Northwest Specialty Hospital — 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
326 STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY $7,380 – $51,461 · median $36,758 10 plans
327 STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION $7,380 – $25,220 · median $18,014 10 plans
328 STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY $7,380 – $16,533 · median $11,809 10 plans
330 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION $17,668 – $24,735 · median $17,668 10 plans
331 MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY $12,403 – $17,364 · median $12,403 10 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $3,690 – $23,686 · median $16,919 10 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $3,690 – $13,504 · median $9,646 10 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $3,690 – $8,983 · median $6,416 10 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $12,190 – $56,987 · median $40,705 10 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $14,000 – $27,446 · median $19,605 10 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $13,000 – $18,817 · median $13,441 10 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY $11,673 – $53,710 · median $38,365 10 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION $11,673 – $36,388 · median $25,992 10 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY $13,000 – $28,354 · median $20,253 10 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $16,000 – $31,297 · median $22,355 10 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY $13,037 – $19,903 · median $14,216 10 plans
471 CERVICAL SPINAL FUSION WITH COMORBITY $11,500 – $49,823 · median $35,588 10 plans
472 CERVICAL SPINAL FUSION WITH COMPLICATION $11,000 – $30,398 · median $21,713 10 plans
473 CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $13,000 – $25,190 · median $17,993 10 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $10,440 – $30,050 · median $21,464 10 plans
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION $7,320 – $21,611 · median $15,437 10 plans
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY $8,040 – $16,829 · median $12,021 10 plans
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $7,700 – $28,601 · median $20,429 10 plans
488 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY $7,389 – $18,252 · median $13,037 10 plans
489 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY $8,231 – $11,523 · median $8,231 10 plans
517 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY $11,326 – $15,856 · median $11,326 10 plans
518 BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM $17,859 – $38,562 · median $27,544 10 plans
519 BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION $8,040 – $20,638 · median $14,742 10 plans
520 BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $9,500 – $15,414 · median $11,010 10 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $10,500 – $14,890 · median $10,636 10 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $12,765 – $29,793 · median $21,281 10 plans
620 O.R. PROCEDURES FOR OBESITY WITH COMPLICATION $11,794 – $16,512 · median $11,794 10 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY $10,000 – $15,564 · median $11,117 10 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $3,000 – $11,057 · median $7,898 10 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $4,080 – $25,332 · median $18,094 10 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $4,080 – $10,938 · median $7,813 10 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $4,080 – $9,883 · median $7,059 10 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $4,080 – $17,020 · median $12,157 10 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $4,080 – $11,523 · median $8,231 10 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $4,080 – $9,893 · median $7,066 10 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $3,000 – $12,041 · median $8,601 10 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $3,000 – $10,322 · median $7,373 10 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $3,000 – $9,876 · median $7,054 10 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $3,000 – $11,135 · median $7,954 10 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $3,000 – $7,780 · median $5,557 10 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $3,000 – $6,957 · median $4,969 10 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $206,540 – $289,156 · median $206,540 9 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $83,517 – $116,924 · median $83,517 9 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $156,433 – $219,006 · median $156,433 9 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $102,087 – $142,921 · median $102,087 9 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $75,990 – $106,386 · median $75,990 9 plans
006 LIVER TRANSPLANT WITHOUT MCC $34,175 – $47,845 · median $34,175 9 plans
007 LUNG TRANSPLANT $95,445 – $133,623 · median $95,445 9 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $41,307 – $57,829 · median $41,307 9 plans
010 PANCREAS TRANSPLANT $52,886 – $74,040 · median $52,886 9 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $40,197 – $56,276 · median $40,197 9 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $31,073 – $43,502 · median $31,073 9 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $21,239 – $29,735 · median $21,239 9 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $88,574 – $124,003 · median $88,574 9 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $43,703 – $61,184 · median $43,703 9 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $40,037 – $56,052 · median $40,037 9 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $318,263 – $445,569 · median $318,263 9 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $52,583 – $73,616 · median $52,583 9 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $57,994 – $81,192 · median $57,994 9 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $39,016 – $54,622 · median $39,016 9 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $23,418 – $32,785 · median $23,418 9 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $42,233 – $59,126 · median $42,233 9 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $28,831 – $40,364 · median $28,831 9 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $33,510 – $46,914 · median $33,510 9 plans
026 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION $22,915 – $32,081 · median $22,915 9 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $18,594 – $26,032 · median $18,594 9 plans
028 SPINAL PROCEDURES WITH MCC $44,282 – $61,995 · median $44,282 9 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $25,144 – $35,202 · median $25,144 9 plans
030 SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $16,179 – $22,651 · median $16,179 9 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $33,022 – $46,231 · median $33,022 9 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $15,706 – $21,988 · median $15,706 9 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $12,256 – $17,158 · median $12,256 9 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $28,528 – $39,939 · median $28,528 9 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $17,618 – $24,666 · median $17,618 9 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $14,319 – $20,046 · median $14,319 9 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $24,263 – $33,969 · median $24,263 9 plans
