IU Health White Memorial Hospital — Pricing

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

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

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

Showing all 770 procedures

Procedures with negotiated rates only

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

DRG Description Insurance rate range Payers
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $226,868 – $1,467,135 · median $392,389 30 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $92,759 – $593,254 · median $159,434 30 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $172,245 – $1,111,203 · median $297,507 30 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $113,003 – $725,162 · median $194,598 30 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $84,554 – $539,786 · median $145,181 30 plans
006 LIVER TRANSPLANT WITHOUT MCC $38,972 – $242,761 · median $66,002 30 plans
007 LUNG TRANSPLANT $105,762 – $677,982 · median $182,021 30 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $46,746 – $293,418 · median $79,506 30 plans
010 PANCREAS TRANSPLANT $59,368 – $375,669 · median $101,432 30 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $45,537 – $285,539 · median $77,405 30 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $35,589 – $220,720 · median $60,126 30 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $24,870 – $150,871 · median $41,506 30 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $98,272 – $629,173 · median $169,010 30 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $49,358 – $310,438 · median $84,043 30 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $45,361 – $284,397 · median $77,101 30 plans
018 Chimeric antigen receptor (car) t-cell and other immunotherapies $348,658 – $2,260,749 · median $603,947 30 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $59,038 – $373,518 · median $100,858 30 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $64,937 – $411,955 · median $111,105 30 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $44,249 – $277,146 · median $75,168 30 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $27,245 – $166,346 · median $45,632 30 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $47,756 – $299,998 · median $81,260 30 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $33,146 – $204,800 · median $55,882 30 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $38,246 – $238,033 · median $64,742 30 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $26,697 – $162,776 · median $44,680 30 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $21,987 – $132,081 · median $36,497 30 plans
028 SPINAL PROCEDURES WITH MCC $49,989 – $314,553 · median $85,140 30 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $29,127 – $178,607 · median $48,900 30 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $19,354 – $114,925 · median $31,924 30 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $37,714 – $234,568 · median $63,818 30 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $18,838 – $111,564 · median $31,028 30 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $15,077 – $87,058 · median $24,495 30 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $32,815 – $202,643 · median $55,307 30 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $20,923 – $125,150 · median $34,650 30 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $17,326 – $101,711 · median $28,401 30 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $28,167 – $172,351 · median $47,232 30 plans
038 EXTRACRANIAL PROCEDURES WITH CC $14,753 – $84,948 · median $23,933 30 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $11,161 – $61,541 · median $17,693 30 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $32,739 – $202,145 · median $55,175 30 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $19,382 – $115,109 · median $31,973 30 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $15,598 – $90,450 · median $25,400 30 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $16,269 – $94,827 · median $26,566 30 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $9,584 – $51,264 · median $15,136 30 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $13,985 – $79,938 · median $22,597 30 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $9,909 – $53,379 · median $15,659 30 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $20,381 – $121,621 · median $33,709 30 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $12,126 – $67,829 · median $19,369 30 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $15,452 – $89,497 · median $25,146 30 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $11,687 – $64,965 · median $18,606 30 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $9,107 – $48,154 · median $14,366 30 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $23,868 – $144,342 · median $39,766 30 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $15,835 – $91,995 · median $25,811 30 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $12,996 – $73,493 · median $20,879 30 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $17,874 – $105,282 · median $29,353 30 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $9,834 – $52,892 · median $15,539 30 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $7,216 – $35,830 · median $11,315 30 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $13,517 – $76,891 · median $21,785 30 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $8,662 – $45,254 · median $13,648 30 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $8,135 – $41,820 · median $12,798 30 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $15,092 – $87,157 · median $24,522 30 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $9,960 – $53,714 · median $15,742 30 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $7,793 – $39,589 · median $12,246 30 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $14,606 – $83,990 · median $23,677 30 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $9,999 – $53,965 · median $15,804 30 plans
075 VIRAL MENINGITIS WITH CC/MCC $17,123 – $100,387 · median $28,048 30 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $8,347 – $43,202 · median $13,140 30 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $16,259 – $94,759 · median $26,548 30 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $8,913 – $46,887 · median $14,052 30 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $20,080 – $119,658 · median $33,186 30 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $12,931 – $73,074 · median $20,768 30 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $9,396 – $50,039 · median $14,832 30 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $19,970 – $118,941 · median $32,994 30 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $12,183 – $68,200 · median $19,468 30 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $9,066 – $47,887 · median $14,300 30 plans
088 CONCUSSION WITH MCC $12,578 – $70,771 · median $20,153 30 plans
089 CONCUSSION WITH CC $10,543 – $57,515 · median $16,683 30 plans
090 CONCUSSION WITHOUT CC/MCC $8,331 – $43,097 · median $13,114 30 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $15,827 – $91,942 · median $25,797 30 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $9,936 – $53,557 · median $15,703 30 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $8,115 – $41,689 · median $12,766 30 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $29,993 – $184,251 · median $50,405 30 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $22,439 – $135,029 · median $37,283 30 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $22,439 – $135,029 · median $37,283 30 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $30,735 – $189,089 · median $51,694 30 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $20,155 – $120,145 · median $33,315 30 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $12,663 – $71,326 · median $20,301 30 plans
100 SEIZURES WITH MCC $17,278 – $101,397 · median $28,318 30 plans
101 SEIZURES WITHOUT MCC $8,969 – $47,254 · median $14,143 30 plans
102 HEADACHES WITH MCC $10,723 – $58,682 · median $16,972 30 plans
103 HEADACHES WITHOUT MCC $8,436 – $43,783 · median $13,284 30 plans
