IU Health Ball Memorial 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
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $212,215 – $976,521 · median $378,323 30 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $86,150 – $394,868 · median $152,979 30 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $160,869 – $739,613 · median $286,540 30 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $105,179 – $482,666 · median $186,994 30 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $78,437 – $359,280 · median $139,192 30 plans
006 LIVER TRANSPLANT WITHOUT MCC $35,588 – $161,581 · median $62,600 30 plans
007 LUNG TRANSPLANT $98,373 – $451,263 · median $174,828 30 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $42,896 – $195,298 · median $75,662 30 plans
010 PANCREAS TRANSPLANT $54,761 – $250,044 · median $96,872 30 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $41,759 – $190,054 · median $73,630 30 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $32,409 – $146,911 · median $56,916 30 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $22,332 – $100,419 · median $38,904 30 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $91,332 – $418,776 · median $162,242 30 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $45,351 – $206,626 · median $80,051 30 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $41,595 – $189,294 · median $73,336 30 plans
018 Chimeric antigen receptor (car) t-cell and other immunotherapies $326,701 – $1,504,748 · median $582,968 30 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $54,451 – $248,612 · median $96,317 30 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $59,996 – $274,196 · median $106,229 30 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $40,549 – $184,468 · median $71,466 30 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $24,565 – $110,720 · median $42,895 30 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $43,845 – $199,678 · median $77,359 30 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $30,112 – $136,314 · median $52,811 30 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $34,906 – $158,434 · median $61,380 30 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $24,050 – $108,343 · median $41,974 30 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $19,622 – $87,913 · median $34,059 30 plans
028 SPINAL PROCEDURES WITH MCC $45,945 – $209,365 · median $81,112 30 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $26,334 – $118,881 · median $46,057 30 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $17,147 – $76,494 · median $29,635 30 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $34,406 – $156,128 · median $60,487 30 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $16,662 – $74,257 · median $28,769 30 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $13,127 – $57,945 · median $22,487 30 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $29,801 – $134,878 · median $52,254 30 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $18,622 – $83,299 · median $32,272 30 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $15,241 – $67,699 · median $26,228 30 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $25,431 – $114,717 · median $44,443 30 plans
038 EXTRACRANIAL PROCEDURES WITH CC $12,822 – $56,541 · median $21,952 30 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $9,446 – $40,961 · median $16,021 30 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $29,729 – $134,547 · median $52,126 30 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $17,173 – $76,616 · median $29,682 30 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $13,616 – $60,203 · median $23,347 30 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $14,247 – $63,117 · median $24,456 30 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,963 – $34,121 · median $13,417 30 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $12,100 – $53,206 · median $20,683 30 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,268 – $35,529 · median $13,953 30 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $18,113 – $80,951 · median $31,362 30 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $10,353 – $45,146 · median $17,614 30 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $13,479 – $59,569 · median $23,105 30 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,940 – $43,240 · median $16,889 30 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $7,515 – $32,051 · median $12,629 30 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $21,391 – $96,074 · median $37,221 30 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $13,839 – $61,231 · median $23,738 30 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $11,170 – $48,917 · median $19,050 30 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $15,756 – $70,075 · median $27,149 30 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,198 – $35,205 · median $13,829 30 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,737 – $23,849 · median $9,506 30 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $11,660 – $51,178 · median $19,911 30 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $7,096 – $30,121 · median $11,894 30 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,601 – $27,835 · median $11,023 30 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $13,141 – $58,012 · median $22,512 30 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $8,317 – $35,752 · median $14,038 30 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $6,279 – $26,351 · median $10,458 30 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $12,684 – $55,903 · median $21,710 30 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,353 – $35,919 · median $14,101 30 plans
075 VIRAL MENINGITIS WITH CC/MCC $15,050 – $66,817 · median $25,886 30 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,800 – $28,755 · median $11,374 30 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $14,238 – $63,071 · median $24,439 30 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,332 – $31,208 · median $12,308 30 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $17,830 – $79,644 · median $30,856 30 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $11,109 – $48,638 · median $18,944 30 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,786 – $33,306 · median $13,106 30 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $17,726 – $79,167 · median $30,671 30 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $10,406 – $45,394 · median $17,708 30 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $7,476 – $31,874 · median $12,561 30 plans
088 CONCUSSION WITH MCC $10,777 – $47,105 · median $18,360 30 plans
089 CONCUSSION WITH CC $8,865 – $38,282 · median $15,001 30 plans
090 CONCUSSION WITHOUT CC/MCC $6,785 – $28,685 · median $11,347 30 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $13,831 – $61,197 · median $23,725 30 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,294 – $35,647 · median $13,998 30 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,582 – $27,748 · median $10,990 30 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $27,148 – $122,637 · median $47,512 30 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $20,047 – $89,875 · median $34,819 30 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $20,047 – $89,875 · median $34,819 30 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $27,846 – $125,857 · median $48,759 30 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $17,900 – $79,968 · median $30,981 30 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,857 – $47,474 · median $18,500 30 plans
100 SEIZURES WITH MCC $15,195 – $67,490 · median $26,147 30 plans
101 SEIZURES WITHOUT MCC $7,385 – $31,452 · median $12,400 30 plans
102 HEADACHES WITH MCC $9,033 – $39,059 · median $15,297 30 plans
103 HEADACHES WITHOUT MCC $6,884 – $29,142 · median $11,521 30 plans
113 ORBITAL PROCEDURES WITH CC/MCC $18,324 – $81,926 · median $31,740 30 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $10,786 – $47,147 · median $18,376 30 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $12,160 – $53,485 · median $20,789 30 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $14,223 – $63,005 · median $24,413 30 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,761 – $37,804 · median $14,819 30 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $9,354 – $40,536 · median $15,859 30 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,503 – $27,382 · median $10,851 30 plans
