Kuakini Medical Center — Pricing

771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771
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 771 procedures

Procedures with negotiated rates only

These 771 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
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $3,137 – $274,412 · median $261,345 18 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 18 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $3,137 – $463,076 · median $198,875 18 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $3,137 – $401,358 · median $131,168 18 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $3,137 – $355,748 · median $98,892 18 plans
006 LIVER TRANSPLANT WITHOUT MCC $3,137 – $355,748 · median $45,106 18 plans
008 Simultaneous pancreas/kidney transplant $3,137 – $691,295 · median $50,595 18 plans
011 Tracheostomy for face,mouth & neck diagnoses w MCC $3,137 – $82,460 · median $50,176 18 plans
012 Tracheostomy for face,mouth & neck diagnoses w CC $3,137 – $82,460 · median $38,193 18 plans
013 Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC $3,137 – $82,460 · median $24,713 18 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $3,137 – $243,325 · median $74,890 18 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $3,137 – $243,325 · median $51,394 18 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $3,137 – $243,325 · median $32,877 18 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $3,137 – $104,032 · median $53,043 18 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $3,137 – $99,122 · median $35,393 18 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $3,137 – $88,386 · median $41,611 18 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $3,137 – $88,386 · median $28,502 18 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,137 – $76,037 · median $23,024 18 plans
028 SPINAL PROCEDURES WITH MCC $3,137 – $85,354 · median $56,515 18 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $3,137 – $70,618 · median $31,266 18 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $3,137 – $46,811 · median $20,776 18 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $3,137 – $53,390 · median $38,999 18 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $3,137 – $53,390 · median $19,943 18 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $3,137 – $37,094 · median $14,935 18 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $3,137 – $64,521 · median $30,934 18 plans
038 EXTRACRANIAL PROCEDURES WITH CC $3,137 – $53,709 · median $15,081 18 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,137 – $41,815 · median $10,694 18 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $3,137 – $65,524 · median $35,118 18 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $3,137 – $57,619 · median $21,080 18 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $3,137 – $49,714 · median $16,438 18 plans
113 INTRAOCULAR PROCEDURES WITH CC/MCC $3,137 – $22,118 · median $21,065 18 plans
114 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $3,137 – $18,943 · median $11,101 18 plans
115 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $3,137 – $17,661 · median $14,337 18 plans
116 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,137 – $18,363 · median $15,613 18 plans
117 NEUROLOGICAL EYE DISORDERS $3,137 – $18,202 · median $10,142 18 plans
135 MOUTH PROCEDURES WITHOUT CC/MCC $3,137 – $25,681 · median $22,498 18 plans
136 SALIVARY GLAND PROCEDURES $3,137 – $25,681 · median $9,211 18 plans
137 MAJOR HEAD AND NECK PROCEDURES WITH MCC $3,137 – $59,301 · median $13,109 18 plans
138 MAJOR HEAD AND NECK PROCEDURES WITH CC $3,137 – $31,497 · median $7,683 18 plans
139 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $3,137 – $21,580 · median $12,872 18 plans
140 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $3,137 – $60,863 · median $39,357 18 plans
141 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $3,137 – $49,997 · median $20,063 18 plans
142 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $3,137 – $27,865 · median $14,721 18 plans
143 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $3,137 – $99,982 · median $30,758 18 plans
144 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $3,137 – $34,250 · median $16,430 18 plans
145 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $3,137 – $22,073 · median $11,126 18 plans
163 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $3,137 – $62,941 · median $42,881 18 plans
164 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $3,137 – $62,706 · median $23,480 18 plans
165 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,137 – $45,084 · median $17,425 18 plans
166 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $3,137 – $62,995 · median $35,844 18 plans
167 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $3,137 – $60,024 · median $17,083 18 plans
168 PULMONARY EMBOLISM WITHOUT MCC $3,137 – $42,884 · median $12,694 18 plans
215 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $3,137 – $169,263 · median $98,386 18 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $3,137 – $191,830 · median $89,635 18 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $3,137 – $191,830 · median $60,024 18 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $3,137 – $191,830 · median $55,308 18 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $3,137 – $126,518 · median $71,890 18 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $3,137 – $126,518 · median $49,256 18 plans
221 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $3,137 – $126,518 · median $42,727 18 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $3,137 – $111,775 · median $46,350 18 plans
229 CORONARY BYPASS WITH PTCA WITH MCC $3,137 – $111,775 · median $28,944 18 plans
231 CORONARY BYPASS WITH PTCA WITHOUT MCC $3,137 – $139,380 · median $78,718 18 plans
232 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $3,137 – $139,380 · median $56,786 18 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $3,137 – $126,315 · median $72,621 18 plans
234 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $3,137 – $110,870 · median $49,474 18 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $3,137 – $96,428 · median $54,704 18 plans
236 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $3,137 – $89,654 · median $38,271 18 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $3,137 – $80,159 · median $46,847 18 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $3,137 – $80,159 · median $27,145 18 plans
241 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $3,137 – $80,159 · median $14,141 18 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $3,137 – $71,011 · median $31,594 18 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $3,137 – $53,093 · median $21,030 18 plans
244 AICD GENERATOR PROCEDURES $3,137 – $43,606 · median $16,875 18 plans
245 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $3,137 – $76,692 · median $45,455 18 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $3,137 – $47,620 · median $21,584 18 plans
251 OTHER VASCULAR PROCEDURES WITH MCC $3,137 – $37,812 · median $14,630 18 plans
252 OTHER VASCULAR PROCEDURES WITH CC $3,137 – $71,336 · median $31,950 18 plans
253 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $3,137 – $67,005 · median $23,814 18 plans
254 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $3,137 – $48,442 · median $16,362 18 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $3,137 – $36,342 · median $24,403 18 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $3,137 – $36,342 · median $15,845 18 plans
257 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $3,137 – $36,342 · median $8,410 18 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $3,137 – $27,463 · median $26,155 18 plans
259 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $3,137 – $22,913 · median $16,439 18 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $3,137 – $33,312 · median $31,725 18 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $3,137 – $30,930 · median $17,736 18 plans
262 VEIN LIGATION AND STRIPPING $3,137 – $30,930 · median $14,214 18 plans
263 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $3,137 – $32,630 · median $25,011 18 plans
264 AICD LEAD PROCEDURES $3,137 – $160,450 · median $32,550 18 plans
265 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $3,137 – $76,692 · median $33,218 18 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $3,137 – $91,641 · median $55,693 18 plans