113 ORBITAL PROCEDURES WITH CC/MCC $20,606 – $123,087 · median $34,100 30 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $12,587 – $70,834 · median $20,170 30 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $14,049 – $80,357 · median $22,709 30 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $16,244 – $94,659 · median $26,522 30 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $10,433 – $56,798 · median $16,505 30 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $11,063 – $60,902 · median $17,523 30 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $8,030 – $41,139 · median $12,629 30 plans
123 NEUROLOGICAL EYE DISORDERS $8,133 – $41,809 · median $12,795 30 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $12,347 – $69,268 · median $19,753 30 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $7,886 – $40,197 · median $12,396 30 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $19,151 – $113,606 · median $31,572 30 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $9,874 – $53,154 · median $15,603 30 plans
137 MOUTH PROCEDURES WITH CC/MCC $13,714 – $78,174 · median $22,127 30 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $8,837 – $46,395 · median $13,930 30 plans
139 SALIVARY GLAND PROCEDURES $11,645 – $64,693 · median $18,533 30 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $35,986 – $223,301 · median $60,814 30 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $19,241 – $114,187 · median $31,727 30 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $14,543 – $83,576 · median $23,567 30 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $31,818 – $196,146 · median $53,575 30 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $15,640 – $90,723 · median $25,472 30 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $11,377 – $62,944 · median $18,067 30 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $18,729 – $110,852 · median $30,838 30 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $11,933 – $66,567 · median $19,033 30 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $8,121 – $41,731 · median $12,776 30 plans
149 DYSEQUILIBRIUM $7,756 – $39,349 · median $12,186 30 plans
150 EPISTAXIS WITH MCC $12,415 – $69,708 · median $19,870 30 plans
151 EPISTAXIS WITHOUT MCC $7,614 – $38,427 · median $11,958 30 plans
152 OTITIS MEDIA AND URI WITH MCC $11,215 – $61,892 · median $17,787 30 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $7,648 – $38,647 · median $12,013 30 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $14,279 – $81,854 · median $23,108 30 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $9,080 – $47,982 · median $14,323 30 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $7,270 – $36,181 · median $11,402 30 plans
157 DENTAL AND ORAL DISEASES WITH MCC $15,510 – $89,880 · median $25,247 30 plans
158 DENTAL AND ORAL DISEASES WITH CC $9,027 – $47,631 · median $14,236 30 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $7,409 – $37,092 · median $11,628 30 plans
163 MAJOR CHEST PROCEDURES WITH MCC $37,725 – $234,636 · median $63,836 30 plans
164 MAJOR CHEST PROCEDURES WITH CC $21,995 – $132,139 · median $36,513 30 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $17,096 – $100,214 · median $28,002 30 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $31,747 – $195,680 · median $53,451 30 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $16,206 – $94,413 · median $26,456 30 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,695 – $71,535 · median $20,357 30 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $25,630 – $155,823 · median $42,826 30 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $12,753 – $71,912 · median $20,458 30 plans
176 PULMONARY EMBOLISM WITHOUT MCC $8,185 – $42,144 · median $12,878 30 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $14,272 – $81,812 · median $23,097 30 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $9,558 – $51,097 · median $15,094 30 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $7,783 – $39,527 · median $12,230 30 plans
180 RESPIRATORY NEOPLASMS WITH MCC $15,906 – $92,455 · median $25,934 30 plans
181 RESPIRATORY NEOPLASMS WITH CC $10,322 – $56,070 · median $16,325 30 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $7,773 – $39,464 · median $12,215 30 plans
183 MAJOR CHEST TRAUMA WITH MCC $14,009 – $80,095 · median $22,639 30 plans
184 MAJOR CHEST TRAUMA WITH CC $10,266 – $55,709 · median $16,236 30 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $8,036 – $41,176 · median $12,639 30 plans
186 PLEURAL EFFUSION WITH MCC $14,238 – $81,592 · median $23,038 30 plans
187 PLEURAL EFFUSION WITH CC $9,664 – $51,782 · median $15,264 30 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $7,479 – $37,548 · median $11,741 30 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $11,643 – $64,677 · median $18,529 30 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $10,617 – $57,991 · median $16,801 30 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $8,490 – $44,134 · median $13,371 30 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $6,875 – $33,611 · median $10,766 30 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $12,277 – $68,813 · median $19,632 30 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $8,192 – $42,191 · median $12,890 30 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $6,767 – $32,904 · median $10,591 30 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $16,879 – $98,801 · median $27,626 30 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $9,342 – $49,688 · median $14,746 30 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $7,471 – $37,495 · median $11,728 30 plans
199 PNEUMOTHORAX WITH MCC $15,890 – $92,356 · median $25,908 30 plans
200 PNEUMOTHORAX WITH CC $10,549 – $57,552 · median $16,692 30 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $7,462 – $37,438 · median $11,713 30 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $9,520 – $50,845 · median $15,032 30 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $7,100 – $35,077 · median $11,129 30 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $8,204 – $42,270 · median $12,909 30 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $16,428 – $95,858 · median $26,841 30 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $9,278 – $49,269 · median $14,642 30 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $53,415 – $336,876 · median $91,090 30 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $23,801 – $143,903 · median $39,649 30 plans
209 COMPLEX AORTIC ARCH PROCEDURES $92,655 – $592,573 · median $159,253 30 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $89,082 – $569,292 · median $153,047 30 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $47,568 – $298,773 · median $80,933 30 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $81,714 – $521,279 · median $140,248 30 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $80,314 – $512,159 · median $137,817 30 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $54,545 – $344,237 · median $93,053 30 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $54,545 – $344,237 · median $93,053 30 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $63,406 – $401,982 · median $108,446 30 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $44,562 – $279,188 · median $75,712 30 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $42,211 – $263,870 · median $71,629 30 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $41,466 – $259,011 · median $70,334 30 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $27,021 – $164,886 · median $45,242 30 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $69,445 – $441,331 · median $118,935 30 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $50,425 – $317,395 · median $85,897 30 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $63,140 – $400,249 · median $107,984 30 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $45,606 – $285,989 · median $77,525 30 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $48,867 – $307,239 · median $83,190 30 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $35,371 – $219,296 · median $59,747 30 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $41,259 – $257,666 · median $69,975 30 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $24,619 – $149,232 · median $41,069 30 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $12,840 – $72,477 · median $20,608 30 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $27,369 – $167,153 · median $45,846 30 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $18,837 – $111,559 · median $31,027 30 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $16,239 – $94,628 · median $26,513 30 plans