123 NEUROLOGICAL EYE DISORDERS $6,599 – $27,828 · median $11,021 30 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $10,560 – $46,105 · median $17,979 30 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,367 – $26,755 · median $10,612 30 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $16,957 – $75,616 · median $29,295 30 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,236 – $35,379 · median $13,896 30 plans
137 MOUTH PROCEDURES WITH CC/MCC $11,845 – $52,032 · median $20,236 30 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $7,261 – $30,881 · median $12,183 30 plans
139 SALIVARY GLAND PROCEDURES $9,900 – $43,059 · median $16,820 30 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $32,781 – $148,629 · median $57,582 30 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $17,040 – $76,003 · median $29,445 30 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $12,624 – $55,628 · median $21,605 30 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $28,864 – $130,554 · median $50,579 30 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $13,655 – $60,385 · median $23,416 30 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $9,648 – $41,895 · median $16,376 30 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $16,559 – $73,783 · median $28,585 30 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $10,171 – $44,307 · median $17,295 30 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,588 – $27,776 · median $11,001 30 plans
149 DYSEQUILIBRIUM $6,244 – $26,190 · median $10,397 30 plans
150 EPISTAXIS WITH MCC $10,624 – $46,397 · median $18,091 30 plans
151 EPISTAXIS WITHOUT MCC $6,111 – $25,577 · median $10,164 30 plans
152 OTITIS MEDIA AND URI WITH MCC $9,496 – $41,195 · median $16,110 30 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $6,143 – $25,723 · median $10,219 30 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $12,376 – $54,482 · median $21,168 30 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,490 – $31,936 · median $12,585 30 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,787 – $24,082 · median $9,595 30 plans
157 DENTAL AND ORAL DISEASES WITH MCC $13,534 – $59,824 · median $23,202 30 plans
158 DENTAL AND ORAL DISEASES WITH CC $7,439 – $31,703 · median $12,496 30 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,919 – $24,688 · median $9,825 30 plans
163 MAJOR CHEST PROCEDURES WITH MCC $34,416 – $156,173 · median $60,504 30 plans
164 MAJOR CHEST PROCEDURES WITH CC $19,630 – $87,951 · median $34,074 30 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $15,025 – $66,702 · median $25,842 30 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $28,796 – $130,244 · median $50,459 30 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $14,188 – $62,841 · median $24,351 30 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,887 – $47,614 · median $18,554 30 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $23,047 – $103,716 · median $40,181 30 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,942 – $47,864 · median $18,649 30 plans
176 PULMONARY EMBOLISM WITHOUT MCC $6,648 – $28,051 · median $11,106 30 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $12,370 – $54,454 · median $21,158 30 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,939 – $34,010 · median $13,374 30 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,270 – $26,309 · median $10,442 30 plans
180 RESPIRATORY NEOPLASMS WITH MCC $13,905 – $61,538 · median $23,855 30 plans
181 RESPIRATORY NEOPLASMS WITH CC $8,656 – $37,320 · median $14,635 30 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,261 – $26,267 · median $10,426 30 plans
183 MAJOR CHEST TRAUMA WITH MCC $12,122 – $53,311 · median $20,723 30 plans
184 MAJOR CHEST TRAUMA WITH CC $8,604 – $37,080 · median $14,543 30 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,508 – $27,406 · median $10,860 30 plans
186 PLEURAL EFFUSION WITH MCC $12,338 – $54,307 · median $21,102 30 plans
187 PLEURAL EFFUSION WITH CC $8,038 – $34,466 · median $13,548 30 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,984 – $24,992 · median $9,941 30 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,898 – $43,049 · median $16,816 30 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,934 – $38,599 · median $15,121 30 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,935 – $29,375 · median $11,610 30 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,416 – $22,371 · median $8,943 30 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $10,495 – $45,802 · median $17,864 30 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,654 – $28,082 · median $11,118 30 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,315 – $21,901 · median $8,764 30 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $14,821 – $65,761 · median $25,477 30 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,736 – $33,072 · median $13,017 30 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,977 – $24,957 · median $9,928 30 plans
199 PNEUMOTHORAX WITH MCC $13,891 – $61,472 · median $23,830 30 plans
200 PNEUMOTHORAX WITH CC $8,870 – $38,306 · median $15,010 30 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,969 – $24,918 · median $9,913 30 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,903 – $33,842 · median $13,311 30 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,628 – $23,347 · median $9,315 30 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,666 – $28,135 · median $11,137 30 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $14,396 – $63,803 · median $24,719 30 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,675 – $32,794 · median $12,911 30 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $49,165 – $224,224 · median $86,868 30 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $21,327 – $95,781 · median $37,107 30 plans
209 COMPLEX AORTIC ARCH PROCEDURES $86,052 – $394,415 · median $152,804 30 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $82,693 – $378,919 · median $146,800 30 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $43,669 – $198,863 · median $77,043 30 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $75,767 – $346,962 · median $134,420 30 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $74,451 – $340,891 · median $132,068 30 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $50,227 – $229,123 · median $88,767 30 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $50,227 – $229,123 · median $88,767 30 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $58,557 – $267,558 · median $103,657 30 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $40,843 – $185,827 · median $71,993 30 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $38,633 – $175,631 · median $68,043 30 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $37,933 – $172,397 · median $66,790 30 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $24,354 – $109,747 · median $42,518 30 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $64,234 – $293,748 · median $113,804 30 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $46,355 – $211,257 · median $81,845 30 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $58,307 – $266,405 · median $103,210 30 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $41,824 – $190,353 · median $73,746 30 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $44,890 – $204,497 · median $79,226 30 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $32,203 – $145,963 · median $56,549 30 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $37,738 – $171,502 · median $66,443 30 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $22,096 – $99,329 · median $38,482 30 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $11,023 – $48,241 · median $18,792 30 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $24,681 – $111,256 · median $43,103 30 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $16,661 – $74,253 · median $28,767 30 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $14,219 – $62,984 · median $24,405 30 plans
245 AICD GENERATOR PROCEDURES $35,025 – $158,981 · median $61,592 30 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $17,051 – $76,051 · median $29,464 30 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $11,855 – $52,077 · median $20,253 30 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $26,913 – $121,553 · median $47,092 30 plans