267 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $3,137 – $79,809 · median $43,766 18 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $3,137 – $110,399 · median $61,969 18 plans
269 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $3,137 – $95,273 · median $38,722 18 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $3,137 – $110,399 · median $47,738 18 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $3,137 – $95,273 · median $32,080 18 plans
272 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $3,137 – $95,273 · median $23,343 18 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $3,137 – $52,981 · median $36,400 18 plans
274 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $3,137 – $37,301 · median $29,081 18 plans
319 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $3,137 – $131,112 · median $40,874 18 plans
320 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $3,137 – $131,112 · median $21,605 18 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $3,137 – $125,627 · median $47,237 18 plans
327 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $3,137 – $88,917 · median $22,656 18 plans
328 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,137 – $38,063 · median $14,916 18 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,137 – $79,923 · median $42,720 18 plans
330 RECTAL RESECTION WITH MCC $3,137 – $64,701 · median $22,058 18 plans
331 RECTAL RESECTION WITH CC $3,137 – $36,239 · median $15,449 18 plans
332 RECTAL RESECTION WITHOUT CC/MCC $3,137 – $70,647 · median $32,305 18 plans
333 PERITONEAL ADHESIOLYSIS WITH MCC $3,137 – $70,647 · median $19,848 18 plans
334 PERITONEAL ADHESIOLYSIS WITH CC $3,137 – $33,822 · median $15,520 18 plans
335 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $3,137 – $59,940 · median $33,740 18 plans
336 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $3,137 – $52,986 · median $19,727 18 plans
337 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,137 – $32,521 · median $14,375 18 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,137 – $36,000 · median $25,126 18 plans
345 ANAL AND STOMAL PROCEDURES WITH MCC $3,137 – $32,187 · median $13,944 18 plans
346 ANAL AND STOMAL PROCEDURES WITH CC $3,137 – $26,467 · median $11,687 18 plans
347 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $3,137 – $28,290 · median $22,087 18 plans
348 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $3,137 – $22,683 · median $11,814 18 plans
349 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $3,137 – $14,084 · median $8,308 18 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $3,137 – $36,822 · median $22,568 18 plans
351 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $3,137 – $29,660 · median $14,091 18 plans
352 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $3,137 – $15,338 · median $10,364 18 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $3,137 – $41,084 · median $27,337 18 plans
354 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $3,137 – $31,693 · median $15,914 18 plans
355 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $3,137 – $23,425 · median $12,502 18 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,137 – $62,522 · median $39,696 18 plans
357 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $3,137 – $57,569 · median $21,023 18 plans
358 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $3,137 – $32,185 · median $12,706 18 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $3,137 – $92,677 · median $50,480 18 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $3,137 – $51,246 · median $26,182 18 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $3,137 – $36,721 · median $19,945 18 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $3,137 – $45,873 · median $32,607 18 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $3,137 – $45,873 · median $19,581 18 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $3,137 – $44,876 · median $14,523 18 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $3,137 – $49,677 · median $25,514 18 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $3,137 – $41,557 · median $19,906 18 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $3,137 – $33,437 · median $15,556 18 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $3,137 – $41,106 · median $32,631 18 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $3,137 – $38,262 · median $18,483 18 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $3,137 – $26,560 · median $12,846 18 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $3,137 – $29,361 · median $22,177 18 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $3,137 – $26,770 · median $15,518 18 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $3,137 – $17,318 · median $12,358 18 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $3,137 – $64,945 · median $32,869 18 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $3,137 – $64,945 · median $15,325 18 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $3,137 – $57,631 · median $13,765 18 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $3,137 – $96,042 · median $37,857 18 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $3,137 – $96,042 · median $21,313 18 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $3,137 – $96,042 · median $14,474 18 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $3,137 – $136,188 · median $78,675 18 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $3,137 – $136,188 · median $53,361 18 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $3,137 – $136,188 · median $40,181 18 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $3,137 – $65,784 · median $57,045 18 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $3,137 – $65,784 · median $26,696 18 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $3,137 – $100,320 · median $50,223 18 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $3,137 – $100,320 · median $27,482 18 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,137 – $100,320 · median $16,239 18 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $3,137 – $56,122 · median $47,382 18 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $3,137 – $56,122 · median $31,902 18 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $3,137 – $56,122 · median $24,466 18 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $3,137 – $40,633 · median $30,450 18 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $3,137 – $27,587 · median $17,624 18 plans
471 CERVICAL SPINAL FUSION WITH MCC $3,137 – $61,421 · median $45,182 18 plans
472 CERVICAL SPINAL FUSION WITH CC $3,137 – $49,727 · median $27,006 18 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $3,137 – $45,635 · median $22,093 18 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $3,137 – $43,813 · median $41,726 18 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $3,137 – $40,372 · median $20,144 18 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,137 – $40,372 · median $10,925 18 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,137 – $47,444 · median $32,030 18 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,137 – $47,444 · median $21,826 18 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,137 – $47,444 · median $16,607 18 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $3,137 – $49,361 · median $27,412 18 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $3,137 – $48,138 · median $19,380 18 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $3,137 – $34,689 · median $14,850 18 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $3,137 – $36,591 · median $23,769 18 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $3,137 – $43,805 · median $29,992 18 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $3,137 – $43,805 · median $19,807 18 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,137 – $31,293 · median $14,793 18 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $3,137 – $24,736 · median $18,365 18 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,137 – $24,736 · median $11,623 18 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $3,137 – $54,325 · median $33,070 18 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $3,137 – $54,325 · median $22,404 18 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $3,137 – $32,078 · median $17,623 18 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $3,137 – $37,983 · median $32,786 18 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $3,137 – $35,280 · median $18,435 18 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $3,137 – $24,468 · median $12,590 18 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $3,137 – $42,636 · median $23,553 18 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $3,137 – $42,636 · median $10,904 18 plans
