IU Health Bloomington 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 $211,015 – $653,657 · median $328,705 14 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $85,742 – $264,314 · median $133,538 14 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $159,991 – $495,078 · median $249,214 14 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $104,651 – $323,084 · median $162,998 14 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $78,077 – $240,492 · median $121,597 14 plans
006 LIVER TRANSPLANT WITHOUT MCC $35,497 – $108,158 · median $55,262 14 plans
007 LUNG TRANSPLANT $97,888 – $302,063 · median $152,461 14 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $42,759 – $130,727 · median $66,575 14 plans
010 PANCREAS TRANSPLANT $54,550 – $167,373 · median $84,945 14 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $41,630 – $127,217 · median $64,815 14 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $32,338 – $98,338 · median $50,339 14 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $22,325 – $67,218 · median $34,740 14 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $90,891 – $280,318 · median $141,560 14 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $45,199 – $138,310 · median $70,376 14 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $41,466 – $126,708 · median $64,561 14 plans
018 Chimeric antigen receptor (car) t-cell and other immunotherapies $324,783 – $1,007,239 · median $505,945 14 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $54,242 – $166,415 · median $84,464 14 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $59,752 – $183,540 · median $93,049 14 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $40,427 – $123,478 · median $62,941 14 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $24,543 – $74,113 · median $38,196 14 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $43,703 – $133,659 · median $68,045 14 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $30,056 – $91,245 · median $46,784 14 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $34,820 – $106,052 · median $54,206 14 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $24,031 – $72,522 · median $37,399 14 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $19,631 – $58,847 · median $30,543 14 plans
028 SPINAL PROCEDURES WITH MCC $45,789 – $140,144 · median $71,295 14 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $26,301 – $79,576 · median $40,934 14 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $17,172 – $51,203 · median $26,712 14 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $34,323 – $104,508 · median $53,432 14 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $16,690 – $49,706 · median $25,961 14 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $13,177 – $38,787 · median $20,488 14 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $29,746 – $90,284 · median $46,302 14 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $18,638 – $55,758 · median $28,995 14 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $15,278 – $45,316 · median $23,761 14 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $25,404 – $76,788 · median $39,537 14 plans
038 EXTRACRANIAL PROCEDURES WITH CC $12,874 – $37,847 · median $20,017 14 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $9,519 – $27,419 · median $14,789 14 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $29,675 – $90,062 · median $46,191 14 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $17,198 – $51,285 · median $26,753 14 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $13,663 – $40,299 · median $21,246 14 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $14,291 – $42,249 · median $22,223 14 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $8,046 – $22,840 · median $12,494 14 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $12,156 – $35,615 · median $18,898 14 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,349 – $23,782 · median $12,967 14 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $18,132 – $54,186 · median $28,207 14 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $10,420 – $30,220 · median $16,194 14 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $13,527 – $39,874 · median $21,033 14 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $10,010 – $28,944 · median $15,554 14 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $7,600 – $21,454 · median $11,800 14 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $21,389 – $64,309 · median $33,282 14 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $13,885 – $40,987 · median $21,591 14 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $11,232 – $32,744 · median $17,459 14 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $15,789 – $46,907 · median $24,558 14 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,279 – $23,565 · median $12,858 14 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,833 – $15,964 · median $9,047 14 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $11,719 – $34,257 · median $18,218 14 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $7,184 – $20,162 · median $11,152 14 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,692 – $18,632 · median $10,385 14 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $13,191 – $38,831 · median $20,510 14 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $8,397 – $23,931 · median $13,041 14 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $6,372 – $17,638 · median $9,887 14 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $12,737 – $37,420 · median $19,803 14 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,433 – $24,043 · median $13,098 14 plans
075 VIRAL MENINGITIS WITH CC/MCC $15,088 – $44,726 · median $23,465 14 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,890 – $19,248 · median $10,694 14 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $14,281 – $42,218 · median $22,208 14 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,418 – $20,890 · median $11,517 14 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $17,850 – $53,312 · median $27,769 14 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $11,172 – $32,557 · median $17,365 14 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,870 – $22,294 · median $12,221 14 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $17,747 – $52,992 · median $27,609 14 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $10,474 – $30,385 · median $16,277 14 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $7,562 – $21,335 · median $11,740 14 plans
088 CONCUSSION WITH MCC $10,842 – $31,531 · median $16,851 14 plans
089 CONCUSSION WITH CC $8,942 – $25,625 · median $13,890 14 plans
090 CONCUSSION WITHOUT CC/MCC $6,875 – $19,201 · median $10,670 14 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $13,877 – $40,963 · median $21,579 14 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,374 – $23,861 · median $13,006 14 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,673 – $18,574 · median $10,356 14 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $27,110 – $82,090 · median $42,195 14 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $20,054 – $60,160 · median $31,202 14 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $20,054 – $60,160 · median $31,202 14 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $27,803 – $84,245 · median $43,275 14 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $17,920 – $53,529 · median $27,878 14 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,922 – $31,778 · median $16,975 14 plans
100 SEIZURES WITH MCC $15,233 – $45,176 · median $23,691 14 plans
101 SEIZURES WITHOUT MCC $7,471 – $21,053 · median $11,599 14 plans
102 HEADACHES WITH MCC $9,109 – $26,145 · median $14,151 14 plans
103 HEADACHES WITHOUT MCC $6,973 – $19,507 · median $10,823 14 plans
113 ORBITAL PROCEDURES WITH CC/MCC $18,342 – $54,839 · median $28,535 14 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $10,851 – $31,559 · median $16,865 14 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $12,216 – $35,802 · median $18,992 14 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $14,267 – $42,174 · median $22,186 14 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,839 – $25,305 · median $13,730 14 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $9,427 – $27,134 · median $14,647 14 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,594 – $18,329 · median $10,233 14 plans