253 OTHER VASCULAR PROCEDURES WITH CC $20,171 – $90,446 · median $35,041 30 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $14,024 – $62,085 · median $24,063 30 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $20,940 – $93,994 · median $36,415 30 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $13,391 – $59,165 · median $22,951 30 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,817 – $38,059 · median $14,916 30 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $24,298 – $109,490 · median $42,418 30 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $15,840 – $70,462 · median $27,298 30 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $25,134 – $113,347 · median $43,913 30 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $14,846 – $65,876 · median $25,522 30 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $12,877 – $56,796 · median $22,049 30 plans
263 VEIN LIGATION AND STRIPPING $23,659 – $106,538 · median $41,275 30 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $25,797 – $116,407 · median $45,098 30 plans
265 AICD LEAD PROCEDURES $27,894 – $126,080 · median $48,846 30 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $46,852 – $213,550 · median $82,733 30 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $36,523 – $165,895 · median $64,271 30 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $52,512 – $239,667 · median $92,852 30 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $32,463 – $147,162 · median $57,013 30 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $40,416 – $183,858 · median $71,230 30 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $27,426 – $123,923 · median $48,010 30 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $19,849 – $88,962 · median $34,466 30 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $31,725 – $143,757 · median $55,694 30 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $25,428 – $114,703 · median $44,438 30 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $54,419 – $248,466 · median $96,260 30 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $45,932 – $209,306 · median $81,089 30 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $35,449 – $160,936 · median $62,350 30 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $42,606 – $193,960 · median $75,144 30 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $27,805 – $125,669 · median $48,686 30 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $12,683 – $55,896 · median $21,707 30 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,509 – $32,027 · median $12,619 30 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $6,029 – $25,197 · median $10,019 30 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $15,528 – $69,023 · median $26,741 30 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,796 – $24,120 · median $9,609 30 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,091 – $20,869 · median $8,371 30 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $17,280 – $77,107 · median $29,873 30 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,650 – $37,289 · median $14,623 30 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $21,006 – $94,300 · median $36,534 30 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $13,459 – $59,479 · median $23,071 30 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,589 – $32,396 · median $12,760 30 plans
291 HEART FAILURE AND SHOCK WITH MCC $10,264 – $44,735 · median $17,458 30 plans
292 HEART FAILURE AND SHOCK WITH CC $6,980 – $29,584 · median $11,689 30 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,843 – $19,723 · median $7,935 30 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $12,364 – $54,426 · median $21,147 30 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,356 – $22,092 · median $8,837 30 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,005 – $15,858 · median $6,464 30 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $12,899 – $56,893 · median $22,086 30 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,630 – $37,198 · median $14,588 30 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,003 – $25,079 · median $9,974 30 plans
302 ATHEROSCLEROSIS WITH MCC $9,605 – $41,697 · median $16,301 30 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,652 – $23,458 · median $9,357 30 plans
304 HYPERTENSION WITH MCC $9,555 – $41,467 · median $16,213 30 plans
305 HYPERTENSION WITHOUT MCC $6,271 – $26,312 · median $10,444 30 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $12,469 – $54,910 · median $21,332 30 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,465 – $31,821 · median $12,541 30 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,661 – $41,955 · median $16,399 30 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,124 – $25,636 · median $10,186 30 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,843 – $19,726 · median $7,936 30 plans
311 ANGINA PECTORIS $5,869 – $24,458 · median $9,738 30 plans
312 SYNCOPE AND COLLAPSE $7,151 – $30,372 · median $11,989 30 plans
313 CHEST PAIN $6,006 – $25,089 · median $9,978 30 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $16,316 – $72,661 · median $28,150 30 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,843 – $33,567 · median $13,206 30 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,719 – $23,768 · median $9,475 30 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $51,067 – $232,998 · median $90,268 30 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $18,861 – $84,404 · median $32,700 30 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $34,273 – $155,514 · median $60,249 30 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $18,734 – $83,815 · median $32,472 30 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $21,116 – $94,809 · median $36,731 30 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $13,883 – $61,434 · median $23,815 30 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $33,250 – $150,793 · median $58,420 30 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $24,365 – $109,800 · median $42,539 30 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $24,814 – $111,870 · median $43,340 30 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $38,235 – $173,791 · median $67,330 30 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $19,027 – $85,171 · median $32,997 30 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,669 – $55,834 · median $21,683 30 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $35,282 – $160,170 · median $62,053 30 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $18,672 – $83,533 · median $32,362 30 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $13,278 – $58,642 · median $22,752 30 plans
332 RECTAL RESECTION WITH MCC $27,913 – $126,167 · median $48,879 30 plans
333 RECTAL RESECTION WITH CC $18,257 – $81,616 · median $31,620 30 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,938 – $57,074 · median $22,155 30 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $27,537 – $124,432 · median $48,207 30 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $16,494 – $73,480 · median $28,467 30 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,161 – $53,489 · median $20,790 30 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $20,074 – $90,000 · median $34,868 30 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,932 – $52,433 · median $20,388 30 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,526 – $41,334 · median $16,163 30 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $17,905 – $79,992 · median $30,991 30 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $10,452 – $45,606 · median $17,789 30 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $7,143 – $30,337 · median $11,976 30 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $19,388 – $86,833 · median $33,641 30 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $12,081 – $53,123 · median $20,651 30 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $9,388 – $40,693 · median $15,919 30 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $22,485 – $101,123 · median $39,177 30 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $13,274 – $58,625 · median $22,746 30 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,726 – $46,868 · median $18,270 30 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $33,744 – $153,072 · median $59,303 30 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $18,131 – $81,034 · median $31,394 30 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,125 – $48,711 · median $18,971 30 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $26,537 – $119,821 · median $46,421 30 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $18,802 – $84,129 · median $32,593 30 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $12,591 – $55,471 · median $21,545 30 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $8,122 – $34,853 · median $13,695 30 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,861 – $24,420 · median $9,723 30 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $13,959 – $61,785 · median $23,949 30 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,279 – $35,578 · median $13,971 30 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,061 – $25,347 · median $10,076 30 plans
