The Queens Medical Center — Pricing

748 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 748 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 748
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 748 procedures

Procedures with negotiated rates only

These 748 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 SYSTEMWITHCOMORBITY $266,226 – $295,807 · median $281,017 2 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $266,226 – $295,807 · median $281,017 2 plans
003 ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE, MOUTH & NECK WITH MAJ O.R. $460,212 – $511,347 · median $485,780 2 plans
004 TRACH WITH MV >96 HRS OR PDX EXC FACE, MOUTH & NECK WITHOUT MAJ O.R. $398,876 – $443,195 · median $421,035 2 plans
005 LIVER TRANSPLANT WITH COMORBITY OR INTESTINAL TRANSPLANT $353,548 – $392,831 · median $373,189 2 plans
006 LIVER TRANSPLANT WITHOUT COMORBITY — 2 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 2 plans
011 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMORBITY $81,950 – $91,055 · median $86,502 2 plans
012 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMPLICATION $81,950 – $91,055 · median $86,502 2 plans
013 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITHOUT COMPLICATION/COMORBITY $81,950 – $91,055 · median $86,502 2 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $225,734 – $250,815 · median $238,274 2 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $225,734 – $250,815 · median $238,274 2 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $225,734 – $250,815 · median $238,274 2 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMORBITY $241,821 – $268,690 · median $255,256 2 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMPLICATION $241,821 – $268,690 · median $255,256 2 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITHOUT COMPLICATION/COMORBITY — 2 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH COMORBITY OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $103,389 – $114,877 · median $109,133 2 plans
024 CRANIO WITH MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX WITHOUT COMORBITY $98,510 – $109,455 · median $103,982 2 plans
025 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMORBITY $87,840 – $97,600 · median $92,720 2 plans
026 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION $87,840 – $97,600 · median $92,720 2 plans
027 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $75,567 – $83,963 · median $79,765 2 plans
028 SPINAL PROCEDURES WITH COMORBITY $84,826 – $94,251 · median $89,538 2 plans
029 SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS $70,182 – $77,980 · median $74,081 2 plans
030 SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $46,522 – $51,691 · median $49,106 2 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $53,060 – $58,955 · median $56,007 2 plans
032 VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION $53,060 – $58,955 · median $56,007 2 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT COMPLICATION/COMORBITY $36,865 – $40,961 · median $38,913 2 plans
037 EXTRACRANIAL PROCEDURES WITH COMORBITY $64,122 – $71,247 · median $67,685 2 plans
038 EXTRACRANIAL PROCEDURES WITH COMPLICATION $53,376 – $59,307 · median $56,342 2 plans
039 EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $41,557 – $46,174 · median $43,865 2 plans
040 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY $65,120 – $72,355 · median $68,737 2 plans
041 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMPLICATION OR PERIPH NEUROSTIM $57,263 – $63,625 · median $60,444 2 plans
042 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITHOUT COMPLICATION/COMORBITY $49,406 – $54,896 · median $52,151 2 plans
052 SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY $34,085 – $37,872 · median $35,978 2 plans
053 SPINAL DISORDERS & INJURIES WITHOUT COMPLICATION/COMORBITY $34,085 – $37,872 · median $35,978 2 plans
054 NERVOUS SYSTEM NEOPLASMS WITH COMORBITY $23,585 – $26,205 · median $24,895 2 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY $23,336 – $25,929 · median $24,633 2 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY $25,467 – $28,297 · median $26,882 2 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY $25,467 – $28,297 · median $26,882 2 plans
058 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMORBITY $19,890 – $22,100 · median $20,995 2 plans
059 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION $19,890 – $22,100 · median $20,995 2 plans
060 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITHOUT COMPLICATION/COMORBITY $19,890 – $22,100 · median $20,995 2 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY $50,099 – $55,666 · median $52,883 2 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION $50,099 – $55,666 · median $52,883 2 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT COMPLICATION/COMORBITY $50,099 – $55,666 · median $52,883 2 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY $33,923 – $37,692 · median $35,807 2 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS $33,923 – $37,692 · median $35,807 2 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY $33,923 – $37,692 · median $35,807 2 plans
067 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITH COMORBITY $20,129 – $22,366 · median $21,248 2 plans
068 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY $20,129 – $22,366 · median $21,248 2 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $17,216 – $19,129 · median $18,173 2 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY $27,577 – $30,641 · median $29,109 2 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION $25,879 – $28,754 · median $27,316 2 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY $16,011 – $17,790 · median $16,901 2 plans
073 CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY $24,170 – $26,855 · median $25,512 2 plans
074 CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY $22,015 – $24,461 · median $23,238 2 plans
075 VIRAL MENINGITIS WITH CC/MCC $13,903 – $15,448 · median $14,676 2 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $13,903 – $15,448 · median $14,676 2 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH COMORBITY $19,534 – $21,704 · median $20,619 2 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH COMPLICATION $19,534 – $21,704 · median $20,619 2 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $19,534 – $21,704 · median $20,619 2 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $32,106 – $35,673 · median $33,889 2 plans
081 NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY $32,106 – $35,673 · median $33,889 2 plans
082 TRAUMATIC STUPOR & COMA, COMA >1 HR WITH COMORBITY $37,214 – $41,349 · median $39,282 2 plans
083 TRAUMATIC STUPOR & COMA, COMA >1 HR WITH COMPLICATION $37,214 – $41,349 · median $39,282 2 plans
084 TRAUMATIC STUPOR & COMA, COMA >1 HR WITHOUT COMPLICATION/COMORBITY $37,214 – $41,349 · median $39,282 2 plans
085 TRAUMATIC STUPOR & COMA, COMA <1 HR WITH COMORBITY $57,423 – $63,803 · median $60,613 2 plans
086 TRAUMATIC STUPOR & COMA, COMA <1 HR WITH COMPLICATION $16,475 – $18,305 · median $17,390 2 plans
087 TRAUMATIC STUPOR & COMA, COMA <1 HR WITHOUT COMPLICATION/COMORBITY $14,996 – $16,662 · median $15,829 2 plans
088 CONCUSSION WITH MCC $22,168 – $24,631 · median $23,399 2 plans
089 CONCUSSION WITH COMPLICATION $22,168 – $24,631 · median $23,399 2 plans
090 CONCUSSION WITHOUT COMPLICATION/COMORBITY $16,538 – $18,375 · median $17,456 2 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY $24,614 – $27,349 · median $25,982 2 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION $20,597 – $22,886 · median $21,742 2 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY $17,069 – $18,965 · median $18,017 2 plans
094 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMORBITY $50,603 – $56,225 · median $53,414 2 plans
095 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION $50,603 – $56,225 · median $53,414 2 plans
096 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY $50,603 – $56,225 · median $53,414 2 plans
097 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY $37,026 – $41,140 · median $39,083 2 plans
098 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMPLICATION $37,026 – $41,140 · median $39,083 2 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $37,026 – $41,140 · median $39,083 2 plans
100 SEIZURES WITH COMORBITY $22,408 – $24,898 · median $23,653 2 plans
101 SEIZURES WITHOUT COMORBITY $19,346 – $21,495 · median $20,420 2 plans
102 HEADACHES WITH COMORBITY $15,448 – $17,164 · median $16,306 2 plans
103 HEADACHES WITHOUT COMORBITY $15,448 – $17,164 · median $16,306 2 plans
113 ORBITAL PROCEDURES WITH COMPLICATION/COMORBITY $18,826 – $20,918 · median $19,872 2 plans
114 ORBITAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $18,826 – $20,918 · median $19,872 2 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $17,552 – $19,502 · median $18,527 2 plans
116 INTRAOCULAR PROCEDURES WITH COMPLICATION/COMORBITY $18,249 – $20,277 · median $19,263 2 plans