038 EXTRACRANIAL PROCEDURES WITH CC $11,959 – $16,742 · median $11,959 9 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,664 – $12,129 · median $8,664 9 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $28,458 – $39,841 · median $28,458 9 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $16,205 – $22,687 · median $16,205 9 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $12,733 – $17,827 · median $12,733 9 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $13,350 – $18,689 · median $13,350 9 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,217 – $10,104 · median $7,217 9 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $11,253 – $15,755 · median $11,253 9 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,515 – $10,520 · median $7,515 9 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $17,122 – $23,970 · median $17,122 9 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $9,549 – $13,368 · median $9,549 9 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $12,599 – $17,639 · median $12,599 9 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,146 – $12,804 · median $9,146 9 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,779 – $9,491 · median $6,779 9 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $20,320 – $28,448 · median $20,320 9 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $12,951 – $18,131 · median $12,951 9 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,346 – $14,485 · median $10,346 9 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $14,821 – $20,750 · median $14,821 9 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,446 – $10,424 · median $7,446 9 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,044 – $7,062 · median $5,044 9 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,825 – $15,154 · median $10,825 9 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,371 – $8,919 · median $6,371 9 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,887 – $8,242 · median $5,887 9 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $12,270 – $17,178 · median $12,270 9 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $7,562 – $10,586 · median $7,562 9 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,573 – $7,803 · median $5,573 9 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,824 – $16,553 · median $11,824 9 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,597 – $10,636 · median $7,597 9 plans
075 VIRAL MENINGITIS WITH CC/MCC $14,132 – $19,785 · median $14,132 9 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,082 – $8,515 · median $6,082 9 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $13,340 – $18,676 · median $13,340 9 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,601 – $9,241 · median $6,601 9 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $16,845 – $23,583 · median $16,845 9 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,287 – $14,402 · median $10,287 9 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,044 – $9,862 · median $7,044 9 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $16,744 – $23,442 · median $16,744 9 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,601 – $13,442 · median $9,601 9 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,741 – $9,438 · median $6,741 9 plans
088 CONCUSSION WITH MCC $9,963 – $13,948 · median $9,963 9 plans
089 CONCUSSION WITH CC $8,097 – $11,336 · median $8,097 9 plans
090 CONCUSSION WITHOUT CC/MCC $6,067 – $8,494 · median $6,067 9 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $12,943 – $18,121 · median $12,943 9 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,540 – $10,556 · median $7,540 9 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,869 – $8,216 · median $5,869 9 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $25,938 – $36,314 · median $25,938 9 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $19,009 – $26,613 · median $19,009 9 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $19,009 – $26,613 · median $19,009 9 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $26,619 – $37,267 · median $26,619 9 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $16,914 – $23,679 · median $16,914 9 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,041 – $14,058 · median $10,041 9 plans
100 SEIZURES WITH MCC $14,274 – $19,984 · median $14,274 9 plans
101 SEIZURES WITHOUT MCC $6,652 – $9,313 · median $6,652 9 plans
102 HEADACHES WITH MCC $8,261 – $11,566 · median $8,261 9 plans
103 HEADACHES WITHOUT MCC $6,164 – $8,629 · median $6,164 9 plans
113 ORBITAL PROCEDURES WITH CC/MCC $17,328 – $24,259 · median $17,328 9 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $9,972 – $13,961 · median $9,972 9 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $11,312 – $15,837 · median $11,312 9 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $13,326 – $18,656 · median $13,326 9 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,996 – $11,194 · median $7,996 9 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,574 – $12,003 · median $8,574 9 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,791 – $8,108 · median $5,791 9 plans
123 NEUROLOGICAL EYE DISORDERS $5,886 – $8,240 · median $5,886 9 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,751 – $13,652 · median $9,751 9 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,659 – $7,922 · median $5,659 9 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $15,993 – $22,390 · median $15,993 9 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,483 – $10,476 · median $7,483 9 plans
137 MOUTH PROCEDURES WITH CC/MCC $11,005 – $15,407 · median $11,005 9 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,531 – $9,144 · median $6,531 9 plans
139 SALIVARY GLAND PROCEDURES $9,107 – $12,750 · median $9,107 9 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $31,436 – $44,010 · median $31,436 9 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $16,075 – $22,505 · median $16,075 9 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,766 – $16,472 · median $11,766 9 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $27,613 – $38,658 · median $27,613 9 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,772 – $17,880 · median $12,772 9 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,861 – $12,406 · median $8,861 9 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $15,606 – $21,848 · median $15,606 9 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,371 – $13,120 · median $9,371 9 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,875 – $8,225 · median $5,875 9 plans
149 DYSEQUILIBRIUM $5,539 – $7,755 · median $5,539 9 plans
150 EPISTAXIS WITH MCC $9,813 – $13,739 · median $9,813 9 plans
151 EPISTAXIS WITHOUT MCC $5,410 – $7,574 · median $5,410 9 plans
152 OTITIS MEDIA AND URI WITH MCC $8,713 – $12,198 · median $8,713 9 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,441 – $7,617 · median $5,441 9 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,523 – $16,133 · median $11,523 9 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,755 – $9,457 · median $6,755 9 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,094 – $7,131 · median $5,094 9 plans
157 DENTAL AND ORAL DISEASES WITH MCC $12,653 – $17,714 · median $12,653 9 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,705 – $9,388 · median $6,705 9 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,222 – $7,310 · median $5,222 9 plans
163 MAJOR CHEST PROCEDURES WITH MCC $33,032 – $46,244 · median $33,032 9 plans
164 MAJOR CHEST PROCEDURES WITH CC $18,602 – $26,043 · median $18,602 9 plans
165 MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY $14,108 – $19,751 · median $14,108 9 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $27,547 – $38,566 · median $27,547 9 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $13,291 – $18,608 · median $13,291 9 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,071 – $14,099 · median $10,071 9 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $21,936 – $30,711 · median $21,936 9 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,124 – $14,173 · median $10,124 9 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,933 – $8,306 · median $5,933 9 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,517 – $16,124 · median $11,517 9 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,193 – $10,071 · median $7,193 9 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,564 – $7,790 · median $5,564 9 plans
180 RESPIRATORY NEOPLASMS WITH MCC $13,016 – $18,222 · median $13,016 9 plans
181 RESPIRATORY NEOPLASMS WITH CC $7,893 – $11,051 · median $7,893 9 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,556 – $7,778 · median $5,556 9 plans
183 MAJOR CHEST TRAUMA WITH MCC $11,276 – $15,786 · median $11,276 9 plans
184 MAJOR CHEST TRAUMA WITH CC $7,843 – $10,980 · median $7,843 9 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,797 – $8,115 · median $5,797 9 plans
186 PLEURAL EFFUSION WITH MCC $11,486 – $16,081 · median $11,486 9 plans