374 DIGESTIVE MALIGNANCY WITH MCC $16,720 – $74,525 · median $28,872 30 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,703 – $42,150 · median $16,473 30 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $7,549 – $32,208 · median $12,688 30 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $14,374 – $63,698 · median $24,678 30 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,974 – $34,173 · median $13,437 30 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,329 – $21,967 · median $8,789 30 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $15,387 – $68,375 · median $26,490 30 plans
381 COMPLICATED PEPTIC ULCER WITH CC $8,751 – $37,756 · median $14,800 30 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,614 – $27,898 · median $11,047 30 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $10,995 – $48,112 · median $18,743 30 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $7,024 – $29,786 · median $11,766 30 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $12,518 – $55,137 · median $21,418 30 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,941 – $34,020 · median $13,378 30 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,713 – $23,741 · median $9,465 30 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,721 – $51,461 · median $20,018 30 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,533 – $27,521 · median $10,904 30 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,676 – $18,956 · median $7,643 30 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $10,147 – $44,195 · median $17,252 30 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,456 – $27,166 · median $10,769 30 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $12,646 – $55,729 · median $21,643 30 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,635 – $32,605 · median $12,840 30 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,469 – $22,615 · median $9,036 30 plans
397 APPENDIX PROCEDURES WITH MCC $18,655 – $83,453 · median $32,331 30 plans
398 APPENDIX PROCEDURES WITH CC $11,999 – $52,743 · median $20,506 30 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $9,213 – $39,888 · median $15,612 30 plans
402 Single level combined anterior and posterior spinal fusion except cervical $30,932 – $140,098 · median $54,277 30 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $41,883 – $190,625 · median $73,852 30 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $22,471 – $101,060 · median $39,153 30 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $17,331 – $77,344 · median $29,965 30 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $27,497 – $124,247 · median $48,136 30 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $17,012 – $75,870 · median $29,394 30 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $12,559 – $55,325 · median $21,489 30 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $25,516 – $115,107 · median $44,595 30 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $16,447 – $73,264 · median $28,384 30 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $13,109 – $57,862 · median $22,455 30 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $27,474 – $124,142 · median $48,095 30 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $16,176 – $72,016 · median $27,900 30 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,864 – $47,506 · median $18,512 30 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $18,591 – $83,156 · median $32,216 30 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $13,343 – $58,945 · median $22,868 30 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $10,883 – $47,593 · median $18,546 30 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $26,300 – $118,724 · median $45,996 30 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $13,690 – $60,545 · median $23,477 30 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $11,137 – $48,767 · median $18,993 30 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $31,933 – $144,715 · median $56,066 30 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $17,092 – $76,240 · median $29,537 30 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,899 – $52,279 · median $20,330 30 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $83,804 – $384,045 · median $148,786 30 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $55,085 – $251,539 · median $97,451 30 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $43,027 – $195,904 · median $75,897 30 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $68,612 – $313,949 · median $121,630 30 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $44,123 – $200,960 · median $77,856 30 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $15,432 – $68,584 · median $26,571 30 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,545 – $36,804 · median $14,438 30 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,949 – $24,828 · median $9,878 30 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $14,439 – $64,002 · median $24,795 30 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $9,110 – $39,414 · median $15,432 30 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,012 – $29,734 · median $11,746 30 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $12,880 – $56,806 · median $22,053 30 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,921 – $29,312 · median $11,586 30 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,261 – $21,653 · median $8,670 30 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $14,122 – $62,538 · median $24,236 30 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,858 – $33,637 · median $13,232 30 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,852 – $24,382 · median $9,709 30 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $13,187 – $58,224 · median $22,593 30 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,833 – $38,135 · median $14,945 30 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,816 – $28,828 · median $11,401 30 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $51,030 – $232,827 · median $90,202 30 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $32,596 – $147,775 · median $57,251 30 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $40,819 – $185,715 · median $71,950 30 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $24,965 – $112,567 · median $43,610 30 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $64,034 – $292,825 · median $113,446 30 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $45,603 – $207,790 · median $80,502 30 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $32,081 – $145,398 · median $56,330 30 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $42,280 – $192,454 · median $74,561 30 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $20,657 – $92,690 · median $35,910 30 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $43,613 – $198,605 · median $76,943 30 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $24,091 – $108,535 · median $42,048 30 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $14,341 – $63,549 · median $24,620 30 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $39,881 – $181,387 · median $70,273 30 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $27,202 – $122,888 · median $47,609 30 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $21,322 – $95,757 · median $37,098 30 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $23,476 – $105,695 · median $40,948 30 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $15,136 – $67,214 · median $26,040 30 plans