245 AICD GENERATOR PROCEDURES $38,372 – $238,855 · median $64,961 30 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $19,252 – $114,260 · median $31,747 30 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $13,724 – $78,242 · median $22,145 30 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $29,743 – $182,623 · median $49,970 30 plans
253 OTHER VASCULAR PROCEDURES WITH CC $22,571 – $135,887 · median $37,512 30 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $16,032 – $93,277 · median $26,153 30 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $23,389 – $141,217 · median $38,933 30 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $15,358 – $88,890 · median $24,984 30 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $10,492 – $57,180 · median $16,600 30 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $26,961 – $164,498 · median $45,139 30 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $17,963 – $105,863 · median $29,508 30 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $27,851 – $170,294 · median $46,684 30 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $16,906 – $98,973 · median $27,672 30 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $14,812 – $85,330 · median $24,035 30 plans
263 VEIN LIGATION AND STRIPPING $26,281 – $160,064 · median $43,957 30 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $28,556 – $174,890 · median $47,909 30 plans
265 AICD LEAD PROCEDURES $30,787 – $189,424 · median $51,783 30 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $50,954 – $320,840 · median $86,816 30 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $39,966 – $249,242 · median $67,729 30 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $56,976 – $360,079 · median $97,276 30 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $35,647 – $221,097 · median $60,227 30 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $44,108 – $276,230 · median $74,924 30 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $30,289 – $186,183 · median $50,919 30 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $22,228 – $133,657 · median $36,917 30 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $34,862 – $215,982 · median $58,863 30 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $28,163 – $172,330 · median $47,227 30 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $59,004 – $373,298 · median $100,800 30 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $49,976 – $314,464 · median $85,116 30 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $38,823 – $241,792 · median $65,744 30 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $46,437 – $291,407 · median $78,970 30 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $30,692 – $188,806 · median $51,619 30 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $14,605 – $83,979 · median $23,675 30 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $9,101 – $48,118 · median $14,357 30 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $7,527 – $37,856 · median $11,817 30 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $17,631 – $103,701 · median $28,932 30 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $7,278 – $36,239 · median $11,417 30 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $6,529 – $31,354 · median $10,208 30 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $19,495 – $115,847 · median $32,170 30 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $10,314 – $56,023 · median $16,314 30 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $23,459 – $141,678 · median $39,055 30 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $15,431 – $89,361 · median $25,109 30 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $9,186 – $48,673 · median $14,494 30 plans
291 HEART FAILURE AND SHOCK WITH MCC $12,031 – $67,211 · median $19,204 30 plans
292 HEART FAILURE AND SHOCK WITH CC $8,538 – $44,448 · median $13,448 30 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $6,264 – $29,632 · median $9,781 30 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $14,266 – $81,770 · median $23,086 30 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $6,811 – $33,192 · median $10,662 30 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $5,373 – $23,826 · median $8,328 30 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $14,835 – $85,477 · median $24,074 30 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $10,294 – $55,887 · median $16,280 30 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $7,499 – $37,678 · median $11,773 30 plans
302 ATHEROSCLEROSIS WITH MCC $11,331 – $62,646 · median $17,988 30 plans
303 ATHEROSCLEROSIS WITHOUT MCC $7,126 – $35,244 · median $11,170 30 plans
304 HYPERTENSION WITH MCC $11,278 – $62,300 · median $17,895 30 plans
305 HYPERTENSION WITHOUT MCC $7,784 – $39,532 · median $12,232 30 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $14,377 – $82,498 · median $23,280 30 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $9,054 – $47,809 · median $14,280 30 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $11,390 – $63,033 · median $18,091 30 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $7,628 – $38,516 · median $11,980 30 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $6,265 – $29,637 · median $9,782 30 plans
311 ANGINA PECTORIS $7,356 – $36,747 · median $11,542 30 plans
312 SYNCOPE AND COLLAPSE $8,720 – $45,631 · median $13,741 30 plans
313 CHEST PAIN $7,502 – $37,694 · median $11,777 30 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $18,470 – $109,166 · median $30,389 30 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $9,456 – $50,432 · median $14,930 30 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $7,197 – $35,710 · median $11,286 30 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $55,438 – $350,058 · median $94,605 30 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $21,178 – $126,809 · median $35,092 30 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $37,573 – $233,646 · median $63,572 30 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $21,042 – $125,925 · median $34,856 30 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $23,577 – $142,442 · median $39,259 30 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $15,881 – $92,298 · median $25,892 30 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $36,484 – $226,552 · median $61,681 30 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $27,033 – $164,964 · median $45,263 30 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $27,510 – $168,074 · median $46,092 30 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $41,787 – $261,105 · median $70,892 30 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $21,354 – $127,961 · median $35,399 30 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $14,590 – $83,885 · median $23,649 30 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $38,646 – $240,641 · median $65,437 30 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $20,977 – $125,501 · median $34,743 30 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $15,238 – $88,105 · median $24,774 30 plans
332 RECTAL RESECTION WITH MCC $30,807 – $189,555 · median $51,818 30 plans
333 RECTAL RESECTION WITH CC $20,535 – $122,621 · median $33,976 30 plans
334 RECTAL RESECTION WITHOUT CC/MCC $14,876 – $85,749 · median $24,146 30 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $30,407 – $186,947 · median $51,123 30 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $18,659 – $110,397 · median $30,717 30 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $14,050 – $80,362 · median $22,710 30 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $22,468 – $135,217 · median $37,333 30 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $13,806 – $78,776 · median $22,287 30 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,247 – $62,101 · median $17,842 30 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $20,160 – $120,182 · median $33,325 30 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $12,232 – $68,520 · median $19,553 30 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $8,712 – $45,579 · median $13,728 30 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $21,738 – $130,458 · median $36,065 30 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $13,965 – $79,812 · median $22,564 30 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $11,099 – $61,138 · median $17,586 30 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $25,032 – $151,928 · median $41,788 30 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $15,234 – $88,079 · median $24,767 30 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $12,523 – $70,415 · median $20,059 30 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $37,010 – $229,976 · median $62,594 30 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $20,401 – $121,747 · median $33,742 30 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,948 – $73,184 · median $20,797 30 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $29,344 – $180,021 · median $49,277 30 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $21,114 – $126,396 · median $34,982 30 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $14,507 – $83,341 · median $23,504 30 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $9,753 – $52,363 · median $15,408 30 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $7,347 – $36,689 · median $11,528 30 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $15,963 – $92,827 · median $26,033 30 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $9,920 – $53,452 · median $15,677 30 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $7,561 – $38,082 · median $11,873 30 plans