187 PLEURAL EFFUSION WITH CC $7,290 – $10,206 · median $7,290 9 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,286 – $7,400 · median $5,286 9 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,105 – $12,747 · median $9,105 9 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,164 – $11,429 · median $8,164 9 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,213 – $8,698 · median $6,213 9 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,732 – $6,624 · median $4,732 9 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,687 – $13,562 · median $9,687 9 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,940 – $8,315 · median $5,940 9 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,632 – $6,485 · median $4,632 9 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $13,909 – $19,473 · median $13,909 9 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $6,995 – $9,793 · median $6,995 9 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,278 – $7,390 · median $5,278 9 plans
199 PNEUMOTHORAX WITH MCC $13,002 – $18,202 · median $13,002 9 plans
200 PNEUMOTHORAX WITH CC $8,102 – $11,343 · median $8,102 9 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,270 – $7,379 · median $5,270 9 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,158 – $10,021 · median $7,158 9 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,938 – $6,913 · median $4,938 9 plans
204 RESPIRATORY SIGNS & SYMPTOMS $5,951 – $8,331 · median $5,951 9 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $13,495 – $18,893 · median $13,495 9 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,936 – $9,710 · median $6,936 9 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $47,425 – $66,395 · median $47,425 9 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $20,258 – $28,362 · median $20,258 9 plans
209 COMPLEX AORTIC ARCH PROCEDURES $83,421 – $116,790 · median $83,421 9 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $80,144 – $112,201 · median $80,144 9 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $42,061 – $58,885 · median $42,061 9 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $73,384 – $102,738 · median $73,384 9 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $72,101 – $100,941 · median $72,101 9 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $48,461 – $67,845 · median $48,461 9 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $48,461 – $67,845 · median $48,461 9 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $56,590 – $79,226 · median $56,590 9 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $39,303 – $55,025 · median $39,303 9 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $37,147 – $52,006 · median $37,147 9 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $36,463 – $51,048 · median $36,463 9 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $23,212 – $32,497 · median $23,212 9 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $62,130 – $86,981 · median $62,130 9 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $44,682 – $62,555 · median $44,682 9 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $56,346 – $78,885 · median $56,346 9 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $40,261 – $56,365 · median $40,261 9 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $43,252 – $60,553 · median $43,252 9 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $30,872 – $43,221 · median $30,872 9 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $36,274 – $50,783 · median $36,274 9 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $21,009 – $29,412 · median $21,009 9 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $10,203 – $14,285 · median $10,203 9 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $23,531 – $32,944 · median $23,531 9 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $15,705 – $21,987 · median $15,705 9 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $13,322 – $18,650 · median $13,322 9 plans
245 AICD GENERATOR PROCEDURES $33,626 – $47,076 · median $33,626 9 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $16,085 – $22,519 · median $16,085 9 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $11,015 – $15,421 · median $11,015 9 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $25,709 – $35,993 · median $25,709 9 plans
253 OTHER VASCULAR PROCEDURES WITH CC $19,130 – $26,782 · median $19,130 9 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $13,131 – $18,384 · median $13,131 9 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $19,880 – $27,832 · median $19,880 9 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,514 – $17,519 · median $12,514 9 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,050 – $11,270 · median $8,050 9 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $23,158 – $32,421 · median $23,158 9 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $14,903 – $20,864 · median $14,903 9 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $23,974 – $33,563 · median $23,974 9 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $13,933 – $19,507 · median $13,933 9 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $12,013 – $16,818 · median $12,013 9 plans
263 VEIN LIGATION AND STRIPPING $22,533 – $31,547 · median $22,533 9 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $24,621 – $34,469 · median $24,621 9 plans
265 AICD LEAD PROCEDURES $26,667 – $37,333 · median $26,667 9 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $45,167 – $63,234 · median $45,167 9 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $35,088 – $49,123 · median $35,088 9 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $50,691 – $70,968 · median $50,691 9 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $31,126 – $43,576 · median $31,126 9 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $38,887 – $54,442 · median $38,887 9 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $26,210 – $36,695 · median $26,210 9 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $18,816 – $26,342 · median $18,816 9 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $30,406 – $42,568 · median $30,406 9 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $24,260 – $33,964 · median $24,260 9 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $52,552 – $73,573 · median $52,552 9 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $44,269 – $61,977 · median $44,269 9 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $34,039 – $47,655 · median $34,039 9 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $41,024 – $57,433 · median $41,024 9 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $26,580 – $37,212 · median $26,580 9 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,822 – $16,551 · median $11,822 9 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,774 – $9,483 · median $6,774 9 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,329 – $7,461 · median $5,329 9 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $14,599 – $20,438 · median $14,599 9 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,102 – $7,142 · median $5,102 9 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,414 – $6,180 · median $4,414 9 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $16,309 – $22,832 · median $16,309 9 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,887 – $11,042 · median $7,887 9 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $19,945 – $27,923 · median $19,945 9 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $12,580 – $17,612 · median $12,580 9 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,852 – $9,593 · median $6,852 9 plans
291 HEART FAILURE AND SHOCK WITH MCC $9,462 – $13,247 · median $9,462 9 plans
292 HEART FAILURE AND SHOCK WITH CC $6,257 – $8,760 · median $6,257 9 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,172 – $5,840 · median $4,172 9 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,511 – $16,116 · median $11,511 9 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,673 – $6,542 · median $4,673 9 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,354 – $4,696 · median $3,354 9 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $12,033 – $16,847 · median $12,033 9 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,868 – $11,015 · median $7,868 9 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,304 – $7,426 · median $5,304 9 plans