117 INTRAOCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY $18,089 – $20,099 · median $19,094 2 plans
121 ACUTE MAJOR EYE INFECTIONS WITH COMPLICATION/COMORBITY $8,997 – $9,997 · median $9,497 2 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT COMPLICATION/COMORBITY $8,997 – $9,997 · median $9,497 2 plans
123 NEUROLOGICAL EYE DISORDERS $16,399 – $18,221 · median $17,310 2 plans
124 OTHER DISORDERS OF THE EYE WITH COMORBITY $15,688 – $17,431 · median $16,559 2 plans
125 OTHER DISORDERS OF THE EYE WITHOUT COMORBITY $7,932 – $8,813 · median $8,372 2 plans
135 SINUS & MASTOID PROCEDURES WITH COMPLICATION/COMORBITY $25,522 – $28,358 · median $26,940 2 plans
136 SINUS & MASTOID PROCEDURES WITHOUT COMPLICATION/COMORBITY $25,522 – $28,358 · median $26,940 2 plans
137 MOUTH PROCEDURES WITH COMPLICATION/COMORBITY $58,935 – $65,483 · median $62,209 2 plans
138 MOUTH PROCEDURES WITHOUT COMPLICATION/COMORBITY $31,302 – $34,780 · median $33,041 2 plans
139 SALIVARY GLAND PROCEDURES $21,446 – $23,829 · median $22,638 2 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $60,487 – $67,208 · median $63,848 2 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $49,687 – $55,208 · median $52,448 2 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $27,693 – $30,770 · median $29,232 2 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $99,364 – $110,404 · median $104,884 2 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $34,038 – $37,820 · median $35,929 2 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $21,936 – $24,373 · median $23,154 2 plans
146 EAR, NOSE, MOUTH & THROAT MALIGNANCY WITH COMORBITY $34,857 – $38,730 · median $36,794 2 plans
147 EAR, NOSE, MOUTH & THROAT MALIGNANCY WITH COMPLICATION $34,857 – $38,730 · median $36,794 2 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $34,857 – $38,730 · median $36,794 2 plans
149 DYSEQUILIBRIUM $12,546 – $13,940 · median $13,243 2 plans
150 EPISTAXIS WITH COMORBITY $10,249 – $11,388 · median $10,819 2 plans
151 EPISTAXIS WITHOUT COMORBITY $10,249 – $11,388 · median $10,819 2 plans
152 OTITIS MEDIA & URI WITH COMORBITY $12,002 – $13,335 · median $12,668 2 plans
153 OTITIS MEDIA & URI WITHOUT COMORBITY $10,403 – $11,559 · median $10,981 2 plans
154 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES WITH COMORBITY $14,605 – $16,228 · median $15,417 2 plans
155 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES WITH COMPLICATION $14,605 – $16,228 · median $15,417 2 plans
156 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES WITHOUT COMPLICATION/COMORBITY $14,605 – $16,228 · median $15,417 2 plans
157 DENTAL & ORAL DISEASES WITH COMORBITY $19,648 – $21,831 · median $20,739 2 plans
158 DENTAL & ORAL DISEASES WITH COMPLICATION $19,648 – $21,831 · median $20,739 2 plans
159 DENTAL & ORAL DISEASES WITHOUT COMPLICATION/COMORBITY $19,648 – $21,831 · median $20,739 2 plans
163 MAJOR CHEST PROCEDURES WITH COMORBITY $62,552 – $69,502 · median $66,027 2 plans
164 MAJOR CHEST PROCEDURES WITH COMPLICATION $62,319 – $69,243 · median $65,781 2 plans
165 MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY $44,805 – $49,783 · median $47,294 2 plans
166 OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY $62,605 – $69,561 · median $66,083 2 plans
167 OTHER RESP SYSTEM O.R. PROCEDURES WITH COMPLICATION $59,653 – $66,281 · median $62,967 2 plans
168 OTHER RESP SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY $42,619 – $47,354 · median $44,986 2 plans
175 PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE $30,517 – $33,908 · median $32,213 2 plans
176 PULMONARY EMBOLISM WITHOUT COMORBITY $30,517 – $33,908 · median $32,213 2 plans
177 RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY $41,546 – $46,162 · median $43,854 2 plans
178 RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION $41,546 – $46,162 · median $43,854 2 plans
179 RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY $32,816 – $36,462 · median $34,639 2 plans
180 RESPIRATORY NEOPLASMS WITH COMORBITY $35,430 – $39,367 · median $37,399 2 plans
181 RESPIRATORY NEOPLASMS WITH COMPLICATION $35,430 – $39,367 · median $37,399 2 plans
182 RESPIRATORY NEOPLASMS WITHOUT COMPLICATION/COMORBITY $35,430 – $39,367 · median $37,399 2 plans
183 MAJOR CHEST TRAUMA WITH COMORBITY $21,220 – $23,578 · median $22,399 2 plans
184 MAJOR CHEST TRAUMA WITH COMPLICATION $19,483 – $21,648 · median $20,566 2 plans
185 MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY $18,616 – $20,684 · median $19,650 2 plans
186 PLEURAL EFFUSION WITH COMORBITY $27,799 – $30,888 · median $29,344 2 plans
187 PLEURAL EFFUSION WITH COMPLICATION $27,176 – $30,196 · median $28,686 2 plans
188 PLEURAL EFFUSION WITHOUT COMPLICATION/COMORBITY $22,197 – $24,663 · median $23,430 2 plans
189 PULMONARY EDEMA & RESPIRATORY FAILURE $44,964 – $49,960 · median $47,462 2 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY $18,225 – $20,250 · median $19,238 2 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION $18,225 – $20,250 · median $19,238 2 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY $18,225 – $20,250 · median $19,238 2 plans
193 SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY $24,282 – $26,980 · median $25,631 2 plans
194 SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION $23,453 – $26,059 · median $24,756 2 plans
195 SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY $18,669 – $20,743 · median $19,706 2 plans
196 INTERSTITIAL LUNG DISEASE WITH COMORBITY $33,916 – $37,684 · median $35,800 2 plans
197 INTERSTITIAL LUNG DISEASE WITH COMPLICATION $33,916 – $37,684 · median $35,800 2 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION/COMORBITY $33,916 – $37,684 · median $35,800 2 plans
199 PNEUMOTHORAX WITH COMORBITY $18,071 – $20,079 · median $19,075 2 plans
200 PNEUMOTHORAX WITH COMPLICATION $17,119 – $19,021 · median $18,070 2 plans
201 PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY $13,572 – $15,080 · median $14,326 2 plans
202 BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY $17,548 – $19,498 · median $18,523 2 plans
203 BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY $13,343 – $14,825 · median $14,084 2 plans
204 RESPIRATORY SIGNS & SYMPTOMS $13,305 – $14,783 · median $14,044 2 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY $20,159 – $22,399 · median $21,279 2 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY $17,386 – $19,318 · median $18,352 2 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $182,623 – $202,914 · median $192,768 2 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $69,212 – $76,902 · median $73,057 2 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES $125,735 – $139,706 · median $132,721 2 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $168,216 – $186,907 · median $177,562 2 plans
216 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY $190,644 – $211,827 · median $201,236 2 plans
217 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMPLICATION $190,644 – $211,827 · median $201,236 2 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $190,644 – $211,827 · median $201,236 2 plans
219 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMORBITY $125,735 – $139,706 · median $132,721 2 plans
220 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMPLICATION $125,735 – $139,706 · median $132,721 2 plans
221 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITHOUT COMPLICATION/COMORBITY $125,735 – $139,706 · median $132,721 2 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY $111,084 – $123,427 · median $117,256 2 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY $111,084 – $123,427 · median $117,256 2 plans
231 CORONARY BYPASS WITH PTCA WITH COMORBITY $138,517 – $153,908 · median $146,213 2 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $138,517 – $153,908 · median $146,213 2 plans
233 CORONARY BYPASS WITH CARDIAC CATH WITH COMORBITY $125,534 – $139,482 · median $132,508 2 plans
234 CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY $110,184 – $122,427 · median $116,306 2 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATH WITH COMORBITY $95,831 – $106,479 · median $101,155 2 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATH WITHOUT COMORBITY $89,100 – $99,000 · median $94,050 2 plans
239 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY $79,663 – $88,514 · median $84,088 2 plans
240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION $79,663 – $88,514 · median $84,088 2 plans
241 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY $79,663 – $88,514 · median $84,088 2 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY $70,572 – $78,413 · median $74,492 2 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION $52,764 – $58,627 · median $55,696 2 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY $43,337 – $48,152 · median $45,744 2 plans
245 AICD GENERATOR PROCEDURES $76,218 – $84,687 · median $80,453 2 plans
