IU Health Tipton 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 $346,095 – $576,760 · median $485,934 3 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $139,948 – $233,220 · median $196,493 3 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $262,131 – $436,836 · median $368,045 3 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $171,065 – $285,076 · median $240,183 3 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $127,335 – $212,200 · median $178,784 3 plans
006 LIVER TRANSPLANT WITHOUT MCC $57,267 – $95,434 · median $80,406 3 plans
007 LUNG TRANSPLANT $159,935 – $266,528 · median $224,556 3 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $69,217 – $115,348 · median $97,184 3 plans
010 PANCREAS TRANSPLANT $88,620 – $147,683 · median $124,427 3 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $67,358 – $112,251 · median $94,574 3 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $52,068 – $86,770 · median $73,105 3 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $35,590 – $59,310 · median $49,970 3 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $148,421 – $247,340 · median $208,390 3 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $73,232 – $122,039 · median $102,821 3 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $67,089 – $111,802 · median $94,196 3 plans
018 Chimeric antigen receptor (car) t-cell and other immunotherapies $533,308 – $888,745 · median $748,790 3 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $88,112 – $146,837 · median $123,714 3 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $97,180 – $161,948 · median $136,445 3 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $65,378 – $108,952 · median $91,794 3 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $39,241 – $65,394 · median $55,096 3 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $70,769 – $117,935 · median $99,363 3 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $48,312 – $80,511 · median $67,832 3 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $56,152 – $93,576 · median $78,840 3 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $38,399 – $63,990 · median $53,914 3 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $31,158 – $51,924 · median $43,747 3 plans
028 SPINAL PROCEDURES WITH MCC $74,203 – $123,657 · median $104,184 3 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $42,133 – $70,214 · median $59,157 3 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $27,111 – $45,179 · median $38,065 3 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $55,334 – $92,213 · median $77,692 3 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $26,318 – $43,858 · median $36,952 3 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $20,537 – $34,224 · median $28,835 3 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $47,803 – $79,663 · median $67,118 3 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $29,523 – $49,199 · median $41,451 3 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $23,994 – $39,985 · median $33,688 3 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $40,657 – $67,755 · median $57,085 3 plans
038 EXTRACRANIAL PROCEDURES WITH CC $20,039 – $33,395 · median $28,136 3 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $14,517 – $24,193 · median $20,383 3 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $47,686 – $79,467 · median $66,953 3 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $27,154 – $45,251 · median $38,125 3 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $21,337 – $35,558 · median $29,958 3 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $22,370 – $37,278 · median $31,408 3 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $12,093 – $20,153 · median $16,979 3 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $18,857 – $31,425 · median $26,476 3 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $12,592 – $20,984 · median $17,680 3 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $28,690 – $47,812 · median $40,283 3 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $16,001 – $26,665 · median $22,466 3 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $21,112 – $35,183 · median $29,643 3 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $15,325 – $25,539 · median $21,517 3 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $11,360 – $18,930 · median $15,949 3 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $34,050 – $56,744 · median $47,808 3 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $21,701 – $36,165 · median $30,470 3 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $17,337 – $28,892 · median $24,342 3 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $24,836 – $41,388 · median $34,871 3 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $12,477 – $20,793 · median $17,519 3 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $8,452 – $14,086 · median $11,867 3 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $18,138 – $30,227 · median $25,467 3 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $10,675 – $17,790 · median $14,989 3 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $9,865 – $16,440 · median $13,851 3 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $20,560 – $34,263 · median $28,868 3 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $12,671 – $21,116 · median $17,791 3 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $9,339 – $15,563 · median $13,113 3 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $19,813 – $33,018 · median $27,819 3 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $12,730 – $21,215 · median $17,874 3 plans
075 VIRAL MENINGITIS WITH CC/MCC $23,681 – $39,464 · median $33,249 3 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $10,191 – $16,983 · median $14,309 3 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $22,354 – $37,252 · median $31,385 3 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $11,061 – $18,432 · median $15,530 3 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $28,227 – $47,040 · median $39,632 3 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $17,238 – $28,727 · median $24,203 3 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $11,804 – $19,671 · median $16,574 3 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $28,058 – $46,758 · median $39,395 3 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $16,088 – $26,811 · median $22,589 3 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $11,297 – $18,825 · median $15,861 3 plans
088 CONCUSSION WITH MCC $16,695 – $27,821 · median $23,440 3 plans
089 CONCUSSION WITH CC $13,568 – $22,610 · median $19,050 3 plans
090 CONCUSSION WITHOUT CC/MCC $10,167 – $16,942 · median $14,274 3 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $21,689 – $36,144 · median $30,453 3 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $12,634 – $21,054 · median $17,739 3 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $9,834 – $16,389 · median $13,808 3 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $43,465 – $72,433 · median $61,026 3 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $31,853 – $53,083 · median $44,723 3 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $31,853 – $53,083 · median $44,723 3 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $44,606 – $74,334 · median $62,629 3 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $28,342 – $47,231 · median $39,794 3 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $16,826 – $28,040 · median $23,624 3 plans
100 SEIZURES WITH MCC $23,919 – $39,861 · median $33,584 3 plans
101 SEIZURES WITHOUT MCC $11,147 – $18,576 · median $15,651 3 plans
102 HEADACHES WITH MCC $13,843 – $23,069 · median $19,436 3 plans
103 HEADACHES WITHOUT MCC $10,328 – $17,212 · median $14,501 3 plans
113 ORBITAL PROCEDURES WITH CC/MCC $29,036 – $48,388 · median $40,768 3 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $16,710 – $27,846 · median $23,461 3 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $18,956 – $31,590 · median $26,615 3 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $22,330 – $37,213 · median $31,352 3 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $13,399 – $22,328 · median $18,812 3 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $14,367 – $23,942 · median $20,172 3 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $9,705 – $16,173 · median $13,626 3 plans