471 CERVICAL SPINAL FUSION WITH MCC $37,036 – $168,261 · median $65,187 30 plans
472 CERVICAL SPINAL FUSION WITH CC $22,818 – $102,660 · median $39,772 30 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $19,005 – $85,070 · median $32,958 30 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $32,989 – $149,590 · median $57,954 30 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $17,755 – $79,299 · median $30,722 30 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,481 – $41,125 · median $16,083 30 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $26,658 – $120,379 · median $46,637 30 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $19,141 – $85,693 · median $33,199 30 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $14,607 – $64,775 · median $25,095 30 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $22,563 – $101,482 · median $39,316 30 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $16,386 – $72,985 · median $28,276 30 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $12,886 – $56,834 · median $22,064 30 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $21,502 – $96,590 · median $37,421 30 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $24,940 – $112,452 · median $43,566 30 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $16,361 – $72,866 · median $28,230 30 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,396 – $54,576 · median $21,204 30 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $13,927 – $61,639 · median $23,893 30 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,002 – $38,916 · median $15,242 30 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $28,297 – $127,941 · median $49,567 30 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $19,721 – $88,373 · median $34,237 30 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $15,722 – $69,919 · median $27,088 30 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $27,951 – $126,341 · median $48,947 30 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $14,192 – $62,859 · median $24,358 30 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,693 – $42,104 · median $16,456 30 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $23,352 – $105,123 · median $40,727 30 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $15,784 – $70,208 · median $27,200 30 plans
500 SOFT TISSUE PROCEDURES WITH MCC $24,470 – $110,281 · median $42,725 30 plans
501 SOFT TISSUE PROCEDURES WITH CC $13,770 – $60,914 · median $23,617 30 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,733 – $46,899 · median $18,282 30 plans
503 FOOT PROCEDURES WITH MCC $21,647 – $97,259 · median $37,680 30 plans
504 FOOT PROCEDURES WITH CC $14,685 – $65,134 · median $25,234 30 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $14,108 – $62,472 · median $24,210 30 plans
506 MAJOR THUMB OR JOINT PROCEDURES $10,758 – $47,014 · median $18,325 30 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $14,210 – $62,946 · median $24,391 30 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $12,005 – $52,771 · median $20,517 30 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $23,380 – $105,252 · median $40,777 30 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $16,272 – $72,459 · median $28,072 30 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $13,070 – $57,684 · median $22,388 30 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $12,458 – $54,858 · median $21,312 30 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,289 – $35,623 · median $13,988 30 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $24,637 – $111,051 · median $43,023 30 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $16,262 – $72,413 · median $28,054 30 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $12,174 – $53,548 · median $20,813 30 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $28,793 – $130,230 · median $50,454 30 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $15,674 – $69,699 · median $27,003 30 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $11,850 – $52,056 · median $20,245 30 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $22,245 – $100,015 · median $38,748 30 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $16,562 – $73,793 · median $28,589 30 plans
533 FRACTURES OF FEMUR WITH MCC $12,408 – $54,628 · median $21,224 30 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,656 – $28,089 · median $11,120 30 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $10,250 – $44,673 · median $17,434 30 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,667 – $28,142 · median $11,140 30 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,775 – $33,254 · median $13,086 30 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $6,008 – $25,100 · median $9,982 30 plans
539 OSTEOMYELITIS WITH MCC $15,444 – $68,636 · median $26,591 30 plans
540 OSTEOMYELITIS WITH CC $10,358 – $45,171 · median $17,624 30 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,515 – $27,438 · median $10,872 30 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $13,909 – $61,555 · median $23,862 30 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,332 – $35,822 · median $14,064 30 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,267 – $26,295 · median $10,437 30 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $19,311 – $86,477 · median $33,503 30 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $9,279 – $40,191 · median $15,728 30 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,883 – $29,138 · median $11,520 30 plans
548 SEPTIC ARTHRITIS WITH MCC $15,151 – $67,284 · median $26,067 30 plans
549 SEPTIC ARTHRITIS WITH CC $9,685 – $42,066 · median $16,441 30 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $7,169 – $30,459 · median $12,022 30 plans
551 MEDICAL BACK PROBLEMS WITH MCC $13,226 – $58,405 · median $22,662 30 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,828 – $33,497 · median $13,179 30 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $10,358 – $45,171 · median $17,624 30 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,837 – $28,926 · median $11,439 30 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,551 – $46,059 · median $17,962 30 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,841 – $28,943 · median $11,445 30 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,798 – $51,813 · median $20,152 30 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,314 – $31,124 · median $12,276 30 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $14,652 – $64,984 · median $25,176 30 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $9,073 – $39,240 · median $15,366 30 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,639 – $28,013 · median $11,091 30 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $11,328 – $49,649 · median $19,328 30 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $7,331 – $31,205 · median $12,306 30 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $12,226 – $53,788 · median $20,904 30 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,927 – $33,954 · median $13,353 30 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $6,227 – $26,110 · median $10,367 30 plans
570 SKIN DEBRIDEMENT WITH MCC $22,780 – $102,486 · median $39,705 30 plans
571 SKIN DEBRIDEMENT WITH CC $13,328 – $58,872 · median $22,840 30 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $9,225 – $39,944 · median $15,634 30 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $50,047 – $228,290 · median $88,444 30 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $26,785 – $120,964 · median $46,864 30 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $14,139 – $62,618 · median $24,266 30 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $37,584 – $170,787 · median $66,166 30 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $20,587 – $92,366 · median $35,784 30 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,700 – $55,977 · median $21,738 30 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $25,026 – $112,849 · median $43,720 30 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $13,618 – $60,214 · median $23,351 30 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $11,467 – $50,286 · median $19,571 30 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $15,118 – $67,134 · median $26,009 30 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $13,591 – $60,088 · median $23,303 30 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $16,735 – $74,595 · median $28,899 30 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $15,137 – $67,221 · median $26,043 30 plans