500 SOFT TISSUE PROCEDURES WITH MCC $3,137 – $46,045 · median $29,523 18 plans
501 SOFT TISSUE PROCEDURES WITH CC $3,137 – $46,045 · median $16,689 18 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $3,137 – $22,714 · median $13,096 18 plans
503 FOOT PROCEDURES WITH MCC $3,137 – $25,916 · median $24,682 18 plans
504 FOOT PROCEDURES WITH CC $3,137 – $23,032 · median $16,414 18 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $3,137 – $23,032 · median $16,414 18 plans
506 MAJOR THUMB OR JOINT PROCEDURES $3,137 – $34,597 · median $14,041 18 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $3,137 – $22,986 · median $18,113 18 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $3,137 – $22,986 · median $12,107 18 plans
509 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $3,137 – $17,251 · median $16,430 18 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $3,137 – $27,975 · median $26,643 18 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $3,137 – $22,986 · median $18,326 18 plans
512 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $3,137 – $21,601 · median $15,049 18 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $3,137 – $26,436 · median $14,101 18 plans
514 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $3,137 – $18,276 · median $9,594 18 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $3,137 – $60,948 · median $28,816 18 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $3,137 – $60,948 · median $18,794 18 plans
517 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $3,137 – $33,803 · median $13,982 18 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $3,137 – $45,997 · median $33,374 18 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $3,137 – $45,997 · median $18,425 18 plans
520 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $3,137 – $29,665 · median $13,430 18 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $3,137 – $50,182 · median $27,168 18 plans
522 FRACTURES OF FEMUR WITH MCC $3,137 – $36,595 · median $19,688 18 plans
570 SKIN DEBRIDEMENT WITH CC $3,137 – $60,315 · median $28,053 18 plans
571 SKIN DEBRIDEMENT WITHOUT CC/MCC $3,137 – $57,497 · median $15,666 18 plans
572 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $3,137 – $29,750 · median $10,733 18 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $3,137 – $60,397 · median $57,245 18 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,137 – $57,284 · median $32,270 18 plans
575 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $3,137 – $34,712 · median $18,655 18 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $3,137 – $59,415 · median $50,170 18 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,137 – $59,415 · median $24,832 18 plans
578 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $3,137 – $16,606 · median $15,815 18 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $3,137 – $46,448 · median $30,364 18 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $3,137 – $29,060 · median $16,581 18 plans
581 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $3,137 – $23,860 · median $13,485 18 plans
582 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $3,137 – $24,838 · median $16,379 18 plans
583 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $3,137 – $22,656 · median $15,372 18 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $3,137 – $24,962 · median $19,125 18 plans
585 SKIN ULCERS WITH MCC $3,137 – $24,178 · median $18,548 18 plans
614 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $3,137 – $56,593 · median $21,273 18 plans
615 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $3,137 – $56,593 · median $13,428 18 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,137 – $71,032 · median $35,980 18 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,137 – $71,032 · median $18,051 18 plans
618 O.R. PROCEDURES FOR OBESITY WITH MCC $3,137 – $71,032 · median $11,686 18 plans
619 O.R. PROCEDURES FOR OBESITY WITH CC $3,137 – $51,309 · median $25,423 18 plans
620 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $3,137 – $51,309 · median $15,322 18 plans
621 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $3,137 – $51,085 · median $14,037 18 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,137 – $45,710 · median $34,839 18 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,137 – $45,710 · median $17,877 18 plans
624 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $3,137 – $45,710 · median $9,441 18 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $3,137 – $28,063 · median $26,726 18 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $3,137 – $20,877 · median $14,135 18 plans
627 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $3,137 – $20,877 · median $11,888 18 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $3,137 – $38,885 · median $36,728 18 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $3,137 – $27,633 · median $20,996 18 plans
630 DIABETES WITH MCC $3,137 – $26,288 · median $13,134 18 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $3,137 – $153,497 · median $42,863 18 plans
651 KIDNEY TRANSPLANT $3,137 – $153,497 · median $32,340 18 plans
652 MAJOR BLADDER PROCEDURES WITH MCC $3,137 – $153,497 · median $28,621 18 plans
653 MAJOR BLADDER PROCEDURES WITH CC $3,137 – $54,425 · median $51,833 18 plans
654 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $3,137 – $45,436 · median $26,309 18 plans
655 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $3,137 – $45,436 · median $19,403 18 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $3,137 – $42,936 · median $30,351 18 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $3,137 – $42,936 · median $17,092 18 plans
658 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $3,137 – $42,936 · median $14,086 18 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $3,137 – $47,379 · median $24,104 18 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $3,137 – $45,677 · median $12,566 18 plans
661 MINOR BLADDER PROCEDURES WITH MCC $3,137 – $30,904 · median $9,659 18 plans
662 MINOR BLADDER PROCEDURES WITH CC $3,137 – $32,560 · median $29,068 18 plans
663 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $3,137 – $24,163 · median $14,303 18 plans
664 PROSTATECTOMY WITH MCC $3,137 – $19,009 · median $10,153 18 plans
665 PROSTATECTOMY WITH CC $3,137 – $33,579 · median $31,980 18 plans
666 PROSTATECTOMY WITHOUT CC/MCC $3,137 – $22,385 · median $15,415 18 plans
667 TRANSURETHRAL PROCEDURES WITH MCC $3,137 – $15,810 · median $9,671 18 plans
668 TRANSURETHRAL PROCEDURES WITH CC $3,137 – $28,542 · median $27,183 18 plans
669 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $3,137 – $20,999 · median $14,490 18 plans
670 URETHRAL PROCEDURES WITH CC/MCC $3,137 – $18,625 · median $9,002 18 plans
671 URETHRAL PROCEDURES WITHOUT CC/MCC $3,137 – $35,215 · median $16,124 18 plans
672 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $3,137 – $35,215 · median $10,288 18 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $3,137 – $54,550 · median $38,990 18 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $3,137 – $54,550 · median $21,546 18 plans
675 RENAL FAILURE WITH MCC $3,137 – $54,550 · median $14,655 18 plans
707 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $3,137 – $30,712 · median $18,135 18 plans
708 PENIS PROCEDURES WITH CC/MCC $3,137 – $27,915 · median $13,887 18 plans
709 PENIS PROCEDURES WITHOUT CC/MCC $3,137 – $24,749 · median $20,977 18 plans
710 TESTES PROCEDURES WITH CC/MCC $3,137 – $24,749 · median $14,062 18 plans
711 TESTES PROCEDURES WITHOUT CC/MCC $3,137 – $51,479 · median $17,857 18 plans
712 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $3,137 – $36,414 · median $10,058 18 plans
713 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $3,137 – $17,541 · median $13,548 18 plans
714 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $3,137 – $13,900 · median $8,854 18 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $3,137 – $41,272 · median $21,081 18 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $3,137 – $41,272 · median $13,301 18 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $3,137 – $26,161 · median $17,346 18 plans
718 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $3,137 – $26,161 · median $11,563 18 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $3,137 – $39,162 · median $19,639 18 plans