123 NEUROLOGICAL EYE DISORDERS $9,863 – $16,436 · median $13,848 3 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $16,340 – $27,231 · median $22,943 3 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $9,482 – $15,802 · median $13,314 3 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $26,800 – $44,661 · median $37,628 3 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $12,539 – $20,896 · median $17,605 3 plans
137 MOUTH PROCEDURES WITH CC/MCC $18,441 – $30,732 · median $25,892 3 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $10,945 – $18,239 · median $15,367 3 plans
139 SALIVARY GLAND PROCEDURES $15,261 – $25,432 · median $21,427 3 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $52,676 – $87,784 · median $73,960 3 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $26,937 – $44,889 · median $37,820 3 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $19,716 – $32,856 · median $27,682 3 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $46,271 – $77,109 · median $64,966 3 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $21,401 – $35,665 · median $30,048 3 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $14,848 – $24,745 · median $20,848 3 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $26,150 – $43,578 · median $36,716 3 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $15,703 – $26,169 · median $22,048 3 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $9,844 – $16,405 · median $13,822 3 plans
149 DYSEQUILIBRIUM $9,282 – $15,469 · median $13,033 3 plans
150 EPISTAXIS WITH MCC $16,444 – $27,404 · median $23,088 3 plans
151 EPISTAXIS WITHOUT MCC $9,065 – $15,106 · median $12,728 3 plans
152 OTITIS MEDIA AND URI WITH MCC $14,600 – $24,331 · median $20,499 3 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $9,117 – $15,193 · median $12,800 3 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $19,309 – $32,178 · median $27,111 3 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $11,319 – $18,862 · median $15,892 3 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $8,535 – $14,224 · median $11,984 3 plans
157 DENTAL AND ORAL DISEASES WITH MCC $21,202 – $35,333 · median $29,769 3 plans
158 DENTAL AND ORAL DISEASES WITH CC $11,236 – $18,725 · median $15,776 3 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $8,750 – $14,582 · median $12,285 3 plans
163 MAJOR CHEST PROCEDURES WITH MCC $55,350 – $92,240 · median $77,714 3 plans
164 MAJOR CHEST PROCEDURES WITH CC $31,171 – $51,946 · median $43,766 3 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $23,640 – $39,396 · median $33,192 3 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $46,161 – $76,926 · median $64,812 3 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $22,272 – $37,116 · median $31,271 3 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $16,875 – $28,122 · median $23,693 3 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $36,759 – $61,257 · median $51,611 3 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $16,964 – $28,270 · median $23,818 3 plans
176 PULMONARY EMBOLISM WITHOUT MCC $9,942 – $16,568 · median $13,959 3 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $19,299 – $32,162 · median $27,097 3 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $12,054 – $20,087 · median $16,924 3 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $9,324 – $15,539 · median $13,092 3 plans
180 RESPIRATORY NEOPLASMS WITH MCC $21,810 – $36,346 · median $30,622 3 plans
181 RESPIRATORY NEOPLASMS WITH CC $13,227 – $22,042 · median $18,571 3 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $9,309 – $15,514 · median $13,071 3 plans
183 MAJOR CHEST TRAUMA WITH MCC $18,894 – $31,487 · median $26,528 3 plans
184 MAJOR CHEST TRAUMA WITH CC $13,142 – $21,900 · median $18,452 3 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $9,713 – $16,187 · median $13,638 3 plans
186 PLEURAL EFFUSION WITH MCC $19,247 – $32,075 · median $27,024 3 plans
187 PLEURAL EFFUSION WITH CC $12,215 – $20,357 · median $17,151 3 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $8,857 – $14,761 · median $12,436 3 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $15,257 – $25,426 · median $21,422 3 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $13,680 – $22,798 · median $19,208 3 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $10,411 – $17,350 · median $14,618 3 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $7,929 – $13,213 · median $11,132 3 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $16,233 – $27,052 · median $22,792 3 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $9,953 – $16,586 · median $13,974 3 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $7,762 – $12,935 · median $10,898 3 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $23,307 – $38,840 · median $32,724 3 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $11,721 – $19,533 · median $16,457 3 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $8,845 – $14,740 · median $12,419 3 plans
199 PNEUMOTHORAX WITH MCC $21,787 – $36,307 · median $30,590 3 plans
200 PNEUMOTHORAX WITH CC $13,576 – $22,625 · median $19,062 3 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $8,831 – $14,717 · median $12,400 3 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $11,994 – $19,988 · median $16,841 3 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $8,275 – $13,789 · median $11,618 3 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $9,971 – $16,617 · median $14,000 3 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $22,613 – $37,684 · median $31,750 3 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $11,623 – $19,369 · median $16,319 3 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $79,469 – $132,433 · median $111,578 3 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $33,946 – $56,571 · median $47,662 3 plans
209 COMPLEX AORTIC ARCH PROCEDURES $139,787 – $232,952 · median $196,268 3 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $134,295 – $223,800 · median $188,557 3 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $70,480 – $117,454 · median $98,958 3 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $122,969 – $204,925 · median $172,654 3 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $120,818 – $201,340 · median $169,634 3 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $81,205 – $135,326 · median $114,016 3 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $81,205 – $135,326 · median $114,016 3 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $94,827 – $158,027 · median $133,142 3 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $65,860 – $109,754 · median $92,471 3 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $62,246 – $103,732 · median $87,397 3 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $61,100 – $101,822 · median $85,788 3 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $38,896 – $64,820 · median $54,612 3 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $104,109 – $173,496 · median $146,174 3 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $74,873 – $124,774 · median $105,125 3 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $94,418 – $157,346 · median $132,568 3 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $67,464 – $112,428 · median $94,723 3 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $72,477 – $120,782 · median $101,762 3 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $51,732 – $86,210 · median $72,634 3 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $60,783 – $101,294 · median $85,342 3 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $35,204 – $58,666 · median $49,428 3 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $17,097 – $28,492 · median $24,006 3 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $39,431 – $65,711 · median $55,363 3 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $26,317 – $43,856 · median $36,950 3 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $22,323 – $37,200 · median $31,342 3 plans
245 AICD GENERATOR PROCEDURES $56,346 – $93,899 · median $79,112 3 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $26,954 – $44,918 · median $37,845 3 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $18,457 – $30,758 · median $25,915 3 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $43,081 – $71,793 · median $60,487 3 plans