592 SKIN ULCERS WITH MCC $15,184 – $67,437 · median $26,127 30 plans
593 SKIN ULCERS WITH CC $9,527 – $41,338 · median $16,164 30 plans
594 SKIN ULCERS WITHOUT CC/MCC $7,114 – $30,205 · median $11,925 30 plans
595 MAJOR SKIN DISORDERS WITH MCC $16,584 – $73,898 · median $28,629 30 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,743 – $37,721 · median $14,787 30 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $13,158 – $58,092 · median $22,543 30 plans
598 MALIGNANT BREAST DISORDERS WITH CC $9,112 – $39,421 · median $15,435 30 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,379 – $26,811 · median $10,633 30 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $8,434 – $36,296 · median $14,244 30 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,137 – $21,082 · median $8,452 30 plans
602 CELLULITIS WITH MCC $11,302 – $49,527 · median $19,282 30 plans
603 CELLULITIS WITHOUT MCC $7,145 – $30,347 · median $11,980 30 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,686 – $51,297 · median $19,956 30 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,486 – $31,919 · median $12,578 30 plans
606 MINOR SKIN DISORDERS WITH MCC $11,996 – $52,729 · median $20,501 30 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $7,413 – $31,584 · median $12,451 30 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $17,121 – $76,375 · median $29,589 30 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $11,136 – $48,760 · median $18,990 30 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $26,906 – $121,522 · median $47,080 30 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,693 – $65,172 · median $25,249 30 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $11,279 – $49,422 · median $19,242 30 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $22,375 – $100,614 · median $38,980 30 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $12,654 – $55,764 · median $21,657 30 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,960 – $52,562 · median $20,437 30 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $27,448 – $124,024 · median $48,049 30 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,116 – $62,510 · median $24,225 30 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,023 – $43,624 · median $17,034 30 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $23,377 – $105,238 · median $40,771 30 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,892 – $52,248 · median $20,318 30 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $10,600 – $46,286 · median $18,048 30 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $28,714 – $129,864 · median $50,312 30 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $17,023 – $75,922 · median $29,414 30 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $11,591 – $50,858 · median $19,789 30 plans
637 DIABETES WITH MCC $11,418 – $50,063 · median $19,486 30 plans
638 DIABETES WITH CC $7,336 – $31,229 · median $12,316 30 plans
639 DIABETES WITHOUT CC/MCC $5,259 – $21,646 · median $8,667 30 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $10,655 – $46,540 · median $18,145 30 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,445 – $27,117 · median $10,750 30 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $11,308 – $49,555 · median $19,292 30 plans
643 ENDOCRINE DISORDERS WITH MCC $13,000 – $57,360 · median $22,264 30 plans
644 ENDOCRINE DISORDERS WITH CC $8,309 – $35,717 · median $14,024 30 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,370 – $26,772 · median $10,619 30 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $36,075 – $163,825 · median $63,469 30 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $28,555 – $129,132 · median $50,028 30 plans
652 KIDNEY TRANSPLANT $24,958 – $112,535 · median $43,598 30 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $39,813 – $181,074 · median $70,151 30 plans
654 MAJOR BLADDER PROCEDURES WITH CC $21,709 – $97,544 · median $37,791 30 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $16,553 – $73,755 · median $28,574 30 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $24,613 – $110,943 · median $42,981 30 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $14,389 – $63,768 · median $24,705 30 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $12,288 – $54,074 · median $21,013 30 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $19,758 – $88,540 · median $34,302 30 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,550 – $46,056 · median $17,961 30 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $8,388 – $36,080 · median $14,162 30 plans
662 MINOR BLADDER PROCEDURES WITH MCC $23,689 – $106,681 · median $41,330 30 plans
663 MINOR BLADDER PROCEDURES WITH CC $12,049 – $52,973 · median $20,594 30 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,474 – $36,480 · median $14,315 30 plans
665 PROSTATECTOMY WITH MCC $24,140 – $108,761 · median $42,136 30 plans
666 PROSTATECTOMY WITH CC $13,779 – $60,956 · median $23,633 30 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,922 – $38,547 · median $15,102 30 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $22,621 – $101,750 · median $39,420 30 plans
669 TRANSURETHRAL PROCEDURES WITH CC $12,289 – $54,081 · median $21,016 30 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,949 – $34,055 · median $13,391 30 plans
671 URETHRAL PROCEDURES WITH CC/MCC $14,124 – $62,549 · median $24,240 30 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,721 – $37,616 · median $14,747 30 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $32,300 – $146,409 · median $56,722 30 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $18,230 – $81,491 · median $31,571 30 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $12,964 – $57,196 · median $22,202 30 plans
682 RENAL FAILURE WITH MCC $11,753 – $51,607 · median $20,074 30 plans
683 RENAL FAILURE WITH CC $7,182 – $30,518 · median $12,045 30 plans
684 RENAL FAILURE WITHOUT CC/MCC $5,102 – $20,918 · median $8,390 30 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $14,190 – $62,852 · median $24,355 30 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,481 – $36,512 · median $14,327 30 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,537 – $27,539 · median $10,911 30 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $9,331 – $40,432 · median $15,819 30 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,682 – $28,208 · median $11,165 30 plans
693 URINARY STONES WITH MCC $10,722 – $46,850 · median $18,263 30 plans
694 URINARY STONES WITHOUT MCC $6,472 – $27,239 · median $10,796 30 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $9,206 – $39,857 · median $15,600 30 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,771 – $24,009 · median $9,567 30 plans
697 URETHRAL STRICTURE $8,708 – $37,557 · median $14,725 30 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $13,063 – $57,649 · median $22,374 30 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,234 – $35,369 · median $13,892 30 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,778 – $24,040 · median $9,579 30 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $15,675 – $69,702 · median $27,004 30 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $12,155 – $53,461 · median $20,780 30 plans
709 PENIS PROCEDURES WITH CC/MCC $18,143 – $81,090 · median $31,416 30 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $11,150 – $48,826 · median $19,015 30 plans
