Madison Memorial Hospital | Madisonhealth — Pricing

770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 770
Lowest published price —
Average published price —
Highest published price —

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 770 procedures

Procedures with negotiated rates only

These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $232,880 – $464,777 · median $237,633 12 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $95,026 – $237,788 · median $96,966 12 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $176,732 – $353,621 · median $180,339 12 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $115,835 – $233,145 · median $118,199 12 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $86,592 – $175,715 · median $88,359 12 plans
006 LIVER TRANSPLANT WITHOUT MCC $39,736 – $80,012 · median $40,547 12 plans
007 LUNG TRANSPLANT $108,392 – $215,635 · median $110,604 12 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $47,727 – $89,778 · median $48,702 12 plans
010 PANCREAS TRANSPLANT $57,511 – $131,555 · median $61,941 12 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $46,485 – $89,032 · median $47,433 12 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $36,260 – $67,711 · median $37,000 12 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $25,241 – $43,725 · median $25,756 12 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $100,693 – $216,180 · median $102,747 12 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $50,412 – $106,992 · median $51,441 12 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $46,305 – $99,592 · median $47,250 12 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $358,072 – $622,261 · median $365,379 12 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $60,363 – $130,800 · median $61,595 12 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $66,427 – $164,082 · median $67,782 12 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $45,161 – $119,825 · median $46,082 12 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $27,682 – $76,906 · median $28,247 12 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $48,766 – $94,134 · median $49,761 12 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $33,748 – $62,728 · median $34,437 12 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $38,991 – $73,793 · median $39,786 12 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $27,119 – $50,467 · median $27,672 12 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $22,277 – $40,719 · median $22,732 12 plans
028 SPINAL PROCEDURES WITH MCC $51,062 – $100,312 · median $52,104 12 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $29,616 – $55,386 · median $30,221 12 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $19,571 – $37,454 · median $19,970 12 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $38,444 – $69,417 · median $39,229 12 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $19,040 – $35,237 · median $19,429 12 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $15,174 – $27,364 · median $15,484 12 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $33,408 – $64,164 · median $34,090 12 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $21,183 – $37,534 · median $21,616 12 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $17,486 – $30,246 · median $17,843 12 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $28,629 – $54,795 · median $29,214 12 plans
038 EXTRACRANIAL PROCEDURES WITH CC $14,842 – $26,586 · median $15,145 12 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $11,149 – $18,780 · median $11,377 12 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $33,329 – $62,240 · median $34,010 12 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $19,599 – $37,300 · median $19,999 12 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $15,710 – $30,005 · median $16,030 12 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $16,400 – $33,206 · median $16,735 12 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $9,528 – $18,058 · median $9,722 12 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $14,051 – $24,735 · median $14,338 12 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $9,862 – $18,002 · median $10,063 12 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $20,627 – $41,318 · median $21,048 12 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $12,141 – $22,018 · median $12,389 12 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $15,559 – $30,457 · median $15,877 12 plans
059 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION $11,689 – $20,189 · median $11,928 12 plans
060 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITHOUT COMPLICATION/COMORBITY $9,037 – $14,755 · median $9,222 12 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $24,211 – $45,925 · median $24,705 12 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $15,953 – $31,586 · median $16,279 12 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $13,035 – $27,171 · median $13,301 12 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY $18,049 – $32,822 · median $18,418 12 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS $9,785 – $16,779 · median $9,985 12 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY $7,093 – $11,581 · median $7,238 12 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $13,571 – $24,006 · median $13,848 12 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $8,580 – $14,545 · median $8,755 12 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $8,038 – $13,202 · median $8,202 12 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY $15,190 – $28,690 · median $15,500 12 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION $9,915 – $17,389 · median $10,117 12 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $7,686 – $12,549 · median $7,843 12 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $14,691 – $25,502 · median $14,990 12 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $9,954 – $17,200 · median $10,157 12 plans
075 VIRAL MENINGITIS WITH CC/MCC $17,277 – $28,420 · median $17,630 12 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $8,256 – $15,664 · median $8,425 12 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $16,389 – $33,272 · median $16,724 12 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $8,838 – $14,929 · median $9,018 12 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $20,317 – $38,283 · median $20,732 12 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $12,969 – $22,942 · median $13,233 12 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $9,335 – $15,776 · median $9,525 12 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $20,204 – $37,389 · median $20,616 12 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $12,200 – $21,641 · median $12,449 12 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $8,995 – $14,686 · median $9,179 12 plans
088 CONCUSSION WITH MCC $12,605 – $23,277 · median $12,862 12 plans
089 CONCUSSION WITH CC $10,514 – $17,690 · median $10,729 12 plans
090 CONCUSSION WITHOUT CC/MCC $8,240 – $14,145 · median $8,408 12 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY $15,945 – $30,078 · median $16,270 12 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION $9,890 – $17,469 · median $10,092 12 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $8,018 – $13,090 · median $8,181 12 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $30,507 – $60,204 · median $31,129 12 plans
095 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION $22,742 – $39,852 · median $23,206 12 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $22,742 – $39,554 · median $23,206 12 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $31,270 – $59,452 · median $31,908 12 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $20,394 – $35,793 · median $20,810 12 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $12,693 – $22,989 · median $12,952 12 plans
100 SEIZURES WITH MCC $17,437 – $32,757 · median $17,792 12 plans
101 SEIZURES WITHOUT MCC $8,895 – $15,208 · median $9,077 12 plans
102 HEADACHES WITH MCC $10,698 – $19,132 · median $10,917 12 plans
103 HEADACHES WITHOUT MCC $8,348 – $14,028 · median $8,518 12 plans
113 ORBITAL PROCEDURES WITH CC/MCC $20,858 – $37,234 · median $21,284 12 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $12,615 – $22,984 · median $12,873 12 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $14,117 – $25,262 · median $14,405 12 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $16,374 – $29,915 · median $16,708 12 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $10,401 – $17,797 · median $10,613 12 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $11,048 – $19,193 · median $11,274 12 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $7,931 – $12,948 · median $8,093 12 plans