253 OTHER VASCULAR PROCEDURES WITH CC $32,056 – $53,420 · median $45,008 3 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $22,004 – $36,669 · median $30,895 3 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $33,313 – $55,515 · median $46,773 3 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $20,969 – $34,944 · median $29,442 3 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $13,489 – $22,479 · median $18,939 3 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $38,805 – $64,668 · median $54,484 3 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $24,973 – $41,617 · median $35,063 3 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $40,172 – $66,946 · median $56,404 3 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $23,348 – $38,908 · median $32,781 3 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $20,129 – $33,545 · median $28,262 3 plans
263 VEIN LIGATION AND STRIPPING $37,759 – $62,924 · median $53,015 3 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $41,256 – $68,753 · median $57,926 3 plans
265 AICD LEAD PROCEDURES $44,685 – $74,466 · median $62,740 3 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $75,686 – $126,129 · median $106,266 3 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $58,796 – $97,982 · median $82,552 3 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $84,942 – $141,554 · median $119,263 3 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $52,157 – $86,918 · median $73,230 3 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $65,162 – $108,592 · median $91,491 3 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $43,920 – $73,192 · median $61,666 3 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $31,530 – $52,543 · median $44,269 3 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $50,950 – $84,907 · median $71,536 3 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $40,653 – $67,746 · median $57,078 3 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $88,060 – $146,751 · median $123,641 3 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $74,182 – $123,622 · median $104,154 3 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $57,038 – $95,053 · median $80,085 3 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $68,743 – $114,558 · median $96,518 3 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $44,539 – $74,223 · median $62,535 3 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $19,811 – $33,014 · median $27,815 3 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $11,351 – $18,916 · median $15,937 3 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $8,930 – $14,882 · median $12,539 3 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $24,463 – $40,767 · median $34,347 3 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $8,549 – $14,246 · median $12,003 3 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $7,396 – $12,326 · median $10,385 3 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $27,328 – $45,542 · median $38,370 3 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $13,216 – $22,024 · median $18,556 3 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $33,422 – $55,696 · median $46,926 3 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $21,080 – $35,130 · median $29,598 3 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $11,482 – $19,134 · median $16,121 3 plans
291 HEART FAILURE AND SHOCK WITH MCC $15,855 – $26,422 · median $22,261 3 plans
292 HEART FAILURE AND SHOCK WITH CC $10,485 – $17,473 · median $14,722 3 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $6,990 – $11,649 · median $9,814 3 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $19,289 – $32,145 · median $27,083 3 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $7,830 – $13,048 · median $10,994 3 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $5,620 – $9,366 · median $7,891 3 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $20,164 – $33,603 · median $28,311 3 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $13,184 – $21,970 · median $18,510 3 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $8,888 – $14,812 · median $12,480 3 plans
302 ATHEROSCLEROSIS WITH MCC $14,778 – $24,627 · median $20,749 3 plans
303 ATHEROSCLEROSIS WITHOUT MCC $8,314 – $13,855 · median $11,673 3 plans
304 HYPERTENSION WITH MCC $14,697 – $24,491 · median $20,635 3 plans
305 HYPERTENSION WITHOUT MCC $9,325 – $15,541 · median $13,093 3 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $19,461 – $32,432 · median $27,324 3 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $11,278 – $18,795 · median $15,835 3 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $14,869 – $24,780 · median $20,877 3 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $9,086 – $15,141 · median $12,757 3 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $6,991 – $11,651 · median $9,816 3 plans
311 ANGINA PECTORIS $8,668 – $14,446 · median $12,171 3 plans
312 SYNCOPE AND COLLAPSE $10,764 – $17,938 · median $15,114 3 plans
313 CHEST PAIN $8,892 – $14,818 · median $12,485 3 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $25,752 – $42,916 · median $36,157 3 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $11,897 – $19,826 · median $16,704 3 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $8,424 – $14,038 · median $11,828 3 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $82,578 – $137,615 · median $115,944 3 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $29,914 – $49,851 · median $42,001 3 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $55,117 – $91,851 · median $77,387 3 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $29,705 – $49,503 · median $41,708 3 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $33,602 – $55,997 · median $47,179 3 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $21,773 – $36,284 · median $30,570 3 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $53,443 – $89,062 · median $75,037 3 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $38,915 – $64,851 · median $54,638 3 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $39,648 – $66,073 · median $55,668 3 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $61,594 – $102,646 · median $86,482 3 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $30,186 – $50,304 · median $42,382 3 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $19,788 – $32,977 · median $27,784 3 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $56,767 – $94,601 · median $79,703 3 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $29,605 – $49,337 · median $41,567 3 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $20,784 – $34,636 · median $29,181 3 plans
332 RECTAL RESECTION WITH MCC $44,716 – $74,518 · median $62,783 3 plans
333 RECTAL RESECTION WITH CC $28,926 – $48,205 · median $40,614 3 plans
334 RECTAL RESECTION WITHOUT CC/MCC $20,228 – $33,710 · median $28,401 3 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $44,101 – $73,493 · median $61,919 3 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $26,042 – $43,399 · median $36,565 3 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $18,957 – $31,592 · median $26,617 3 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $31,898 – $53,157 · median $44,786 3 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $18,583 – $30,968 · median $26,092 3 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $14,650 – $24,413 · median $20,569 3 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $28,351 – $47,246 · median $39,806 3 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $16,164 – $26,936 · median $22,695 3 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $10,752 – $17,918 · median $15,096 3 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $30,775 – $51,286 · median $43,210 3 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $18,828 – $31,376 · median $26,435 3 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $14,422 – $24,034 · median $20,250 3 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $35,840 – $59,726 · median $50,321 3 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $20,778 – $34,625 · median $29,173 3 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $16,611 – $27,681 · median $23,322 3 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $54,251 – $90,408 · median $76,171 3 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $28,720 – $47,861 · median $40,324 3 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $17,264 – $28,770 · median $24,240 3 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $42,467 – $70,770 · median $59,625 3 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $29,817 – $49,689 · median $41,864 3 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $19,660 – $32,763 · median $27,604 3 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $12,352 – $20,585 · median $17,343 3 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $8,655 – $14,423 · median $12,152 3 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $21,898 – $36,492 · median $30,746 3 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $12,609 – $21,013 · median $17,704 3 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $8,983 – $14,971 · median $12,613 3 plans