123 NEUROLOGICAL EYE DISORDERS $6,690 – $18,627 · median $10,383 14 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $10,627 – $30,861 · median $16,515 14 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,459 – $17,909 · median $10,023 14 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $16,983 – $50,615 · median $26,417 14 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,317 – $23,682 · median $12,916 14 plans
137 MOUTH PROCEDURES WITH CC/MCC $11,903 – $34,829 · median $18,504 14 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $7,348 – $20,671 · median $11,407 14 plans
139 SALIVARY GLAND PROCEDURES $9,971 – $28,823 · median $15,493 14 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $32,708 – $99,488 · median $50,916 14 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $17,066 – $50,874 · median $26,547 14 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $12,678 – $37,236 · median $19,711 14 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $28,815 – $87,389 · median $44,851 14 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $13,702 – $40,420 · median $21,307 14 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $9,720 – $28,044 · median $15,103 14 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $16,588 – $49,388 · median $25,802 14 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $10,239 – $29,658 · median $15,912 14 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,679 – $18,592 · median $10,365 14 plans
149 DYSEQUILIBRIUM $6,338 – $17,531 · median $9,833 14 plans
150 EPISTAXIS WITH MCC $10,690 – $31,057 · median $16,613 14 plans
151 EPISTAXIS WITHOUT MCC $6,206 – $17,121 · median $9,627 14 plans
152 OTITIS MEDIA AND URI WITH MCC $9,569 – $27,575 · median $14,868 14 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $6,237 – $17,219 · median $9,676 14 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $12,431 – $36,469 · median $19,326 14 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,575 – $21,377 · median $11,761 14 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,884 – $16,120 · median $9,126 14 plans
157 DENTAL AND ORAL DISEASES WITH MCC $13,581 – $40,044 · median $21,118 14 plans
158 DENTAL AND ORAL DISEASES WITH CC $7,525 – $21,221 · median $11,683 14 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $6,014 – $16,526 · median $9,329 14 plans
163 MAJOR CHEST PROCEDURES WITH MCC $34,333 – $104,538 · median $53,447 14 plans
164 MAJOR CHEST PROCEDURES WITH CC $19,639 – $58,872 · median $30,556 14 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $15,063 – $44,649 · median $23,426 14 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $28,748 – $87,182 · median $44,747 14 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $14,231 – $42,064 · median $22,131 14 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,952 – $31,871 · median $17,021 14 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $23,035 – $69,425 · median $35,846 14 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $11,006 – $32,039 · median $17,106 14 plans
176 PULMONARY EMBOLISM WITHOUT MCC $6,738 – $18,777 · median $10,458 14 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $12,425 – $36,450 · median $19,317 14 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $8,022 – $22,765 · median $12,457 14 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,363 – $17,610 · median $9,873 14 plans
180 RESPIRATORY NEOPLASMS WITH MCC $13,951 – $41,192 · median $21,694 14 plans
181 RESPIRATORY NEOPLASMS WITH CC $8,735 – $24,981 · median $13,568 14 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,354 – $17,582 · median $9,859 14 plans
183 MAJOR CHEST TRAUMA WITH MCC $12,179 – $35,685 · median $18,933 14 plans
184 MAJOR CHEST TRAUMA WITH CC $8,683 – $24,820 · median $13,487 14 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,600 – $18,345 · median $10,241 14 plans
186 PLEURAL EFFUSION WITH MCC $12,393 – $36,352 · median $19,268 14 plans
187 PLEURAL EFFUSION WITH CC $8,120 – $23,071 · median $12,610 14 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $6,079 – $16,729 · median $9,431 14 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,969 – $28,816 · median $15,490 14 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $9,010 – $25,837 · median $13,997 14 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,024 – $19,663 · median $10,902 14 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,515 – $14,975 · median $8,552 14 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $10,561 – $30,658 · median $16,413 14 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,745 – $18,798 · median $10,468 14 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,414 – $14,660 · median $8,394 14 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $14,860 – $44,019 · median $23,111 14 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,820 – $22,138 · median $12,142 14 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,072 – $16,705 · median $9,419 14 plans
199 PNEUMOTHORAX WITH MCC $13,936 – $41,148 · median $21,671 14 plans
200 PNEUMOTHORAX WITH CC $8,947 – $25,641 · median $13,899 14 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $6,064 – $16,680 · median $9,406 14 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,986 – $22,653 · median $12,401 14 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,725 – $15,628 · median $8,879 14 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,756 – $18,833 · median $10,486 14 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $14,438 – $42,708 · median $22,454 14 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,760 – $21,951 · median $12,049 14 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $48,989 – $150,089 · median $76,281 14 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $21,326 – $64,113 · median $33,184 14 plans
209 COMPLEX AORTIC ARCH PROCEDURES $85,644 – $264,011 · median $133,386 14 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $82,307 – $253,638 · median $128,187 14 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $43,527 – $133,113 · median $67,771 14 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $75,424 – $232,247 · median $117,464 14 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $74,117 – $228,184 · median $115,427 14 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $50,044 – $153,369 · median $77,925 14 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $50,044 – $153,369 · median $77,925 14 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $58,322 – $179,096 · median $90,821 14 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $40,719 – $124,388 · median $63,397 14 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $38,523 – $117,563 · median $59,976 14 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $37,827 – $115,398 · median $58,891 14 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $24,334 – $73,462 · median $37,870 14 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $63,963 – $196,627 · median $99,609 14 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $46,197 – $141,410 · median $71,930 14 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $58,074 – $178,324 · median $90,434 14 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $41,694 – $127,417 · median $64,916 14 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $44,741 – $136,885 · median $69,662 14 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $32,134 – $97,704 · median $50,021 14 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $37,634 – $114,799 · median $58,591 14 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $22,090 – $66,488 · median $34,374 14 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $11,087 – $32,291 · median $17,232 14 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $24,659 – $74,472 · median $38,376 14 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $16,689 – $49,703 · median $25,960 14 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $14,262 – $42,160 · median $22,179 14 plans
245 AICD GENERATOR PROCEDURES $34,938 – $106,418 · median $54,390 14 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $17,076 – $50,907 · median $26,563 14 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $11,913 – $34,859 · median $18,519 14 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $26,876 – $81,365 · median $41,831 14 plans