374 DIGESTIVE MALIGNANCY WITH MCC $18,900 – $111,967 · median $31,135 30 plans
375 DIGESTIVE MALIGNANCY WITH CC $11,435 – $63,326 · median $18,169 30 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $9,143 – $48,390 · median $14,424 30 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $16,404 – $95,701 · median $26,799 30 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $9,596 – $51,343 · median $15,155 30 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $6,782 – $33,003 · median $10,616 30 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $17,482 – $102,727 · median $28,672 30 plans
381 COMPLICATED PEPTIC ULCER WITH CC $10,422 – $56,724 · median $16,487 30 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $8,149 – $41,914 · median $12,821 30 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $12,810 – $72,284 · median $20,557 30 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $8,585 – $44,751 · median $13,524 30 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $14,430 – $82,838 · median $23,370 30 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $9,561 – $51,112 · median $15,098 30 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $7,191 – $35,668 · median $11,275 30 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $13,582 – $77,315 · median $21,898 30 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $8,062 – $41,348 · median $12,681 30 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $6,088 – $28,480 · median $9,496 30 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $11,907 – $66,399 · median $18,988 30 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $7,981 – $40,814 · median $12,549 30 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $14,566 – $83,728 · median $23,608 30 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $9,235 – $48,987 · median $14,572 30 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $6,931 – $33,977 · median $10,857 30 plans
397 APPENDIX PROCEDURES WITH MCC $20,958 – $125,380 · median $34,711 30 plans
398 APPENDIX PROCEDURES WITH CC $13,878 – $79,242 · median $22,412 30 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $10,914 – $59,928 · median $17,280 30 plans
402 Single level combined anterior and posterior spinal fusion except cervical $34,019 – $210,485 · median $57,398 30 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $45,668 – $286,397 · median $77,634 30 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $25,018 – $151,834 · median $41,763 30 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $19,550 – $116,203 · median $32,265 30 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $30,364 – $186,670 · median $51,049 30 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $19,210 – $113,988 · median $31,674 30 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $14,473 – $83,121 · median $23,446 30 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $28,257 – $172,938 · median $47,389 30 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $18,609 – $110,072 · median $30,630 30 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $15,058 – $86,932 · median $24,462 30 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $30,340 – $186,513 · median $51,007 30 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $18,321 – $108,198 · median $30,131 30 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $12,670 – $71,373 · median $20,314 30 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $20,890 – $124,935 · median $34,592 30 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $15,308 – $88,560 · median $24,896 30 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $12,690 – $71,504 · median $20,349 30 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $29,091 – $178,372 · median $48,837 30 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $15,677 – $90,963 · median $25,536 30 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $12,961 – $73,268 · median $20,819 30 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $35,083 – $217,422 · median $59,247 30 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $19,295 – $114,543 · median $31,822 30 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $13,771 – $78,545 · median $22,226 30 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $90,264 – $576,993 · median $155,100 30 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $59,713 – $377,915 · median $102,031 30 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $46,886 – $294,329 · median $79,748 30 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $74,102 – $471,680 · median $127,026 30 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $48,051 – $301,925 · median $81,773 30 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $17,530 – $103,041 · median $28,756 30 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $10,203 – $55,295 · median $16,133 30 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $7,441 – $37,302 · median $11,680 30 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $16,474 – $96,157 · median $26,921 30 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $10,805 – $59,216 · median $17,104 30 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $8,573 – $44,673 · median $13,504 30 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $14,814 – $85,346 · median $24,039 30 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $8,475 – $44,039 · median $13,347 30 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $6,710 – $32,532 · median $10,499 30 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $16,136 – $93,958 · median $26,335 30 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $9,472 – $50,536 · median $14,955 30 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $7,339 – $36,631 · median $11,514 30 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $15,141 – $87,477 · median $24,607 30 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $10,510 – $57,295 · median $16,628 30 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $8,364 – $43,312 · median $13,167 30 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $55,399 – $349,802 · median $94,536 30 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $35,789 – $222,019 · median $60,472 30 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $44,536 – $279,021 · median $75,668 30 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $27,671 – $169,121 · median $46,371 30 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $69,232 – $439,943 · median $118,566 30 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $49,626 – $312,186 · median $84,509 30 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $35,241 – $218,448 · median $59,521 30 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $46,090 – $289,146 · median $78,367 30 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $23,088 – $139,259 · median $38,411 30 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $47,508 – $298,386 · median $80,830 30 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $26,741 – $163,064 · median $44,757 30 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $16,369 – $95,476 · median $26,739 30 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $43,538 – $272,518 · median $73,934 30 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $30,051 – $184,628 · median $50,505 30 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $23,795 – $143,866 · median $39,639 30 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $26,087 – $158,797 · median $43,619 30 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $17,214 – $100,984 · median $28,208 30 plans