374 DIGESTIVE MALIGNANCY WITH MCC $26,413 – $44,017 · median $37,085 3 plans
375 DIGESTIVE MALIGNANCY WITH CC $14,939 – $24,895 · median $20,974 3 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $11,415 – $19,023 · median $16,027 3 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $22,576 – $37,622 · median $31,698 3 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $12,112 – $20,184 · median $17,005 3 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $7,785 – $12,974 · median $10,931 3 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $24,233 – $40,384 · median $34,025 3 plans
381 COMPLICATED PEPTIC ULCER WITH CC $13,381 – $22,300 · median $18,788 3 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $9,887 – $16,477 · median $13,882 3 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $17,052 – $28,416 · median $23,941 3 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $10,557 – $17,593 · median $14,822 3 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $19,541 – $32,565 · median $27,437 3 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $12,057 – $20,093 · median $16,929 3 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $8,414 – $14,022 · median $11,814 3 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $18,238 – $30,394 · median $25,608 3 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $9,754 – $16,255 · median $13,695 3 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $6,718 – $11,196 · median $9,433 3 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $15,664 – $26,103 · median $21,992 3 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $9,628 – $16,045 · median $13,518 3 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $19,751 – $32,915 · median $27,732 3 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $11,556 – $19,258 · median $16,225 3 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,015 – $13,357 · median $11,254 3 plans
397 APPENDIX PROCEDURES WITH MCC $29,577 – $49,289 · median $41,528 3 plans
398 APPENDIX PROCEDURES WITH CC $18,693 – $31,151 · median $26,246 3 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $14,137 – $23,559 · median $19,849 3 plans
402 Single level combined anterior and posterior spinal fusion except cervical $49,653 – $82,746 · median $69,715 3 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $67,561 – $112,588 · median $94,858 3 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $35,817 – $59,689 · median $50,289 3 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $27,412 – $45,682 · median $38,488 3 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $44,035 – $73,384 · median $61,828 3 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $26,890 – $44,811 · median $37,754 3 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $19,608 – $32,676 · median $27,531 3 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $40,796 – $67,985 · median $57,279 3 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $25,966 – $43,272 · median $36,457 3 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $20,507 – $34,175 · median $28,793 3 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $43,998 – $73,322 · median $61,775 3 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $25,524 – $42,535 · median $35,837 3 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $16,837 – $28,058 · median $23,640 3 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $29,472 – $49,115 · median $41,380 3 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $20,891 – $34,815 · median $29,332 3 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $16,868 – $28,110 · median $23,683 3 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $42,078 – $70,122 · median $59,079 3 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $21,458 – $35,759 · median $30,128 3 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $17,284 – $28,803 · median $24,267 3 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $51,290 – $85,473 · median $72,013 3 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $27,021 – $45,029 · median $37,938 3 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $18,529 – $30,878 · median $26,015 3 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $136,112 – $226,827 · median $191,108 3 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $89,150 – $148,566 · median $125,171 3 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $69,432 – $115,706 · median $97,485 3 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $111,269 – $185,427 · median $156,226 3 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $71,224 – $118,693 · median $100,002 3 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $24,307 – $40,508 · median $34,129 3 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $13,044 – $21,738 · median $18,315 3 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $8,799 – $14,664 · median $12,355 3 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $22,683 – $37,801 · median $31,848 3 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $13,969 – $23,279 · median $19,613 3 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $10,538 – $17,562 · median $14,796 3 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $20,133 – $33,551 · median $28,268 3 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $10,389 – $17,313 · median $14,586 3 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $7,674 – $12,789 · median $10,775 3 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $22,165 – $36,937 · median $31,120 3 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $11,921 – $19,867 · median $16,738 3 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $8,641 – $14,401 · median $12,133 3 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $20,636 – $34,389 · median $28,973 3 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $13,516 – $22,524 · median $18,977 3 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $10,217 – $17,027 · median $14,345 3 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $82,518 – $137,514 · median $115,859 3 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $52,374 – $87,280 · median $73,535 3 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $65,821 – $109,689 · median $92,415 3 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $39,895 – $66,485 · median $56,015 3 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $103,782 – $172,950 · median $145,715 3 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $73,644 – $122,727 · median $103,400 3 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $51,532 – $85,876 · median $72,353 3 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $68,209 – $113,669 · median $95,769 3 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $32,851 – $54,745 · median $46,124 3 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $70,389 – $117,301 · median $98,829 3 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $38,467 – $64,104 · median $54,009 3 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $22,523 – $37,534 · median $31,623 3 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $64,287 – $107,132 · median $90,262 3 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $43,554 – $72,581 · median $61,151 3 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $33,938 – $56,557 · median $47,650 3 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $37,460 – $62,426 · median $52,596 3 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $23,822 – $39,699 · median $33,447 3 plans