711 TESTES PROCEDURES WITH CC/MCC $16,306 – $72,612 · median $28,131 30 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,873 – $38,320 · median $15,015 30 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $11,922 – $52,387 · median $20,371 30 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,554 – $36,846 · median $14,454 30 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $17,465 – $77,961 · median $30,204 30 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $11,677 – $51,258 · median $19,941 30 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $14,846 – $65,876 · median $25,522 30 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $10,711 – $46,802 · median $18,244 30 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $14,235 – $63,061 · median $24,435 30 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,198 – $39,819 · median $15,586 30 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,520 – $22,849 · median $9,125 30 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,406 – $40,777 · median $15,951 30 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $6,021 – $25,159 · median $10,004 30 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,767 – $51,673 · median $20,099 30 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,694 – $28,267 · median $11,188 30 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,564 – $36,891 · median $14,471 30 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,643 – $23,417 · median $9,341 30 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $16,654 – $74,222 · median $28,755 30 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $10,730 – $46,885 · median $18,276 30 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $27,564 – $124,557 · median $48,256 30 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $16,130 – $71,804 · median $27,818 30 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,659 – $51,171 · median $19,908 30 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $27,627 – $124,846 · median $48,368 30 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $14,235 – $63,057 · median $24,433 30 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,338 – $49,694 · median $19,346 30 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $14,425 – $63,935 · median $24,770 30 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,938 – $43,233 · median $16,886 30 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $16,043 – $71,403 · median $27,663 30 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $9,159 – $39,637 · median $15,517 30 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $13,687 – $60,531 · median $23,471 30 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $7,061 – $29,957 · median $11,831 30 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $11,045 – $48,342 · median $18,831 30 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $19,959 – $89,471 · median $34,663 30 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,714 – $51,426 · median $20,005 30 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $14,477 – $64,176 · median $24,863 30 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,783 – $37,905 · median $14,857 30 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,822 – $33,470 · median $13,169 30 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,382 – $49,896 · median $19,422 30 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,962 – $34,114 · median $13,414 30 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,580 – $23,124 · median $9,230 30 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $8,177 – $35,107 · median $13,792 30 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,876 – $19,880 · median $7,995 30 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $6,865 – $37,341 · median $14,467 30 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $13,330 – $58,883 · median $22,844 30 plans
770 Abortion with d&c, aspiration curettage or hysterotomy $8,141 – $34,940 · median $13,728 30 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,512 – $22,814 · median $9,112 30 plans
779 ABORTION WITHOUT D&C $6,922 – $29,316 · median $11,587 30 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $13,720 – $85,550 · median $32,997 30 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,574 – $36,940 · median $14,311 30 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,865 – $33,376 · median $13,133 30 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $13,026 – $57,478 · median $22,268 30 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $9,002 – $38,916 · median $15,077 30 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,865 – $33,410 · median $13,146 30 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $14,179 – $62,799 · median $24,335 30 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $45,455 – $207,107 · median $80,237 30 plans
791 PREMATURITY WITH MAJOR PROBLEMS $31,223 – $141,440 · median $54,797 30 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $19,065 – $85,345 · median $33,064 30 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $32,058 – $145,294 · median $56,290 30 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $11,714 – $51,429 · median $20,006 30 plans
795 NORMAL NEWBORN $2,000 – $6,962 · median $3,176 30 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $6,865 – $40,665 · median $15,755 30 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $6,865 – $34,860 · median $13,613 30 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,865 – $33,351 · median $12,921 30 plans
799 SPLENIC PROCEDURES WITH MCC $34,772 – $157,814 · median $61,140 30 plans
800 SPLENIC PROCEDURES WITH CC $21,786 – $97,896 · median $37,927 30 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $14,985 – $66,518 · median $25,770 30 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $30,657 – $138,830 · median $53,785 30 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $14,607 – $64,775 · median $25,095 30 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $10,809 – $47,251 · median $18,416 30 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $8,718 – $37,606 · median $14,569 30 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $6,262 – $26,274 · median $10,429 30 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,660 – $23,493 · median $9,370 30 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $17,243 – $76,936 · median $29,807 30 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $10,128 – $44,112 · median $17,220 30 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $8,472 – $36,470 · median $14,311 30 plans
811 RED BLOOD CELL DISORDERS WITH MCC $11,174 – $48,934 · median $19,056 30 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,502 – $31,996 · median $12,607 30 plans
813 COAGULATION DISORDERS $12,088 – $53,151 · median $20,662 30 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $16,630 – $74,107 · median $28,710 30 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $8,226 – $35,334 · median $13,878 30 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,341 – $22,023 · median $8,810 30 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $17,799 – $79,505 · median $30,802 30 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,323 – $40,393 · median $15,805 30 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $7,062 – $29,964 · median $11,834 30 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $44,861 – $204,365 · median $79,175 30 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $17,475 – $78,006 · median $30,221 30 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,661 – $41,955 · median $16,399 30 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $35,194 – $159,762 · median $61,895 30 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $17,679 – $78,947 · median $30,586 30 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $10,759 – $47,021 · median $18,328 30 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $35,896 – $163,003 · median $63,150 30 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $18,023 – $80,536 · median $31,201 30 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $13,436 – $59,371 · median $23,030 30 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $24,433 – $110,113 · median $42,660 30 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $11,934 – $52,443 · median $20,392 30 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $9,650 – $41,902 · median $16,379 30 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,018 – $25,145 · median $9,999 30 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,517 – $18,221 · median $7,363 30 plans
834 ACUTE LEUKEMIA WITH MCC $42,030 – $191,301 · median $74,114 30 plans