735 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $3,137 – $39,162 · median $11,396 18 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $3,137 – $45,255 · median $36,653 18 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,137 – $45,255 · median $18,671 18 plans
738 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $3,137 – $45,255 · median $14,206 18 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $3,137 – $38,907 · median $37,055 18 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,137 – $35,794 · median $17,001 18 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $3,137 – $25,630 · median $12,877 18 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $3,137 – $22,106 · median $17,079 18 plans
743 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $3,137 – $19,867 · median $11,255 18 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $3,137 – $19,172 · median $18,259 18 plans
745 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $3,137 – $15,524 · median $9,643 18 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $3,137 – $26,235 · median $15,668 18 plans
747 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $3,137 – $26,235 · median $8,997 18 plans
748 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $3,137 – $18,047 · median $12,772 18 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,137 – $32,790 · median $24,144 18 plans
750 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,137 – $32,790 · median $12,097 18 plans
768 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $3,137 – $12,393 · median $10,306 18 plans
769 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,137 – $24,921 · median $13,025 18 plans
770 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,137 – $10,669 · median $10,117 18 plans
783 CESAREAN SECTION WITH STERILIZATION WITH CC $3,137 – $18,956 · median $17,222 18 plans
784 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,137 – $18,956 · median $10,182 18 plans
785 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $3,137 – $16,794 · median $8,240 18 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $3,137 – $18,956 · median $15,124 18 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $3,137 – $18,956 · median $9,986 18 plans
788 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $3,137 – $16,794 · median $8,529 18 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $3,137 – $14,579 · median $11,978 18 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $3,137 – $14,579 · median $9,118 18 plans
798 SPLENIC PROCEDURES WITH MCC $3,137 – $14,579 · median $9,118 18 plans
799 SPLENIC PROCEDURES WITH CC $3,137 – $46,443 · median $44,231 18 plans
800 SPLENIC PROCEDURES WITHOUT CC/MCC $3,137 – $43,377 · median $27,159 18 plans
801 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $3,137 – $43,377 · median $15,363 18 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $3,137 – $41,932 · median $33,382 18 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $3,137 – $41,932 · median $16,646 18 plans
804 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $3,137 – $41,932 · median $10,392 18 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $3,137 – $24,830 · median $23,648 18 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,137 – $12,688 · median $12,083 18 plans
819 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $3,137 – $10,258 · median $7,711 18 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $3,137 – $75,904 · median $54,130 18 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,137 – $75,904 · median $20,841 18 plans
822 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $3,137 – $30,400 · median $10,745 18 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $3,137 – $91,789 · median $43,533 18 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $3,137 – $91,789 · median $20,535 18 plans
825 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $3,137 – $24,864 · median $11,553 18 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $3,137 – $72,858 · median $44,423 18 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,137 – $72,858 · median $22,023 18 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $3,137 – $36,767 · median $15,003 18 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $3,137 – $46,437 · median $28,736 18 plans
830 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $3,137 – $46,437 · median $13,702 18 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $3,137 – $152,815 · median $46,517 18 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,137 – $152,815 · median $18,668 18 plans
855 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $3,137 – $152,815 · median $15,214 18 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $3,137 – $44,075 · median $41,976 18 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $3,137 – $37,598 · median $20,345 18 plans
858 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $3,137 – $37,598 · median $12,087 18 plans
876 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $3,137 – $85,304 · median $36,579 18 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $3,137 – $43,285 · median $41,224 18 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $3,137 – $27,862 · median $17,736 18 plans
903 SKIN GRAFTS FOR INJURIES WITH CC/MCC $3,137 – $27,862 · median $11,444 18 plans
904 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $3,137 – $64,544 · median $35,944 18 plans
905 HAND PROCEDURES FOR INJURIES $3,137 – $64,544 · median $15,424 18 plans
906 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $3,137 – $21,991 · median $20,378 18 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $3,137 – $47,107 · median $37,081 18 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $3,137 – $44,022 · median $18,844 18 plans
909 TRAUMATIC INJURY WITH MCC $3,137 – $22,815 · median $11,901 18 plans
927 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $3,137 – $379,456 · median $220,122 18 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $3,137 – $38,291 · median $29,572 18 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $3,137 – $38,291 · median $19,719 18 plans
941 REHABILITATION WITH CC/MCC $3,137 – $38,291 · median $18,262 18 plans
955 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $3,137 – $223,065 · median $63,459 18 plans
956 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,137 – $212,523 · median $35,585 18 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $3,137 – $151,542 · median $69,355 18 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,137 – $151,542 · median $38,250 18 plans
959 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,137 – $151,542 · median $24,657 18 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $3,137 – $98,293 · median $58,785 18 plans
970 HIV WITH MAJOR RELATED CONDITION WITH MCC $3,137 – $98,293 · median $24,744 18 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,137 – $75,894 · median $44,223 18 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,137 – $45,280 · median $22,843 18 plans
983 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $3,137 – $30,046 · median $15,609 18 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,137 – $37,721 · median $32,620 18 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,137 – $37,721 · median $16,052 18 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $2,734 – $227,138 · median $121,633 17 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 17 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $2,734 – $227,138 · median $56,111 17 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $2,734 – $34,297 · median $18,802 17 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $2,734 – $34,297 · median $8,684 17 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $2,734 – $23,732 · median $14,041 17 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $2,734 – $23,481 · median $10,257 17 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $2,734 – $25,626 · median $23,360 17 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $2,734 – $25,626 · median $12,514 17 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $2,734 – $20,014 · median $17,257 17 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $2,734 – $20,014 · median $11,486 17 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $2,734 – $20,014 · median $8,415 17 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $2,734 – $50,411 · median $25,208 17 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $2,734 – $50,411 · median $16,654 17 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $2,734 – $50,411 · median $13,166 17 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $2,734 – $34,134 · median $18,586 17 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $2,734 – $34,134 · median $9,569 17 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $2,734 – $34,134 · median $6,522 17 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $2,734 – $20,254 · median $13,631 17 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $2,734 – $20,254 · median $8,314 17 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $2,734 – $17,323 · median $7,559 17 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $2,734 – $27,749 · median $16,264 17 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $2,734 – $26,039 · median $9,913 17 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $2,734 – $16,111 · median $7,096 17 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $2,734 – $24,320 · median $14,472 17 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $2,734 – $22,152 · median $9,806 17 plans