250 PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY $47,326 – $52,584 · median $49,955 2 plans
251 PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY $37,578 – $41,753 · median $39,665 2 plans
252 OTHER VASCULAR PROCEDURES WITH COMORBITY $70,895 – $78,772 · median $74,833 2 plans
253 OTHER VASCULAR PROCEDURES WITH COMPLICATION $66,591 – $73,990 · median $70,291 2 plans
254 OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY $48,143 – $53,492 · median $50,817 2 plans
255 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY $36,117 – $40,130 · median $38,124 2 plans
256 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION $36,117 – $40,130 · median $38,124 2 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $36,117 – $40,130 · median $38,124 2 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $22,771 – $25,301 · median $24,036 2 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT COMORBITY $22,771 – $25,301 · median $24,036 2 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMORBITY $30,739 – $34,154 · median $32,446 2 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION $30,739 – $34,154 · median $32,446 2 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT COMPLICATION/COMORBITY $30,739 – $34,154 · median $32,446 2 plans
263 VEIN LIGATION & STRIPPING $32,429 – $36,032 · median $34,230 2 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $159,458 – $177,175 · median $168,316 2 plans
265 AICD LEAD PROCEDURES $76,218 – $84,687 · median $80,453 2 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITH COMORBITY $91,075 – $101,194 · median $96,134 2 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITHOUT COMORBITY $79,315 – $88,128 · median $83,722 2 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH COMORBITY $109,716 – $121,907 · median $115,812 2 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY $94,685 – $105,205 · median $99,945 2 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY $109,716 – $121,907 · median $115,812 2 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION $94,685 – $105,205 · median $99,945 2 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY $94,685 – $105,205 · median $99,945 2 plans
273 PERCUTANEOUS INTRACARDIAC PROCEDURES WITH COMORBITY $52,654 – $58,504 · median $55,579 2 plans
274 PERCUTANEOUS INTRACARDIAC PROCEDURES WITHOUT COMORBITY $37,071 – $41,190 · median $39,131 2 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $157,780 – $175,311 · median $166,545 2 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $101,553 – $112,837 · median $107,195 2 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $101,553 – $112,837 · median $107,195 2 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $70,895 – $78,772 · median $74,833 2 plans
279 HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS $70,895 – $78,772 · median $74,833 2 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMORBITY $32,989 – $36,654 · median $34,821 2 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION $28,522 – $31,691 · median $30,106 2 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY $24,978 – $27,753 · median $26,365 2 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH COMORBITY $55,119 – $61,243 · median $58,181 2 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH COMPLICATION $55,119 – $61,243 · median $58,181 2 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC — 2 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARD CATH WITH COMORBITY $33,649 – $37,388 · median $35,519 2 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARD CATH WITHOUT COMORBITY $29,626 – $32,918 · median $31,272 2 plans
288 ACUTE & SUBACUTE ENDOCARDITIS WITH COMORBITY $47,326 – $52,584 · median $49,955 2 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $47,326 – $52,584 · median $49,955 2 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $47,326 – $52,584 · median $49,955 2 plans
291 HEART FAILURE & SHOCK WITH COMORBITY $28,113 – $31,237 · median $29,675 2 plans
292 HEART FAILURE & SHOCK WITH COMPLICATION $28,113 – $31,237 · median $29,675 2 plans
293 HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY $28,113 – $31,237 · median $29,675 2 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH COMPLICATION/COMORBITY $25,381 – $28,201 · median $26,791 2 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $25,381 – $28,201 · median $26,791 2 plans
296 CARDIAC ARREST, UNEXPLAINED WITH COMORBITY $44,058 – $48,953 · median $46,505 2 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $44,058 – $48,953 · median $46,505 2 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC — 2 plans
299 PERIPHERAL VASCULAR DISORDERS WITH COMORBITY $25,662 – $28,513 · median $27,087 2 plans
300 PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION $24,181 – $26,868 · median $25,525 2 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY $17,800 – $19,778 · median $18,789 2 plans
302 ATHEROSCLEROSIS WITH COMORBITY $13,988 – $15,542 · median $14,765 2 plans
303 ATHEROSCLEROSIS WITHOUT COMORBITY $13,884 – $15,427 · median $14,656 2 plans
304 HYPERTENSION WITH COMORBITY $13,497 – $14,997 · median $14,247 2 plans
305 HYPERTENSION WITHOUT COMORBITY $13,497 – $14,997 · median $14,247 2 plans
306 CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY $13,775 – $15,305 · median $14,540 2 plans
307 CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY $12,703 – $14,114 · median $13,408 2 plans
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY $20,816 – $23,129 · median $21,973 2 plans
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION $19,535 – $21,706 · median $20,621 2 plans
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY $14,973 – $16,637 · median $15,805 2 plans
311 ANGINA PECTORIS $12,528 – $13,920 · median $13,224 2 plans
312 SYNCOPE & COLLAPSE $13,804 – $15,338 · median $14,571 2 plans
313 CHEST PAIN $11,286 – $12,540 · median $11,913 2 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY $39,158 – $43,509 · median $41,334 2 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION $26,266 – $29,184 · median $27,725 2 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY $16,764 – $18,627 · median $17,696 2 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH COMORBITY $130,301 – $144,779 · median $137,540 2 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT COMORBITY $130,301 – $144,779 · median $137,540 2 plans
321 CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION $56,246 – $62,495 · median $59,370 2 plans
322 SHOULDER AND ELBOW JOINT REPLACEMENT $39,909 – $44,343 · median $42,126 2 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $39,909 – $44,343 · median $42,126 2 plans
324 NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT $39,909 – $44,343 · median $42,126 2 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $37,578 – $41,753 · median $39,665 2 plans
326 STOMACH, ESOPHAGEAL & DUODENAL PROC WITH COMORBITY $124,850 – $138,722 · median $131,786 2 plans
327 STOMACH, ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION $88,367 – $98,186 · median $93,277 2 plans
328 STOMACH, ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY $37,828 – $42,031 · median $39,929 2 plans
329 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY $79,430 – $88,255 · median $83,842 2 plans
330 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION $64,301 – $71,445 · median $67,873 2 plans
331 MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY $36,015 – $40,017 · median $38,016 2 plans
332 RECTAL RESECTION WITH MCC $70,211 – $78,012 · median $74,111 2 plans
333 RECTAL RESECTION WITH COMPLICATION $70,211 – $78,012 · median $74,111 2 plans
334 RECTAL RESECTION WITHOUT CC/MCC $33,613 – $37,348 · median $35,481 2 plans
335 PERITONEAL ADHESIOLYSIS WITH COMORBITY $59,569 – $66,188 · median $62,879 2 plans
336 PERITONEAL ADHESIOLYSIS WITH COMPLICATION $52,658 – $58,509 · median $55,584 2 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY $32,320 – $35,911 · median $34,115 2 plans
344 MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY $35,777 – $39,752 · median $37,764 2 plans
345 MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION $31,988 – $35,542 · median $33,765 2 plans
346 MINOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY $26,303 – $29,226 · median $27,765 2 plans
347 ANAL & STOMAL PROCEDURES WITH COMORBITY $28,115 – $31,239 · median $29,677 2 plans
348 ANAL & STOMAL PROCEDURES WITH COMPLICATION $22,542 – $25,047 · median $23,795 2 plans
349 ANAL & STOMAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $13,997 – $15,552 · median $14,774 2 plans
350 INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMORBITY $36,594 – $40,660 · median $38,627 2 plans
351 INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION $29,477 – $32,752 · median $31,114 2 plans