253 OTHER VASCULAR PROCEDURES WITH CC $20,177 – $60,542 · median $31,393 14 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $14,068 – $41,558 · median $21,877 14 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $20,941 – $62,917 · median $32,584 14 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $13,440 – $39,604 · median $20,897 14 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,894 – $25,476 · median $13,815 14 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $24,278 – $73,289 · median $37,783 14 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $15,873 – $47,165 · median $24,688 14 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $25,109 – $75,872 · median $39,078 14 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $14,885 – $44,096 · median $23,149 14 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $12,929 – $38,017 · median $20,102 14 plans
263 VEIN LIGATION AND STRIPPING $23,643 – $71,314 · median $36,793 14 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $25,768 – $77,920 · median $40,104 14 plans
265 AICD LEAD PROCEDURES $27,851 – $84,395 · median $43,350 14 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $46,690 – $142,945 · median $72,700 14 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $36,427 – $111,046 · median $56,709 14 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $52,315 – $160,427 · median $81,463 14 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $32,392 – $98,506 · median $50,424 14 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $40,295 – $123,070 · median $62,737 14 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $27,387 – $82,951 · median $42,626 14 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $19,857 – $59,549 · median $30,895 14 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $31,659 – $96,227 · median $49,281 14 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $25,401 – $76,779 · median $39,532 14 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $54,210 – $166,317 · median $84,415 14 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $45,776 – $140,104 · median $71,275 14 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $35,359 – $107,727 · median $55,046 14 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $42,471 – $129,832 · median $66,126 14 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $27,763 – $84,119 · median $43,212 14 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $12,736 – $37,416 · median $19,801 14 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,595 – $21,438 · median $11,792 14 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $6,124 – $16,866 · median $9,500 14 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $15,563 – $46,202 · median $24,205 14 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,892 – $16,146 · median $9,139 14 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,192 – $13,969 · median $8,048 14 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $17,304 – $51,614 · median $26,918 14 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,728 – $24,960 · median $13,557 14 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $21,007 – $63,122 · median $32,687 14 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $13,507 – $39,813 · median $21,003 14 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,674 – $21,685 · median $11,916 14 plans
291 HEART FAILURE AND SHOCK WITH MCC $10,332 – $29,945 · median $16,056 14 plans
292 HEART FAILURE AND SHOCK WITH CC $7,069 – $19,803 · median $10,972 14 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,945 – $13,202 · median $7,641 14 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $12,419 – $36,431 · median $19,307 14 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,455 – $14,788 · median $8,458 14 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,112 – $10,615 · median $6,144 14 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $12,950 – $38,083 · median $20,135 14 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,708 – $24,899 · median $13,527 14 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,098 – $16,787 · median $9,460 14 plans
302 ATHEROSCLEROSIS WITH MCC $9,677 – $27,911 · median $15,036 14 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,749 – $15,702 · median $8,916 14 plans
304 HYPERTENSION WITH MCC $9,628 – $27,757 · median $14,959 14 plans
305 HYPERTENSION WITHOUT MCC $6,364 – $17,613 · median $9,874 14 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $12,523 – $36,756 · median $19,470 14 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,550 – $21,300 · median $11,723 14 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,733 – $28,083 · median $15,123 14 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,218 – $17,160 · median $9,647 14 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,945 – $13,204 · median $7,642 14 plans
311 ANGINA PECTORIS $5,965 – $16,372 · median $9,252 14 plans
312 SYNCOPE AND COLLAPSE $7,238 – $20,330 · median $11,236 14 plans
313 CHEST PAIN $6,100 – $16,794 · median $9,464 14 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $16,346 – $48,637 · median $25,426 14 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,926 – $22,469 · median $12,308 14 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,816 – $15,910 · median $9,021 14 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $50,879 – $155,963 · median $79,225 14 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $18,875 – $56,498 · median $29,366 14 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $34,191 – $104,097 · median $53,226 14 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $18,749 – $56,104 · median $29,168 14 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $21,116 – $63,463 · median $32,857 14 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $13,928 – $41,122 · median $21,659 14 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $33,174 – $100,937 · median $51,642 14 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $24,345 – $73,497 · median $37,887 14 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $24,791 – $74,883 · median $38,582 14 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $38,127 – $116,331 · median $59,359 14 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $19,041 – $57,011 · median $29,623 14 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,722 – $37,374 · median $19,780 14 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $35,193 – $107,213 · median $54,788 14 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $18,688 – $55,915 · median $29,074 14 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $13,327 – $39,254 · median $20,722 14 plans
332 RECTAL RESECTION WITH MCC $27,870 – $84,453 · median $43,379 14 plans
333 RECTAL RESECTION WITH CC $18,275 – $54,632 · median $28,431 14 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,989 – $38,204 · median $20,196 14 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $27,496 – $83,291 · median $42,797 14 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $16,523 – $49,185 · median $25,701 14 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,217 – $35,804 · median $18,993 14 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $20,081 – $60,244 · median $31,244 14 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,990 – $35,097 · median $18,639 14 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,599 – $27,668 · median $14,915 14 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $17,925 – $53,545 · median $27,886 14 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $10,519 – $30,528 · median $16,348 14 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $7,231 – $20,307 · median $11,225 14 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $19,399 – $58,124 · median $30,181 14 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $12,138 – $35,559 · median $18,870 14 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $9,461 – $27,239 · median $14,699 14 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $22,476 – $67,689 · median $34,976 14 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $13,323 – $39,242 · median $20,716 14 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,791 – $31,372 · median $16,771 14 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $33,665 – $102,462 · median $52,407 14 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $18,150 – $54,242 · median $28,235 14 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,188 – $32,606 · median $17,390 14 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $26,503 – $80,205 · median $41,250 14 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $18,816 – $56,314 · median $29,274 14 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $12,644 – $37,131 · median $19,658 14 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $8,203 – $23,330 · median $12,740 14 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,956 – $16,346 · median $9,239 14 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $14,004 – $41,358 · median $21,777 14 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,359 – $23,815 · median $12,983 14 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,156 – $16,967 · median $9,550 14 plans