471 CERVICAL SPINAL FUSION WITH MCC $40,512 – $252,797 · median $68,677 30 plans
472 CERVICAL SPINAL FUSION WITH CC $25,387 – $154,237 · median $42,404 30 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $21,331 – $127,809 · median $35,359 30 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $36,207 – $224,746 · median $61,199 30 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $20,001 – $119,140 · median $33,047 30 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,199 – $61,787 · median $17,759 30 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $29,472 – $180,859 · median $49,500 30 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $21,475 – $128,747 · median $35,608 30 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $16,652 – $97,319 · median $27,231 30 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $25,115 – $152,468 · median $41,932 30 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $18,545 – $109,653 · median $30,519 30 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $14,821 – $85,388 · median $24,050 30 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $23,987 – $145,117 · median $39,972 30 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $27,644 – $168,948 · median $46,325 30 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $18,517 – $109,475 · median $30,471 30 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $14,300 – $81,995 · median $23,146 30 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $15,929 – $92,607 · median $25,975 30 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,690 – $58,468 · median $16,919 30 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $31,216 – $192,219 · median $52,529 30 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $22,093 – $132,772 · median $36,682 30 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $17,838 – $105,046 · median $29,290 30 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $30,847 – $189,816 · median $51,888 30 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $16,210 – $94,440 · median $26,463 30 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $11,425 – $63,258 · median $18,151 30 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $25,955 – $157,939 · median $43,390 30 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $17,904 – $105,481 · median $29,406 30 plans
500 SOFT TISSUE PROCEDURES WITH MCC $27,144 – $165,687 · median $45,456 30 plans
501 SOFT TISSUE PROCEDURES WITH CC $15,762 – $91,518 · median $25,684 30 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $12,530 – $70,462 · median $20,071 30 plans
503 FOOT PROCEDURES WITH MCC $24,141 – $146,122 · median $40,240 30 plans
504 FOOT PROCEDURES WITH CC $16,735 – $97,858 · median $27,374 30 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $16,121 – $93,858 · median $26,308 30 plans
506 MAJOR THUMB OR JOINT PROCEDURES $12,557 – $70,635 · median $20,117 30 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $16,230 – $94,570 · median $26,498 30 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $13,884 – $79,283 · median $22,423 30 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $25,984 – $158,132 · median $43,442 30 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $18,423 – $108,863 · median $30,308 30 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $15,017 – $86,665 · median $24,391 30 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $14,365 – $82,419 · median $23,259 30 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $9,930 – $53,520 · median $15,694 30 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $27,321 – $166,844 · median $45,764 30 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $18,413 – $108,795 · median $30,290 30 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $14,063 – $80,451 · median $22,734 30 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $31,743 – $195,659 · median $53,446 30 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $17,787 – $104,716 · median $29,203 30 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $13,719 – $78,210 · median $22,137 30 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $24,777 – $150,264 · median $41,344 30 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $18,731 – $110,868 · median $30,842 30 plans
533 FRACTURES OF FEMUR WITH MCC $14,312 – $82,074 · median $23,167 30 plans
534 FRACTURES OF FEMUR WITHOUT MCC $8,193 – $42,202 · median $12,893 30 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $12,017 – $67,117 · median $19,179 30 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $8,205 – $42,280 · median $12,912 30 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $9,384 – $49,960 · median $14,813 30 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $7,504 – $37,710 · median $11,781 30 plans
539 OSTEOMYELITIS WITH MCC $17,542 – $103,120 · median $28,777 30 plans
540 OSTEOMYELITIS WITH CC $12,132 – $67,865 · median $19,379 30 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $8,043 – $41,223 · median $12,650 30 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $15,910 – $92,482 · median $25,941 30 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $9,976 – $53,819 · median $15,768 30 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $7,780 – $39,506 · median $12,225 30 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $21,656 – $129,924 · median $35,922 30 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $10,984 – $60,384 · median $17,393 30 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,435 – $43,778 · median $13,283 30 plans
548 SEPTIC ARTHRITIS WITH MCC $17,230 – $101,088 · median $28,235 30 plans
549 SEPTIC ARTHRITIS WITH CC $11,416 – $63,201 · median $18,135 30 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $8,740 – $45,762 · median $13,774 30 plans
551 MEDICAL BACK PROBLEMS WITH MCC $15,183 – $87,749 · median $24,679 30 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $9,440 – $50,327 · median $14,904 30 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $12,132 – $67,865 · median $19,379 30 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $8,386 – $43,458 · median $13,203 30 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,337 – $69,200 · median $19,735 30 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $8,390 – $43,484 · median $13,210 30 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $13,663 – $77,844 · median $22,039 30 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $8,893 – $46,762 · median $14,021 30 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $16,700 – $97,633 · median $27,314 30 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,764 – $58,955 · median $17,039 30 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $8,176 – $42,087 · median $12,864 30 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $13,164 – $74,593 · median $21,172 30 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $8,912 – $46,882 · median $14,051 30 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $14,119 – $80,812 · median $22,830 30 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $9,546 – $51,013 · median $15,073 30 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $7,737 – $39,228 · median $12,156 30 plans
570 SKIN DEBRIDEMENT WITH MCC $25,347 – $153,975 · median $42,334 30 plans
571 SKIN DEBRIDEMENT WITH CC $15,291 – $88,450 · median $24,866 30 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $10,927 – $60,012 · median $17,301 30 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $54,353 – $342,985 · median $92,719 30 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $29,607 – $181,738 · median $49,735 30 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $16,155 – $94,078 · median $26,367 30 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $41,094 – $256,593 · median $69,689 30 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $23,013 – $138,772 · median $38,281 30 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $14,623 – $84,100 · median $23,707 30 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $27,736 – $169,545 · median $46,484 30 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $15,600 – $90,466 · median $25,404 30 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $13,311 – $75,551 · median $21,428 30 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $17,196 – $100,863 · median $28,175 30 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $15,571 – $90,278 · median $25,354 30 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $18,916 – $112,072 · median $31,163 30 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $17,216 – $100,994 · median $28,210 30 plans