123 NEUROLOGICAL EYE DISORDERS $8,037 – $13,253 · median $8,201 12 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $12,368 – $22,259 · median $12,621 12 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $7,782 – $13,624 · median $7,941 12 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $19,362 – $39,783 · median $19,758 12 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $9,826 – $19,953 · median $10,027 12 plans
137 MOUTH PROCEDURES WITH CC/MCC $13,773 – $23,978 · median $14,054 12 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $8,760 – $14,302 · median $8,939 12 plans
139 SALIVARY GLAND PROCEDURES $11,646 – $22,655 · median $11,884 12 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $36,667 – $69,782 · median $37,415 12 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $19,454 – $35,450 · median $19,851 12 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $14,625 – $25,945 · median $14,924 12 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $32,383 – $54,481 · median $33,044 12 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $15,753 – $28,986 · median $16,074 12 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $11,371 – $19,549 · median $11,603 12 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $18,928 – $37,853 · median $19,314 12 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $11,942 – $20,669 · median $12,186 12 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $8,024 – $13,212 · median $8,188 12 plans
149 DYSEQUILIBRIUM $7,648 – $12,487 · median $7,804 12 plans
150 EPISTAXIS WITH MCC $12,438 – $22,806 · median $12,691 12 plans
151 EPISTAXIS WITHOUT MCC $7,503 – $12,507 · median $7,656 12 plans
152 OTITIS MEDIA AND URI WITH MCC $11,205 – $18,724 · median $11,433 12 plans
153 OTITIS MEDIA & URI WITHOUT COMORBITY $7,538 – $12,306 · median $7,692 12 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $14,354 – $26,834 · median $14,646 12 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $9,010 – $15,404 · median $9,194 12 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $7,149 – $11,671 · median $7,295 12 plans
157 DENTAL AND ORAL DISEASES WITH MCC $15,620 – $27,019 · median $15,938 12 plans
158 DENTAL AND ORAL DISEASES WITH CC $8,955 – $15,520 · median $9,138 12 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $7,292 – $11,906 · median $7,441 12 plans
163 MAJOR CHEST PROCEDURES WITH MCC $38,455 – $79,532 · median $39,240 12 plans
164 MAJOR CHEST PROCEDURES WITH COMPLICATION $22,286 – $42,190 · median $22,741 12 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $17,250 – $30,756 · median $17,602 12 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $32,309 – $63,530 · median $32,969 12 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $16,335 – $30,149 · median $16,668 12 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,726 – $22,339 · median $12,985 12 plans
175 PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE $12,785 – $24,555 · median $13,046 12 plans
176 PULMONARY EMBOLISM WITHOUT COMORBITY $8,089 – $14,096 · median $8,254 12 plans
177 RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY $14,347 – $29,368 · median $14,640 12 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $9,502 – $19,182 · median $9,696 12 plans
179 RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY $7,676 – $13,867 · median $7,833 12 plans
180 RESPIRATORY NEOPLASMS WITH MCC $16,026 – $28,839 · median $16,353 12 plans
181 RESPIRATORY NEOPLASMS WITH CC $10,286 – $18,320 · median $10,496 12 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $7,667 – $13,819 · median $7,823 12 plans
183 MAJOR CHEST TRAUMA WITH COMORBITY $14,076 – $26,190 · median $14,363 12 plans
184 MAJOR CHEST TRAUMA WITH COMPLICATION $10,229 – $17,624 · median $10,438 12 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $7,937 – $12,958 · median $8,099 12 plans
186 PLEURAL EFFUSION WITH MCC $14,312 – $26,070 · median $14,604 12 plans
187 PLEURAL EFFUSION WITH CC $9,610 – $16,566 · median $9,806 12 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $7,364 – $12,114 · median $7,515 12 plans
189 PULMONARY EDEMA & RESPIRATORY FAILURE $11,644 – $20,417 · median $11,882 12 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY $10,589 – $18,530 · median $10,805 12 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION $8,403 – $14,175 · median $8,575 12 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $6,743 – $11,050 · median $6,881 12 plans
193 SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY $12,296 – $21,742 · median $12,547 12 plans
194 SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION $8,097 – $13,722 · median $8,262 12 plans
195 SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY $6,632 – $10,827 · median $6,767 12 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $17,027 – $31,088 · median $17,374 12 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $9,279 – $16,335 · median $9,469 12 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $7,356 – $12,010 · median $7,506 12 plans
199 PNEUMOTHORAX WITH MCC $16,010 – $29,127 · median $16,337 12 plans
200 PNEUMOTHORAX WITH COMPLICATION $10,520 – $18,274 · median $10,735 12 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $7,347 – $11,995 · median $7,497 12 plans
202 BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY $9,462 – $15,951 · median $9,655 12 plans
203 BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY $6,974 – $11,494 · median $7,117 12 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $8,109 – $13,382 · median $8,275 12 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $16,563 – $31,149 · median $16,901 12 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $9,213 – $15,042 · median $9,401 12 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $54,583 – $106,709 · median $55,697 12 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $24,142 – $44,283 · median $24,634 12 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $83,672 – $174,814 · median $85,380 12 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $82,234 – $159,537 · median $83,912 12 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $55,744 – $106,555 · median $56,882 12 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $55,744 – $98,163 · median $56,882 12 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $64,853 – $128,027 · median $66,177 12 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $45,483 – $87,396 · median $46,411 12 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $43,066 – $75,778 · median $43,945 12 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $42,300 – $84,714 · median $43,163 12 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $27,452 – $54,683 · median $28,012 12 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $71,061 – $139,819 · median $72,511 12 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $51,510 – $100,794 · median $52,561 12 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $64,580 – $128,971 · median $65,898 12 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $46,556 – $87,783 · median $47,506 12 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $49,908 – $98,085 · median $50,926 12 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $36,035 – $67,850 · median $36,770 12 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $42,088 – $83,109 · median $42,947 12 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $24,982 – $48,051 · median $25,492 12 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $12,874 – $25,289 · median $13,137 12 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $27,809 – $59,212 · median $28,377 12 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $19,040 – $40,015 · median $19,428 12 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $16,369 – $32,787 · median $16,703 12 plans
245 AICD GENERATOR PROCEDURES $39,120 – $86,105 · median $39,919 12 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $19,466 – $40,077 · median $19,863 12 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $13,784 – $26,352 · median $14,065 12 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $30,250 – $56,602 · median $30,867 12 plans