374 DIGESTIVE MALIGNANCY WITH MCC $16,748 – $49,885 · median $26,051 14 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,775 – $28,214 · median $15,188 14 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $7,634 – $21,559 · median $11,852 14 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $14,416 – $42,638 · median $22,419 14 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $8,057 – $22,875 · median $12,512 14 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,428 – $14,704 · median $8,416 14 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $15,423 – $45,768 · median $23,988 14 plans
381 COMPLICATED PEPTIC ULCER WITH CC $8,829 – $25,273 · median $13,714 14 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,705 – $18,674 · median $10,406 14 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $11,059 – $32,205 · median $17,189 14 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $7,112 – $19,938 · median $11,040 14 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $12,572 – $36,907 · median $19,546 14 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $8,024 – $22,772 · median $12,460 14 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,810 – $15,891 · median $9,011 14 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,780 – $34,446 · median $18,312 14 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,624 – $18,422 · median $10,280 14 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,780 – $12,689 · median $7,344 14 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $10,215 – $29,583 · median $15,874 14 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,548 – $18,184 · median $10,161 14 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $12,700 – $37,304 · median $19,745 14 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,719 – $21,825 · median $11,986 14 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,568 – $15,138 · median $8,634 14 plans
397 APPENDIX PROCEDURES WITH MCC $18,671 – $55,861 · median $29,047 14 plans
398 APPENDIX PROCEDURES WITH CC $12,056 – $35,305 · median $18,743 14 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $9,288 – $26,700 · median $14,429 14 plans
402 Single level combined anterior and posterior spinal fusion except cervical $30,871 – $93,778 · median $48,054 14 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $41,753 – $127,599 · median $65,007 14 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $22,463 – $67,647 · median $34,955 14 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $17,355 – $51,772 · median $26,997 14 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $27,457 – $83,168 · median $42,735 14 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $17,037 – $50,786 · median $26,503 14 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $12,613 – $37,033 · median $19,609 14 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $25,488 – $77,049 · median $39,668 14 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $16,476 – $49,041 · median $25,628 14 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $13,159 – $38,731 · median $20,460 14 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $27,434 – $83,098 · median $42,700 14 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $16,207 – $48,206 · median $25,209 14 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,928 – $31,799 · median $16,985 14 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $18,607 – $55,663 · median $28,947 14 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $13,392 – $39,457 · median $20,824 14 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $10,947 – $31,857 · median $17,014 14 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $26,267 – $79,471 · median $40,882 14 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $13,737 – $40,527 · median $21,360 14 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $11,200 – $32,643 · median $17,408 14 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $31,865 – $96,869 · median $49,603 14 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $17,117 – $51,033 · median $26,627 14 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,957 – $34,995 · median $18,587 14 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $83,411 – $257,069 · median $129,907 14 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $54,872 – $168,374 · median $85,446 14 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $42,890 – $131,133 · median $66,779 14 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $68,314 – $210,149 · median $106,387 14 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $43,979 – $134,518 · median $68,475 14 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $15,468 – $45,908 · median $24,058 14 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,624 – $24,636 · median $13,395 14 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,044 – $16,619 · median $9,376 14 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $14,481 – $42,841 · median $22,520 14 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $9,186 – $26,383 · median $14,270 14 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,101 – $19,903 · median $11,022 14 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $12,931 – $38,024 · median $20,106 14 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $7,010 – $19,621 · median $10,881 14 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,360 – $14,494 · median $8,311 14 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $14,166 – $41,861 · median $22,029 14 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,941 – $22,516 · median $12,332 14 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,948 – $16,321 · median $9,226 14 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $13,237 – $38,974 · median $20,582 14 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,910 – $25,527 · median $13,841 14 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,906 – $19,297 · median $10,718 14 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $50,842 – $155,848 · median $79,168 14 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $32,524 – $98,917 · median $50,629 14 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $40,695 – $124,313 · median $63,360 14 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $24,941 – $75,349 · median $38,816 14 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $63,764 – $196,009 · median $99,299 14 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $45,450 – $139,089 · median $70,767 14 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $32,012 – $97,326 · median $49,832 14 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $42,147 – $128,824 · median $65,621 14 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $20,660 – $62,045 · median $32,146 14 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $43,471 – $132,941 · median $67,685 14 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $24,073 – $72,650 · median $37,463 14 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $14,384 – $42,538 · median $22,368 14 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $39,763 – $121,416 · median $61,908 14 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $27,164 – $82,258 · median $42,279 14 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $21,321 – $64,097 · median $33,175 14 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $23,461 – $70,749 · median $36,510 14 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $15,173 – $44,992 · median $23,598 14 plans