471 CERVICAL SPINAL FUSION WITH MCC $59,634 – $99,379 · median $83,730 3 plans
472 CERVICAL SPINAL FUSION WITH CC $36,384 – $60,634 · median $51,085 3 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $30,150 – $50,244 · median $42,332 3 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $53,017 – $88,352 · median $74,439 3 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $28,105 – $46,836 · median $39,461 3 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $14,575 – $24,290 · median $20,465 3 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $42,664 – $71,099 · median $59,903 3 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $30,371 – $50,613 · median $42,643 3 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $22,957 – $38,258 · median $32,233 3 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $35,967 – $59,938 · median $50,499 3 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $25,867 – $43,107 · median $36,319 3 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $20,143 – $33,568 · median $28,282 3 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $34,233 – $57,048 · median $48,065 3 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $39,855 – $66,417 · median $55,958 3 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $25,825 – $43,037 · median $36,260 3 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $19,343 – $32,234 · median $27,158 3 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $21,846 – $36,406 · median $30,673 3 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $13,792 – $22,985 · median $19,365 3 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $45,344 – $75,565 · median $63,666 3 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $31,321 – $52,195 · median $43,976 3 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $24,780 – $41,296 · median $34,793 3 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $44,777 – $74,621 · median $62,870 3 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $22,278 – $37,126 · median $31,280 3 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $14,923 – $24,868 · median $20,952 3 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $37,257 – $62,089 · median $52,311 3 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $24,883 – $41,467 · median $34,937 3 plans
500 SOFT TISSUE PROCEDURES WITH MCC $39,085 – $65,135 · median $54,878 3 plans
501 SOFT TISSUE PROCEDURES WITH CC $21,589 – $35,978 · median $30,312 3 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $16,622 – $27,700 · median $23,338 3 plans
503 FOOT PROCEDURES WITH MCC $34,470 – $57,444 · median $48,398 3 plans
504 FOOT PROCEDURES WITH CC $23,085 – $38,470 · median $32,412 3 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $22,141 – $36,898 · median $31,087 3 plans
506 MAJOR THUMB OR JOINT PROCEDURES $16,663 – $27,768 · median $23,395 3 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $22,309 – $37,178 · median $31,323 3 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $18,703 – $31,168 · median $26,260 3 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $37,303 – $62,165 · median $52,375 3 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $25,681 – $42,796 · median $36,057 3 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $20,444 – $34,070 · median $28,705 3 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $19,443 – $32,401 · median $27,298 3 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $12,625 – $21,040 · median $17,727 3 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $39,358 – $65,590 · median $55,261 3 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $25,665 – $42,769 · median $36,034 3 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $18,978 – $31,627 · median $26,646 3 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $46,156 – $76,917 · median $64,805 3 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $24,702 – $41,166 · median $34,683 3 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $18,450 – $30,746 · median $25,904 3 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $35,447 – $59,072 · median $49,769 3 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $26,154 – $43,584 · median $36,721 3 plans
533 FRACTURES OF FEMUR WITH MCC $19,361 – $32,265 · median $27,184 3 plans
534 FRACTURES OF FEMUR WITHOUT MCC $9,955 – $16,590 · median $13,978 3 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $15,833 – $26,385 · median $22,230 3 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $9,974 – $16,621 · median $14,004 3 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $11,786 – $19,640 · median $16,548 3 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $8,896 – $14,824 · median $12,490 3 plans
539 OSTEOMYELITIS WITH MCC $24,326 – $40,538 · median $34,155 3 plans
540 OSTEOMYELITIS WITH CC $16,009 – $26,679 · median $22,478 3 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $9,724 – $16,205 · median $13,654 3 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $21,816 – $36,356 · median $30,631 3 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $12,696 – $21,157 · median $17,826 3 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $9,319 – $15,530 · median $13,085 3 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $30,649 – $51,076 · median $43,033 3 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $14,244 – $23,738 · median $20,000 3 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,327 – $17,210 · median $14,500 3 plans
548 SEPTIC ARTHRITIS WITH MCC $23,847 – $39,740 · median $33,482 3 plans
549 SEPTIC ARTHRITIS WITH CC $14,909 – $24,845 · median $20,933 3 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $10,795 – $17,990 · median $15,157 3 plans
551 MEDICAL BACK PROBLEMS WITH MCC $20,700 – $34,496 · median $29,064 3 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $11,872 – $19,785 · median $16,669 3 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $16,009 – $26,679 · median $22,478 3 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $10,252 – $17,084 · median $14,394 3 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $16,324 – $27,204 · median $22,920 3 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $10,258 – $17,095 · median $14,403 3 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $18,363 – $30,602 · median $25,783 3 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $11,031 – $18,383 · median $15,488 3 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,032 – $38,382 · median $32,337 3 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $13,907 – $23,176 · median $19,527 3 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $9,928 – $16,545 · median $13,940 3 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $17,596 – $29,324 · median $24,706 3 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $11,059 – $18,430 · median $15,528 3 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $19,063 – $31,769 · median $26,766 3 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $12,034 – $20,054 · median $16,896 3 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $9,254 – $15,421 · median $12,993 3 plans
570 SKIN DEBRIDEMENT WITH MCC $36,323 – $60,531 · median $50,999 3 plans
571 SKIN DEBRIDEMENT WITH CC $20,865 – $34,772 · median $29,296 3 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $14,157 – $23,592 · median $19,877 3 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $80,910 – $134,834 · median $113,601 3 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $42,872 – $71,445 · median $60,194 3 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $22,193 – $36,984 · median $31,160 3 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $60,530 – $100,872 · median $84,987 3 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $32,736 – $54,554 · median $45,963 3 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $19,839 – $33,061 · median $27,855 3 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $39,995 – $66,652 · median $56,156 3 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $21,341 – $35,564 · median $29,964 3 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $17,822 – $29,700 · median $25,023 3 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $23,794 – $39,651 · median $33,407 3 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $21,296 – $35,490 · median $29,901 3 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $26,438 – $44,058 · median $37,120 3 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $23,824 – $39,703 · median $33,451 3 plans