253 OTHER VASCULAR PROCEDURES WITH CC $22,877 – $42,161 · median $23,344 12 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $16,156 – $28,865 · median $16,485 12 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $23,718 – $43,172 · median $24,202 12 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $15,464 – $27,946 · median $15,779 12 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $10,461 – $18,467 · median $10,675 12 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $27,391 – $50,335 · median $27,950 12 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $18,141 – $33,194 · median $18,511 12 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $28,305 – $56,664 · median $28,883 12 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $17,054 – $31,675 · median $17,402 12 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $14,902 – $27,117 · median $15,206 12 plans
263 VEIN LIGATION AND STRIPPING $26,691 – $44,255 · median $27,236 12 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $29,030 – $57,669 · median $29,622 12 plans
265 AICD LEAD PROCEDURES $31,323 – $58,859 · median $31,962 12 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $52,053 – $111,979 · median $53,116 12 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $40,759 – $88,966 · median $41,591 12 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $58,243 – $110,652 · median $59,432 12 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $36,319 – $68,652 · median $37,060 12 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $45,016 – $84,695 · median $45,935 12 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $30,811 – $56,833 · median $31,440 12 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $22,525 – $42,730 · median $22,985 12 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $35,512 – $64,520 · median $36,237 12 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $28,626 – $52,244 · median $29,210 12 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $14,689 – $27,083 · median $14,989 12 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $9,032 – $15,210 · median $9,216 12 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $7,413 – $12,103 · median $7,564 12 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $17,800 – $32,264 · median $18,163 12 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $7,158 – $12,227 · median $7,304 12 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $6,387 – $10,428 · median $6,518 12 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $19,716 – $36,519 · median $20,118 12 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $10,279 – $17,980 · median $10,489 12 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $23,791 – $45,070 · median $24,276 12 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $15,538 – $26,109 · median $15,855 12 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $9,119 – $16,296 · median $9,305 12 plans
291 HEART FAILURE & SHOCK WITH COMORBITY $12,044 – $21,529 · median $12,289 12 plans
292 HEART FAILURE & SHOCK WITH COMPLICATION $8,453 – $14,210 · median $8,625 12 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $6,116 – $9,985 · median $6,240 12 plans
296 CARDIAC ARREST; UNEXPLAINED WITH COMORBITY $14,340 – $27,034 · median $14,633 12 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $6,677 – $11,623 · median $6,813 12 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $5,200 – $8,489 · median $5,306 12 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $14,925 – $26,690 · median $15,230 12 plans
300 PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION $10,257 – $17,665 · median $10,467 12 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $7,385 – $12,057 · median $7,536 12 plans
302 ATHEROSCLEROSIS WITH MCC $11,323 – $19,194 · median $11,555 12 plans
303 ATHEROSCLEROSIS WITHOUT MCC $7,001 – $11,430 · median $7,144 12 plans
304 HYPERTENSION WITH MCC $11,269 – $19,384 · median $11,499 12 plans
305 HYPERTENSION WITHOUT COMORBITY $7,677 – $12,534 · median $7,834 12 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $14,455 – $24,707 · median $14,750 12 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $8,983 – $15,286 · median $9,166 12 plans
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY $11,385 – $19,897 · median $11,617 12 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $7,517 – $12,273 · median $7,670 12 plans
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY $6,116 – $9,986 · median $6,241 12 plans
311 ANGINA PECTORIS $7,238 – $11,817 · median $7,386 12 plans
312 SYNCOPE AND COLLAPSE $8,639 – $14,376 · median $8,816 12 plans
313 CHEST PAIN $7,387 – $12,061 · median $7,538 12 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $18,662 – $35,533 · median $19,043 12 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $9,397 – $15,878 · median $9,588 12 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $7,074 – $11,550 · median $7,219 12 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $38,299 – $72,481 · median $39,080 12 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $21,306 – $38,211 · median $21,740 12 plans
326 STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY $42,630 – $84,453 · median $43,500 12 plans
327 STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION $21,627 – $40,746 · median $22,068 12 plans
328 STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY $14,674 – $26,485 · median $14,973 12 plans
329 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY $39,402 – $77,624 · median $40,206 12 plans
330 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION $21,239 – $40,505 · median $21,672 12 plans
331 MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY $15,340 – $27,242 · median $15,653 12 plans
332 RECTAL RESECTION WITH MCC $31,343 – $66,151 · median $31,983 12 plans
333 RECTAL RESECTION WITH CC $20,785 – $35,067 · median $21,209 12 plans
334 RECTAL RESECTION WITHOUT CC/MCC $14,968 – $27,367 · median $15,273 12 plans
335 PERITONEAL ADHESIOLYSIS WITH COMORBITY $30,932 – $62,140 · median $31,563 12 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $18,856 – $36,403 · median $19,241 12 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $14,118 – $26,010 · median $14,406 12 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $22,772 – $44,773 · median $23,236 12 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $13,868 – $25,082 · median $14,151 12 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,238 – $20,547 · median $11,467 12 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $20,400 – $39,153 · median $20,816 12 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $12,250 – $21,421 · median $12,500 12 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $8,631 – $15,564 · median $8,807 12 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $22,021 – $39,909 · median $22,470 12 plans
351 INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION $14,031 – $24,824 · median $14,318 12 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $11,086 – $18,193 · median $11,312 12 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY $25,408 – $48,395 · median $25,926 12 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION $15,336 – $28,353 · median $15,648 12 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $12,549 – $21,998 · median $12,805 12 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $37,720 – $70,384 · median $38,489 12 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $20,647 – $37,158 · median $21,068 12 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,986 – $22,359 · median $13,251 12 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $14,588 – $30,986 · median $14,886 12 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $9,701 – $17,125 · median $9,899 12 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $7,229 – $11,889 · median $7,376 12 plans
371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY $16,085 – $28,842 · median $16,413 12 plans
372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION $9,873 – $16,983 · median $10,075 12 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $7,449 – $12,161 · median $7,601 12 plans
374 DIGESTIVE MALIGNANCY WITH MCC $19,104 – $34,838 · median $19,494 12 plans
375 DIGESTIVE MALIGNANCY WITH COMPLICATION $11,431 – $20,274 · median $11,664 12 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $9,075 – $14,816 · median $9,260 12 plans
377 G.I. HEMORRHAGE WITH COMORBITY $16,538 – $30,000 · median $16,875 12 plans
378 G.I. HEMORRHAGE WITH COMPLICATION $9,540 – $16,267 · median $9,735 12 plans
379 G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY $6,647 – $10,853 · median $6,783 12 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $17,646 – $31,751 · median $18,006 12 plans