471 CERVICAL SPINAL FUSION WITH MCC $36,936 – $112,629 · median $57,503 14 plans
472 CERVICAL SPINAL FUSION WITH CC $22,807 – $68,718 · median $35,492 14 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $19,019 – $56,943 · median $29,589 14 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $32,915 – $100,132 · median $51,239 14 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $17,776 – $53,081 · median $27,653 14 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,554 – $27,528 · median $14,844 14 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $26,624 – $80,579 · median $41,437 14 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $19,153 – $57,361 · median $29,799 14 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $14,648 – $43,359 · median $22,780 14 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $22,554 – $67,929 · median $35,096 14 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $16,416 – $48,854 · median $25,535 14 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $12,937 – $38,043 · median $20,115 14 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $21,500 – $64,655 · median $33,455 14 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $24,916 – $75,272 · median $38,777 14 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $16,391 – $48,775 · median $25,495 14 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,451 – $36,532 · median $19,358 14 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $13,972 – $41,260 · median $21,728 14 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,078 – $26,049 · median $14,103 14 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $28,252 – $85,640 · median $43,974 14 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $19,730 – $59,155 · median $30,698 14 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $15,756 – $46,802 · median $24,506 14 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $27,908 – $84,569 · median $43,438 14 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $14,235 – $42,076 · median $22,137 14 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,765 – $28,184 · median $15,173 14 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $23,338 – $70,367 · median $36,318 14 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $15,818 – $46,995 · median $24,603 14 plans
500 SOFT TISSUE PROCEDURES WITH MCC $24,449 – $73,819 · median $38,049 14 plans
501 SOFT TISSUE PROCEDURES WITH CC $13,816 – $40,774 · median $21,484 14 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,798 – $31,393 · median $16,782 14 plans
503 FOOT PROCEDURES WITH MCC $21,644 – $65,102 · median $33,679 14 plans
504 FOOT PROCEDURES WITH CC $14,725 – $43,599 · median $22,900 14 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $14,152 – $41,817 · median $22,007 14 plans
506 MAJOR THUMB OR JOINT PROCEDURES $10,823 – $31,470 · median $16,820 14 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $14,254 – $42,134 · median $22,166 14 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $12,062 – $35,323 · median $18,752 14 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $23,366 – $70,453 · median $36,361 14 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $16,303 – $48,502 · median $25,358 14 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $13,121 – $38,612 · median $20,401 14 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $12,512 – $36,721 · median $19,452 14 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,369 – $23,845 · median $12,998 14 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $24,614 – $74,334 · median $38,307 14 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $16,293 – $48,472 · median $25,343 14 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $12,230 – $35,844 · median $19,013 14 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $28,745 – $87,173 · median $44,742 14 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $15,708 – $46,655 · median $24,432 14 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $11,909 – $34,845 · median $18,512 14 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $22,238 – $66,947 · median $34,604 14 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $16,590 – $49,395 · median $25,806 14 plans
533 FRACTURES OF FEMUR WITH MCC $12,462 – $36,567 · median $19,375 14 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,747 – $18,802 · median $10,470 14 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $10,318 – $29,903 · median $16,035 14 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,758 – $18,837 · median $10,488 14 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,859 – $22,259 · median $12,203 14 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $6,103 – $16,801 · median $9,467 14 plans
539 OSTEOMYELITIS WITH MCC $15,479 – $45,943 · median $24,075 14 plans
540 OSTEOMYELITIS WITH CC $10,426 – $30,236 · median $16,202 14 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,606 – $18,366 · median $10,252 14 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $13,954 – $41,204 · median $21,700 14 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,412 – $23,978 · median $13,065 14 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,360 – $17,601 · median $9,868 14 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $19,322 – $57,886 · median $30,062 14 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $9,353 – $26,903 · median $14,531 14 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,973 – $19,504 · median $10,822 14 plans
548 SEPTIC ARTHRITIS WITH MCC $15,188 – $45,038 · median $23,622 14 plans
549 SEPTIC ARTHRITIS WITH CC $9,757 – $28,158 · median $15,160 14 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $7,257 – $20,388 · median $11,265 14 plans
551 MEDICAL BACK PROBLEMS WITH MCC $13,276 – $39,095 · median $20,643 14 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,911 – $22,422 · median $12,285 14 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $10,426 – $30,236 · median $16,202 14 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,927 – $19,362 · median $10,751 14 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,617 – $30,831 · median $16,500 14 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,931 – $19,374 · median $10,757 14 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,856 – $34,682 · median $18,430 14 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,400 – $20,834 · median $11,489 14 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $14,693 – $43,499 · median $22,850 14 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $9,148 – $26,266 · median $14,212 14 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,730 – $18,751 · median $10,445 14 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $11,390 – $33,233 · median $17,704 14 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $7,418 – $20,888 · median $11,516 14 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $12,282 – $36,004 · median $19,093 14 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $8,010 – $22,728 · median $12,438 14 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $6,320 – $17,477 · median $9,806 14 plans
570 SKIN DEBRIDEMENT WITH MCC $22,770 – $68,601 · median $35,433 14 plans
571 SKIN DEBRIDEMENT WITH CC $13,377 – $39,408 · median $20,799 14 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $9,300 – $26,737 · median $14,448 14 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $49,865 – $152,811 · median $77,645 14 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $26,750 – $80,970 · median $41,633 14 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $14,183 – $41,915 · median $22,056 14 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $37,480 – $114,320 · median $58,351 14 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $20,590 – $61,828 · median $32,038 14 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,753 – $37,469 · median $19,828 14 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $25,002 – $75,538 · median $38,910 14 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $13,665 – $40,306 · median $21,249 14 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $11,527 – $33,660 · median $17,918 14 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $15,156 – $44,938 · median $23,571 14 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $13,638 – $40,222 · median $21,207 14 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $16,763 – $49,932 · median $26,075 14 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $15,175 – $44,996 · median $23,601 14 plans