835 ACUTE LEUKEMIA WITH CC $16,321 – $72,682 · median $28,158 30 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $9,778 – $42,495 · median $16,605 30 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $36,852 – $167,411 · median $64,858 30 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $16,333 – $72,738 · median $28,180 30 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $11,473 – $50,314 · median $19,582 30 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $24,999 – $112,723 · median $43,671 30 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $12,889 – $56,848 · median $22,069 30 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $8,199 – $35,208 · median $13,831 30 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $15,633 – $69,511 · median $26,930 30 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $9,762 – $42,422 · median $16,577 30 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,999 – $29,675 · median $11,724 30 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $20,147 – $90,338 · median $34,999 30 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,448 – $45,586 · median $17,781 30 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,983 – $29,598 · median $11,695 30 plans
849 RADIOTHERAPY $21,031 – $94,415 · median $36,578 30 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $65,968 – $301,749 · median $116,903 30 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $37,866 – $172,090 · median $66,671 30 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $15,658 – $69,626 · median $26,974 30 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,875 – $52,171 · median $20,289 30 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $34,921 – $158,504 · median $61,407 30 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $16,741 – $74,623 · median $28,910 30 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $11,088 – $48,537 · median $18,905 30 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $14,341 – $63,549 · median $24,620 30 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $8,104 – $34,773 · median $13,665 30 plans
864 FEVER AND INFLAMMATORY CONDITIONS $7,272 – $30,933 · median $12,203 30 plans
865 VIRAL ILLNESS WITH MCC $11,884 – $52,210 · median $20,303 30 plans
866 VIRAL ILLNESS WITHOUT MCC $7,135 – $30,302 · median $11,963 30 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $16,377 – $72,940 · median $28,258 30 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,355 – $35,930 · median $14,105 30 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,079 – $25,427 · median $10,107 30 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $52,768 – $240,849 · median $93,309 30 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $15,238 – $67,688 · median $26,224 30 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $8,296 – $35,658 · median $14,002 30 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $29,757 – $134,676 · median $52,176 30 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,820 – $33,459 · median $13,165 30 plans
881 DEPRESSIVE NEUROSES $7,674 – $32,787 · median $12,909 30 plans
882 NEUROSES EXCEPT DEPRESSIVE $8,678 – $37,418 · median $14,672 30 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $15,418 – $68,518 · median $26,545 30 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $12,719 – $56,064 · median $21,771 30 plans
885 PSYCHOSES $11,117 – $48,673 · median $18,957 30 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $16,241 – $72,316 · median $28,017 30 plans
887 OTHER MENTAL DISORDER DIAGNOSES $8,656 – $37,317 · median $14,633 30 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,227 – $21,497 · median $8,610 30 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $11,259 – $49,328 · median $19,206 30 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $13,748 – $60,810 · median $23,578 30 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $7,235 – $30,762 · median $12,138 30 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $32,262 – $146,235 · median $56,654 30 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $15,027 – $66,713 · median $25,846 30 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,401 – $40,756 · median $15,943 30 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $28,309 – $127,993 · median $49,587 30 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $11,771 – $51,691 · median $20,106 30 plans
906 HAND PROCEDURES FOR INJURIES $15,403 – $68,448 · median $26,518 30 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $29,564 – $133,784 · median $51,831 30 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $15,636 – $69,525 · median $26,935 30 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $10,482 – $45,742 · median $17,841 30 plans
913 TRAUMATIC INJURY WITH MCC $12,913 – $56,959 · median $22,112 30 plans
914 TRAUMATIC INJURY WITHOUT MCC $7,255 – $30,856 · median $12,174 30 plans
915 ALLERGIC REACTIONS WITH MCC $13,268 – $58,597 · median $22,735 30 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,600 – $23,218 · median $9,266 30 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $12,413 – $54,652 · median $21,233 30 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $7,041 – $29,867 · median $11,797 30 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $14,395 – $63,796 · median $24,716 30 plans
920 COMPLICATIONS OF TREATMENT WITH CC $8,138 – $34,926 · median $13,723 30 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,767 – $23,988 · median $9,559 30 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $13,780 – $60,960 · median $23,635 30 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $8,254 – $35,463 · median $13,927 30 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $161,815 – $743,980 · median $288,232 30 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $54,739 – $249,940 · median $96,831 30 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $24,893 – $112,232 · median $43,481 30 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $29,978 – $135,697 · median $52,572 30 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $17,263 – $77,031 · median $29,843 30 plans
935 NON-EXTENSIVE BURNS $16,126 – $71,783 · median $27,810 30 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $27,972 – $126,439 · median $48,985 30 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $18,217 – $81,432 · median $31,548 30 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $15,882 – $70,657 · median $27,374 30 plans
945 REHABILITATION WITH CC/MCC $12,263 – $53,963 · median $20,971 30 plans
946 REHABILITATION WITHOUT CC/MCC $9,229 – $39,961 · median $15,640 30 plans
947 SIGNS AND SYMPTOMS WITH MCC $10,155 – $44,234 · median $17,267 30 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,614 – $27,894 · median $11,046 30 plans
949 AFTERCARE WITH CC/MCC $9,553 – $41,456 · median $16,209 30 plans
950 AFTERCARE WITHOUT CC/MCC $5,308 – $21,873 · median $8,753 30 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,767 – $19,374 · median $7,802 30 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $51,404 – $234,552 · median $90,870 30 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $28,987 – $131,126 · median $50,801 30 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $58,116 – $265,523 · median $102,869 30 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $32,393 – $146,838 · median $56,888 30 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $22,803 – $102,590 · median $39,745 30 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $21,215 – $95,262 · median $36,906 30 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $12,143 – $53,405 · median $20,758 30 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,671 – $32,773 · median $12,903 30 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $46,798 – $213,303 · median $82,638 30 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $20,487 – $91,903 · median $35,605 30 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $22,364 – $100,566 · median $38,961 30 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,348 – $45,126 · median $17,606 30 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,385 – $31,455 · median $12,402 30 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,369 – $45,220 · median $17,642 30 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $36,002 – $163,490 · median $63,339 30 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $19,135 – $85,669 · median $33,190 30 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,513 – $59,726 · median $23,165 30 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $26,460 – $119,466 · median $46,283 30 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,981 – $57,273 · median $22,231 30 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,625 – $41,787 · median $16,335 30 plans
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