592 SKIN ULCERS WITH MCC $17,266 – $101,319 · median $28,297 30 plans
593 SKIN ULCERS WITH CC $11,248 – $62,106 · median $17,844 30 plans
594 SKIN ULCERS WITHOUT CC/MCC $8,681 – $45,380 · median $13,679 30 plans
595 MAJOR SKIN DISORDERS WITH MCC $18,755 – $111,025 · median $30,884 30 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $10,414 – $56,672 · median $16,474 30 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $15,111 – $87,278 · median $24,554 30 plans
598 MALIGNANT BREAST DISORDERS WITH CC $10,806 – $59,227 · median $17,107 30 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,899 – $40,280 · median $12,417 30 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $10,086 – $54,531 · median $15,944 30 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,578 – $31,674 · median $10,287 30 plans
602 CELLULITIS WITH MCC $13,136 – $74,409 · median $21,123 30 plans
603 CELLULITIS WITHOUT MCC $8,714 – $45,594 · median $13,732 30 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $13,544 – $77,069 · median $21,832 30 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $9,076 – $47,955 · median $14,317 30 plans
606 MINOR SKIN DISORDERS WITH MCC $13,874 – $79,221 · median $22,406 30 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $8,999 – $47,453 · median $14,192 30 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $19,326 – $114,747 · median $31,877 30 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $12,959 – $73,258 · median $20,816 30 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $29,736 – $182,576 · median $49,958 30 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $16,743 – $97,916 · median $27,390 30 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $13,112 – $74,252 · median $21,082 30 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $24,915 – $151,164 · median $41,584 30 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $14,574 – $83,781 · median $23,622 30 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $13,836 – $78,969 · median $22,339 30 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $30,313 – $186,335 · median $50,960 30 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $16,130 – $93,916 · median $26,323 30 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $11,775 – $65,541 · median $18,759 30 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $25,981 – $158,111 · median $43,436 30 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $13,764 – $78,498 · median $22,213 30 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $12,389 – $69,540 · median $19,826 30 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $31,659 – $195,109 · median $53,299 30 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $19,222 – $114,067 · median $31,695 30 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $13,443 – $76,409 · median $21,657 30 plans
637 DIABETES WITH MCC $13,260 – $75,216 · median $21,338 30 plans
638 DIABETES WITH CC $8,917 – $46,919 · median $14,060 30 plans
639 DIABETES WITHOUT CC/MCC $6,708 – $32,522 · median $10,497 30 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $12,448 – $69,923 · median $19,927 30 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $7,969 – $40,741 · median $12,531 30 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $13,143 – $74,451 · median $21,135 30 plans
643 ENDOCRINE DISORDERS WITH MCC $14,942 – $86,178 · median $24,261 30 plans
644 ENDOCRINE DISORDERS WITH CC $9,952 – $53,662 · median $15,729 30 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $7,890 – $40,223 · median $12,403 30 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $39,489 – $246,132 · median $66,901 30 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $31,490 – $194,010 · median $53,006 30 plans
652 KIDNEY TRANSPLANT $27,664 – $169,074 · median $46,359 30 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $43,466 – $272,047 · median $73,809 30 plans
654 MAJOR BLADDER PROCEDURES WITH CC $24,207 – $146,552 · median $40,355 30 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $18,722 – $110,810 · median $30,827 30 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $27,296 – $166,681 · median $45,721 30 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $16,420 – $95,806 · median $26,827 30 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $14,185 – $81,241 · median $22,945 30 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $22,131 – $133,024 · median $36,749 30 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $12,336 – $69,195 · median $19,733 30 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $10,036 – $54,206 · median $15,864 30 plans
662 MINOR BLADDER PROCEDURES WITH MCC $26,314 – $160,279 · median $44,014 30 plans
663 MINOR BLADDER PROCEDURES WITH CC $13,931 – $79,587 · median $22,504 30 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $10,128 – $54,808 · median $16,013 30 plans
665 PROSTATECTOMY WITH MCC $26,794 – $163,404 · median $44,847 30 plans
666 PROSTATECTOMY WITH CC $15,771 – $91,581 · median $25,701 30 plans
667 PROSTATECTOMY WITHOUT CC/MCC $10,605 – $57,913 · median $16,781 30 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $25,177 – $152,871 · median $42,039 30 plans
669 TRANSURETHRAL PROCEDURES WITH CC $14,186 – $81,252 · median $22,947 30 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $9,569 – $51,165 · median $15,111 30 plans
671 URETHRAL PROCEDURES WITH CC/MCC $16,139 – $93,974 · median $26,339 30 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $10,390 – $56,515 · median $16,435 30 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $35,474 – $219,966 · median $59,925 30 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $20,506 – $122,433 · median $33,925 30 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $14,904 – $85,932 · median $24,195 30 plans
682 RENAL FAILURE WITH MCC $13,616 – $77,535 · median $21,957 30 plans
683 RENAL FAILURE WITH CC $8,753 – $45,851 · median $13,796 30 plans
684 RENAL FAILURE WITHOUT CC/MCC $6,540 – $31,428 · median $10,226 30 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $16,208 – $94,429 · median $26,460 30 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $10,135 – $54,855 · median $16,025 30 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $8,066 – $41,375 · median $12,688 30 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $11,039 – $60,745 · median $17,482 30 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $8,221 – $42,380 · median $12,937 30 plans
693 URINARY STONES WITH MCC $12,519 – $70,389 · median $20,052 30 plans
694 URINARY STONES WITHOUT MCC $7,997 – $40,924 · median $12,576 30 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $10,907 – $59,881 · median $17,269 30 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $7,253 – $36,071 · median $11,375 30 plans
697 URETHRAL STRICTURE $10,376 – $56,426 · median $16,413 30 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $15,009 – $86,613 · median $24,377 30 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $9,872 – $53,138 · median $15,600 30 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $7,260 – $36,118 · median $11,387 30 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $17,788 – $104,722 · median $29,204 30 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $14,043 – $80,320 · median $22,699 30 plans
709 PENIS PROCEDURES WITH CC/MCC $20,414 – $121,831 · median $33,765 30 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $12,975 – $73,357 · median $20,843 30 plans