302 ATHEROSCLEROSIS WITH MCC $8,819 – $12,347 · median $8,819 9 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,962 – $6,946 · median $4,962 9 plans
304 HYPERTENSION WITH MCC $8,770 – $12,279 · median $8,770 9 plans
305 HYPERTENSION WITHOUT MCC $5,565 – $7,791 · median $5,565 9 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,614 – $16,259 · median $11,614 9 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,730 – $9,423 · median $6,730 9 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,874 – $12,423 · median $8,874 9 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,422 – $7,591 · median $5,422 9 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,172 – $5,841 · median $4,172 9 plans
311 ANGINA PECTORIS $5,173 – $7,242 · median $5,173 9 plans
312 SYNCOPE AND COLLAPSE $6,424 – $8,993 · median $6,424 9 plans
313 CHEST PAIN $5,307 – $7,429 · median $5,307 9 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $15,368 – $21,516 · median $15,368 9 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,100 – $9,940 · median $7,100 9 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,027 – $7,038 · median $5,027 9 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $49,280 – $68,993 · median $49,280 9 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $17,852 – $24,993 · median $17,852 9 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $32,892 – $46,049 · median $32,892 9 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $17,727 – $24,818 · median $17,727 9 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $20,053 – $28,074 · median $20,053 9 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $12,994 – $18,191 · median $12,994 9 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $31,894 – $44,651 · median $31,894 9 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $23,223 – $32,513 · median $23,223 9 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $23,661 – $33,126 · median $23,661 9 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $33,877 – $47,428 · median $33,877 9 plans
332 RECTAL RESECTION WITH MCC $26,685 – $37,359 · median $26,685 9 plans
333 RECTAL RESECTION WITH CC $17,262 – $24,167 · median $17,262 9 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,072 – $16,900 · median $12,072 9 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $26,318 – $36,845 · median $26,318 9 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $15,541 – $21,758 · median $15,541 9 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $11,313 – $15,838 · median $11,313 9 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $19,036 – $26,650 · median $19,036 9 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,090 – $15,526 · median $11,090 9 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,742 – $12,239 · median $8,742 9 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $18,366 – $25,712 · median $18,366 9 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $11,236 – $15,730 · median $11,236 9 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,607 – $12,050 · median $8,607 9 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $21,388 – $29,943 · median $21,388 9 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,400 – $17,359 · median $12,400 9 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $9,913 – $13,878 · median $9,913 9 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $32,376 – $45,326 · median $32,376 9 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $17,139 – $23,995 · median $17,139 9 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,303 – $14,424 · median $10,303 9 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $25,343 – $35,480 · median $25,343 9 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $17,794 – $24,911 · median $17,794 9 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,733 – $16,426 · median $11,733 9 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,372 – $10,320 · median $7,372 9 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,165 – $7,231 · median $5,165 9 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $13,068 – $18,295 · median $13,068 9 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,525 – $10,535 · median $7,525 9 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,361 – $7,505 · median $5,361 9 plans
374 DIGESTIVE MALIGNANCY WITH MCC $15,763 – $22,068 · median $15,763 9 plans
375 DIGESTIVE MALIGNANCY WITH CC $8,915 – $12,481 · median $8,915 9 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,812 – $9,537 · median $6,812 9 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $13,473 – $18,862 · median $13,473 9 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,228 – $10,119 · median $7,228 9 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,646 – $6,505 · median $4,646 9 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $14,462 – $20,246 · median $14,462 9 plans
381 COMPLICATED PEPTIC ULCER WITH CC $7,986 – $11,180 · median $7,986 9 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,901 – $8,261 · median $5,901 9 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $10,176 – $14,246 · median $10,176 9 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,300 – $8,820 · median $6,300 9 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,662 – $16,326 · median $11,662 9 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,195 – $10,074 · median $7,195 9 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,021 – $7,030 · median $5,021 9 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,884 – $15,238 · median $10,884 9 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,821 – $8,149 · median $5,821 9 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,009 – $5,613 · median $4,009 9 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,348 – $13,087 · median $9,348 9 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,746 – $8,044 · median $5,746 9 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY $11,787 – $16,502 · median $11,787 9 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION $6,896 – $9,655 · median $6,896 9 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,783 – $6,697 · median $4,783 9 plans
397 APPENDIX PROCEDURES WITH MCC $17,651 – $24,711 · median $17,651 9 plans
398 APPENDIX PROCEDURES WITH CC $11,155 – $15,618 · median $11,155 9 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,437 – $11,811 · median $8,437 9 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $29,632 – $41,484 · median $29,632 9 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $40,318 – $56,446 · median $40,318 9 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $21,375 – $29,925 · median $21,375 9 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $16,359 – $22,902 · median $16,359 9 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $26,279 – $36,791 · median $26,279 9 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $16,047 – $22,466 · median $16,047 9 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,702 – $16,382 · median $11,702 9 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $24,346 – $34,084 · median $24,346 9 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $15,496 – $21,694 · median $15,496 9 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,238 – $17,133 · median $12,238 9 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $26,257 – $36,760 · median $26,257 9 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $15,232 – $21,325 · median $15,232 9 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,048 – $14,067 · median $10,048 9 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $17,588 – $24,623 · median $17,588 9 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION $12,467 – $17,454 · median $12,467 9 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY $10,066 – $14,093 · median $10,066 9 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $25,111 – $35,155 · median $25,111 9 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,806 – $17,928 · median $12,806 9 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,315 – $14,440 · median $10,315 9 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $30,608 – $42,851 · median $30,608 9 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $16,125 – $22,575 · median $16,125 9 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,057 – $15,480 · median $11,057 9 plans