352 INGUINAL & FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION/COMORBITY $15,243 – $16,937 · median $16,090 2 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY $40,830 – $45,367 · median $43,099 2 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION $31,496 – $34,996 · median $33,246 2 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY $23,280 – $25,867 · median $24,574 2 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY $62,136 – $69,040 · median $65,588 2 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION $57,213 – $63,570 · median $60,392 2 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY $31,986 – $35,540 · median $33,763 2 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY $19,067 – $21,185 · median $20,126 2 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION $19,067 – $21,185 · median $20,126 2 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $19,067 – $21,185 · median $20,126 2 plans
371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY $21,683 – $24,092 · median $22,887 2 plans
372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION $21,683 – $24,092 · median $22,887 2 plans
373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY $21,683 – $24,092 · median $22,887 2 plans
374 DIGESTIVE MALIGNANCY WITH COMORBITY $55,151 – $61,279 · median $58,215 2 plans
375 DIGESTIVE MALIGNANCY WITH COMPLICATION $53,862 – $59,847 · median $56,855 2 plans
376 DIGESTIVE MALIGNANCY WITHOUT COMPLICATION/COMORBITY $28,078 – $31,198 · median $29,638 2 plans
377 G.I. HEMORRHAGE WITH COMORBITY $21,055 – $23,394 · median $22,224 2 plans
378 G.I. HEMORRHAGE WITH COMPLICATION $21,055 – $23,394 · median $22,224 2 plans
379 G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY $16,146 – $17,940 · median $17,043 2 plans
380 COMPLICATED PEPTIC ULCER WITH COMORBITY $23,468 – $26,075 · median $24,771 2 plans
381 COMPLICATED PEPTIC ULCER WITH COMPLICATION $23,468 – $26,075 · median $24,771 2 plans
382 COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION/COMORBITY $23,468 – $26,075 · median $24,771 2 plans
383 UNCOMPLICATED PEPTIC ULCER WITH COMORBITY $19,346 – $21,495 · median $20,420 2 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY $19,346 – $21,495 · median $20,420 2 plans
385 INFLAMMATORY BOWEL DISEASE WITH COMORBITY $19,157 – $21,285 · median $20,221 2 plans
386 INFLAMMATORY BOWEL DISEASE WITH COMPLICATION $19,157 – $21,285 · median $20,221 2 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $19,157 – $21,285 · median $20,221 2 plans
388 G.I. OBSTRUCTION WITH COMORBITY $18,498 – $20,553 · median $19,525 2 plans
389 G.I. OBSTRUCTION WITH COMPLICATION $16,432 – $18,258 · median $17,345 2 plans
390 G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY $13,088 – $14,542 · median $13,815 2 plans
391 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY $16,675 – $18,528 · median $17,602 2 plans
392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY $14,351 – $15,946 · median $15,149 2 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY $24,921 – $27,690 · median $26,306 2 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION $18,059 – $20,065 · median $19,062 2 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY $16,455 – $18,283 · median $17,369 2 plans
397 APPENDIX PROCEDURES WITH MCC $33,835 – $37,594 · median $35,714 2 plans
398 APPENDIX PROCEDURES WITH CC $31,244 – $34,715 · median $32,979 2 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $23,328 – $25,920 · median $24,624 2 plans
405 PANCREAS, LIVER & SHUNT PROCEDURES WITH COMORBITY $92,104 – $102,338 · median $97,221 2 plans
406 PANCREAS, LIVER & SHUNT PROCEDURES WITH COMPLICATION $50,929 – $56,588 · median $53,759 2 plans
407 PANCREAS, LIVER & SHUNT PROCEDURES WITHOUT COMPLICATION/COMORBITY $36,493 – $40,548 · median $38,521 2 plans
408 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMORBITY $45,590 – $50,655 · median $48,122 2 plans
409 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMPLICATION $45,590 – $50,655 · median $48,122 2 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $44,598 – $49,553 · median $47,075 2 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH COMORBITY $49,370 – $54,856 · median $52,113 2 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH COMPLICATION $41,300 – $45,889 · median $43,595 2 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $33,230 – $36,922 · median $35,076 2 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMORBITY $40,852 – $45,391 · median $43,121 2 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION $38,025 – $42,250 · median $40,138 2 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY $26,396 – $29,329 · median $27,863 2 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY $29,180 – $32,422 · median $30,801 2 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION $26,605 – $29,561 · median $28,083 2 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY $17,211 – $19,123 · median $18,167 2 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY $64,544 – $71,715 · median $68,129 2 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION $64,544 – $71,715 · median $68,129 2 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION/COMORBITY $57,275 – $63,639 · median $60,457 2 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMORBITY $95,448 – $106,053 · median $100,750 2 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION $95,448 – $106,053 · median $100,750 2 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY $95,448 – $106,053 · median $100,750 2 plans
426 NON-HYPOVOLEMIC SODIUM DISORDERS $239,185 – $265,761 · median $252,473 2 plans
432 CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY $40,746 – $45,273 · median $43,009 2 plans
433 CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION $40,746 – $45,273 · median $43,009 2 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $40,746 – $45,273 · median $43,009 2 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY $38,084 – $42,315 · median $40,199 2 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION $38,084 – $42,315 · median $40,199 2 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION/COMORBITY $38,084 – $42,315 · median $40,199 2 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY $24,612 – $27,347 · median $25,980 2 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION $24,612 – $27,347 · median $25,980 2 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY $24,612 – $27,347 · median $25,980 2 plans
441 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA WITH COMORBITY $31,471 – $34,968 · median $33,220 2 plans
442 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA WITH COMPLICATION $31,471 – $34,968 · median $33,220 2 plans
443 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA WITHOUT COMPLICATION/COMORBITY $22,758 – $25,287 · median $24,023 2 plans
444 DISORDERS OF THE BILIARY TRACT WITH COMORBITY $25,276 – $28,084 · median $26,680 2 plans
445 DISORDERS OF THE BILIARY TRACT WITH COMPLICATION $24,768 – $27,520 · median $26,144 2 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY $16,323 – $18,137 · median $17,230 2 plans
456 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMORBITY $135,346 – $150,384 · median $142,865 2 plans
457 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMPLICATION $135,346 – $150,384 · median $142,865 2 plans
458 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITHOUT COMPLICATION/COMORBITY $135,346 – $150,384 · median $142,865 2 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITH COMORBITY $65,377 – $72,641 · median $69,009 2 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITHOUT COMORBITY $65,377 – $72,641 · median $69,009 2 plans
463 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS WITH COMORBITY $99,699 – $110,777 · median $105,238 2 plans
464 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS WITH COMPLICATION $99,699 – $110,777 · median $105,238 2 plans
465 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY $99,699 – $110,777 · median $105,238 2 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY $55,776 – $61,973 · median $58,874 2 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION $55,776 – $61,973 · median $58,874 2 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY $55,776 – $61,973 · median $58,874 2 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT $40,381 – $44,868 · median $42,625 2 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY $27,417 – $30,463 · median $28,940 2 plans
471 CERVICAL SPINAL FUSION WITH COMORBITY $61,041 – $67,823 · median $64,432 2 plans
472 CERVICAL SPINAL FUSION WITH COMPLICATION $49,420 – $54,911 · median $52,165 2 plans
473 CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $45,353 – $50,392 · median $47,872 2 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMORBITY $40,123 – $44,581 · median $42,352 2 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION $40,123 – $44,581 · median $42,352 2 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $40,123 – $44,581 · median $42,352 2 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY $47,151 – $52,390 · median $49,771 2 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION $47,151 – $52,390 · median $49,771 2 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $47,151 – $52,390 · median $49,771 2 plans