381 COMPLICATED PEPTIC ULCER WITH CC $10,389 – $17,970 · median $10,601 12 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $8,053 – $13,148 · median $8,217 12 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $12,844 – $20,970 · median $13,106 12 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $8,501 – $14,348 · median $8,674 12 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $14,509 – $26,809 · median $14,805 12 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $9,504 – $16,376 · median $9,698 12 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY $7,068 – $11,539 · median $7,212 12 plans
388 G.I. OBSTRUCTION WITH COMORBITY $13,638 – $24,253 · median $13,916 12 plans
389 G.I. OBSTRUCTION WITH COMPLICATION $7,964 – $13,226 · median $8,126 12 plans
390 G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY $5,934 – $9,688 · median $6,055 12 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $11,916 – $21,194 · median $12,159 12 plans
392 ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY $7,880 – $12,875 · median $8,040 12 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY $14,649 – $27,324 · median $14,948 12 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION $9,169 – $15,531 · median $9,356 12 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY $6,801 – $11,104 · median $6,940 12 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $46,620 – $91,159 · median $47,571 12 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $25,393 – $46,339 · median $25,911 12 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $19,772 – $35,241 · median $20,176 12 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $30,888 – $59,598 · median $31,519 12 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $19,423 – $34,592 · median $19,819 12 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $14,553 – $25,593 · median $14,850 12 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $28,722 – $59,644 · median $29,308 12 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $18,805 – $36,184 · median $19,189 12 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $15,155 – $27,542 · median $15,464 12 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $30,863 – $57,813 · median $31,493 12 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $18,509 – $32,639 · median $18,887 12 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $12,700 – $22,608 · median $12,959 12 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $21,150 – $39,212 · median $21,581 12 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION $15,412 – $27,364 · median $15,726 12 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY $12,721 – $21,740 · median $12,980 12 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $29,579 – $58,237 · median $30,183 12 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $15,791 – $30,306 · median $16,113 12 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $12,999 – $24,245 · median $13,264 12 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $35,739 – $67,112 · median $36,469 12 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $19,510 – $37,674 · median $19,908 12 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $13,832 – $25,506 · median $14,114 12 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $17,696 – $32,325 · median $18,057 12 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $10,164 – $17,652 · median $10,371 12 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $7,325 – $11,960 · median $7,475 12 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $16,610 – $30,106 · median $16,949 12 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $10,783 – $18,607 · median $11,003 12 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $8,488 – $14,237 · median $8,662 12 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY $14,904 – $27,451 · median $15,209 12 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION $8,388 – $14,193 · median $8,560 12 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY $6,573 – $10,732 · median $6,707 12 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $16,263 – $31,192 · median $16,595 12 plans
442 DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION $9,413 – $15,942 · median $9,605 12 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $7,220 – $11,787 · median $7,367 12 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $15,241 – $27,793 · median $15,552 12 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $10,479 – $17,894 · median $10,693 12 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $8,274 – $13,508 · median $8,442 12 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $70,842 – $139,742 · median $72,287 12 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $50,688 – $103,219 · median $51,723 12 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $35,901 – $79,565 · median $36,634 12 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $47,054 – $101,256 · median $48,014 12 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $23,409 – $49,976 · median $23,887 12 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $48,511 – $89,117 · median $49,501 12 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $27,164 – $48,652 · median $27,719 12 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $16,502 – $29,299 · median $16,839 12 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $44,431 – $84,939 · median $45,337 12 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION $30,566 – $56,856 · median $31,190 12 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $24,136 – $44,548 · median $24,628 12 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT $26,491 – $53,934 · median $27,032 12 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY $17,371 – $30,207 · median $17,726 12 plans
471 CERVICAL SPINAL FUSION WITH MCC $41,320 – $80,145 · median $42,163 12 plans
472 CERVICAL SPINAL FUSION WITH CC $25,772 – $48,521 · median $26,298 12 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $21,603 – $40,350 · median $22,044 12 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $36,895 – $73,998 · median $37,648 12 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION $20,235 – $35,595 · median $20,648 12 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,188 – $19,191 · median $11,416 12 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $29,971 – $56,744 · median $30,583 12 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION $21,751 – $38,587 · median $22,195 12 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $16,793 – $29,301 · median $17,136 12 plans
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY $25,493 – $48,527 · median $26,013 12 plans
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION $18,739 – $34,236 · median $19,121 12 plans
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY $14,911 – $26,176 · median $15,215 12 plans
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $24,333 – $42,045 · median $24,830 12 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $28,093 – $54,154 · median $28,666 12 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $18,711 – $34,995 · median $19,093 12 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $14,376 – $26,074 · median $14,669 12 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $16,050 – $32,429 · median $16,377 12 plans
489 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY $10,664 – $20,630 · median $10,882 12 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $31,764 – $58,595 · median $32,412 12 plans
493 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION $22,386 – $39,617 · median $22,843 12 plans
494 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY $18,012 – $31,109 · median $18,380 12 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $31,384 – $58,090 · median $32,025 12 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $16,339 – $32,555 · median $16,672 12 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $11,420 – $23,070 · median $11,653 12 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $26,356 – $43,030 · median $26,894 12 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $14,046 – $29,519 · median $18,450 12 plans
500 SOFT TISSUE PROCEDURES WITH MCC $27,578 – $52,284 · median $28,141 12 plans
501 SOFT TISSUE PROCEDURES WITH CC $15,878 – $29,448 · median $16,202 12 plans
502 SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY $12,556 – $23,054 · median $12,813 12 plans
503 FOOT PROCEDURES WITH MCC $24,492 – $43,669 · median $24,992 12 plans