592 SKIN ULCERS WITH MCC $15,221 – $45,141 · median $23,673 14 plans
593 SKIN ULCERS WITH CC $9,600 – $27,670 · median $14,916 14 plans
594 SKIN ULCERS WITHOUT CC/MCC $7,202 – $20,218 · median $11,180 14 plans
595 MAJOR SKIN DISORDERS WITH MCC $16,613 – $49,465 · median $25,841 14 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,821 – $25,249 · median $13,702 14 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $13,208 – $38,885 · median $20,537 14 plans
598 MALIGNANT BREAST DISORDERS WITH CC $9,187 – $26,388 · median $14,273 14 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,471 – $17,946 · median $10,041 14 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $8,514 – $24,295 · median $13,224 14 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,237 – $14,112 · median $8,119 14 plans
602 CELLULITIS WITH MCC $11,364 – $33,152 · median $17,663 14 plans
603 CELLULITIS WITHOUT MCC $7,233 – $20,314 · median $11,228 14 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,745 – $34,337 · median $18,257 14 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,571 – $21,366 · median $11,755 14 plans
606 MINOR SKIN DISORDERS WITH MCC $12,053 – $35,295 · median $18,738 14 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $7,499 – $21,142 · median $11,643 14 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $17,146 – $51,124 · median $26,672 14 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $11,199 – $32,639 · median $17,406 14 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $26,870 – $81,344 · median $41,821 14 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,733 – $43,625 · median $22,913 14 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $11,341 – $33,082 · median $17,628 14 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $22,367 – $67,349 · median $34,805 14 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $12,707 – $37,327 · median $19,756 14 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $12,017 – $35,183 · median $18,682 14 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $27,409 – $83,018 · median $42,660 14 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,160 – $41,843 · median $22,020 14 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,092 – $29,201 · median $15,683 14 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $23,363 – $70,444 · median $36,357 14 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,950 – $34,974 · median $18,577 14 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $10,666 – $30,983 · median $16,576 14 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $28,666 – $86,928 · median $44,620 14 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $17,049 – $50,821 · median $26,520 14 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $11,650 – $34,043 · median $18,110 14 plans
637 DIABETES WITH MCC $11,479 – $33,511 · median $17,843 14 plans
638 DIABETES WITH CC $7,423 – $20,904 · median $11,524 14 plans
639 DIABETES WITHOUT CC/MCC $5,359 – $14,489 · median $8,308 14 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $10,721 – $31,153 · median $16,661 14 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,537 – $18,152 · median $10,144 14 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $11,370 – $33,170 · median $17,673 14 plans
643 ENDOCRINE DISORDERS WITH MCC $13,051 – $38,395 · median $20,292 14 plans
644 ENDOCRINE DISORDERS WITH CC $8,389 – $23,908 · median $13,030 14 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,463 – $17,921 · median $10,028 14 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $35,981 – $109,660 · median $56,015 14 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $28,509 – $86,438 · median $44,374 14 plans
652 KIDNEY TRANSPLANT $24,934 – $75,328 · median $38,805 14 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $39,696 – $121,206 · median $61,802 14 plans
654 MAJOR BLADDER PROCEDURES WITH CC $21,706 – $65,294 · median $33,775 14 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $16,582 – $49,370 · median $25,793 14 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $24,591 – $74,262 · median $38,271 14 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $14,431 – $42,685 · median $22,442 14 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $12,343 – $36,196 · median $19,189 14 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $19,766 – $59,266 · median $30,754 14 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,616 – $30,829 · median $16,499 14 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $8,468 – $24,151 · median $13,151 14 plans
662 MINOR BLADDER PROCEDURES WITH MCC $23,673 – $71,409 · median $36,841 14 plans
663 MINOR BLADDER PROCEDURES WITH CC $12,106 – $35,459 · median $18,820 14 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,554 – $24,419 · median $13,286 14 plans
665 PROSTATECTOMY WITH MCC $24,121 – $72,802 · median $37,539 14 plans
666 PROSTATECTOMY WITH CC $13,825 – $40,802 · median $21,498 14 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,999 – $25,802 · median $13,979 14 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $22,611 – $68,109 · median $35,186 14 plans
669 TRANSURETHRAL PROCEDURES WITH CC $12,345 – $36,200 · median $19,192 14 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $8,031 – $22,796 · median $12,472 14 plans
671 URETHRAL PROCEDURES WITH CC/MCC $14,168 – $41,868 · median $22,033 14 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,799 – $25,179 · median $13,667 14 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $32,230 – $98,002 · median $50,171 14 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $18,248 – $54,548 · median $28,389 14 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $13,016 – $38,286 · median $20,237 14 plans
682 RENAL FAILURE WITH MCC $11,812 – $34,544 · median $18,361 14 plans
683 RENAL FAILURE WITH CC $7,270 – $20,428 · median $11,285 14 plans
684 RENAL FAILURE WITHOUT CC/MCC $5,202 – $14,002 · median $8,064 14 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $14,234 – $42,071 · median $22,134 14 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,561 – $24,440 · median $13,296 14 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,628 – $18,434 · median $10,286 14 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $9,405 – $27,064 · median $14,612 14 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,772 – $18,882 · median $10,510 14 plans
693 URINARY STONES WITH MCC $10,787 – $31,360 · median $16,765 14 plans
694 URINARY STONES WITHOUT MCC $6,564 – $18,233 · median $10,185 14 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $9,281 – $26,679 · median $14,419 14 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,868 – $16,071 · median $9,101 14 plans
697 URETHRAL STRICTURE $8,786 – $25,140 · median $13,647 14 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $13,113 – $38,589 · median $20,389 14 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,314 – $23,675 · median $12,913 14 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,875 – $16,092 · median $9,112 14 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $15,709 – $46,657 · median $24,433 14 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $12,211 – $35,785 · median $18,983 14 plans
709 PENIS PROCEDURES WITH CC/MCC $18,162 – $54,280 · median $28,254 14 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $11,213 – $32,683 · median $17,428 14 plans