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY $49,055 – $54,506 · median $51,781 2 plans
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION $47,840 – $53,156 · median $50,498 2 plans
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY $34,475 – $38,305 · median $36,390 2 plans
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $36,365 – $40,405 · median $38,385 2 plans
485 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY $43,534 – $48,371 · median $45,952 2 plans
486 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION $43,534 – $48,371 · median $45,952 2 plans
487 KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY $31,100 – $34,555 · median $32,827 2 plans
488 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY $24,583 – $27,314 · median $25,948 2 plans
489 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY $24,583 – $27,314 · median $25,948 2 plans
492 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR WITH COMORBITY $53,989 – $59,988 · median $56,989 2 plans
493 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR WITH COMPLICATION $53,989 – $59,988 · median $56,989 2 plans
494 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR WITHOUT COMPLICATION/COMORBITY $31,880 – $35,422 · median $33,651 2 plans
495 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMORBITY $37,748 – $41,942 · median $39,845 2 plans
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION $35,061 – $38,957 · median $37,009 2 plans
497 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITHOUT COMPLICATION/COMORBITY $24,317 – $27,019 · median $25,668 2 plans
498 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY $42,372 – $47,080 · median $44,726 2 plans
499 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITHOUT COMPLICATION/COMORBITY $42,372 – $47,080 · median $44,726 2 plans
500 SOFT TISSUE PROCEDURES WITH COMORBITY $45,761 – $50,845 · median $48,303 2 plans
501 SOFT TISSUE PROCEDURES WITH COMPLICATION $45,761 – $50,845 · median $48,303 2 plans
502 SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY $22,574 – $25,082 · median $23,828 2 plans
503 FOOT PROCEDURES WITH COMORBITY $22,890 – $25,433 · median $24,161 2 plans
504 FOOT PROCEDURES WITH COMPLICATION $22,890 – $25,433 · median $24,161 2 plans
505 FOOT PROCEDURES WITHOUT COMPLICATION/COMORBITY $22,890 – $25,433 · median $24,161 2 plans
506 MAJOR THUMB OR JOINT PROCEDURES $34,384 – $38,204 · median $36,294 2 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH COMPLICATION/COMORBITY $22,844 – $25,382 · median $24,113 2 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $22,844 – $25,382 · median $24,113 2 plans
509 ARTHROSCOPY $14,271 – $15,857 · median $15,064 2 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $22,844 – $25,382 · median $24,113 2 plans
511 SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC WITH COMPLICATION $22,844 – $25,382 · median $24,113 2 plans
512 SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC WITHOUT COMPLICATION/COMORBITY $21,468 – $23,853 · median $22,660 2 plans
513 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY $26,273 – $29,192 · median $27,732 2 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $18,163 – $20,181 · median $19,172 2 plans
515 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY $60,571 – $67,301 · median $63,936 2 plans
516 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION $60,571 – $67,301 · median $63,936 2 plans
517 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY $33,593 – $37,326 · median $35,460 2 plans
518 BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM $45,713 – $50,792 · median $48,252 2 plans
519 BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION $45,713 – $50,792 · median $48,252 2 plans
520 BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $29,481 – $32,757 · median $31,119 2 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $49,872 – $55,413 · median $52,642 2 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $36,368 – $40,409 · median $38,389 2 plans
533 FRACTURES OF FEMUR WITH COMORBITY $12,022 – $13,358 · median $12,690 2 plans
534 FRACTURES OF FEMUR WITHOUT COMORBITY $12,022 – $13,358 · median $12,690 2 plans
535 FRACTURES OF HIP & PELVIS WITH COMORBITY $17,207 – $19,119 · median $18,163 2 plans
536 FRACTURES OF HIP & PELVIS WITHOUT COMORBITY $17,207 – $19,119 · median $18,163 2 plans
537 SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH WITH COMPLICATION/COMORBITY $24,560 – $27,289 · median $25,925 2 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $24,560 – $27,289 · median $25,925 2 plans
539 OSTEOMYELITIS WITH COMORBITY $38,460 – $42,733 · median $40,596 2 plans
540 OSTEOMYELITIS WITH COMPLICATION $38,460 – $42,733 · median $40,596 2 plans
541 OSTEOMYELITIS WITHOUT COMPLICATION/COMORBITY $38,460 – $42,733 · median $40,596 2 plans
542 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY $32,420 – $36,022 · median $34,221 2 plans
543 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION $32,420 – $36,022 · median $34,221 2 plans
544 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITHOUT COMPLICATION/COMORBITY $32,420 – $36,022 · median $34,221 2 plans
545 CONNECTIVE TISSUE DISORDERS WITH COMORBITY $39,476 – $43,862 · median $41,669 2 plans
546 CONNECTIVE TISSUE DISORDERS WITH COMPLICATION $34,175 – $37,972 · median $36,073 2 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION/COMORBITY $28,874 – $32,082 · median $30,478 2 plans
548 SEPTIC ARTHRITIS WITH MCC $24,112 – $26,791 · median $25,451 2 plans
549 SEPTIC ARTHRITIS WITH COMPLICATION $24,112 – $26,791 · median $25,451 2 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $24,112 – $26,791 · median $25,451 2 plans
551 MEDICAL BACK PROBLEMS WITH COMORBITY $14,436 – $16,040 · median $15,238 2 plans
552 MEDICAL BACK PROBLEMS WITHOUT COMORBITY $14,436 – $16,040 · median $15,238 2 plans
553 BONE DISEASES & ARTHROPATHIES WITH COMORBITY $12,324 – $13,693 · median $13,008 2 plans
554 BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY $12,218 – $13,576 · median $12,897 2 plans
555 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITH COMORBITY $10,348 – $11,498 · median $10,923 2 plans
556 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY $10,348 – $11,498 · median $10,923 2 plans
557 TENDONITIS, MYOSITIS & BURSITIS WITH COMORBITY $19,489 – $21,654 · median $20,571 2 plans
558 TENDONITIS, MYOSITIS & BURSITIS WITHOUT COMORBITY $19,489 – $21,654 · median $20,571 2 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $16,342 – $18,158 · median $17,250 2 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION $16,342 – $18,158 · median $17,250 2 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY $16,342 – $18,158 · median $17,250 2 plans
562 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH WITH COMORBITY $12,969 – $14,410 · median $13,690 2 plans
563 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH WITHOUT COMORBITY $12,969 – $14,410 · median $13,690 2 plans
564 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY $16,443 – $18,270 · median $17,357 2 plans
565 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION $16,443 – $18,270 · median $17,357 2 plans
566 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY $16,443 – $18,270 · median $17,357 2 plans
570 SKIN DEBRIDEMENT WITH COMORBITY $59,942 – $66,602 · median $63,272 2 plans
571 SKIN DEBRIDEMENT WITH COMPLICATION $57,141 – $63,490 · median $60,316 2 plans
572 SKIN DEBRIDEMENT WITHOUT COMPLICATION/COMORBITY $29,567 – $32,852 · median $31,209 2 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMORBITY $60,024 – $66,693 · median $63,358 2 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION $56,930 – $63,255 · median $60,092 2 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $34,498 – $38,331 · median $36,414 2 plans
576 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMORBITY $59,047 – $65,608 · median $62,328 2 plans
577 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION $59,047 – $65,608 · median $62,328 2 plans
578 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITHOUT COMPLICATION/COMORBITY $13,951 – $15,501 · median $14,726 2 plans
579 OTHER SKIN, SUBCUT TISS & BREAST PROC WITH COMORBITY $46,160 – $51,289 · median $48,725 2 plans
580 OTHER SKIN, SUBCUT TISS & BREAST PROC WITH COMPLICATION $28,880 – $32,089 · median $30,485 2 plans
581 OTHER SKIN, SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY $23,712 – $26,347 · median $25,030 2 plans
582 MASTECTOMY FOR MALIGNANCY WITH COMPLICATION/COMORBITY $24,684 – $27,427 · median $26,056 2 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT COMPLICATION/COMORBITY $22,516 – $25,018 · median $23,767 2 plans
584 BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES WITH COMPLICATION/COMORBITY $24,808 – $27,564 · median $26,186 2 plans