426 NON-HYPOVOLEMIC SODIUM DISORDERS $81,228 – $113,719 · median $81,228 9 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $53,202 – $74,483 · median $53,202 9 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $41,435 – $58,009 · median $41,435 9 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $66,402 – $92,963 · median $66,402 9 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $42,504 – $59,506 · median $42,504 9 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $14,506 – $20,308 · median $14,506 9 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,784 – $10,898 · median $7,784 9 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,251 – $7,352 · median $5,251 9 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $13,537 – $18,951 · median $13,537 9 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,336 – $11,671 · median $8,336 9 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,289 – $8,805 · median $6,289 9 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $12,015 – $16,821 · median $12,015 9 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION $6,200 – $8,680 · median $6,200 9 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,580 – $6,412 · median $4,580 9 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $13,227 – $18,518 · median $13,227 9 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,114 – $9,960 · median $7,114 9 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,157 – $7,220 · median $5,157 9 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $12,315 – $17,241 · median $12,315 9 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,066 – $11,292 · median $8,066 9 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,097 – $8,536 · median $6,097 9 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $49,244 – $68,942 · median $49,244 9 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $31,255 – $43,757 · median $31,255 9 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $39,280 – $54,992 · median $39,280 9 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $23,809 – $33,332 · median $23,809 9 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $61,934 – $86,708 · median $61,934 9 plans
457 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMPLICATION $43,949 – $61,528 · median $43,949 9 plans
458 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITHOUT COMPLICATION/COMORBITY $30,753 – $43,054 · median $30,753 9 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $42,006 – $58,809 · median $42,006 9 plans
464 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION $22,956 – $32,138 · median $22,956 9 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $31,639 – $44,295 · median $31,639 9 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $16,772 – $23,481 · median $16,772 9 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,698 – $12,178 · median $8,698 9 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $25,461 – $35,645 · median $25,461 9 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION $18,125 – $25,375 · median $18,125 9 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,700 – $19,181 · median $13,700 9 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $23,784 – $33,298 · median $23,784 9 plans
486 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION $15,412 – $21,576 · median $15,412 9 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,543 – $16,160 · median $11,543 9 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $27,060 – $37,884 · median $27,060 9 plans
493 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION $18,691 – $26,168 · median $18,691 9 plans
494 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY $14,788 – $20,703 · median $14,788 9 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $26,722 – $37,411 · median $26,722 9 plans
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION $13,295 – $18,613 · median $13,295 9 plans
497 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITHOUT COMPLICATION/COMORBITY $8,905 – $12,467 · median $8,905 9 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $22,234 – $31,128 · median $22,234 9 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $14,849 – $20,789 · median $14,849 9 plans
500 SOFT TISSUE PROCEDURES WITH MCC $23,325 – $32,655 · median $23,325 9 plans
501 SOFT TISSUE PROCEDURES WITH CC $12,884 – $18,037 · median $12,884 9 plans
502 SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY $9,919 – $13,887 · median $9,919 9 plans
503 FOOT PROCEDURES WITH MCC $20,571 – $28,799 · median $20,571 9 plans
504 FOOT PROCEDURES WITH CC $13,776 – $19,287 · median $13,776 9 plans
505 FOOT PROCEDURES WITHOUT COMPLICATION/COMORBITY $13,213 – $18,498 · median $13,213 9 plans
506 MAJOR THUMB OR JOINT PROCEDURES $9,944 – $13,921 · median $9,944 9 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $13,313 – $18,639 · median $13,313 9 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $11,161 – $15,626 · median $11,161 9 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $22,262 – $31,166 · median $22,262 9 plans
511 SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMPLICATION $15,325 – $21,456 · median $15,325 9 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $12,201 – $17,081 · median $12,201 9 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,603 – $16,244 · median $11,603 9 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,534 – $10,548 · median $7,534 9 plans
515 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY $23,488 – $32,883 · median $23,488 9 plans
516 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION $15,316 – $21,442 · median $15,316 9 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $21,154 – $29,615 · median $21,154 9 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $15,608 – $21,851 · median $15,608 9 plans
533 FRACTURES OF FEMUR WITH MCC $11,554 – $16,176 · median $11,554 9 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,941 – $8,318 · median $5,941 9 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,449 – $13,228 · median $9,449 9 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,952 – $8,333 · median $5,952 9 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,033 – $9,847 · median $7,033 9 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,309 – $7,432 · median $5,309 9 plans
539 OSTEOMYELITIS WITH MCC $14,517 – $20,324 · median $14,517 9 plans
540 OSTEOMYELITIS WITH CC $9,554 – $13,375 · median $9,554 9 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,803 – $8,125 · median $5,803 9 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $13,019 – $18,227 · median $13,019 9 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,577 – $10,607 · median $7,577 9 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,562 – $7,786 · median $5,562 9 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $18,290 – $25,607 · median $18,290 9 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,501 – $11,901 · median $8,501 9 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,163 – $8,628 · median $6,163 9 plans
548 SEPTIC ARTHRITIS WITH MCC $14,231 – $19,923 · median $14,231 9 plans
549 SEPTIC ARTHRITIS WITH CC $8,897 – $12,456 · median $8,897 9 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,442 – $9,019 · median $6,442 9 plans
551 MEDICAL BACK PROBLEMS WITH MCC $12,353 – $17,294 · median $12,353 9 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,085 – $9,919 · median $7,085 9 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,554 – $13,375 · median $9,554 9 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,118 – $8,565 · median $6,118 9 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,742 – $13,639 · median $9,742 9 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,122 – $8,570 · median $6,122 9 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $10,959 – $15,342 · median $10,959 9 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,583 – $9,216 · median $6,583 9 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,745 – $19,242 · median $13,745 9 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,300 – $11,619 · median $8,300 9 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,925 – $8,295 · median $5,925 9 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,501 – $14,701 · median $10,501 9 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,600 – $9,240 · median $6,600 9 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $11,377 – $15,927 · median $11,377 9 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,181 – $10,054 · median $7,181 9 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,522 – $7,731 · median $5,522 9 plans