075 VIRAL MENINGITIS WITH CC/MCC $2,734 – $16,917 · median $16,112 17 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $2,734 – $13,990 · median $8,642 17 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $2,734 – $19,655 · median $14,479 17 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $2,734 – $19,655 · median $9,393 17 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $2,734 – $19,655 · median $6,322 17 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $2,734 – $32,306 · median $18,573 17 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $2,734 – $32,306 · median $8,530 17 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $2,734 – $37,446 · median $21,655 17 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $2,734 – $37,446 · median $13,033 17 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $2,734 – $37,446 · median $9,006 17 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $2,734 – $57,780 · median $21,152 17 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $2,734 – $16,577 · median $12,302 17 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $2,734 – $15,089 · median $8,337 17 plans
088 CONCUSSION WITH MCC $2,734 – $22,306 · median $13,221 17 plans
089 CONCUSSION WITH CC $2,734 – $22,306 · median $10,081 17 plans
090 CONCUSSION WITHOUT CC/MCC $2,734 – $16,640 · median $8,089 17 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $2,734 – $24,767 · median $17,043 17 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $2,734 – $20,726 · median $9,957 17 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $2,734 – $17,175 · median $7,459 17 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $2,734 – $50,917 · median $33,974 17 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $2,734 – $50,917 · median $22,369 17 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $2,734 – $50,917 · median $22,369 17 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $2,734 – $37,256 · median $33,380 17 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $2,734 – $37,256 · median $20,256 17 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $2,734 – $37,256 · median $13,060 17 plans
100 HEADACHES WITHOUT MCC $2,734 – $22,548 · median $18,549 17 plans
101 ORBITAL PROCEDURES WITH CC/MCC $2,734 – $19,466 · median $8,687 17 plans
102 ORBITAL PROCEDURES WITHOUT CC/MCC $2,734 – $15,544 · median $10,892 17 plans
103 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $2,734 – $15,544 · median $8,024 17 plans
121 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $2,734 – $11,472 · median $10,926 17 plans
122 OTHER DISORDERS OF THE EYE WITHOUT MCC $2,734 – $9,053 · median $6,430 17 plans
123 SINUS AND MASTOID PROCEDURES WITH CC/MCC $2,734 – $16,501 · median $7,588 17 plans
124 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $2,734 – $15,786 · median $12,231 17 plans
125 MOUTH PROCEDURES WITH CC/MCC $2,734 – $8,186 · median $7,796 17 plans
146 DYSEQUILIBRIUM $2,734 – $35,074 · median $21,413 17 plans
147 EPISTAXIS WITH MCC $2,734 – $35,074 · median $11,683 17 plans
148 EPISTAXIS WITHOUT MCC $2,734 – $35,074 · median $7,565 17 plans
149 OTITIS MEDIA AND URI WITH MCC $2,734 – $12,624 · median $7,071 17 plans
150 OTITIS MEDIA AND URI WITHOUT MCC $2,734 – $13,605 · median $12,957 17 plans
151 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $2,734 – $10,313 · median $7,169 17 plans
152 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $2,734 – $12,076 · median $10,663 17 plans
153 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $2,734 – $10,468 · median $6,739 17 plans
154 DENTAL AND ORAL DISEASES WITH MCC $2,734 – $15,981 · median $15,220 17 plans
155 DENTAL AND ORAL DISEASES WITH CC $2,734 – $14,696 · median $8,797 17 plans
156 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $2,734 – $14,696 · median $6,375 17 plans
157 MAJOR CHEST PROCEDURES WITH MCC $2,734 – $19,770 · median $15,324 17 plans
158 MAJOR CHEST PROCEDURES WITH CC $2,734 – $19,770 · median $8,862 17 plans
159 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $2,734 – $19,770 · median $6,256 17 plans
175 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $2,734 – $30,707 · median $13,206 17 plans
176 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $2,734 – $30,707 · median $7,693 17 plans
177 RESPIRATORY NEOPLASMS WITH MCC $2,734 – $41,805 · median $15,130 17 plans
178 RESPIRATORY NEOPLASMS WITH CC $2,734 – $41,805 · median $9,339 17 plans
179 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $2,734 – $33,020 · median $7,277 17 plans
180 MAJOR CHEST TRAUMA WITH MCC $2,734 – $35,651 · median $16,347 17 plans
181 MAJOR CHEST TRAUMA WITH CC $2,734 – $35,651 · median $10,436 17 plans
182 MAJOR CHEST TRAUMA WITHOUT CC/MCC $2,734 – $35,651 · median $7,906 17 plans
183 PLEURAL EFFUSION WITH MCC $2,734 – $21,352 · median $14,859 17 plans
184 PLEURAL EFFUSION WITH CC $2,734 – $19,605 · median $10,044 17 plans
185 PLEURAL EFFUSION WITHOUT CC/MCC $2,734 – $18,731 · median $7,351 17 plans
186 PULMONARY EDEMA AND RESPIRATORY FAILURE $2,734 – $27,972 · median $14,791 17 plans
187 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $2,734 – $27,346 · median $9,450 17 plans
188 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $2,734 – $22,335 · median $6,948 17 plans
189 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $2,734 – $45,244 · median $11,614 17 plans
190 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $2,734 – $18,338 · median $10,553 17 plans
191 SIMPLE PNEUMONIA AND PLEURISY WITH CC $2,734 – $18,338 · median $8,106 17 plans
192 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $2,734 – $18,338 · median $6,141 17 plans
193 INTERSTITIAL LUNG DISEASE WITH MCC $2,734 – $24,433 · median $12,359 17 plans
194 INTERSTITIAL LUNG DISEASE WITH CC $2,734 – $23,599 · median $7,744 17 plans
195 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $2,734 – $18,785 · median $5,914 17 plans
196 PNEUMOTHORAX WITH MCC $2,734 – $34,127 · median $17,611 17 plans
197 PNEUMOTHORAX WITH CC $2,734 – $34,127 · median $9,320 17 plans
198 PNEUMOTHORAX WITHOUT CC/MCC $2,734 – $34,127 · median $6,635 17 plans
199 BRONCHITIS AND ASTHMA WITH CC/MCC $2,734 – $18,184 · median $16,509 17 plans
200 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $2,734 – $17,225 · median $10,410 17 plans
201 RESPIRATORY SIGNS AND SYMPTOMS $2,734 – $13,657 · median $6,418 17 plans
202 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $2,734 – $17,657 · median $9,104 17 plans
203 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $2,734 – $13,425 · median $6,599 17 plans
204 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $2,734 – $13,388 · median $7,660 17 plans
205 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $2,734 – $20,284 · median $17,645 17 plans
206 COMPLEX AORTIC ARCH PROCEDURES $2,734 – $17,495 · median $8,539 17 plans
207 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $2,734 – $183,759 · median $60,110 17 plans
208 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $2,734 – $69,643 · median $25,027 17 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $2,734 – $33,194 · median $15,360 17 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $2,734 – $28,700 · median $8,688 17 plans
282 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $2,734 – $25,133 · median $6,864 17 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $2,734 – $55,461 · median $18,272 17 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $2,734 – $55,461 · median $7,011 17 plans