585 BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES WITHOUT COMPLICATION/COMORBITY $24,029 – $26,699 · median $25,364 2 plans
592 SKIN ULCERS WITH COMORBITY $22,707 – $25,230 · median $23,969 2 plans
593 SKIN ULCERS WITH COMPLICATION $22,707 – $25,230 · median $23,969 2 plans
594 SKIN ULCERS WITHOUT CC/MCC $22,707 – $25,230 · median $23,969 2 plans
595 MAJOR SKIN DISORDERS WITH COMORBITY $39,934 – $44,371 · median $42,152 2 plans
596 MAJOR SKIN DISORDERS WITHOUT COMORBITY $32,032 – $35,591 · median $33,811 2 plans
597 MALIGNANT BREAST DISORDERS WITH COMORBITY $51,257 – $56,952 · median $54,104 2 plans
598 MALIGNANT BREAST DISORDERS WITH CC $51,257 – $56,952 · median $54,104 2 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,726 – $1,918 · median $1,822 2 plans
600 NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION/COMORBITY $15,778 – $17,531 · median $16,654 2 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $15,778 – $17,531 · median $16,654 2 plans
602 CELLULITIS WITH COMORBITY $23,657 – $26,286 · median $24,972 2 plans
603 CELLULITIS WITHOUT COMORBITY $15,923 – $17,692 · median $16,807 2 plans
604 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST WITH COMORBITY $17,655 – $19,617 · median $18,636 2 plans
605 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST WITHOUT COMORBITY $14,517 – $16,130 · median $15,324 2 plans
606 MINOR SKIN DISORDERS WITH MCC $13,713 – $15,237 · median $14,475 2 plans
607 MINOR SKIN DISORDERS WITHOUT COMORBITY $12,372 – $13,747 · median $13,060 2 plans
614 ADRENAL & PITUITARY PROCEDURES WITH COMPLICATION/COMORBITY $56,244 – $62,493 · median $59,368 2 plans
615 ADRENAL & PITUITARY PROCEDURES WITHOUT COMPLICATION/COMORBITY $56,244 – $62,493 · median $59,368 2 plans
616 AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS WITH COMORBITY $70,592 – $78,436 · median $74,514 2 plans
617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS WITH COMPLICATION $70,592 – $78,436 · median $74,514 2 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $70,592 – $78,436 · median $74,514 2 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $50,991 – $56,657 · median $53,824 2 plans
620 O.R. PROCEDURES FOR OBESITY WITH COMPLICATION $50,991 – $56,657 · median $53,824 2 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY $50,769 – $56,410 · median $53,590 2 plans
622 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS WITH COMORBITY $45,428 – $50,475 · median $47,951 2 plans
623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS WITH COMPLICATION $45,428 – $50,475 · median $47,951 2 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $45,428 – $50,475 · median $47,951 2 plans
625 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMORBITY $20,748 – $23,053 · median $21,900 2 plans
626 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION $20,748 – $23,053 · median $21,900 2 plans
627 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $20,748 – $23,053 · median $21,900 2 plans
628 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC WITH COMORBITY $38,644 – $42,938 · median $40,791 2 plans
629 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC WITH COMPLICATION $27,463 – $30,514 · median $28,988 2 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $26,125 – $29,028 · median $27,577 2 plans
637 DIABETES WITH COMORBITY $14,872 – $16,524 · median $15,698 2 plans
638 DIABETES WITH COMPLICATION $14,720 – $16,356 · median $15,538 2 plans
639 DIABETES WITHOUT COMPLICATION/COMORBITY $14,610 – $16,233 · median $15,421 2 plans
640 MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES WITH COMORBITY $19,939 – $22,154 · median $21,046 2 plans
641 MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES WITHOUT COMORBITY $15,522 – $17,247 · median $16,385 2 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $84,126 – $93,473 · median $88,799 2 plans
643 ENDOCRINE DISORDERS WITH COMORBITY $19,122 – $21,247 · median $20,185 2 plans
644 ENDOCRINE DISORDERS WITH COMPLICATION $19,122 – $21,247 · median $20,185 2 plans
645 ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY $16,552 – $18,391 · median $17,471 2 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $152,547 – $169,497 · median $161,022 2 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $152,547 – $169,497 · median $161,022 2 plans
652 KIDNEY TRANSPLANT $152,547 – $169,497 · median $161,022 2 plans
653 MAJOR BLADDER PROCEDURES WITH COMORBITY $45,155 – $50,172 · median $47,663 2 plans
654 MAJOR BLADDER PROCEDURES WITH COMPLICATION $45,155 – $50,172 · median $47,663 2 plans
655 MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION/COMORBITY $45,155 – $50,172 · median $47,663 2 plans
656 KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMORBITY $42,671 – $47,412 · median $45,041 2 plans
657 KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION $42,671 – $47,412 · median $45,041 2 plans
658 KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY $42,671 – $47,412 · median $45,041 2 plans
659 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY $47,086 – $52,318 · median $49,702 2 plans
660 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION $45,394 – $50,438 · median $47,916 2 plans
661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY $30,713 – $34,126 · median $32,420 2 plans
662 MINOR BLADDER PROCEDURES WITH COMORBITY $32,359 – $35,954 · median $34,156 2 plans
663 MINOR BLADDER PROCEDURES WITH COMPLICATION $24,014 – $26,682 · median $25,348 2 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $18,892 – $20,991 · median $19,941 2 plans
665 PROSTATECTOMY WITH COMORBITY $22,246 – $24,718 · median $23,482 2 plans
666 PROSTATECTOMY WITH COMPLICATION $22,246 – $24,718 · median $23,482 2 plans
667 PROSTATECTOMY WITHOUT CC/MCC $15,712 – $17,458 · median $16,585 2 plans
668 TRANSURETHRAL PROCEDURES WITH COMORBITY $20,869 – $23,188 · median $22,029 2 plans
669 TRANSURETHRAL PROCEDURES WITH COMPLICATION $20,869 – $23,188 · median $22,029 2 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $18,510 – $20,567 · median $19,539 2 plans
671 URETHRAL PROCEDURES WITH CC/MCC $34,997 – $38,886 · median $36,942 2 plans
672 URETHRAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $34,997 – $38,886 · median $36,942 2 plans
673 OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY $54,212 – $60,236 · median $57,224 2 plans
674 OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION $54,212 – $60,236 · median $57,224 2 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $54,212 – $60,236 · median $57,224 2 plans
682 RENAL FAILURE WITH COMORBITY $29,578 – $32,864 · median $31,221 2 plans
683 RENAL FAILURE WITH COMPLICATION $29,578 – $32,864 · median $31,221 2 plans
684 RENAL FAILURE WITHOUT COMPLICATION/COMORBITY $29,578 – $32,864 · median $31,221 2 plans
686 KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY $30,495 – $33,883 · median $32,189 2 plans
687 KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION $30,495 – $33,883 · median $32,189 2 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $30,495 – $33,883 · median $32,189 2 plans
689 KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY $17,293 – $19,214 · median $18,253 2 plans
690 KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY $14,765 – $16,405 · median $15,585 2 plans
693 URINARY STONES WITH COMORBITY $12,362 – $13,735 · median $13,048 2 plans
694 URINARY STONES WITHOUT COMORBITY $11,554 – $12,838 · median $12,196 2 plans
695 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITH COMORBITY $20,237 – $22,486 · median $21,362 2 plans
696 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY $20,237 – $22,486 · median $21,362 2 plans
697 URETHRAL STRICTURE $5,112 – $5,680 · median $5,396 2 plans
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY $21,600 – $24,000 · median $22,800 2 plans
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION $21,564 – $23,960 · median $22,762 2 plans
700 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY $16,909 – $18,788 · median $17,849 2 plans
707 MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION/COMORBITY $30,523 – $33,914 · median $32,218 2 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION/COMORBITY $27,743 – $30,825 · median $29,284 2 plans
709 PENIS PROCEDURES WITH COMPLICATION/COMORBITY $24,596 – $27,329 · median $25,963 2 plans
710 PENIS PROCEDURES WITHOUT COMPLICATION/COMORBITY $24,596 – $27,329 · median $25,963 2 plans
711 TESTES PROCEDURES WITH COMPLICATION/COMORBITY $51,161 – $56,846 · median $54,004 2 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $36,189 – $40,210 · median $38,200 2 plans