504 FOOT PROCEDURES WITH CC $16,878 – $28,958 · median $17,223 12 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $16,247 – $28,958 · median $16,579 12 plans
506 MAJOR THUMB OR JOINT PROCEDURES $12,584 – $24,735 · median $12,841 12 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $16,360 – $32,727 · median $16,693 12 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $13,948 – $22,772 · median $14,233 12 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $26,386 – $47,159 · median $26,925 12 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $18,614 – $32,360 · median $18,994 12 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $15,113 – $26,529 · median $15,421 12 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $14,443 – $24,976 · median $14,738 12 plans
514 HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITHOUT COMPLICATION/COMORBITY $9,884 – $16,823 · median $10,086 12 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $27,761 – $51,025 · median $28,327 12 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $18,603 – $33,193 · median $18,983 12 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $14,132 – $24,630 · median $14,421 12 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $32,306 – $59,136 · median $32,965 12 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $17,960 – $32,536 · median $18,327 12 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $13,779 – $23,648 · median $14,060 12 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $25,145 – $48,711 · median $25,658 12 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $18,930 – $34,795 · median $19,317 12 plans
533 FRACTURES OF FEMUR WITH MCC $14,388 – $25,161 · median $14,682 12 plans
534 FRACTURES OF FEMUR WITHOUT MCC $8,098 – $13,431 · median $8,264 12 plans
535 FRACTURES OF HIP & PELVIS WITH COMORBITY $12,029 – $21,943 · median $12,274 12 plans
536 FRACTURES OF HIP & PELVIS WITHOUT COMORBITY $8,111 – $13,380 · median $8,276 12 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $9,322 – $15,220 · median $9,513 12 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $7,390 – $12,065 · median $7,541 12 plans
539 OSTEOMYELITIS WITH MCC $17,708 – $33,370 · median $18,070 12 plans
540 OSTEOMYELITIS WITH CC $12,147 – $21,353 · median $12,395 12 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $7,944 – $14,436 · median $8,106 12 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $16,030 – $30,774 · median $16,357 12 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $9,931 – $17,505 · median $10,134 12 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $7,673 – $12,528 · median $7,830 12 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $21,937 – $41,694 · median $22,384 12 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $10,967 – $19,190 · median $11,191 12 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,347 – $13,628 · median $8,517 12 plans
548 SEPTIC ARTHRITIS WITH MCC $17,388 – $33,241 · median $17,743 12 plans
549 SEPTIC ARTHRITIS WITH CC $11,411 – $19,884 · median $11,644 12 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $8,660 – $14,225 · median $8,837 12 plans
551 MEDICAL BACK PROBLEMS WITH MCC $15,283 – $28,156 · median $15,595 12 plans
552 MEDICAL BACK PROBLEMS WITHOUT COMORBITY $9,380 – $15,903 · median $9,572 12 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $12,147 – $21,549 · median $12,395 12 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $8,297 – $13,771 · median $8,466 12 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,357 – $22,219 · median $12,610 12 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $8,301 – $13,552 · median $8,470 12 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $13,721 – $25,570 · median $14,001 12 plans
558 TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY $8,818 – $14,396 · median $8,998 12 plans
559 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY $16,843 – $30,629 · median $17,186 12 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,741 – $18,789 · median $10,960 12 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $8,080 – $13,490 · median $8,245 12 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $13,208 – $24,148 · median $13,478 12 plans
563 FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY $8,837 – $14,748 · median $9,017 12 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $14,189 – $25,892 · median $14,479 12 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $9,488 – $16,825 · median $9,682 12 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $7,629 – $12,456 · median $7,785 12 plans
570 SKIN DEBRIDEMENT WITH MCC $25,731 – $49,668 · median $26,256 12 plans
571 SKIN DEBRIDEMENT WITH CC $15,394 – $27,626 · median $15,708 12 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $10,908 – $18,850 · median $11,131 12 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $55,547 – $101,610 · median $56,680 12 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $30,110 – $57,171 · median $30,725 12 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $16,282 – $32,946 · median $16,614 12 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $41,918 – $89,022 · median $42,774 12 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $23,332 – $43,936 · median $23,809 12 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $14,708 – $27,892 · median $15,008 12 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $28,187 – $53,780 · median $28,762 12 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $15,712 – $29,255 · median $16,033 12 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $13,359 – $23,747 · median $13,632 12 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $17,352 – $28,895 · median $17,706 12 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $15,682 – $27,105 · median $16,002 12 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $19,120 – $33,782 · median $19,511 12 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $17,373 – $32,754 · median $17,727 12 plans
592 SKIN ULCERS WITH MCC $17,424 – $33,929 · median $17,780 12 plans
593 SKIN ULCERS WITH CC $11,238 – $20,175 · median $11,468 12 plans
594 SKIN ULCERS WITHOUT CC/MCC $8,600 – $14,040 · median $8,775 12 plans
595 MAJOR SKIN DISORDERS WITH MCC $18,955 – $34,899 · median $19,342 12 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $10,381 – $17,838 · median $10,593 12 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $15,209 – $28,986 · median $15,520 12 plans
598 MALIGNANT BREAST DISORDERS WITH COMPLICATION $10,784 – $17,802 · median $11,004 12 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,795 – $14,106 · median $7,954 12 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $10,043 – $16,397 · median $10,248 12 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,438 – $10,912 · median $6,569 12 plans
602 CELLULITIS WITH MCC $13,179 – $24,242 · median $13,448 12 plans
603 CELLULITIS WITHOUT COMORBITY $8,634 – $14,533 · median $8,810 12 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $13,599 – $24,514 · median $13,876 12 plans
605 TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY $9,006 – $15,241 · median $9,190 12 plans
606 MINOR SKIN DISORDERS WITH MCC $13,938 – $26,570 · median $14,223 12 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $8,927 – $14,574 · median $9,109 12 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $19,542 – $37,961 · median $19,941 12 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $12,997 – $25,033 · median $13,263 12 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $30,242 – $63,773 · median $30,860 12 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $16,887 – $32,317 · median $17,232 12 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $13,154 – $21,477 · median $13,423 12 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $18,000 – $48,641 · median $25,803 12 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $14,657 – $28,012 · median $14,957 12 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $13,899 – $25,384 · median $14,182 12 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $30,835 – $61,743 · median $31,465 12 plans
623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION $16,256 – $31,561 · median $16,588 12 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $11,780 – $19,233 · median $12,021 12 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $26,383 – $47,307 · median $26,921 12 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $13,824 – $26,261 · median $14,106 12 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $12,411 – $20,904 · median $12,664 12 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $32,219 – $65,104 · median $32,877 12 plans