285 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $2,734 – $55,461 · median $5,346 17 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $2,734 – $33,859 · median $20,664 17 plans
287 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $2,734 – $29,810 · median $10,245 17 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $2,734 – $47,620 · median $25,469 17 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $2,734 – $47,620 · median $14,760 17 plans
290 HEART FAILURE AND SHOCK WITH MCC $2,734 – $47,620 · median $9,218 17 plans
291 HEART FAILURE AND SHOCK WITH CC $2,734 – $28,288 · median $12,239 17 plans
292 HEART FAILURE AND SHOCK WITHOUT CC/MCC $2,734 – $28,288 · median $8,126 17 plans
293 CARDIAC ARREST, UNEXPLAINED WITH MCC $2,734 – $28,288 · median $5,228 17 plans
294 CARDIAC ARREST, UNEXPLAINED WITH CC $2,734 – $25,539 · median $11,527 17 plans
295 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $2,734 – $25,539 · median $7,464 17 plans
296 PERIPHERAL VASCULAR DISORDERS WITH MCC $2,734 – $44,332 · median $15,333 17 plans
297 PERIPHERAL VASCULAR DISORDERS WITH CC $2,734 – $44,332 · median $6,672 17 plans
298 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $2,734 – $44,332 · median $4,236 17 plans
299 ATHEROSCLEROSIS WITH MCC $2,734 – $25,822 · median $15,140 17 plans
300 ATHEROSCLEROSIS WITHOUT MCC $2,734 – $24,331 · median $10,067 17 plans
301 HYPERTENSION WITH MCC $2,734 – $17,911 · median $6,755 17 plans
302 HYPERTENSION WITHOUT MCC $2,734 – $14,075 · median $10,927 17 plans
303 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $2,734 – $13,970 · median $6,375 17 plans
304 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $2,734 – $13,581 · median $11,034 17 plans
305 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $2,734 – $13,581 · median $7,101 17 plans
306 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $2,734 – $14,726 · median $14,025 17 plans
307 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $2,734 – $12,782 · median $8,730 17 plans
308 ANGINA PECTORIS $2,734 – $20,945 · median $11,322 17 plans
309 SYNCOPE AND COLLAPSE $2,734 – $19,657 · median $6,995 17 plans
310 CHEST PAIN $2,734 – $15,066 · median $5,328 17 plans
311 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $2,734 – $12,606 · median $6,615 17 plans
312 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $2,734 – $13,890 · median $8,219 17 plans
313 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $2,734 – $11,356 · median $6,755 17 plans
314 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $2,734 – $39,402 · median $20,109 17 plans
315 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $2,734 – $26,429 · median $9,063 17 plans
316 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $2,734 – $16,869 · median $6,470 17 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $2,734 – $19,185 · median $15,626 17 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $2,734 – $19,185 · median $9,576 17 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $2,734 – $19,185 · median $6,612 17 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $2,734 – $21,818 · median $16,349 17 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $2,734 – $21,818 · median $9,684 17 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $2,734 – $21,818 · median $6,866 17 plans
374 DIGESTIVE MALIGNANCY WITH MCC $2,734 – $55,494 · median $19,719 17 plans
375 DIGESTIVE MALIGNANCY WITH CC $2,734 – $54,197 · median $11,533 17 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $2,734 – $28,253 · median $8,328 17 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $2,734 – $21,186 · median $17,000 17 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $2,734 – $21,186 · median $9,282 17 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $2,734 – $16,246 · median $6,044 17 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $2,734 – $23,614 · median $17,984 17 plans
381 COMPLICATED PEPTIC ULCER WITH CC $2,734 – $23,614 · median $10,239 17 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $2,734 – $23,614 · median $7,088 17 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $2,734 – $19,466 · median $11,863 17 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $2,734 – $19,466 · median $8,204 17 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $2,734 – $19,275 · median $15,207 17 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $2,734 – $19,275 · median $9,343 17 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $2,734 – $19,275 · median $6,355 17 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $2,734 – $18,613 · median $13,770 17 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $2,734 – $16,535 · median $7,573 17 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $2,734 – $13,169 · median $5,214 17 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $2,734 – $16,779 · median $12,051 17 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $2,734 – $14,440 · median $7,375 17 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $2,734 – $25,076 · median $15,496 17 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $2,734 – $18,171 · median $8,868 17 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,734 – $16,558 · median $6,041 17 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $2,734 – $40,999 · median $18,306 17 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $2,734 – $40,999 · median $10,060 17 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,734 – $40,999 · median $6,598 17 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $2,734 – $38,320 · median $17,059 17 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $2,734 – $38,320 · median $10,597 17 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $2,734 – $38,320 · median $7,421 17 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $2,734 – $24,766 · median $15,567 17 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $2,734 – $24,766 · median $8,116 17 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $2,734 – $24,766 · median $5,844 17 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $2,734 – $31,667 · median $17,669 17 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $2,734 – $31,667 · median $9,099 17 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,734 – $22,899 · median $6,656 17 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $2,734 – $25,432 · median $15,759 17 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $2,734 – $24,922 · median $10,196 17 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $2,734 – $16,425 · median $7,533 17 plans
533 FRACTURES OF FEMUR WITHOUT MCC $2,734 – $14,994 · median $14,280 17 plans
534 FRACTURES OF HIP AND PELVIS WITH MCC $2,734 – $12,097 · median $7,688 17 plans
535 FRACTURES OF HIP AND PELVIS WITHOUT MCC $2,734 – $17,314 · median $12,472 17 plans
536 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $2,734 – $17,314 · median $7,659 17 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $2,734 – $24,713 · median $8,662 17 plans
538 OSTEOMYELITIS WITH MCC $2,734 – $24,713 · median $6,367 17 plans
539 OSTEOMYELITIS WITH CC $2,734 – $38,699 · median $18,893 17 plans
540 OSTEOMYELITIS WITHOUT CC/MCC $2,734 – $38,699 · median $12,140 17 plans
541 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $2,734 – $38,699 · median $8,253 17 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $2,734 – $32,622 · median $17,435 17 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $2,734 – $32,622 · median $9,977 17 plans
544 CONNECTIVE TISSUE DISORDERS WITH MCC $2,734 – $32,622 · median $7,147 17 plans
545 CONNECTIVE TISSUE DISORDERS WITH CC $2,734 – $39,721 · median $23,572 17 plans
546 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,734 – $34,387 · median $10,875 17 plans
547 SEPTIC ARTHRITIS WITH MCC $2,734 – $29,053 · median $7,059 17 plans
548 SEPTIC ARTHRITIS WITH CC $2,734 – $24,262 · median $18,821 17 plans
549 SEPTIC ARTHRITIS WITHOUT CC/MCC $2,734 – $24,262 · median $11,315 17 plans
550 MEDICAL BACK PROBLEMS WITH MCC $2,734 – $24,262 · median $8,134 17 plans
551 MEDICAL BACK PROBLEMS WITHOUT MCC $2,734 – $16,761 · median $15,963 17 plans
552 BONE DISEASES AND ARTHROPATHIES WITH MCC $2,734 – $14,526 · median $9,077 17 plans
553 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $2,734 – $12,863 · median $12,250 17 plans
554 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,734 – $12,294 · median $7,879 17 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $2,734 – $13,258 · median $12,627 17 plans