711 TESTES PROCEDURES WITH CC/MCC $16,336 – $48,605 · median $25,409 14 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,950 – $25,651 · median $13,903 14 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $11,980 – $35,067 · median $18,623 14 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,633 – $24,664 · median $13,409 14 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $17,488 – $52,185 · median $27,204 14 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $11,737 – $34,311 · median $18,244 14 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $14,885 – $44,096 · median $23,149 14 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $10,777 – $31,328 · median $16,749 14 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $14,279 – $42,211 · median $22,205 14 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,273 – $26,653 · median $14,406 14 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,618 – $15,294 · median $8,712 14 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,479 – $27,295 · median $14,727 14 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $6,115 – $16,841 · median $9,487 14 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,826 – $34,589 · median $18,384 14 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,785 – $18,921 · median $10,530 14 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,642 – $24,694 · median $13,424 14 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,740 – $15,674 · median $8,902 14 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $16,682 – $49,682 · median $25,950 14 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $10,795 – $31,384 · median $16,777 14 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $27,523 – $83,375 · median $42,839 14 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $16,162 – $48,064 · median $25,138 14 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,718 – $34,253 · median $18,215 14 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $27,586 – $83,569 · median $42,936 14 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $14,278 – $42,209 · median $22,203 14 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,400 – $33,264 · median $17,720 14 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $14,467 – $42,797 · median $22,498 14 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $10,008 – $28,939 · median $15,552 14 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $16,075 – $47,795 · median $25,004 14 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $9,234 – $26,532 · median $14,345 14 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $13,734 – $40,518 · median $21,356 14 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $7,149 – $20,053 · median $11,097 14 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $11,109 – $32,359 · median $17,266 14 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $19,967 – $59,889 · median $31,066 14 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,773 – $34,423 · median $18,301 14 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $14,519 – $42,958 · median $22,579 14 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,861 – $25,373 · median $13,764 14 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,905 – $22,404 · median $12,276 14 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,443 – $33,399 · median $17,787 14 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,044 – $22,835 · median $12,492 14 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,677 – $15,478 · median $8,804 14 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $8,258 – $23,500 · median $12,825 14 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,978 – $13,307 · median $7,702 14 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $6,865 – $23,740 · median $12,217 14 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $13,379 – $39,415 · median $20,803 14 plans
770 Abortion with d&c, aspiration curettage or hysterotomy $8,222 – $23,388 · median $12,769 14 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,610 – $15,271 · median $8,700 14 plans
779 ABORTION WITHOUT D&C $7,011 – $19,623 · median $10,882 14 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $13,720 – $54,390 · median $26,776 14 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,653 – $23,485 · median $13,440 14 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,865 – $21,219 · median $12,244 14 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $13,076 – $36,543 · median $18,298 14 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $9,078 – $24,742 · median $13,720 14 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,865 – $21,241 · median $12,256 14 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $14,222 – $42,036 · median $21,086 14 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $20,607 – $138,632 · median $69,539 14 plans
791 PREMATURITY WITH MAJOR PROBLEMS $20,607 – $94,676 · median $47,490 14 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $10,304 – $57,128 · median $28,656 14 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $10,304 – $97,256 · median $48,784 14 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $5,152 – $34,425 · median $17,268 14 plans
795 NORMAL NEWBORN $2,000 – $5,636 · median $3,043 14 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $6,865 – $25,854 · median $13,221 14 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $6,865 – $22,163 · median $11,468 14 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,865 – $21,204 · median $11,012 14 plans
799 SPLENIC PROCEDURES WITH MCC $34,686 – $105,637 · median $53,998 14 plans
800 SPLENIC PROCEDURES WITH CC $21,781 – $65,529 · median $33,893 14 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $15,023 – $44,525 · median $23,364 14 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $30,597 – $92,929 · median $47,628 14 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $14,648 – $43,359 · median $22,780 14 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $10,874 – $31,629 · median $16,900 14 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $8,796 – $23,909 · median $12,627 14 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $6,356 – $16,704 · median $9,861 14 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,757 – $14,936 · median $8,928 14 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $17,267 – $51,499 · median $26,860 14 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $10,197 – $29,527 · median $15,846 14 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $8,552 – $24,412 · median $13,282 14 plans
811 RED BLOOD CELL DISORDERS WITH MCC $11,236 – $32,755 · median $17,465 14 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,588 – $21,417 · median $11,781 14 plans
813 COAGULATION DISORDERS $12,144 – $35,578 · median $18,879 14 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $16,658 – $49,605 · median $25,911 14 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $8,307 – $23,652 · median $12,901 14 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,440 – $14,741 · median $8,435 14 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $17,820 – $53,218 · median $27,722 14 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,397 – $27,038 · median $14,599 14 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $7,150 – $20,057 · median $11,099 14 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $44,712 – $136,796 · median $69,617 14 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $17,498 – $52,215 · median $27,219 14 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,733 – $28,083 · median $15,123 14 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $35,106 – $106,940 · median $54,652 14 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $17,700 – $52,845 · median $27,535 14 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $10,824 – $31,475 · median $16,823 14 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $35,804 – $109,110 · median $55,739 14 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $18,042 – $53,909 · median $28,068 14 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $13,484 – $39,741 · median $20,966 14 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $24,413 – $73,707 · median $37,993 14 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $11,992 – $35,104 · median $18,642 14 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $9,722 – $28,048 · median $15,105 14 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,112 – $16,831 · median $9,482 14 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,621 – $12,197 · median $7,059 14 plans
834 ACUTE LEUKEMIA WITH MCC $41,898 – $128,052 · median $65,234 14 plans