629 OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION $19,435 – $37,343 · median $19,832 12 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $13,495 – $23,121 · median $13,770 12 plans
637 DIABETES WITH COMORBITY $13,306 – $24,029 · median $13,578 12 plans
638 DIABETES WITH COMPLICATION $8,843 – $15,134 · median $9,023 12 plans
639 DIABETES WITHOUT COMPLICATION/COMORBITY $6,571 – $10,729 · median $6,706 12 plans
640 MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY $12,471 – $21,912 · median $12,726 12 plans
641 MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY $7,868 – $12,893 · median $8,029 12 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $13,186 – $21,528 · median $13,455 12 plans
643 ENDOCRINE DISORDERS WITH MCC $15,036 – $27,345 · median $15,343 12 plans
644 ENDOCRINE DISORDERS WITH CC $9,906 – $17,051 · median $10,108 12 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $7,786 – $12,849 · median $7,945 12 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $40,268 – $76,020 · median $41,090 12 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $32,046 – $58,745 · median $32,700 12 plans
652 KIDNEY TRANSPLANT $28,112 – $50,678 · median $28,686 12 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $44,356 – $91,981 · median $45,262 12 plans
654 MAJOR BLADDER PROCEDURES WITH CC $24,560 – $46,565 · median $25,061 12 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $18,921 – $34,275 · median $19,308 12 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $27,735 – $53,757 · median $28,301 12 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $16,554 – $30,744 · median $16,892 12 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $14,257 – $25,079 · median $14,548 12 plans
659 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY $22,426 – $42,641 · median $22,883 12 plans
660 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION $12,357 – $22,924 · median $12,609 12 plans
661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY $9,992 – $16,939 · median $10,196 12 plans
662 MINOR BLADDER PROCEDURES WITH MCC $26,725 – $51,473 · median $27,270 12 plans
663 MINOR BLADDER PROCEDURES WITH CC $13,996 – $25,381 · median $14,282 12 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $10,087 – $18,804 · median $10,293 12 plans
665 PROSTATECTOMY WITH COMORBITY $27,218 – $56,654 · median $27,773 12 plans
666 PROSTATECTOMY WITH CC $15,888 – $27,638 · median $16,212 12 plans
667 PROSTATECTOMY WITHOUT CC/MCC $10,577 – $17,268 · median $10,793 12 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $25,556 – $48,119 · median $26,078 12 plans
669 TRANSURETHRAL PROCEDURES WITH CC $14,259 – $25,534 · median $14,550 12 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $9,512 – $15,769 · median $9,706 12 plans
671 URETHRAL PROCEDURES WITH CC/MCC $16,265 – $28,441 · median $16,597 12 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $10,356 – $18,278 · median $10,568 12 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $36,141 – $69,128 · median $36,878 12 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $20,755 – $38,089 · median $21,178 12 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $14,997 – $27,893 · median $15,303 12 plans
682 RENAL FAILURE WITH COMORBITY $13,672 – $24,781 · median $13,951 12 plans
683 RENAL FAILURE WITH COMPLICATION $8,674 – $14,667 · median $8,851 12 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $16,337 – $31,114 · median $16,671 12 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $10,095 – $17,370 · median $10,301 12 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $7,968 – $13,009 · median $8,131 12 plans
689 KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY $11,024 – $19,310 · median $11,249 12 plans
690 KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY $8,127 – $13,268 · median $8,292 12 plans
693 URINARY STONES WITH MCC $12,545 – $24,262 · median $12,801 12 plans
694 URINARY STONES WITHOUT MCC $7,897 – $12,893 · median $8,058 12 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $10,887 – $18,609 · median $11,110 12 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $7,131 – $11,643 · median $7,277 12 plans
697 URETHRAL STRICTURE $10,342 – $16,885 · median $10,553 12 plans
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY $15,104 – $27,735 · median $15,413 12 plans
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION $9,824 – $16,828 · median $10,024 12 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $7,139 – $11,856 · median $7,285 12 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $17,961 – $32,020 · median $18,327 12 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $14,112 – $24,461 · median $14,400 12 plans
709 PENIS PROCEDURES WITH CC/MCC $20,660 – $37,077 · median $21,081 12 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $13,013 – $25,459 · median $13,279 12 plans
711 TESTES PROCEDURES WITH CC/MCC $18,651 – $33,847 · median $19,031 12 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $10,523 – $17,648 · median $10,738 12 plans
713 TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY $13,857 – $23,859 · median $14,140 12 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $10,174 – $16,610 · median $10,382 12 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $19,918 – $37,262 · median $20,325 12 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $13,590 – $23,418 · median $13,867 12 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $17,054 – $30,616 · median $17,402 12 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $12,533 – $20,463 · median $12,789 12 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $16,387 – $28,527 · median $16,721 12 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $10,878 – $18,528 · median $11,100 12 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,856 – $12,022 · median $6,996 12 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH COMORBITY $11,105 – $20,833 · median $11,332 12 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $7,404 – $12,283 · median $7,555 12 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $13,688 – $24,245 · median $13,967 12 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $8,141 – $13,482 · median $8,307 12 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $10,185 – $18,165 · median $10,392 12 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $6,991 – $11,414 · median $7,134 12 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $19,032 – $35,350 · median $19,420 12 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $12,553 – $22,468 · median $12,809 12 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $30,962 – $67,700 · median $31,594 12 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $18,459 – $32,974 · median $18,836 12 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $13,569 – $25,029 · median $13,846 12 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $31,030 – $65,685 · median $31,663 12 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $16,386 – $30,002 · median $16,720 12 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $13,219 – $22,664 · median $13,489 12 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $16,594 – $30,141 · median $16,933 12 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $11,688 – $19,779 · median $11,926 12 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $18,364 – $32,241 · median $18,739 12 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $10,835 – $18,582 · median $11,057 12 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $15,787 – $27,631 · median $16,109 12 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $8,541 – $15,761 · median $8,715 12 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $12,898 – $22,478 · median $13,162 12 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $22,646 – $43,070 · median $23,108 12 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,629 – $23,260 · median $13,907 12 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $16,651 – $29,853 · median $16,991 12 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $10,425 – $18,317 · median $10,638 12 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,374 – $15,758 · median $9,565 12 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,267 – $24,188 · median $13,537 12 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,526 – $16,818 · median $9,721 12 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,922 – $11,301 · median $7,063 12 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $9,762 – $16,262 · median $9,961 12 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $6,153 – $10,459 · median $6,278 12 plans