570 SKIN DEBRIDEMENT WITH MCC $21,676 – $30,347 · median $21,676 9 plans
571 SKIN DEBRIDEMENT WITH CC $12,452 – $17,433 · median $12,452 9 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,448 – $11,828 · median $8,448 9 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $48,285 – $67,599 · median $48,285 9 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $25,585 – $35,819 · median $25,585 9 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,244 – $18,542 · median $13,244 9 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $36,123 – $50,572 · median $36,123 9 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $19,536 – $27,350 · median $19,536 9 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,839 – $16,575 · median $11,839 9 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $23,868 – $33,415 · median $23,868 9 plans
580 OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION $12,736 – $17,830 · median $12,736 9 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $14,199 – $19,879 · median $14,199 9 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,709 – $17,793 · median $12,709 9 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $15,777 – $22,088 · median $15,777 9 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $14,218 – $19,905 · median $14,218 9 plans
592 SKIN ULCERS WITH MCC $14,263 – $19,969 · median $14,263 9 plans
593 SKIN ULCERS WITH CC $8,743 – $12,240 · median $8,743 9 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,388 – $8,944 · median $6,388 9 plans
595 MAJOR SKIN DISORDERS WITH MCC $15,630 – $21,882 · median $15,630 9 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,978 – $11,169 · median $7,978 9 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $12,287 – $17,201 · median $12,287 9 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,338 – $11,673 · median $8,338 9 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,671 – $7,939 · median $5,671 9 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,677 – $10,747 · median $7,677 9 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,459 – $6,243 · median $4,459 9 plans
602 CELLULITIS WITH MCC $10,475 – $14,665 · median $10,475 9 plans
603 CELLULITIS WITHOUT MCC $6,419 – $8,986 · median $6,419 9 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,850 – $15,189 · median $10,850 9 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,751 – $9,451 · median $6,751 9 plans
606 MINOR SKIN DISORDERS WITH MCC $11,153 – $15,614 · median $11,153 9 plans
607 MINOR SKIN DISORDERS WITHOUT COMORBITY $6,680 – $9,352 · median $6,680 9 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $16,154 – $22,615 · median $16,154 9 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,313 – $14,438 · median $10,313 9 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $25,703 – $35,984 · median $25,703 9 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,784 – $19,298 · median $13,784 9 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,453 – $14,634 · median $10,453 9 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $26,232 – $36,725 · median $26,232 9 plans
623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION $13,221 – $18,510 · median $13,221 9 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,227 – $12,917 · median $9,227 9 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $22,259 – $31,162 · median $22,259 9 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,051 – $15,471 · median $11,051 9 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,790 – $13,706 · median $9,790 9 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $27,467 – $38,454 · median $27,467 9 plans
629 OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION $16,058 – $22,481 · median $16,058 9 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,757 – $15,059 · median $10,757 9 plans
637 DIABETES WITH MCC $10,589 – $14,824 · median $10,589 9 plans
638 DIABETES WITH CC $6,605 – $9,247 · median $6,605 9 plans
639 DIABETES WITHOUT CC/MCC $4,578 – $6,410 · median $4,578 9 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,844 – $13,781 · median $9,844 9 plans
641 MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY $5,735 – $8,030 · median $5,735 9 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $10,481 – $14,674 · median $10,481 9 plans
643 ENDOCRINE DISORDERS WITH MCC $12,132 – $16,985 · median $12,132 9 plans
644 ENDOCRINE DISORDERS WITH CC $7,554 – $10,576 · median $7,554 9 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,662 – $7,927 · median $5,662 9 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $34,650 – $48,510 · median $34,650 9 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $27,312 – $38,237 · median $27,312 9 plans
652 KIDNEY TRANSPLANT $23,802 – $33,323 · median $23,802 9 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $38,298 – $53,617 · median $38,298 9 plans
654 MAJOR BLADDER PROCEDURES WITH CC $20,631 – $28,884 · median $20,631 9 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $15,600 – $21,840 · median $15,600 9 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $23,465 – $32,851 · median $23,465 9 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $13,487 – $18,882 · median $13,487 9 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $11,437 – $16,012 · median $11,437 9 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $18,727 – $26,218 · median $18,727 9 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,741 – $13,638 · median $9,741 9 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,631 – $10,683 · median $7,631 9 plans
662 MINOR BLADDER PROCEDURES WITH MCC $22,564 – $31,589 · median $22,564 9 plans
663 MINOR BLADDER PROCEDURES WITH CC $11,204 – $15,686 · median $11,204 9 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,716 – $10,802 · median $7,716 9 plans
665 PROSTATECTOMY WITH MCC $23,004 – $32,205 · median $23,004 9 plans
666 PROSTATECTOMY WITH CC $12,893 – $18,050 · median $12,893 9 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,153 – $11,414 · median $8,153 9 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $21,521 – $30,129 · median $21,521 9 plans
669 TRANSURETHRAL PROCEDURES WITH CC $11,438 – $16,014 · median $11,438 9 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,203 – $10,084 · median $7,203 9 plans
671 URETHRAL PROCEDURES WITH CC/MCC $13,229 – $18,521 · median $13,229 9 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,956 – $11,139 · median $7,956 9 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $30,966 – $43,353 · median $30,966 9 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $17,236 – $24,130 · median $17,236 9 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $12,097 – $16,936 · median $12,097 9 plans
682 RENAL FAILURE WITH MCC $10,915 – $15,281 · median $10,915 9 plans
683 RENAL FAILURE WITH CC $6,455 – $9,037 · median $6,455 9 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,424 – $6,194 · median $4,424 9 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $13,294 – $18,611 · median $13,294 9 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,722 – $10,811 · median $7,722 9 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,825 – $8,154 · median $5,825 9 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,552 – $11,972 · median $8,552 9 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,966 – $8,353 · median $5,966 9 plans
693 URINARY STONES WITH MCC $9,909 – $13,873 · median $9,909 9 plans
694 URINARY STONES WITHOUT MCC $5,761 – $8,066 · median $5,761 9 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,430 – $11,802 · median $8,430 9 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,078 – $7,109 · median $5,078 9 plans