711 TESTES PROCEDURES WITH CC/MCC $18,459 – $109,093 · median $30,369 30 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $10,552 – $57,573 · median $16,697 30 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $13,796 – $78,708 · median $22,269 30 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $10,212 – $55,358 · median $16,149 30 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $19,692 – $117,129 · median $32,512 30 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $13,535 – $77,011 · median $21,817 30 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $16,906 – $98,973 · median $27,672 30 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $12,508 – $70,315 · median $20,032 30 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $16,257 – $94,743 · median $26,544 30 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $10,898 – $59,824 · median $17,254 30 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,985 – $34,328 · median $10,944 30 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $11,119 – $61,263 · median $17,619 30 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $7,518 – $37,799 · median $11,803 30 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $13,631 – $77,634 · median $21,983 30 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $8,234 – $42,469 · median $12,959 30 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $10,223 – $55,426 · median $16,166 30 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $7,116 – $35,181 · median $11,155 30 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $18,830 – $111,512 · median $31,014 30 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $12,527 – $70,441 · median $20,066 30 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $30,435 – $187,136 · median $51,173 30 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $18,272 – $107,879 · median $30,046 30 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $13,515 – $76,880 · median $21,782 30 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $30,502 – $187,570 · median $51,289 30 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $16,256 – $94,738 · median $26,543 30 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $13,175 – $74,661 · median $21,190 30 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $16,458 – $96,057 · median $26,894 30 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $11,685 – $64,954 · median $18,603 30 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $18,180 – $107,277 · median $29,885 30 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $10,856 – $59,552 · median $17,187 30 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $15,673 – $90,942 · median $25,531 30 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $8,624 – $45,008 · median $13,587 30 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $12,863 – $72,629 · median $20,649 30 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $22,346 – $134,422 · median $37,121 30 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,574 – $77,263 · median $21,884 30 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $16,514 – $96,419 · median $26,991 30 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $10,457 – $56,950 · median $16,543 30 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,434 – $50,285 · median $14,893 30 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,221 – $74,964 · median $21,271 30 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,583 – $51,254 · median $15,133 30 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,049 – $34,741 · median $11,046 30 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $9,812 – $52,746 · median $15,502 30 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $6,301 – $29,867 · median $9,840 30 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,898 – $56,101 · median $13,632 30 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $15,293 – $88,466 · median $24,871 30 plans
770 Abortion with d&c, aspiration curettage or hysterotomy $9,773 – $52,494 · median $15,440 30 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,977 – $34,276 · median $10,931 30 plans
779 ABORTION WITHOUT D&C $8,476 – $44,045 · median $13,349 30 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $13,720 – $128,532 · median $31,303 30 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $10,234 – $55,499 · median $13,883 30 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $7,898 – $50,144 · median $12,611 30 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $13,720 – $86,356 · median $21,031 30 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $10,690 – $58,468 · median $14,563 30 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $7,898 – $50,196 · median $12,621 30 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $16,196 – $94,351 · median $26,439 30 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $49,469 – $311,160 · median $84,235 30 plans
791 PREMATURITY WITH MAJOR PROBLEMS $34,328 – $212,501 · median $57,935 30 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $21,395 – $128,223 · median $35,469 30 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $35,217 – $218,291 · median $59,479 30 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,575 – $77,268 · median $21,885 30 plans
795 NORMAL NEWBORN $2,000 – $10,460 · median $4,306 30 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,898 – $61,096 · median $14,588 30 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,898 – $52,374 · median $13,078 30 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,898 – $50,107 · median $12,603 30 plans
799 SPLENIC PROCEDURES WITH MCC $38,103 – $237,102 · median $64,493 30 plans
800 SPLENIC PROCEDURES WITH CC $24,288 – $147,081 · median $40,496 30 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $17,054 – $99,937 · median $27,928 30 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $33,726 – $208,580 · median $56,890 30 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $16,652 – $97,319 · median $27,231 30 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $12,611 – $70,991 · median $20,212 30 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $10,388 – $56,499 · median $14,112 30 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $7,775 – $39,474 · median $12,168 30 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $7,134 – $35,296 · median $10,906 30 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $19,456 – $115,590 · median $32,101 30 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $11,888 – $66,274 · median $18,955 30 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $10,126 – $54,793 · median $16,009 30 plans
811 RED BLOOD CELL DISORDERS WITH MCC $13,000 – $73,519 · median $20,886 30 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $9,094 – $48,071 · median $14,345 30 plans
813 COAGULATION DISORDERS $13,972 – $79,854 · median $22,575 30 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $18,803 – $111,339 · median $30,968 30 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $9,864 – $53,086 · median $15,587 30 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $6,795 – $33,087 · median $10,636 30 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $20,048 – $119,449 · median $33,130 30 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $11,030 – $60,688 · median $17,468 30 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,626 – $45,018 · median $13,590 30 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $48,836 – $307,040 · median $83,137 30 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $19,702 – $117,197 · median $32,530 30 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,390 – $63,033 · median $18,091 30 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $38,552 – $240,028 · median $65,273 30 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $19,919 – $118,611 · median $32,906 30 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $12,558 – $70,645 · median $20,120 30 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $39,300 – $244,897 · median $66,571 30 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $20,286 – $120,998 · median $33,543 30 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $15,406 – $89,199 · median $25,066 30 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $27,105 – $165,435 · median $45,389 30 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $13,809 – $78,791 · median $22,292 30 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $11,378 – $62,954 · median $18,070 30 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $7,515 – $37,778 · median $11,798 30 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $5,918 – $27,375 · median $9,223 30 plans
834 ACUTE LEUKEMIA WITH MCC $45,824 – $287,413 · median $77,905 30 plans