592 SKIN ULCERS WITH MCC $23,901 – $39,830 · median $33,558 3 plans
593 SKIN ULCERS WITH CC $14,651 – $24,415 · median $20,570 3 plans
594 SKIN ULCERS WITHOUT CC/MCC $10,705 – $17,840 · median $15,030 3 plans
595 MAJOR SKIN DISORDERS WITH MCC $26,191 – $43,646 · median $36,773 3 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $13,369 – $22,279 · median $18,771 3 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $20,589 – $34,311 · median $28,908 3 plans
598 MALIGNANT BREAST DISORDERS WITH CC $13,972 – $23,283 · median $19,617 3 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $9,502 – $15,835 · median $13,341 3 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $12,864 – $21,437 · median $18,061 3 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,472 – $12,452 · median $10,491 3 plans
602 CELLULITIS WITH MCC $17,553 – $29,252 · median $24,645 3 plans
603 CELLULITIS WITHOUT MCC $10,756 – $17,924 · median $15,101 3 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $18,180 – $30,297 · median $25,526 3 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $11,313 – $18,852 · median $15,883 3 plans
606 MINOR SKIN DISORDERS WITH MCC $18,688 – $31,143 · median $26,239 3 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $11,194 – $18,655 · median $15,717 3 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $27,069 – $45,109 · median $38,006 3 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $17,281 – $28,799 · median $24,264 3 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $43,069 – $71,774 · median $60,472 3 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $23,098 – $38,493 · median $32,431 3 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $17,516 – $29,190 · median $24,593 3 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $35,659 – $59,426 · median $50,068 3 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $19,764 – $32,936 · median $27,749 3 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $18,629 – $31,044 · median $26,156 3 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $43,956 – $73,252 · median $61,717 3 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $22,155 – $36,920 · median $31,106 3 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $15,461 – $25,765 · median $21,708 3 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $37,298 – $62,157 · median $52,369 3 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $18,518 – $30,859 · median $26,000 3 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $16,405 – $27,338 · median $23,033 3 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $46,026 – $76,701 · median $64,623 3 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $26,908 – $44,842 · median $37,780 3 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $18,025 – $30,038 · median $25,308 3 plans
637 DIABETES WITH MCC $17,743 – $29,569 · median $24,912 3 plans
638 DIABETES WITH CC $11,068 – $18,445 · median $15,540 3 plans
639 DIABETES WITHOUT CC/MCC $7,672 – $12,785 · median $10,772 3 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $16,495 – $27,488 · median $23,159 3 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $9,611 – $16,016 · median $13,494 3 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $17,563 – $29,268 · median $24,659 3 plans
643 ENDOCRINE DISORDERS WITH MCC $20,329 – $33,878 · median $28,543 3 plans
644 ENDOCRINE DISORDERS WITH CC $12,659 – $21,096 · median $17,774 3 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $9,489 – $15,812 · median $13,322 3 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $58,062 – $96,760 · median $81,522 3 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $45,767 – $76,269 · median $64,259 3 plans
652 KIDNEY TRANSPLANT $39,884 – $66,466 · median $56,000 3 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $64,176 – $106,947 · median $90,106 3 plans
654 MAJOR BLADDER PROCEDURES WITH CC $34,571 – $57,612 · median $48,540 3 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $26,140 – $43,562 · median $36,702 3 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $39,320 – $65,526 · median $55,207 3 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $22,601 – $37,663 · median $31,732 3 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $19,165 – $31,938 · median $26,908 3 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $31,380 – $52,294 · median $44,059 3 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $16,323 – $27,202 · median $22,918 3 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $12,787 – $21,310 · median $17,954 3 plans
662 MINOR BLADDER PROCEDURES WITH MCC $37,810 – $63,009 · median $53,086 3 plans
663 MINOR BLADDER PROCEDURES WITH CC $18,774 – $31,287 · median $26,360 3 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $12,929 – $21,546 · median $18,153 3 plans
665 PROSTATECTOMY WITH MCC $38,547 – $64,237 · median $54,122 3 plans
666 PROSTATECTOMY WITH CC $21,604 – $36,002 · median $30,333 3 plans
667 PROSTATECTOMY WITHOUT CC/MCC $13,662 – $22,767 · median $19,182 3 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $36,062 – $60,097 · median $50,633 3 plans
669 TRANSURETHRAL PROCEDURES WITH CC $19,167 – $31,942 · median $26,912 3 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $12,070 – $20,114 · median $16,946 3 plans
671 URETHRAL PROCEDURES WITH CC/MCC $22,168 – $36,943 · median $31,125 3 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $13,332 – $22,217 · median $18,719 3 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $51,890 – $86,473 · median $72,856 3 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $28,882 – $48,131 · median $40,551 3 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $20,271 – $33,782 · median $28,462 3 plans
682 RENAL FAILURE WITH MCC $18,290 – $30,480 · median $25,681 3 plans
683 RENAL FAILURE WITH CC $10,816 – $18,025 · median $15,186 3 plans
684 RENAL FAILURE WITHOUT CC/MCC $7,414 – $12,355 · median $10,409 3 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $22,276 – $37,122 · median $31,276 3 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $12,940 – $21,565 · median $18,169 3 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $9,760 – $16,265 · median $13,704 3 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $14,330 – $23,880 · median $20,120 3 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $9,997 – $16,660 · median $14,037 3 plans
693 URINARY STONES WITH MCC $16,605 – $27,671 · median $23,314 3 plans
694 URINARY STONES WITHOUT MCC $9,654 – $16,088 · median $13,555 3 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $14,126 – $23,541 · median $19,833 3 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $8,509 – $14,180 · median $11,947 3 plans
697 URETHRAL STRICTURE $13,311 – $22,182 · median $18,689 3 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $20,432 – $34,049 · median $28,687 3 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $12,535 – $20,890 · median $17,600 3 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $8,520 – $14,199 · median $11,963 3 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $24,704 – $41,168 · median $34,685 3 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $18,947 – $31,575 · median $26,603 3 plans
709 PENIS PROCEDURES WITH CC/MCC $28,740 – $47,894 · median $40,352 3 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $17,305 – $28,838 · median $24,297 3 plans