713 TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY $17,432 – $19,369 · median $18,401 2 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATION/COMORBITY $13,814 – $15,349 · median $14,582 2 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $41,017 – $45,574 · median $43,295 2 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $41,017 – $45,574 · median $43,295 2 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY $25,999 – $28,888 · median $27,444 2 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITHOUT COMPLICATION/COMORBITY $25,999 – $28,888 · median $27,444 2 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH COMORBITY $42,747 – $47,497 · median $45,122 2 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH COMPLICATION $42,747 – $47,497 · median $45,122 2 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY $29,735 – $33,039 · median $31,387 2 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH COMORBITY $24,646 – $27,384 · median $26,015 2 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY $24,646 – $27,384 · median $26,015 2 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH COMORBITY $13,001 – $14,446 · median $13,724 2 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY $13,001 – $14,446 · median $13,724 2 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $13,160 – $14,622 · median $13,891 2 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $13,160 – $14,622 · median $13,891 2 plans
734 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY WITH COMPLICATION/COMORBITY $38,920 – $43,244 · median $41,082 2 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $38,920 – $43,244 · median $41,082 2 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $44,975 – $49,972 · median $47,473 2 plans
737 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMPLICATION $44,975 – $49,972 · median $47,473 2 plans
738 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT COMPLICATION/COMORBITY $44,975 – $49,972 · median $47,473 2 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $36,966 – $41,073 · median $39,019 2 plans
740 UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMPLICATION $35,573 – $39,525 · median $37,549 2 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $25,472 – $28,302 · median $26,887 2 plans
742 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY $21,969 – $24,410 · median $23,190 2 plans
743 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY $19,744 – $21,938 · median $20,841 2 plans
744 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION WITH COMPLICATION/COMORBITY $15,429 – $17,143 · median $16,286 2 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $15,429 – $17,143 · median $16,286 2 plans
746 VAGINA, CERVIX & VULVA PROCEDURES WITH COMPLICATION/COMORBITY $26,073 – $28,970 · median $27,522 2 plans
747 VAGINA, CERVIX & VULVA PROCEDURES WITHOUT COMPLICATION/COMORBITY $26,073 – $28,970 · median $27,522 2 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $17,936 – $19,929 · median $18,933 2 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $32,587 – $36,208 · median $34,398 2 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY $32,587 – $36,208 · median $34,398 2 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY $56,570 – $62,855 · median $59,712 2 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION $56,570 – $62,855 · median $59,712 2 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY $21,245 – $23,605 · median $22,425 2 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY $13,456 – $14,951 · median $14,203 2 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION $13,456 – $14,951 · median $14,203 2 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY $13,456 – $14,951 · median $14,203 2 plans
760 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY $11,827 – $13,141 · median $12,484 2 plans
761 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT COMPLICATION/COMORBITY $11,827 – $13,141 · median $12,484 2 plans
768 VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C $12,316 – $13,684 · median $13,000 2 plans
769 POSTPARTUM & POST ABORTION DIAGNOSES WITH O.R. PROCEDURE $24,766 – $27,518 · median $26,142 2 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $10,603 – $11,781 · median $11,192 2 plans
776 POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE $9,463 – $10,514 · median $9,988 2 plans
779 ABORTION WITHOUT D&C $7,249 – $8,054 · median $7,651 2 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $18,839 – $20,932 · median $19,885 2 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $18,839 – $20,932 · median $19,885 2 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY $16,691 – $18,545 · median $17,618 2 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY $18,839 – $20,932 · median $19,885 2 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION $18,839 – $20,932 · median $19,885 2 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY $16,691 – $18,545 · median $17,618 2 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $63,510 – $70,567 · median $67,039 2 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $268,142 – $297,935 · median $283,038 2 plans
791 PREMATURITY WITH MAJOR PROBLEMS $60,701 – $67,446 · median $64,074 2 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $12,142 – $13,491 · median $12,816 2 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $18,721 – $20,801 · median $19,761 2 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $3,966 – $4,407 · median $4,187 2 plans
795 NORMAL NEWBORN $2,649 – $2,943 · median $2,796 2 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $14,489 – $16,099 · median $15,294 2 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $14,489 – $16,099 · median $15,294 2 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $14,489 – $16,099 · median $15,294 2 plans
799 SPLENIC PROCEDURES WITH MCC $43,109 – $47,899 · median $45,504 2 plans
800 SPLENIC PROCEDURES WITH CC $43,109 – $47,899 · median $45,504 2 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $43,109 – $47,899 · median $45,504 2 plans
802 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMORBITY $41,673 – $46,303 · median $43,988 2 plans
803 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMPLICATION $41,673 – $46,303 · median $43,988 2 plans
804 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITHOUT COMPLICATION/COMORBITY $41,673 – $46,303 · median $43,988 2 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY $9,984 – $11,093 · median $10,538 2 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION $9,984 – $11,093 · median $10,538 2 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY $8,986 – $9,984 · median $9,485 2 plans
808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY $34,412 – $38,236 · median $36,324 2 plans
809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION $34,412 – $38,236 · median $36,324 2 plans
810 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITHOUT COMPLICATION/COMORBITY $34,412 – $38,236 · median $36,324 2 plans
811 RED BLOOD CELL DISORDERS WITH COMORBITY $30,605 – $34,006 · median $32,306 2 plans
812 RED BLOOD CELL DISORDERS WITHOUT COMORBITY $16,397 – $18,219 · median $17,308 2 plans
813 COAGULATION DISORDERS $31,811 – $35,346 · median $33,579 2 plans
814 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMORBITY $15,739 – $17,488 · median $16,614 2 plans
815 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION $15,739 – $17,488 · median $16,614 2 plans
816 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATION/COMORBITY $11,514 – $12,793 · median $12,153 2 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY $10,466 – $11,629 · median $11,048 2 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $10,466 – $11,629 · median $11,048 2 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY $10,194 – $11,327 · median $10,761 2 plans
820 LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMORBITY $75,434 – $83,816 · median $79,625 2 plans
821 LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMPLICATION $75,434 – $83,816 · median $79,625 2 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $30,211 – $33,568 · median $31,890 2 plans
823 LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMORBITY $91,221 – $101,357 · median $96,289 2 plans
824 LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMPLICATION $91,221 – $101,357 · median $96,289 2 plans
825 LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITHOUT COMPLICATION/COMORBITY $24,710 – $27,456 · median $26,083 2 plans
826 MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMORBITY $72,407 – $80,452 · median $76,429 2 plans
827 MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMPLICATION $72,407 – $80,452 · median $76,429 2 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $36,539 – $40,599 · median $38,569 2 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURE WITH COMPLICATION/COMORBITY $46,149 – $51,277 · median $48,713 2 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $46,149 – $51,277 · median $48,713 2 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMORBITY $9,192 – $10,213 · median $9,702 2 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $9,192 – $10,213 · median $9,702 2 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY $9,036 – $10,040 · median $9,538 2 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMORBITY $137,734 – $153,038 · median $145,386 2 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMPLICATION — 2 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC — 2 plans