768 VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C $10,291 – $18,583 · median $10,501 12 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $15,397 – $25,711 · median $15,711 12 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $9,722 – $17,754 · median $9,921 12 plans
776 POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE $6,848 – $12,291 · median $6,988 12 plans
779 ABORTION WITHOUT D&C $8,389 – $16,834 · median $8,560 12 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $21,717 – $35,456 · median $22,160 12 plans
784 CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION $10,196 – $17,870 · median $10,404 12 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY $9,351 – $15,267 · median $9,542 12 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY $15,064 – $26,662 · median $15,371 12 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION $10,664 – $17,520 · median $10,882 12 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY $9,360 – $15,281 · median $9,551 12 plans
795 NORMAL NEWBORN $2,418 – $5,047 · median $3,154 12 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $11,079 – $21,064 · median $11,305 12 plans
797 VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMPLICATION $9,703 – $15,975 · median $9,901 12 plans
798 VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY $9,346 – $15,975 · median $9,536 12 plans
799 SPLENIC PROCEDURES WITH MCC $38,844 – $81,787 · median $39,636 12 plans
800 SPLENIC PROCEDURES WITH CC $24,643 – $48,078 · median $25,146 12 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $17,206 – $28,092 · median $17,557 12 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $34,344 – $59,149 · median $35,045 12 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $16,793 – $29,982 · median $17,136 12 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $12,640 – $21,707 · median $12,898 12 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY $10,354 – $16,904 · median $10,565 12 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION $7,668 – $12,520 · median $7,825 12 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY $7,009 – $11,444 · median $7,152 12 plans
808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY $19,675 – $37,790 · median $20,077 12 plans
809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION $11,896 – $20,435 · median $12,139 12 plans
810 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITHOUT COMPLICATION/COMORBITY $10,085 – $16,465 · median $10,290 12 plans
811 RED BLOOD CELL DISORDERS WITH COMORBITY $13,039 – $23,214 · median $13,305 12 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $9,024 – $15,228 · median $9,208 12 plans
813 COAGULATION DISORDERS $14,038 – $25,542 · median $14,325 12 plans
814 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMORBITY $19,005 – $34,493 · median $19,393 12 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $9,815 – $16,766 · median $10,016 12 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $6,661 – $10,880 · median $6,797 12 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $20,284 – $41,829 · median $20,698 12 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $11,015 – $21,619 · median $11,239 12 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY $8,543 – $15,719 · median $8,717 12 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $49,876 – $96,068 · median $50,894 12 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $19,929 – $36,835 · median $20,336 12 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,385 – $19,889 · median $11,617 12 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $39,305 – $77,212 · median $40,107 12 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $20,152 – $37,570 · median $20,563 12 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $12,585 – $22,277 · median $12,842 12 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $40,073 – $80,132 · median $40,891 12 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $20,529 – $39,721 · median $20,947 12 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $15,512 – $26,595 · median $15,829 12 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $27,538 – $50,972 · median $28,100 12 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $13,870 – $24,131 · median $14,154 12 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $11,372 – $18,992 · median $11,604 12 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION $7,401 – $12,361 · median $7,552 12 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY $5,760 – $9,403 · median $5,877 12 plans
834 ACUTE LEUKEMIA WITH MCC $46,780 – $96,210 · median $47,735 12 plans
835 ACUTE LEUKEMIA WITH CC $18,667 – $35,242 · median $19,048 12 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $11,513 – $20,967 · median $11,748 12 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $41,118 – $90,579 · median $41,957 12 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $18,680 – $35,928 · median $19,061 12 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $13,366 – $23,630 · median $13,639 12 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $28,157 – $52,619 · median $28,732 12 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $14,914 – $25,872 · median $15,219 12 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $9,786 – $17,436 · median $9,985 12 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $17,916 – $31,239 · median $18,281 12 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $11,495 – $19,721 · median $11,730 12 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $8,474 – $13,835 · median $8,647 12 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $22,852 – $42,470 · median $23,318 12 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $12,245 – $21,230 · median $12,495 12 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $8,456 – $16,405 · median $8,629 12 plans
849 RADIOTHERAPY $23,818 – $44,073 · median $24,304 12 plans
853 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY $42,227 – $82,521 · median $43,089 12 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $17,943 – $33,720 · median $18,309 12 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $13,806 – $26,822 · median $14,088 12 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $39,007 – $74,441 · median $39,803 12 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $19,127 – $35,952 · median $19,517 12 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $12,945 – $21,610 · median $13,209 12 plans
862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY $16,502 – $30,339 · median $16,839 12 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $9,682 – $16,498 · median $9,880 12 plans
864 FEVER AND INFLAMMATORY CONDITIONS $8,772 – $14,817 · median $8,951 12 plans
865 VIRAL ILLNESS WITH MCC $13,815 – $24,352 · median $14,097 12 plans
866 VIRAL ILLNESS WITHOUT COMORBITY $8,623 – $14,599 · median $8,799 12 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $18,728 – $35,548 · median $19,110 12 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $9,957 – $17,327 · median $10,160 12 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $7,468 – $12,192 · median $7,620 12 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $58,523 – $114,782 · median $59,718 12 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY $17,484 – $32,375 · median $17,840 12 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY $9,892 – $17,012 · median $10,094 12 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $36,099 – $73,103 · median $36,836 12 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $17,252 – $31,310 · median $17,604 12 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $11,100 – $20,115 · median $11,327 12 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $31,776 – $63,708 · median $32,424 12 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $13,692 – $27,195 · median $13,971 12 plans
906 HAND PROCEDURES FOR INJURIES $17,664 – $36,011 · median $18,024 12 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $33,149 – $65,731 · median $33,825 12 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $17,919 – $33,282 · median $18,284 12 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $12,282 – $21,786 · median $12,533 12 plans
913 TRAUMATIC INJURY WITH MCC $14,941 – $26,702 · median $15,246 12 plans
914 TRAUMATIC INJURY WITHOUT COMORBITY $8,754 – $15,121 · median $8,933 12 plans
915 ALLERGIC REACTIONS WITH MCC $15,329 – $28,675 · median $15,642 12 plans
