,714 3 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $22,925 – $34,387 · median $27,510 3 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $18,124 – $27,186 · median $21,749 3 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $17,313 – $25,970 · median $20,776 3 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $20,315 – $30,473 · median $24,378 3 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $17,431 – $26,147 · median $20,917 3 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $15,423 – $23,134 · median $18,507 3 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $17,613 – $26,419 · median $21,135 3 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $14,830 – $22,244 · median $17,796 3 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $18,021 – $27,031 · median $21,625 3 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $21,958 – $32,936 · median $26,349 3 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $17,582 – $26,373 · median $21,098 3 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $15,366 – $23,049 · median $18,439 3 plans
779 ABORTION WITHOUT D&C $16,554 – $24,831 · median $19,865 3 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $26,831 – $40,247 · median $32,197 3 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $17,948 – $26,921 · median $21,537 3 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $17,296 – $25,944 · median $20,755 3 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $21,701 – $32,551 · median $26,041 3 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $18,309 – $27,463 · median $21,970 3 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $17,302 – $25,954 · median $20,763 3 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $22,673 – $34,010 · median $27,208 3 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $49,046 – $73,569 · median $58,855 3 plans
791 PREMATURITY WITH MAJOR PROBLEMS $37,045 – $55,568 · median $44,454 3 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $26,794 – $40,190 · median $32,152 3 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $37,750 – $56,624 · median $45,299 3 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $20,595 – $30,893 · median $24,715 3 plans
795 NORMAL NEWBORN $12,469 – $18,703 · median $14,963 3 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $18,628 – $27,942 · median $22,354 3 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $17,567 – $26,351 · median $21,081 3 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $17,292 – $25,937 · median $20,750 3 plans
799 SPLENIC PROCEDURES WITH MCC $40,038 – $60,056 · median $48,045 3 plans
800 SPLENIC PROCEDURES WITH CC $29,087 – $43,631 · median $34,905 3 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $23,353 – $35,029 · median $28,023 3 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $36,568 – $54,852 · median $43,882 3 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $23,034 – $34,552 · median $27,641 3 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $19,832 – $29,748 · median $23,798 3 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $18,069 – $27,104 · median $21,683 3 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $15,998 – $23,997 · median $19,198 3 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $15,490 – $23,235 · median $18,588 3 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $25,257 – $37,885 · median $30,308 3 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $19,258 – $28,887 · median $23,110 3 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $17,862 – $26,792 · median $21,434 3 plans
811 RED BLOOD CELL DISORDERS WITH MCC $20,139 – $30,209 · median $24,167 3 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $17,044 – $25,566 · median $20,453 3 plans
813 COAGULATION DISORDERS $20,910 – $31,365 · median $25,092 3 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $24,740 – $37,110 · median $29,688 3 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $17,654 – $26,481 · median $21,185 3 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $15,221 – $22,832 · median $18,266 3 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $25,726 – $38,589 · median $30,872 3 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $18,579 – $27,868 · median $22,294 3 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $16,673 – $25,009 · median $20,007 3 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $48,545 – $72,817 · median $58,254 3 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $25,452 – $38,179 · median $30,543 3 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $18,864 – $28,296 · median $22,637 3 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $40,394 – $60,590 · median $48,472 3 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $25,624 – $38,437 · median $30,749 3 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $19,790 – $29,685 · median $23,748 3 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $40,986 – $61,479 · median $49,183 3 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $25,915 – $38,872 · median $31,098 3 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $22,047 – $33,070 · median $26,456 3 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $31,320 – $46,980 · median $37,584 3 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $20,781 – $31,171 · median $24,937 3 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $18,854 – $28,282 · median $22,625 3 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $15,792 – $23,688 · median $18,950 3 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $14,527 – $21,790 · median $17,432 3 plans
834 ACUTE LEUKEMIA WITH MCC $46,157 – $69,236 · median $55,389 3 plans
835 ACUTE LEUKEMIA WITH CC $24,479 – $36,719 · median $29,375 3 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $18,963 – $28,444 · median $22,755 3 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $41,791 – $62,687 · median $50,150 3 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $24,490 – $36,734 · median $29,388 3 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $20,392 – $30,587 · median $24,470 3 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $31,797 – $47,696 · median $38,157 3 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $21,586 – $32,379 · median $25,903 3 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $17,631 – $26,447 · median $21,157 3 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $23,900 – $35,850 · median $28,680 3 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $18,949 – $28,424 · median $22,739 3 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $16,620 – $24,930 · median $19,944 3 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $27,706 – $41,559 · median $33,247 3 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $19,527 – $29,291 · median $23,433 3 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $16,606 – $24,909 · median $19,927 3 plans