711 TESTES PROCEDURES WITH CC/MCC $25,735 – $42,887 · median $36,133 3 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $13,581 – $22,633 · median $19,069 3 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $18,567 – $30,941 · median $26,069 3 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $13,059 – $21,762 · median $18,335 3 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $27,631 – $46,046 · median $38,795 3 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $18,167 – $30,275 · median $25,507 3 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $23,348 – $38,908 · median $32,781 3 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $16,587 – $27,642 · median $23,289 3 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $22,350 – $37,245 · median $31,380 3 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $14,112 – $23,518 · median $19,814 3 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,098 – $13,495 · median $11,370 3 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $14,452 – $24,084 · median $20,291 3 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $8,917 – $14,859 · median $12,519 3 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $18,314 – $30,520 · median $25,713 3 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $10,018 – $16,695 · median $14,066 3 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $13,075 – $21,789 · median $18,358 3 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,299 – $13,830 · median $11,652 3 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $26,306 – $43,838 · median $36,934 3 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $16,617 – $27,692 · median $23,331 3 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $44,145 – $73,567 · median $61,982 3 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $25,448 – $42,409 · median $35,731 3 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $18,136 – $30,223 · median $25,464 3 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $44,248 – $73,738 · median $62,126 3 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $22,349 – $37,243 · median $31,378 3 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $17,612 – $29,351 · median $24,729 3 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $22,660 – $37,762 · median $31,815 3 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $15,323 – $25,535 · median $21,514 3 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $25,306 – $42,173 · median $35,531 3 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $14,048 – $23,411 · median $19,724 3 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $21,453 – $35,751 · median $30,121 3 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $10,617 – $17,693 · median $14,907 3 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $17,133 – $28,552 · median $24,056 3 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $31,710 – $52,844 · median $44,522 3 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $18,226 – $30,373 · median $25,590 3 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $22,745 – $37,904 · median $31,935 3 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $13,434 – $22,388 · median $18,862 3 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,862 – $19,768 · median $16,655 3 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $17,684 – $29,470 · median $24,829 3 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $12,091 – $20,149 · median $16,976 3 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,195 – $13,658 · median $11,507 3 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $12,443 – $20,735 · median $17,470 3 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $7,046 – $11,741 · median $9,892 3 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $13,234 – $21,968 · median $15,290 3 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $20,869 – $34,778 · median $29,301 3 plans
770 Abortion with d&c, aspiration curettage or hysterotomy $12,383 – $20,637 · median $17,387 3 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $8,086 – $13,474 · median $11,353 3 plans
779 ABORTION WITHOUT D&C $10,390 – $17,315 · median $14,588 3 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $13,720 – $50,330 · median $35,029 3 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $13,092 – $21,732 · median $15,126 3 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $11,829 – $19,635 · median $13,867 3 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $13,720 – $33,815 · median $23,535 3 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $13,720 – $22,894 · median $15,935 3 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $11,841 – $19,655 · median $13,875 3 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $22,257 – $37,091 · median $31,250 3 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $73,402 – $122,323 · median $103,060 3 plans
791 PREMATURITY WITH MAJOR PROBLEMS $50,129 – $83,538 · median $70,383 3 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $30,248 – $50,407 · median $42,469 3 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $51,495 – $85,815 · median $72,301 3 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $18,227 – $30,376 · median $25,592 3 plans
795 NORMAL NEWBORN $2,468 – $4,112 · median $3,465 3 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $13,720 – $23,924 · median $16,651 3 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $12,355 – $20,508 · median $14,274 3 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $11,820 – $19,621 · median $13,862 3 plans
799 SPLENIC PROCEDURES WITH MCC $55,932 – $93,209 · median $78,531 3 plans
800 SPLENIC PROCEDURES WITH CC $34,696 – $57,820 · median $48,715 3 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $23,575 – $39,287 · median $33,100 3 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $49,204 – $81,997 · median $69,084 3 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $22,957 – $38,258 · median $32,233 3 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $16,747 – $27,908 · median $23,513 3 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $13,328 – $22,124 · median $15,398 3 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $9,312 – $15,457 · median $12,376 3 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $8,326 – $13,821 · median $11,691 3 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $27,268 – $45,441 · median $38,285 3 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $15,634 – $26,053 · median $21,951 3 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $12,926 – $21,540 · median $18,148 3 plans
811 RED BLOOD CELL DISORDERS WITH MCC $17,343 – $28,902 · median $24,351 3 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $11,340 – $18,897 · median $15,922 3 plans
813 COAGULATION DISORDERS $18,837 – $31,392 · median $26,449 3 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $26,265 – $43,770 · median $36,877 3 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $12,523 – $20,869 · median $17,583 3 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $7,805 – $13,007 · median $10,959 3 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $28,178 – $46,958 · median $39,563 3 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $14,316 – $23,858 · median $20,101 3 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,620 – $17,698 · median $14,911 3 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $72,430 – $120,703 · median $101,696 3 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $27,647 – $46,073 · median $38,817 3 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $14,869 – $24,780 · median $20,877 3 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $56,622 – $94,360 · median $79,500 3 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $27,980 – $46,628 · median $39,286 3 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $16,665 – $27,772 · median $23,399 3 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $57,771 – $96,274 · median $81,113 3 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $28,543 – $47,567 · median $40,076 3 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $21,042 – $35,066 · median $29,544 3 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $39,026 – $65,036 · median $54,794 3 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $18,587 – $30,974 · median $26,097 3 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $14,851 – $24,749 · median $20,851 3 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $8,912 – $14,851 · median $12,513 3 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,458 – $10,762 · median $9,067 3 plans
834 ACUTE LEUKEMIA WITH MCC $67,800 – $112,988 · median $95,195 3 plans