556 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $2,734 – $10,413 · median $7,711 17 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $2,734 – $19,610 · median $14,510 17 plans
558 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,734 – $19,610 · median $8,150 17 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $2,734 – $18,221 · median $17,353 17 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $2,734 – $16,444 · median $10,699 17 plans
561 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $2,734 – $16,444 · median $7,721 17 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $2,734 – $14,396 · median $13,711 17 plans
563 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $2,734 – $13,050 · median $8,428 17 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $2,734 – $16,545 · median $14,691 17 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $2,734 – $16,545 · median $9,595 17 plans
566 SKIN DEBRIDEMENT WITH MCC $2,734 – $16,545 · median $7,077 17 plans
592 SKIN ULCERS WITH CC $2,734 – $22,848 · median $19,208 17 plans
593 SKIN ULCERS WITHOUT CC/MCC $2,734 – $22,848 · median $11,478 17 plans
594 MAJOR SKIN DISORDERS WITH MCC $2,734 – $22,848 · median $8,010 17 plans
595 MAJOR SKIN DISORDERS WITHOUT MCC $2,734 – $40,182 · median $19,753 17 plans
596 MALIGNANT BREAST DISORDERS WITH MCC $2,734 – $32,231 · median $10,165 17 plans
597 MALIGNANT BREAST DISORDERS WITH CC $2,734 – $51,575 · median $16,430 17 plans
598 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,734 – $51,575 · median $10,144 17 plans
599 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $1,563 – $8,471 · median $8,067 17 plans
600 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,734 – $15,876 · median $9,010 17 plans
601 CELLULITIS WITH MCC $2,734 – $15,876 · median $5,699 17 plans
602 CELLULITIS WITHOUT MCC $2,734 – $23,805 · median $13,764 17 plans
603 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $2,734 – $16,022 · median $8,307 17 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $2,734 – $17,765 · median $13,917 17 plans
605 MINOR SKIN DISORDERS WITH MCC $2,734 – $14,607 · median $8,705 17 plans
606 MINOR SKIN DISORDERS WITHOUT MCC $2,734 – $15,826 · median $15,072 17 plans
607 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $2,734 – $12,449 · median $8,153 17 plans
637 DIABETES WITH CC $2,734 – $14,964 · median $13,644 17 plans
638 DIABETES WITHOUT CC/MCC $2,734 – $14,812 · median $8,645 17 plans
639 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $2,734 – $14,700 · median $5,950 17 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $2,734 – $20,063 · median $12,454 17 plans
641 INBORN AND OTHER DISORDERS OF METABOLISM $2,734 – $15,619 · median $7,386 17 plans
642 ENDOCRINE DISORDERS WITH MCC $2,734 – $84,650 · median $11,648 17 plans
643 ENDOCRINE DISORDERS WITH CC $2,734 – $19,241 · median $15,508 17 plans
644 ENDOCRINE DISORDERS WITHOUT CC/MCC $2,734 – $19,241 · median $9,722 17 plans
645 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $2,734 – $16,655 · median $7,361 17 plans
682 RENAL FAILURE WITH CC $2,734 – $29,761 · median $14,067 17 plans
683 RENAL FAILURE WITHOUT CC/MCC $2,734 – $29,761 · median $8,382 17 plans
684 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $2,734 – $29,761 · median $5,772 17 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $2,734 – $30,684 · median $17,626 17 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $2,734 – $30,684 · median $9,901 17 plans
688 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $2,734 – $30,684 · median $6,855 17 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $2,734 – $17,401 · median $10,992 17 plans
690 URINARY STONES WITH MCC $2,734 – $14,856 · median $7,582 17 plans
693 URINARY STONES WITHOUT MCC $2,734 – $14,463 · median $13,775 17 plans
694 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $2,734 – $11,627 · median $7,386 17 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $2,734 – $20,364 · median $10,598 17 plans
696 URETHRAL STRICTURE $2,734 – $20,364 · median $6,555 17 plans
697 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $2,734 – $9,901 · median $9,429 17 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $2,734 – $21,735 · median $15,727 17 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $2,734 – $21,699 · median $9,597 17 plans
700 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $2,734 – $17,015 · median $6,577 17 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $2,734 – $43,014 · median $16,172 17 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,734 – $43,014 · median $10,552 17 plans
724 BENIGN PROSTATIC HYPERTROPHY WITH MCC $2,734 – $29,920 · median $6,896 17 plans
725 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $2,734 – $24,799 · median $11,848 17 plans
726 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $2,734 – $24,799 · median $7,043 17 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $2,734 – $14,454 · median $13,765 17 plans
728 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $2,734 – $13,082 · median $7,717 17 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,734 – $13,242 · median $10,348 17 plans
730 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $2,734 – $13,242 · median $5,768 17 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $2,734 – $56,921 · median $16,917 17 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,734 – $56,921 · median $10,434 17 plans
756 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $2,734 – $21,376 · median $8,995 17 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $2,734 – $13,927 · median $13,264 17 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,734 – $13,539 · median $9,592 17 plans
759 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $2,734 – $13,539 · median $6,074 17 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,734 – $11,900 · median $9,279 17 plans
761 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,734 – $11,900 · median $6,018 17 plans
776 ABORTION WITHOUT D&C $2,734 – $9,521 · median $6,756 17 plans
779 CESAREAN SECTION WITH STERILIZATION WITH MCC $2,734 – $9,249 · median $8,808 17 plans
789 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $2,734 – $63,906 · median $16,855 17 plans
790 PREMATURITY WITH MAJOR PROBLEMS $2,734 – $269,810 · median $55,266 17 plans
791 PREMATURITY WITHOUT MAJOR PROBLEMS $2,734 – $61,079 · median $37,787 17 plans
792 FULL TERM NEONATE WITH MAJOR PROBLEMS $2,734 – $23,999 · median $22,856 17 plans
793 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,734 – $40,753 · median $38,813 17 plans
794 NORMAL NEWBORN $2,734 – $14,520 · median $13,829 17 plans
795 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $1,992 – $3,339 · median $2,092 17 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,734 – $10,046 · median $9,394 17 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,734 – $10,046 · median $6,850 17 plans
807 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $2,734 – $9,041 · median $6,049 17 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $2,734 – $34,626 · median $21,378 17 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $2,734 – $34,626 · median $11,624 17 plans
810 RED BLOOD CELL DISORDERS WITH MCC $2,734 – $34,626 · median $8,966 17 plans
811 RED BLOOD CELL DISORDERS WITHOUT MCC $2,734 – $30,795 · median $13,186 17 plans
812 COAGULATION DISORDERS $2,734 – $16,499 · median $8,698 17 plans
813 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $2,734 – $32,010 · median $14,494 17 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $2,734 – $20,501 · median $19,525 17 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $2,734 – $15,837 · median $9,562 17 plans
816 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $2,734 – $11,585 · median $6,254 17 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,734 – $11,354 · median $10,813 17 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,734 – $9,249 · median $7,070 17 plans
833 ACUTE LEUKEMIA WITH MCC $2,734 – $9,093 · median $4,960 17 plans
834 ACUTE LEUKEMIA WITH CC $2,734 – $138,591 · median $51,394 17 plans
835 ACUTE LEUKEMIA WITHOUT CC/MCC $2,734 – $138,591 · median $19,946 17 plans
836 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $2,734 – $138,591 · median $11,923 17 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $2,734 – $57,510 · median $46,572 17 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $2,734 – $57,510 · median $18,947 17 plans