916 ALLERGIC REACTIONS WITHOUT MCC $6,944 – $11,337 · median $7,086 12 plans
917 POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY $14,394 – $27,055 · median $14,688 12 plans
918 POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY $8,520 – $14,596 · median $8,694 12 plans
919 COMPLICATIONS OF TREATMENT WITH COMORBITY $16,561 – $30,089 · median $16,899 12 plans
920 COMPLICATIONS OF TREATMENT WITH CC $9,719 – $16,762 · median $9,917 12 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $7,126 – $11,635 · median $7,272 12 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $15,889 – $27,875 · median $16,213 12 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $9,846 – $16,828 · median $10,047 12 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $177,767 – $391,426 · median $181,395 12 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $60,678 – $110,202 · median $61,916 12 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $28,041 – $52,477 · median $28,613 12 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $33,602 – $71,394 · median $34,288 12 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $19,698 – $35,406 · median $20,100 12 plans
935 NON-EXTENSIVE BURNS $18,454 – $36,241 · median $18,831 12 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $31,408 – $53,615 · median $32,049 12 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $20,741 – $35,302 · median $21,164 12 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $18,187 – $32,246 · median $18,558 12 plans
947 SIGNS AND SYMPTOMS WITH MCC $11,925 – $21,222 · median $12,168 12 plans
948 SIGNS & SYMPTOMS WITHOUT COMORBITY $8,052 – $13,147 · median $8,217 12 plans
949 AFTERCARE WITH CC/MCC $11,266 – $18,394 · median $11,496 12 plans
950 AFTERCARE WITHOUT CC/MCC $6,625 – $11,749 · median $6,760 12 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $6,033 – $9,850 · median $6,156 12 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $57,031 – $112,667 · median $58,195 12 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $32,518 – $63,070 · median $33,182 12 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $64,371 – $123,159 · median $65,685 12 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $36,242 – $67,812 · median $36,982 12 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $25,755 – $43,624 · median $26,281 12 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY $24,019 – $44,826 · median $24,509 12 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION $14,098 – $24,752 · median $14,386 12 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $9,208 – $15,058 · median $9,396 12 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $51,995 – $104,351 · median $53,056 12 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $23,222 – $47,461 · median $23,696 12 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $25,276 – $49,272 · median $25,791 12 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $12,136 – $23,453 · median $12,384 12 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $8,896 – $16,550 · median $9,078 12 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $12,158 – $23,791 · median $12,407 12 plans
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY $40,189 – $78,439 · median $41,009 12 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $21,745 – $40,397 · median $22,189 12 plans
983 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY $15,596 – $27,525 · median $15,915 12 plans
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY $29,755 – $57,795 · median $30,362 12 plans
988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION $15,015 – $28,314 · median $15,322 12 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,345 – $19,066 · median $11,576 12 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $26,022 – $50,632 · median $26,553 11 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $91,246 – $179,749 · median $93,108 11 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $60,329 – $116,606 · median $61,560 11 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $51,047 – $102,208 · median $52,089 11 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $39,584 – $76,756 · median $40,391 11 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $47,410 – $82,554 · median $48,378 11 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $31,225 – $52,873 · median $31,862 11 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $56,662 – $102,076 · median $57,819 11 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $23,911 – $46,972 · median $24,399 11 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $16,001 – $29,852 · median $16,328 11 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $37,180 – $70,280 · median $37,938 11 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $27,464 – $52,719 · median $28,025 11 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $27,955 – $47,225 · median $28,525 11 plans
397 APPENDIX PROCEDURES WITH MCC $21,220 – $40,884 · median $21,653 11 plans
398 APPENDIX PROCEDURES WITH CC $13,941 – $24,968 · median $14,226 11 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $10,895 – $18,543 · median $11,117 11 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $34,645 – $64,551 · median $35,352 11 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $92,461 – $172,844 · median $94,348 11 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $61,057 – $117,195 · median $62,303 11 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $47,871 – $90,818 · median $48,848 11 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $75,848 – $137,620 · median $77,396 11 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $49,070 – $90,263 · median $50,071 11 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $56,622 – $110,628 · median $57,778 11 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $36,464 – $67,378 · median $37,209 11 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $45,456 – $84,977 · median $46,384 11 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $28,120 – $50,919 · median $28,694 11 plans
684 RENAL FAILURE WITHOUT CC/MCC $6,399 – $10,447 · median $6,529 11 plans
789 NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $16,325 – $29,743 · median $16,658 11 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME; NEONATE $50,526 – $98,089 · median $51,557 11 plans
791 PREMATURITY WITH MAJOR PROBLEMS $34,963 – $66,988 · median $35,676 11 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $21,668 – $40,420 · median $22,110 11 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $35,876 – $68,813 · median $36,609 11 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,630 – $24,357 · median $13,908 11 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $72,957 – $151,996 · median $74,446 11 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $33,360 – $64,838 · median $34,041 11 plans
880 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION $9,371 – $15,817 · median $9,562 11 plans
881 DEPRESSIVE NEUROSES $9,212 – $15,083 · median $9,400 11 plans
882 NEUROSES EXCEPT DEPRESSIVE $10,309 – $16,832 · median $10,520 11 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $17,680 – $30,589 · median $18,041 11 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $14,728 – $27,558 · median $15,029 11 plans
885 PSYCHOSES $12,977 – $23,258 · median $13,242 11 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $18,580 – $30,335 · median $18,960 11 plans
887 OTHER MENTAL DISORDER DIAGNOSES $10,285 – $19,625 · median $10,495 11 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $6,536 – $10,671 · median $6,669 11 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $13,132 – $25,387 · median $13,400 11 plans
896 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY $15,853 – $29,383 · median $16,177 11 plans
897 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY $8,732 – $14,556 · median $8,910 11 plans
945 REHABILITATION WITH CC/MCC $14,230 – $25,187 · median $14,521 11 plans
946 REHABILITATION WITHOUT CC/MCC $10,912 – $18,422 · median $11,135 11 plans
209 COMPLEX AORTIC ARCH PROCEDURES $94,919 – $154,970 · median $96,856 9 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $48,572 – $79,302 · median $49,564 9 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $21,445 – $35,013 · median $21,883 9 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $29,839 – $48,717 · median $30,448 9 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $21,380 – $34,906 · median $21,816 9 plans
← Back to Madison Memorial Hospital | Madisonhealth profile