697 URETHRAL STRICTURE $7,944 – $11,121 · median $7,944 9 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $12,193 – $17,070 · median $12,193 9 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,481 – $10,473 · median $7,481 9 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,085 – $7,119 · median $5,085 9 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $14,742 – $20,639 · median $14,742 9 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $11,307 – $15,830 · median $11,307 9 plans
709 PENIS PROCEDURES WITH CC/MCC $17,151 – $24,011 · median $17,151 9 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,327 – $14,458 · median $10,327 9 plans
711 TESTES PROCEDURES WITH CC/MCC $15,358 – $21,501 · median $15,358 9 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,105 – $11,347 · median $8,105 9 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $11,080 – $15,512 · median $11,080 9 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,793 – $10,910 · median $7,793 9 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $16,489 – $23,085 · median $16,489 9 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,841 – $15,178 · median $10,841 9 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $13,933 – $19,507 · median $13,933 9 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $9,899 – $13,858 · median $9,899 9 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $13,338 – $18,673 · median $13,338 9 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,422 – $11,791 · median $8,422 9 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,833 – $6,766 · median $4,833 9 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,625 – $12,074 · median $8,625 9 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,321 – $7,450 · median $5,321 9 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,929 – $15,301 · median $10,929 9 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,979 – $8,370 · median $5,979 9 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,803 – $10,924 · median $7,803 9 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,953 – $6,934 · median $4,953 9 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $15,698 – $21,978 · median $15,698 9 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,917 – $13,883 · median $9,917 9 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $26,345 – $36,882 · median $26,345 9 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $15,187 – $21,262 · median $15,187 9 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,823 – $15,152 · median $10,823 9 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $26,406 – $36,968 · median $26,406 9 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $13,337 – $18,672 · median $13,337 9 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,511 – $14,715 · median $10,511 9 plans
742 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY $13,523 – $18,932 · median $13,523 9 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,144 – $12,802 · median $9,144 9 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $15,102 – $21,143 · median $15,102 9 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,384 – $11,737 · median $8,384 9 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $12,803 – $17,924 · median $12,803 9 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,336 – $8,871 · median $6,336 9 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $10,225 – $14,314 · median $10,225 9 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $18,924 – $26,493 · median $18,924 9 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,877 – $15,228 · median $10,877 9 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,574 – $19,003 · median $13,574 9 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,017 – $11,224 · median $8,017 9 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,079 – $9,911 · median $7,079 9 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,553 – $14,775 · median $10,553 9 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,215 – $10,102 · median $7,215 9 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,891 – $6,847 · median $4,891 9 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,425 – $10,396 · median $7,425 9 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,205 – $5,887 · median $4,205 9 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $12,454 – $17,436 · median $12,454 9 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,390 – $10,346 · median $7,390 9 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,825 – $6,755 · median $4,825 9 plans
779 ABORTION WITHOUT D&C $6,201 – $8,681 · median $6,201 9 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $13,282 – $18,595 · median $13,282 9 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $43,804 – $61,326 · median $43,804 9 plans
791 PREMATURITY WITH MAJOR PROBLEMS $29,915 – $41,882 · median $29,915 9 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $18,051 – $25,271 · median $18,051 9 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $30,731 – $43,023 · median $30,731 9 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $10,878 – $15,229 · median $10,878 9 plans
795 NORMAL NEWBORN $1,473 – $2,062 · median $1,473 9 plans
799 SPLENIC PROCEDURES WITH MCC $33,379 – $46,730 · median $33,379 9 plans
800 SPLENIC PROCEDURES WITH CC $20,706 – $28,988 · median $20,706 9 plans
801 SPLENECTOMY WITHOUT COMPLICATION/COMORBITY $14,069 – $19,696 · median $14,069 9 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $29,363 – $41,109 · median $29,363 9 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $13,700 – $19,181 · median $13,700 9 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $9,994 – $13,991 · median $9,994 9 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $16,273 – $22,782 · median $16,273 9 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,330 – $13,062 · median $9,330 9 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,714 – $10,799 · median $7,714 9 plans
811 RED BLOOD CELL DISORDERS WITH MCC $10,350 – $14,490 · median $10,350 9 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,767 – $9,474 · median $6,767 9 plans
813 COAGULATION DISORDERS $11,242 – $15,738 · median $11,242 9 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $15,674 – $21,944 · median $15,674 9 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,473 – $10,463 · median $7,473 9 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,658 – $6,521 · median $4,658 9 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $16,816 – $23,542 · median $16,816 9 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,543 – $11,961 · median $8,543 9 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,338 – $8,873 · median $6,338 9 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $43,224 – $60,514 · median $43,224 9 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $16,499 – $23,098 · median $16,499 9 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,874 – $12,423 · median $8,874 9 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $33,791 – $47,307 · median $33,791 9 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $16,698 – $23,377 · median $16,698 9 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,945 – $13,923 · median $9,945 9 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $34,476 – $48,266 · median $34,476 9 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $17,034 – $23,847 · median $17,034 9 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,557 – $17,580 · median $12,557 9 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $23,290 – $32,606 · median $23,290 9 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $11,092 – $15,529 · median $11,092 9 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $8,863 – $12,408 · median $8,863 9 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,318 – $7,446 · median $5,318 9 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,854 – $5,395 · median $3,854 9 plans
834 ACUTE LEUKEMIA WITH MCC $40,461 – $56,646 · median $40,461 9 plans