849 RADIOTHERAPY $28,451 – $42,677 · median $34,142 3 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $66,342 – $99,513 · median $79,611 3 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $42,647 – $63,970 · median $51,176 3 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $23,921 – $35,881 · median $28,705 3 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $20,731 – $31,097 · median $24,877 3 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $40,164 – $60,246 · median $48,196 3 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $24,834 – $37,251 · median $29,801 3 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $20,067 – $30,100 · median $24,080 3 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $22,810 – $34,215 · median $27,372 3 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $17,551 – $26,327 · median $21,062 3 plans
864 FEVER AND INFLAMMATORY CONDITIONS $16,850 – $25,274 · median $20,220 3 plans
865 VIRAL ILLNESS WITH MCC $20,738 – $31,107 · median $24,886 3 plans
866 VIRAL ILLNESS WITHOUT MCC $16,734 – $25,102 · median $20,081 3 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $24,527 – $36,790 · median $29,432 3 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $17,763 – $26,644 · median $21,315 3 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $15,843 – $23,765 · median $19,012 3 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $55,212 – $82,819 · median $66,255 3 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $23,567 – $35,350 · median $28,280 3 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $17,713 – $26,570 · median $21,256 3 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $35,809 – $53,714 · median $42,971 3 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $17,311 – $25,967 · median $20,774 3 plans
881 DEPRESSIVE NEUROSES $17,188 – $25,783 · median $20,626 3 plans
882 NEUROSES EXCEPT DEPRESSIVE $18,035 – $27,052 · median $21,642 3 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $23,718 – $35,578 · median $28,462 3 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $21,442 – $32,164 · median $25,731 3 plans
885 PSYCHOSES $20,092 – $30,138 · median $24,110 3 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $24,413 – $36,619 · median $29,295 3 plans
887 OTHER MENTAL DISORDER DIAGNOSES $18,016 – $27,024 · median $21,620 3 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $15,125 – $22,688 · median $18,150 3 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $20,211 – $30,317 · median $24,254 3 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $22,310 – $33,465 · median $26,772 3 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $16,818 – $25,228 · median $20,182 3 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $37,921 – $56,882 · median $45,506 3 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $23,389 – $35,083 · median $28,066 3 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $18,645 – $27,967 · median $22,374 3 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $34,588 – $51,882 · median $41,505 3 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $20,643 – $30,965 · median $24,772 3 plans
906 HAND PROCEDURES FOR INJURIES $23,706 – $35,558 · median $28,447 3 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $35,646 – $53,469 · median $42,775 3 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $23,902 – $35,854 · median $28,683 3 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $19,556 – $29,334 · median $23,467 3 plans
913 TRAUMATIC INJURY WITH MCC $21,606 – $32,409 · median $25,927 3 plans
914 TRAUMATIC INJURY WITHOUT MCC $16,836 – $25,253 · median $20,203 3 plans
915 ALLERGIC REACTIONS WITH MCC $21,905 – $32,858 · median $26,286 3 plans
916 ALLERGIC REACTIONS WITHOUT MCC $15,440 – $23,160 · median $18,528 3 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $21,185 – $31,777 · median $25,421 3 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $16,655 – $24,982 · median $19,986 3 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $22,856 – $34,283 · median $27,427 3 plans
920 COMPLICATIONS OF TREATMENT WITH CC $17,579 – $26,369 · median $21,095 3 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $15,580 – $23,371 · median $18,697 3 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $22,337 – $33,506 · median $26,805 3 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $17,678 – $26,516 · median $21,213 3 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $147,161 – $220,742 · median $176,594 3 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $56,874 – $85,311 · median $68,249 3 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $31,707 – $47,561 · median $38,049 3 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $35,996 – $53,994 · median $43,195 3 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $25,274 – $37,911 · median $30,329 3 plans
935 NON-EXTENSIVE BURNS $24,315 – $36,473 · median $29,178 3 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $34,304 – $51,455 · median $41,164 3 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $26,078 – $39,118 · median $31,294 3 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $24,109 – $36,164 · median $28,931 3 plans
945 REHABILITATION WITH CC/MCC $21,058 – $31,588 · median $25,270 3 plans
946 REHABILITATION WITHOUT CC/MCC $18,500 – $27,749 · median $22,200 3 plans
947 SIGNS AND SYMPTOMS WITH MCC $19,280 – $28,921 · median $23,136 3 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $16,294 – $24,442 · median $19,553 3 plans
949 AFTERCARE WITH CC/MCC $18,773 – $28,159 · median $22,527 3 plans
950 AFTERCARE WITHOUT CC/MCC $15,194 – $22,791 · median $18,233 3 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $14,737 – $22,106 · median $17,685 3 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $54,062 – $81,093 · median $64,874 3 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $35,160 – $52,740 · median $42,192 3 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $59,722 – $89,583 · median $71,666 3 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $38,032 – $57,047 · median $45,638 3 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $29,945 – $44,918 · median $35,934 3 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $28,606 – $42,909 · median $34,327 3 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $20,957 – $31,435 · median $25,148 3 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $17,186 – $25,779 · median $20,623 3 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $50,178 – $75,268 · median $60,214 3 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $27,992 – $41,988 · median $33,591 3 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $29,575 – $44,363 · median $35,490 3 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $19,443 – $29,165 · median $23,332 3 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $16,945 – $25,418 · median $20,334 3 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $19,461 – $29,191 · median $23,353 3 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $41,075 – $61,612 · median $49,290 3 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $26,853 – $40,279 · median $32,223 3 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $22,112 – $33,168 · median $26,534 3 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $33,029 – $49,544 · median $39,635 3 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $21,663 – $32,495 · median $25,996 3 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $18,833 – $28,250 · median $22,600 3 plans
← Back to SGMC Health - Berrien profile