835 ACUTE LEUKEMIA WITH CC $16,351 – $48,651 · median $25,433 14 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $9,849 – $28,445 · median $15,304 14 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $36,753 – $112,060 · median $57,218 14 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $16,363 – $48,689 · median $25,452 14 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $11,533 – $33,679 · median $17,928 14 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $24,975 – $75,454 · median $38,868 14 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $12,940 – $38,052 · median $20,120 14 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $8,280 – $23,568 · median $12,859 14 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $15,668 – $46,529 · median $24,369 14 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $9,833 – $28,396 · median $15,279 14 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $7,088 – $19,864 · median $11,002 14 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $20,154 – $60,470 · median $31,357 14 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,515 – $30,514 · median $16,341 14 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,072 – $19,812 · median $10,977 14 plans
849 RADIOTHERAPY $21,032 – $63,199 · median $32,725 14 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $65,686 – $201,983 · median $102,294 14 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $37,761 – $115,193 · median $58,788 14 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $15,693 – $46,606 · median $24,407 14 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,933 – $34,922 · median $18,551 14 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $34,835 – $106,098 · median $54,229 14 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $16,769 – $49,950 · median $26,084 14 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $11,151 – $32,489 · median $17,331 14 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $14,384 – $42,538 · median $22,368 14 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $8,186 – $23,276 · median $12,713 14 plans
864 FEVER AND INFLAMMATORY CONDITIONS $7,359 – $20,706 · median $11,424 14 plans
865 VIRAL ILLNESS WITH MCC $11,942 – $34,948 · median $18,564 14 plans
866 VIRAL ILLNESS WITHOUT MCC $7,223 – $20,283 · median $11,213 14 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $16,406 – $48,824 · median $25,519 14 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,435 – $24,050 · median $13,101 14 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,173 – $17,020 · median $9,577 14 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $52,570 – $161,218 · median $81,859 14 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $15,275 – $45,309 · median $23,757 14 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $8,377 – $23,868 · median $13,010 14 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $29,703 – $90,149 · median $46,234 14 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,903 – $22,397 · median $12,272 14 plans
881 DEPRESSIVE NEUROSES $7,758 – $21,946 · median $12,046 14 plans
882 NEUROSES EXCEPT DEPRESSIVE $8,756 – $25,046 · median $13,600 14 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $15,454 – $45,864 · median $24,036 14 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $12,772 – $37,528 · median $19,857 14 plans
885 PSYCHOSES $11,180 – $32,580 · median $17,377 14 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $16,272 – $48,406 · median $25,310 14 plans
887 OTHER MENTAL DISORDER DIAGNOSES $8,734 – $24,979 · median $13,566 14 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,327 – $14,389 · median $8,258 14 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $11,321 – $33,019 · median $17,597 14 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $13,794 – $40,704 · median $21,449 14 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $7,322 – $20,591 · median $11,367 14 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $32,192 – $97,886 · median $50,113 14 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $15,065 – $44,656 · median $23,430 14 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,475 – $27,281 · median $14,720 14 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $28,263 – $85,675 · median $43,992 14 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $11,830 – $34,600 · median $18,389 14 plans
906 HAND PROCEDURES FOR INJURIES $15,439 – $45,817 · median $24,012 14 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $29,511 – $89,552 · median $45,935 14 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $15,671 – $46,538 · median $24,374 14 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $10,549 – $30,619 · median $16,394 14 plans
913 TRAUMATIC INJURY WITH MCC $12,965 – $38,127 · median $20,157 14 plans
914 TRAUMATIC INJURY WITHOUT MCC $7,343 – $20,654 · median $11,399 14 plans
915 ALLERGIC REACTIONS WITH MCC $13,317 – $39,223 · median $20,707 14 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,697 – $15,541 · median $8,836 14 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $12,468 – $36,583 · median $19,383 14 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $7,129 – $19,992 · median $11,067 14 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $14,437 – $42,703 · median $22,451 14 plans
920 COMPLICATIONS OF TREATMENT WITH CC $8,219 – $23,379 · median $12,764 14 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,863 – $16,057 · median $9,094 14 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $13,826 – $40,805 · median $21,500 14 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $8,335 – $23,738 · median $12,944 14 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $160,932 – $498,000 · median $250,679 14 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $54,528 – $167,303 · median $84,910 14 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $24,869 – $75,125 · median $38,703 14 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $29,923 – $90,832 · median $46,577 14 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $17,287 – $51,562 · median $26,892 14 plans
935 NON-EXTENSIVE BURNS $16,157 – $48,050 · median $25,131 14 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $27,929 – $84,635 · median $43,470 14 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $18,235 – $54,508 · median $28,369 14 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $15,915 – $47,296 · median $24,754 14 plans
945 REHABILITATION WITH CC/MCC $12,319 – $36,121 · median $19,152 14 plans
946 REHABILITATION WITHOUT CC/MCC $9,304 – $26,749 · median $14,454 14 plans
947 SIGNS AND SYMPTOMS WITH MCC $10,224 – $29,609 · median $15,887 14 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,705 – $18,672 · median $10,405 14 plans
949 AFTERCARE WITH CC/MCC $9,626 – $27,750 · median $14,955 14 plans
950 AFTERCARE WITHOUT CC/MCC $5,408 – $14,641 · median $8,384 14 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,870 – $12,969 · median $7,506 14 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $51,214 – $157,003 · median $79,746 14 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $28,938 – $87,772 · median $45,043 14 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $57,884 – $177,734 · median $90,138 14 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $32,322 – $98,289 · median $50,315 14 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $22,792 – $68,671 · median $35,468 14 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $21,214 – $63,766 · median $33,009 14 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $12,199 – $35,748 · median $18,965 14 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,755 – $21,937 · median $12,042 14 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $46,637 – $142,779 · median $72,617 14 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $20,490 – $61,517 · median $31,882 14 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $22,356 – $67,316 · median $34,789 14 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,416 – $30,206 · median $16,187 14 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,472 – $21,055 · median $11,600 14 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,436 – $30,269 · median $16,218 14 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $35,909 – $109,436 · median $55,903 14 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $19,148 – $57,345 · median $29,790 14 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,560 – $39,979 · median $21,086 14 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $26,427 – $79,967 · median $41,131 14 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $13,032 – $38,337 · median $20,263 14 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,697 – $27,971 · median $15,067 14 plans
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