835 ACUTE LEUKEMIA WITH CC $15,373 – $21,522 · median $15,373 9 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $8,988 – $12,583 · median $8,988 9 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $35,408 – $49,572 · median $35,408 9 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $15,384 – $21,538 · median $15,384 9 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,642 – $14,898 · median $10,642 9 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $23,842 – $33,378 · median $23,842 9 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $12,024 – $16,833 · median $12,024 9 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,447 – $10,426 · median $7,447 9 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $14,702 – $20,583 · median $14,702 9 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $8,972 – $12,561 · median $8,972 9 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,276 – $8,787 · median $6,276 9 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $19,107 – $26,750 · median $19,107 9 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,642 – $13,498 · median $9,642 9 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,260 – $8,764 · median $6,260 9 plans
849 RADIOTHERAPY $19,969 – $27,957 · median $19,969 9 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $63,822 – $89,350 · median $63,822 9 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $36,398 – $50,957 · median $36,398 9 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $14,726 – $20,617 · median $14,726 9 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,035 – $15,448 · median $11,035 9 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $33,525 – $46,934 · median $33,525 9 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION $15,783 – $22,096 · median $15,783 9 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $10,266 – $14,372 · median $10,266 9 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $13,441 – $18,817 · median $13,441 9 plans
863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY $7,355 – $10,297 · median $7,355 9 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,542 – $9,159 · median $6,542 9 plans
865 VIRAL ILLNESS WITH MCC $11,043 – $15,460 · median $11,043 9 plans
866 VIRAL ILLNESS WITHOUT MCC $6,409 – $8,973 · median $6,409 9 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $15,427 – $21,598 · median $15,427 9 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,599 – $10,639 · median $7,599 9 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,378 – $7,529 · median $5,378 9 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $50,941 – $71,317 · median $50,941 9 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $14,316 – $20,043 · median $14,316 9 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,542 – $10,559 · median $7,542 9 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $28,485 – $39,879 · median $28,485 9 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,077 – $9,908 · median $7,077 9 plans
881 DEPRESSIVE NEUROSES $6,935 – $9,708 · median $6,935 9 plans
882 NEUROSES EXCEPT DEPRESSIVE $7,914 – $11,080 · median $7,914 9 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $14,492 – $20,289 · median $14,492 9 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $11,858 – $16,601 · median $11,858 9 plans
885 PSYCHOSES $10,295 – $14,412 · median $10,295 9 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $15,295 – $21,413 · median $15,295 9 plans
887 OTHER MENTAL DISORDER DIAGNOSES $7,893 – $11,050 · median $7,893 9 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,547 – $6,365 · median $4,547 9 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $10,433 – $14,606 · median $10,433 9 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $12,862 – $18,006 · median $12,862 9 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $6,506 – $9,109 · median $6,506 9 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $30,930 – $43,301 · median $30,930 9 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $14,110 – $19,754 · median $14,110 9 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,620 – $12,068 · median $8,620 9 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $27,071 – $37,900 · median $27,071 9 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $10,933 – $15,306 · median $10,933 9 plans
906 HAND PROCEDURES FOR INJURIES $14,477 – $20,268 · median $14,477 9 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $28,296 – $39,615 · median $28,296 9 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION $14,705 – $20,587 · median $14,705 9 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY $9,675 – $13,545 · median $9,675 9 plans
913 TRAUMATIC INJURY WITH MCC $12,047 – $16,866 · median $12,047 9 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,526 – $9,137 · median $6,526 9 plans
915 ALLERGIC REACTIONS WITH MCC $12,394 – $17,351 · median $12,394 9 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,911 – $6,875 · median $4,911 9 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $11,559 – $16,183 · median $11,559 9 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,317 – $8,844 · median $6,317 9 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $13,493 – $18,891 · median $13,493 9 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,387 – $10,342 · median $7,387 9 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,074 – $7,103 · median $5,074 9 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $12,893 – $18,051 · median $12,893 9 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,501 – $10,501 · median $7,501 9 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $157,356 – $220,299 · median $157,356 9 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $52,864 – $74,009 · median $52,864 9 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $23,738 – $33,233 · median $23,738 9 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $28,701 – $40,181 · median $28,701 9 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $16,292 – $22,809 · median $16,292 9 plans
935 NON-EXTENSIVE BURNS $15,182 – $21,255 · median $15,182 9 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $26,743 – $37,440 · median $26,743 9 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $17,223 – $24,113 · median $17,223 9 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $14,944 – $20,922 · median $14,944 9 plans
945 REHABILITATION WITH CC/MCC $11,413 – $15,979 · median $11,413 9 plans
946 REHABILITATION WITHOUT CC/MCC $8,452 – $11,833 · median $8,452 9 plans
947 SIGNS AND SYMPTOMS WITH MCC $9,356 – $13,098 · median $9,356 9 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,900 – $8,260 · median $5,900 9 plans
949 AFTERCARE WITH CC/MCC $8,768 – $12,276 · median $8,768 9 plans
950 AFTERCARE WITHOUT CC/MCC $4,626 – $6,477 · median $4,626 9 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,098 – $5,737 · median $4,098 9 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $49,609 – $69,453 · median $49,609 9 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $27,734 – $38,827 · median $27,734 9 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $56,160 – $78,624 · median $56,160 9 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $31,057 – $43,480 · median $31,057 9 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $21,698 – $30,378 · median $21,698 9 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $20,148 – $28,208 · median $20,148 9 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,295 – $15,814 · median $11,295 9 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,932 – $9,704 · median $6,932 9 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $45,115 – $63,161 · median $45,115 9 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $19,438 – $27,213 · median $19,438 9 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $21,270 – $29,778 · median $21,270 9 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,544 – $13,362 · median $9,544 9 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,653 – $9,314 · median $6,653 9 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $9,564 – $13,390 · median $9,564 9 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $34,579 – $48,411 · median $34,579 9 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $18,119 – $25,367 · median $18,119 9 plans
983 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY $12,632 – $17,685 · median $12,632 9 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $25,268 – $35,375 · median $25,268 9 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,114 – $16,959 · median $12,114 9 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,838 – $12,374 · median $8,838 9 plans
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