835 ACUTE LEUKEMIA WITH CC $18,475 – $109,198 · median $30,397 30 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $11,515 – $63,844 · median $18,307 30 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $40,316 – $251,520 · median $68,337 30 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $18,488 – $109,282 · median $30,420 30 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $13,318 – $75,593 · median $21,439 30 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $27,707 – $169,357 · median $46,434 30 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $14,824 – $85,409 · median $24,056 30 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $9,835 – $52,897 · median $15,540 30 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $17,744 – $104,434 · median $29,127 30 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $11,498 – $63,735 · median $18,278 30 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $8,559 – $44,584 · median $13,482 30 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $22,546 – $135,725 · median $37,469 30 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $12,227 – $68,488 · median $19,545 30 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $8,541 – $44,469 · median $13,454 30 plans
849 RADIOTHERAPY $23,486 – $141,850 · median $39,102 30 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $71,290 – $453,351 · median $122,140 30 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $41,395 – $258,551 · median $70,211 30 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $17,770 – $104,607 · median $29,173 30 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $13,746 – $78,383 · median $22,183 30 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $38,262 – $238,138 · median $64,769 30 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $18,922 – $112,114 · median $31,175 30 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $12,908 – $72,922 · median $20,727 30 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $16,369 – $95,476 · median $26,739 30 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $9,734 – $52,243 · median $15,378 30 plans
864 FEVER AND INFLAMMATORY CONDITIONS $8,849 – $46,474 · median $13,950 30 plans
865 VIRAL ILLNESS WITH MCC $13,755 – $78,441 · median $22,198 30 plans
866 VIRAL ILLNESS WITHOUT MCC $8,704 – $45,526 · median $13,715 30 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $18,534 – $109,585 · median $30,500 30 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $10,001 – $53,981 · median $15,808 30 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $7,580 – $38,202 · median $11,902 30 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $57,248 – $361,853 · median $97,749 30 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $17,324 – $101,696 · median $28,397 30 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,938 – $53,573 · median $15,707 30 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $32,769 – $202,339 · median $55,226 30 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $9,432 – $50,269 · median $14,889 30 plans
881 DEPRESSIVE NEUROSES $9,276 – $49,259 · median $14,639 30 plans
882 NEUROSES EXCEPT DEPRESSIVE $10,344 – $56,217 · median $16,361 30 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $17,515 – $102,942 · median $28,729 30 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $14,643 – $84,231 · median $23,742 30 plans
885 PSYCHOSES $12,939 – $73,127 · median $20,782 30 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $18,391 – $108,648 · median $30,251 30 plans
887 OTHER MENTAL DISORDER DIAGNOSES $10,321 – $56,065 · median $16,324 30 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $6,673 – $32,297 · median $10,441 30 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $13,090 – $74,111 · median $21,044 30 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $15,738 – $91,361 · median $25,642 30 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $8,810 – $46,217 · median $13,886 30 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $35,434 – $219,705 · median $59,856 30 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $17,099 – $100,230 · median $28,007 30 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $11,114 – $61,232 · median $17,611 30 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $31,228 – $192,298 · median $52,550 30 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $13,635 – $77,660 · median $21,990 30 plans
906 HAND PROCEDURES FOR INJURIES $17,499 – $102,837 · median $28,702 30 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $32,563 – $200,999 · median $54,869 30 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $17,747 – $104,455 · median $29,133 30 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $12,264 – $68,724 · median $19,608 30 plans
913 TRAUMATIC INJURY WITH MCC $14,850 – $85,576 · median $24,100 30 plans
914 TRAUMATIC INJURY WITHOUT MCC $8,831 – $46,359 · median $13,921 30 plans
915 ALLERGIC REACTIONS WITH MCC $15,227 – $88,037 · median $24,756 30 plans
916 ALLERGIC REACTIONS WITHOUT MCC $7,070 – $34,883 · median $11,081 30 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $14,318 – $82,110 · median $23,176 30 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $8,603 – $44,872 · median $13,553 30 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $16,426 – $95,848 · median $26,838 30 plans
920 COMPLICATIONS OF TREATMENT WITH CC $9,770 – $52,473 · median $15,435 30 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $7,248 – $36,040 · median $11,367 30 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $15,772 – $91,586 · median $25,702 30 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $9,893 – $53,280 · median $15,634 30 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $173,252 – $1,117,763 · median $299,255 30 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $59,344 – $375,512 · median $101,390 30 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $27,594 – $168,619 · median $46,237 30 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $33,004 – $203,873 · median $55,635 30 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $19,478 – $115,732 · median $32,139 30 plans
935 NON-EXTENSIVE BURNS $18,268 – $107,847 · median $30,037 30 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $30,869 – $189,963 · median $51,927 30 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $20,492 – $122,344 · median $33,902 30 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $18,008 – $106,156 · median $29,586 30 plans
945 REHABILITATION WITH CC/MCC $14,159 – $81,074 · median $22,900 30 plans
946 REHABILITATION WITHOUT CC/MCC $10,931 – $60,038 · median $17,307 30 plans
947 SIGNS AND SYMPTOMS WITH MCC $11,916 – $66,457 · median $19,004 30 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $8,148 – $41,909 · median $12,820 30 plans
949 AFTERCARE WITH CC/MCC $11,275 – $62,284 · median $17,891 30 plans
950 AFTERCARE WITHOUT CC/MCC $6,760 – $32,862 · median $10,581 30 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $6,184 – $29,108 · median $9,652 30 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $55,796 – $352,393 · median $95,227 30 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $31,950 – $197,004 · median $53,804 30 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $62,937 – $398,925 · median $107,631 30 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $35,573 – $220,610 · median $60,097 30 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $25,371 – $154,132 · median $42,376 30 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $23,681 – $143,123 · median $39,441 30 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $14,030 – $80,236 · median $22,677 30 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $9,273 – $49,238 · median $14,634 30 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $50,897 – $320,468 · median $86,717 30 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $22,907 – $138,076 · median $38,095 30 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $24,904 – $151,091 · median $41,565 30 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $12,121 – $67,797 · median $19,361 30 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $8,970 – $47,259 · median $14,144 30 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $12,143 – $67,938 · median $19,398 30 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $39,412 – $245,630 · median $66,767 30 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $21,469 – $128,710 · median $35,599 30 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $15,488 – $89,733 · median $25,208 30 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $29,262 – $179,487 · median $49,135 30 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $14,922 – $86,047 · median $24,226 30 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,352 – $62,782 · median $18,024 30 plans
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