835 ACUTE LEUKEMIA WITH CC $25,760 – $42,928 · median $36,168 3 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $15,061 – $25,099 · median $21,146 3 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $59,333 – $98,877 · median $83,307 3 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $25,779 – $42,961 · median $36,196 3 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $17,832 – $29,717 · median $25,037 3 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $39,951 – $66,577 · median $56,093 3 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $20,148 – $33,576 · median $28,288 3 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $12,478 – $20,795 · median $17,520 3 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $24,636 – $41,055 · median $34,590 3 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $15,035 – $25,055 · median $21,110 3 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $10,517 – $17,527 · median $14,767 3 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $32,017 – $53,356 · median $44,954 3 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $16,156 – $26,924 · median $22,684 3 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,490 – $17,482 · median $14,729 3 plans
849 RADIOTHERAPY $33,462 – $55,764 · median $46,983 3 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $106,945 – $178,221 · median $150,156 3 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $60,992 – $101,641 · median $85,635 3 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $24,677 – $41,123 · median $34,647 3 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $18,490 – $30,814 · median $25,961 3 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $56,176 – $93,617 · median $78,874 3 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $26,448 – $44,074 · median $37,134 3 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $17,202 – $28,667 · median $24,153 3 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $22,523 – $37,534 · median $31,623 3 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $12,324 – $20,538 · median $17,304 3 plans
864 FEVER AND INFLAMMATORY CONDITIONS $10,963 – $18,270 · median $15,393 3 plans
865 VIRAL ILLNESS WITH MCC $18,504 – $30,837 · median $25,981 3 plans
866 VIRAL ILLNESS WITHOUT MCC $10,740 – $17,897 · median $15,079 3 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $25,851 – $43,080 · median $36,296 3 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $12,734 – $21,221 · median $17,879 3 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $9,012 – $15,018 · median $12,653 3 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $85,361 – $142,252 · median $119,851 3 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $23,990 – $39,979 · median $33,683 3 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $12,638 – $21,061 · median $17,744 3 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $47,732 – $79,544 · median $67,017 3 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $11,858 – $19,762 · median $16,650 3 plans
881 DEPRESSIVE NEUROSES $11,620 – $19,365 · median $16,315 3 plans
882 NEUROSES EXCEPT DEPRESSIVE $13,261 – $22,100 · median $18,620 3 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $24,284 – $40,468 · median $34,096 3 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $19,870 – $33,113 · median $27,898 3 plans
885 PSYCHOSES $17,250 – $28,748 · median $24,221 3 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $25,630 – $42,712 · median $35,986 3 plans
887 OTHER MENTAL DISORDER DIAGNOSES $13,226 – $22,040 · median $18,569 3 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $7,619 – $12,696 · median $10,697 3 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $17,483 – $29,134 · median $24,547 3 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $21,552 – $35,916 · median $30,260 3 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $10,903 – $18,169 · median $15,308 3 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $51,828 – $86,370 · median $72,769 3 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $23,644 – $39,402 · median $33,197 3 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $14,445 – $24,072 · median $20,281 3 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $45,363 – $75,596 · median $63,692 3 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $18,320 – $30,530 · median $25,722 3 plans
906 HAND PROCEDURES FOR INJURIES $24,259 – $40,427 · median $34,061 3 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $47,415 – $79,017 · median $66,573 3 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $24,641 – $41,063 · median $34,597 3 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $16,212 – $27,017 · median $22,762 3 plans
913 TRAUMATIC INJURY WITH MCC $20,187 – $33,642 · median $28,344 3 plans
914 TRAUMATIC INJURY WITHOUT MCC $10,936 – $18,224 · median $15,355 3 plans
915 ALLERGIC REACTIONS WITH MCC $20,768 – $34,609 · median $29,159 3 plans
916 ALLERGIC REACTIONS WITHOUT MCC $8,229 – $13,713 · median $11,554 3 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $19,370 – $32,279 · median $27,196 3 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $10,585 – $17,640 · median $14,862 3 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $22,610 – $37,680 · median $31,746 3 plans
920 COMPLICATIONS OF TREATMENT WITH CC $12,378 – $20,628 · median $17,380 3 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $8,502 – $14,168 · median $11,937 3 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $21,605 – $36,004 · median $30,335 3 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $12,569 – $20,945 · median $17,647 3 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $263,679 – $439,415 · median $370,218 3 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $88,583 – $147,621 · median $124,375 3 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $39,777 – $66,287 · median $55,849 3 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $48,093 – $80,147 · median $67,525 3 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $27,301 – $45,496 · median $38,332 3 plans
935 NON-EXTENSIVE BURNS $25,441 – $42,397 · median $35,720 3 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $44,812 – $74,678 · median $62,918 3 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $28,861 – $48,096 · median $40,522 3 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $25,042 – $41,732 · median $35,160 3 plans
945 REHABILITATION WITH CC/MCC $19,125 – $31,872 · median $26,853 3 plans
946 REHABILITATION WITHOUT CC/MCC $14,163 – $23,602 · median $19,886 3 plans
947 SIGNS AND SYMPTOMS WITH MCC $15,677 – $26,126 · median $22,011 3 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $9,886 – $16,475 · median $13,881 3 plans
949 AFTERCARE WITH CC/MCC $14,693 – $24,485 · median $20,629 3 plans
950 AFTERCARE WITHOUT CC/MCC $7,752 – $12,919 · median $10,884 3 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $6,867 – $11,443 · median $9,641 3 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $83,129 – $138,533 · median $116,717 3 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $46,473 – $77,446 · median $65,250 3 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $94,106 – $156,825 · median $132,129 3 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $52,042 – $86,726 · median $73,069 3 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $36,360 – $60,593 · median $51,051 3 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $33,762 – $56,264 · median $47,404 3 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $18,928 – $31,542 · median $26,575 3 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $11,615 – $19,356 · median $16,308 3 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $75,598 – $125,982 · median $106,143 3 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $32,572 – $54,280 · median $45,733 3 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $35,642 – $59,397 · median $50,043 3 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $15,993 – $26,652 · median $22,455 3 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $11,148 – $18,578 · median $15,653 3 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $16,027 – $26,708 · median $22,502 3 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $57,944 – $96,562 · median $81,356 3 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $30,362 – $50,598 · median $42,630 3 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $21,168 – $35,276 · median $29,721 3 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $42,341 – $70,560 · median $59,448 3 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $20,298 – $33,827 · median $28,500 3 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $14,810 – $24,681 · median $20,794 3 plans
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