837 CHEMO WITH ACUTE LEUKEMIA AS SDX OR WITH HIGH DOSE CHEMO AGENT WITH COMORBITY $57,154 – $63,504 · median $60,329 2 plans
838 CHEMO WITH ACUTE LEUKEMIA AS SDX WITH COMPLICATION OR HIGH DOSE CHEMO AGENT $57,154 – $63,504 · median $60,329 2 plans
839 CHEMO WITH ACUTE LEUKEMIA AS SDX WITHOUT COMPLICATION/COMORBITY $57,154 – $63,504 · median $60,329 2 plans
840 LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY $81,122 – $90,136 · median $85,629 2 plans
841 LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION $76,630 – $85,144 · median $80,887 2 plans
842 LYMPHOMA & NON-ACUTE LEUKEMIA WITHOUT COMPLICATION/COMORBITY $50,315 – $55,905 · median $53,110 2 plans
843 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMORBITY $45,410 – $50,456 · median $47,933 2 plans
844 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMPLICATION $41,040 – $45,600 · median $43,320 2 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $41,040 – $45,600 · median $43,320 2 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMORBITY $18,243 – $20,270 · median $19,257 2 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION $18,243 – $20,270 · median $19,257 2 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $18,243 – $20,270 · median $19,257 2 plans
849 RADIOTHERAPY $17,121 – $19,023 · median $18,072 2 plans
853 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY $151,871 – $168,745 · median $160,308 2 plans
854 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION — 2 plans
855 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY — 2 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY $37,365 – $41,517 · median $39,441 2 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION $37,365 – $41,517 · median $39,441 2 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $37,365 – $41,517 · median $39,441 2 plans
862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY $21,239 – $23,599 · median $22,419 2 plans
863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY $21,239 – $23,599 · median $22,419 2 plans
864 FEVER AND INFLAMMATORY CONDITIONS $22,244 – $24,716 · median $23,480 2 plans
865 VIRAL ILLNESS WITH COMORBITY $24,000 – $26,667 · median $25,334 2 plans
866 VIRAL ILLNESS WITHOUT COMORBITY $22,509 – $25,010 · median $23,760 2 plans
867 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY $56,381 – $62,646 · median $59,514 2 plans
868 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMPLICATION $56,381 – $62,646 · median $59,514 2 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $56,381 – $62,646 · median $59,514 2 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $180,108 – $200,120 · median $190,114 2 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY $40,245 – $44,717 · median $42,481 2 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY $40,223 – $44,692 · median $42,457 2 plans
876 O.R. PROCEDURE WITH PRINCIPAL DIAGNOSES OF MENTAL ILLNESS $84,776 – $94,196 · median $89,486 2 plans
880 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION $11,495 – $12,772 · median $12,133 2 plans
881 DEPRESSIVE NEUROSES $9,870 – $10,967 · median $10,419 2 plans
882 NEUROSES EXCEPT DEPRESSIVE $9,392 – $10,435 · median $9,913 2 plans
883 DISORDERS OF PERSONALITY & IMPULSE CONTROL $20,822 – $23,135 · median $21,978 2 plans
884 ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY $25,318 – $28,131 · median $26,724 2 plans
885 PSYCHOSES $15,540 – $17,267 · median $16,404 2 plans
886 BEHAVIORAL & DEVELOPMENTAL DISORDERS $13,919 – $15,466 · median $14,693 2 plans
887 OTHER MENTAL DISORDER DIAGNOSES $35,951 – $39,946 · median $37,949 2 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $8,350 – $9,278 · median $8,814 2 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $22,278 – $24,753 · median $23,515 2 plans
896 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY $22,278 – $24,753 · median $23,515 2 plans
897 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY $14,211 – $15,790 · median $15,001 2 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH COMORBITY $27,690 – $30,767 · median $29,229 2 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION $27,690 – $30,767 · median $29,229 2 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $27,690 – $30,767 · median $29,229 2 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $64,145 – $71,272 · median $67,708 2 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $64,145 – $71,272 · median $67,708 2 plans
906 HAND PROCEDURES FOR INJURIES $21,856 – $24,284 · median $23,070 2 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY $46,816 – $52,018 · median $49,417 2 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION $43,750 – $48,611 · median $46,180 2 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY $22,674 – $25,193 · median $23,933 2 plans
913 TRAUMATIC INJURY WITH COMORBITY $14,652 – $16,280 · median $15,466 2 plans
914 TRAUMATIC INJURY WITHOUT MCC $14,652 – $16,280 · median $15,466 2 plans
915 ALLERGIC REACTIONS WITH COMORBITY $12,954 – $14,393 · median $13,673 2 plans
916 ALLERGIC REACTIONS WITHOUT COMORBITY $12,954 – $14,393 · median $13,673 2 plans
917 POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY $20,310 – $22,567 · median $21,439 2 plans
918 POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY $15,500 – $17,222 · median $16,361 2 plans
919 COMPLICATIONS OF TREATMENT WITH COMORBITY $27,434 – $30,482 · median $28,958 2 plans
920 COMPLICATIONS OF TREATMENT WITH COMPLICATION $27,434 – $30,482 · median $28,958 2 plans
921 COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY $15,543 – $17,270 · median $16,407 2 plans
922 OTHER INJURY, POISONING & TOXIC EFFECT DIAG WITH COMORBITY $39,057 – $43,397 · median $41,227 2 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $17,281 – $19,201 · median $18,241 2 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $377,109 – $419,010 · median $398,060 2 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $60,746 – $67,495 · median $64,120 2 plans
939 O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMORBITY $38,054 – $42,282 · median $40,168 2 plans
940 O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION $38,054 – $42,282 · median $40,168 2 plans
941 O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION/COMORBITY $38,054 – $42,282 · median $40,168 2 plans
945 REHABILITATION WITH CC/MCC $9,622 – $10,691 · median $10,156 2 plans
946 REHABILITATION WITHOUT CC/MCC $9,622 – $10,691 · median $10,156 2 plans
947 SIGNS & SYMPTOMS WITH COMORBITY $14,186 – $15,762 · median $14,974 2 plans
948 SIGNS & SYMPTOMS WITHOUT COMORBITY $13,478 – $14,976 · median $14,227 2 plans
949 AFTERCARE WITH COMPLICATION/COMORBITY $17,369 – $19,299 · median $18,334 2 plans
950 AFTERCARE WITHOUT COMPLICATION/COMORBITY $5,150 – $5,722 · median $5,436 2 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $11,264 – $12,515 · median $11,889 2 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $221,685 – $246,317 · median $234,001 2 plans
956 LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA $211,208 – $234,676 · median $222,942 2 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY $150,605 – $167,339 · median $158,972 2 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION $150,605 – $167,339 · median $158,972 2 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY $150,605 – $167,339 · median $158,972 2 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY $41,346 – $45,940 · median $43,643 2 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION $41,346 – $45,940 · median $43,643 2 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY $41,346 – $45,940 · median $43,643 2 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $97,685 – $108,539 · median $103,112 2 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $97,685 – $108,539 · median $103,112 2 plans
974 HIV WITH MAJOR RELATED CONDITION WITH COMORBITY $56,824 – $63,138 · median $59,981 2 plans
975 HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION $56,824 – $63,138 · median $59,981 2 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $56,824 – $63,138 · median $59,981 2 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $40,850 – $45,389 · median $43,120 2 plans
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY $75,425 – $83,805 · median $79,615 2 plans
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION $45,001 – $50,001 · median $47,501 2 plans
983 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY $29,860 – $33,178 · median $31,519 2 plans
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY $37,488 – $41,653 · median $39,570 2 plans
988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION $37,488 – $41,653 · median $39,570 2 plans
989 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY $37,488 – $41,653 · median $39,570 2 plans
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