839 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $2,734 – $57,510 · median $12,847 17 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $2,734 – $81,627 · median $29,711 17 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $2,734 – $77,106 · median $14,680 17 plans
842 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $2,734 – $50,628 · median $9,894 17 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $2,734 – $45,693 · median $17,696 17 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $2,734 – $41,296 · median $11,223 17 plans
845 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $2,734 – $41,296 · median $7,899 17 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $2,734 – $25,012 · median $23,821 17 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $2,734 – $18,356 · median $11,923 17 plans
848 RADIOTHERAPY $2,734 – $18,356 · median $7,733 17 plans
849 ACUTE LEUKEMIA WITH OTHER PROCEDURES $2,734 – $26,154 · median $24,909 17 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $2,734 – $21,371 · median $17,190 17 plans
863 FEVER AND INFLAMMATORY CONDITIONS $2,734 – $21,371 · median $9,412 17 plans
864 VIRAL ILLNESS WITH MCC $2,734 – $22,382 · median $8,467 17 plans
865 VIRAL ILLNESS WITHOUT MCC $2,734 – $24,149 · median $13,826 17 plans
866 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $2,734 – $22,649 · median $8,344 17 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $2,734 – $56,732 · median $20,024 17 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $2,734 – $56,732 · median $9,877 17 plans
869 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $2,734 – $56,732 · median $6,813 17 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $2,734 – $181,229 · median $64,647 17 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $2,734 – $40,496 · median $18,334 17 plans
872 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $2,734 – $40,473 · median $9,700 17 plans
880 DEPRESSIVE NEUROSES $2,734 – $11,567 · median $9,029 17 plans
881 NEUROSES EXCEPT DEPRESSIVE $2,734 – $9,932 · median $8,616 17 plans
882 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $2,734 – $9,513 · median $9,060 17 plans
883 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $2,734 – $20,951 · median $17,331 17 plans
884 PSYCHOSES $2,734 – $25,475 · median $15,628 17 plans
885 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $2,734 – $15,637 · median $13,211 17 plans
886 OTHER MENTAL DISORDER DIAGNOSES $2,734 – $17,639 · median $16,799 17 plans
887 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,734 – $36,176 · median $11,169 17 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $2,734 – $8,403 · median $5,927 17 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $2,734 – $22,417 · median $13,566 17 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $2,734 – $22,417 · median $16,653 17 plans
897 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $2,734 – $14,299 · median $8,320 17 plans
913 TRAUMATIC INJURY WITHOUT MCC $2,734 – $15,904 · median $15,146 17 plans
914 ALLERGIC REACTIONS WITH MCC $2,734 – $14,744 · median $8,638 17 plans
915 ALLERGIC REACTIONS WITHOUT MCC $2,734 – $17,068 · median $16,255 17 plans
916 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $2,734 – $13,035 · median $6,298 17 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $2,734 – $20,437 · median $15,345 17 plans
918 COMPLICATIONS OF TREATMENT WITH MCC $2,734 – $15,596 · median $8,343 17 plans
919 COMPLICATIONS OF TREATMENT WITH CC $2,734 – $27,605 · median $17,050 17 plans
920 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $2,734 – $27,605 · median $9,560 17 plans
921 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $2,734 – $15,640 · median $6,517 17 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $2,734 – $39,300 · median $15,806 17 plans
923 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $2,734 – $17,389 · median $9,597 17 plans
933 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $2,734 – $61,124 · median $40,263 17 plans
945 REHABILITATION WITHOUT CC/MCC $2,734 – $15,010 · median $14,295 17 plans
946 SIGNS AND SYMPTOMS WITH MCC $2,734 – $11,018 · median $10,493 17 plans
947 SIGNS AND SYMPTOMS WITHOUT MCC $2,734 – $14,274 · median $12,067 17 plans
948 AFTERCARE WITH CC/MCC $2,734 – $13,563 · median $7,507 17 plans
949 AFTERCARE WITHOUT CC/MCC $2,734 – $17,477 · median $10,145 17 plans
950 OTHER FACTORS INFLUENCING HEALTH STATUS $2,734 – $5,853 · median $5,575 17 plans
951 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $2,734 – $11,334 · median $5,398 17 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $2,734 – $41,603 · median $25,332 17 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $2,734 – $41,603 · median $14,050 17 plans
965 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $2,734 – $41,603 · median $8,602 17 plans
974 HIV WITH MAJOR RELATED CONDITION WITH CC $2,734 – $57,177 · median $27,831 17 plans
975 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $2,734 – $57,177 · median $13,320 17 plans
976 HIV WITH OR WITHOUT OTHER RELATED CONDITION $2,734 – $57,177 · median $9,441 17 plans
977 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $2,734 – $41,104 · median $13,510 17 plans
007 Lung transplant $3,137 – $127,393 · median $121,327 15 plans
010 Pancreas transplant $3,137 – $77,777 · median $74,074 15 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $3,137 – $77,332 · median $73,650 15 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $3,137 – $38,010 · median $36,200 15 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $3,137 – $22,296 · median $21,234 15 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $3,137 – $17,995 · median $17,138 15 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $3,137 – $65,177 · median $62,073 15 plans
929 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $3,137 – $31,113 · median $29,632 15 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY — 14 plans
212 OTHER HEART ASSIST SYSTEM IMPLANT $3,137 – $126,518 · median $103,688 14 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $3,137 – $158,762 · median $67,314 14 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $3,137 – $102,185 · median $59,020 14 plans
277 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $3,137 – $102,185 · median $44,359 14 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $3,137 – $71,336 · median $47,699 14 plans
279 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $3,137 – $71,336 · median $30,601 14 plans
321 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $3,137 – $56,596 · median $27,202 14 plans
322 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $3,137 – $40,157 · median $17,339 14 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $3,137 – $41,619 · median $39,637 14 plans
324 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $3,137 – $40,157 · median $30,512 14 plans
325 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $3,137 – $37,812 · median $27,347 14 plans
397 APPENDIX PROCEDURES WITH MCC $3,137 – $34,046 · median $23,694 14 plans
398 APPENDIX PROCEDURES WITH CC $3,137 – $31,438 · median $14,526 14 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $3,137 – $23,473 · median $10,825 14 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $3,137 – $114,677 · median $37,328 14 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $3,137 – $114,677 · median $99,710 14 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC — 14 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC — 14 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC — 14 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC — 14 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE — 14 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $3,137 – $78,647 · median $38,956 14 plans
850 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC — 14 plans
934 NON-EXTENSIVE BURNS $2,734 – $21,040 · median $20,038 14 plans
935 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $2,734 – $21,532 · median $20,507 14 plans
173 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $3,137 – $30,025 · median $28,595 11 plans
317 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC — 11 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE — 11 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $3,137 – $30,194 · median $28,756 11 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,137 – $37,721 · median $5,839 8 plans
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