Northwest Health - Porter — Pricing

766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 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 766
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 766 procedures

Procedures with negotiated rates only

These 766 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
038 EXTRACRANIAL PROCEDURES WITH CC $11,224 – $35,310 · median $15,060 34 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,198 – $25,745 · median $10,943 34 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,143 – $22,409 · median $9,508 34 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $13,854 – $43,620 · median $18,637 34 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,080 – $22,210 · median $9,422 34 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,873 – $15,237 · median $6,421 34 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,183 – $32,018 · median $13,643 34 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,092 – $19,089 · median $8,079 34 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $12,129 – $38,169 · median $16,291 34 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,166 – $22,482 · median $9,539 34 plans
100 SEIZURES WITH MCC $13,351 – $42,033 · median $17,954 34 plans
101 SEIZURES WITHOUT MCC $6,351 – $19,906 · median $8,430 34 plans
102 HEADACHES WITH MCC $7,828 – $24,576 · median $10,441 34 plans
103 HEADACHES WITHOUT MCC $5,902 – $18,487 · median $7,820 34 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $10,631 – $33,434 · median $14,253 34 plans
149 DYSEQUILIBRIUM $5,328 – $16,675 · median $7,040 34 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,238 – $16,388 · median $6,917 34 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,914 – $20,203 · median $7,720 34 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,919 – $15,381 · median $6,483 34 plans
157 DENTAL AND ORAL DISEASES WITH MCC $11,862 – $37,326 · median $15,928 34 plans
163 MAJOR CHEST PROCEDURES WITH MCC $30,579 – $96,484 · median $41,389 34 plans
164 MAJOR CHEST PROCEDURES WITH CC $17,326 – $54,596 · median $23,361 34 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $13,198 – $41,549 · median $17,746 34 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $9,539 – $29,983 · median $12,768 34 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,690 – $17,818 · median $7,532 34 plans
180 RESPIRATORY NEOPLASMS WITH MCC $12,195 – $38,379 · median $16,381 34 plans
181 RESPIRATORY NEOPLASMS WITH CC $7,490 – $23,509 · median $9,981 34 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,343 – $16,722 · median $7,060 34 plans
186 PLEURAL EFFUSION WITH MCC $10,791 – $33,939 · median $12,949 34 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,603 – $27,026 · median $11,495 34 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,739 – $24,294 · median $10,319 34 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,947 – $18,631 · median $7,882 34 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,586 – $14,330 · median $6,031 34 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,138 – $28,716 · median $12,222 34 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,495 – $14,041 · median $5,906 34 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $6,815 – $21,374 · median $9,062 34 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,776 – $14,929 · median $6,289 34 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,706 – $17,869 · median $7,554 34 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $67,642 – $213,627 · median $91,806 34 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $66,463 – $209,900 · median $90,202 34 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $44,751 – $141,275 · median $60,666 34 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $44,751 – $141,275 · median $53,814 34 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $52,217 – $164,874 · median $70,823 34 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $36,340 – $114,691 · median $49,225 34 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $34,359 – $108,431 · median $46,531 34 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $33,731 – $106,445 · median $45,676 34 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $21,560 – $67,979 · median $29,120 34 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $57,305 – $180,954 · median $77,744 34 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $41,280 – $130,305 · median $55,945 34 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $51,993 – $164,165 · median $70,518 34 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $37,219 – $117,470 · median $50,421 34 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $39,967 – $126,155 · median $54,159 34 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $28,596 – $90,215 · median $38,691 34 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $21,854 – $68,905 · median $29,812 34 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $14,665 – $46,186 · median $20,012 34 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $12,476 – $39,266 · median $16,763 34 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $15,015 – $47,290 · median $20,279 34 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $10,357 – $32,570 · median $13,881 34 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $21,510 – $67,821 · median $29,052 34 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $13,929 – $43,858 · median $18,739 34 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $22,260 – $70,189 · median $30,072 34 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $13,038 – $41,042 · median $17,527 34 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $11,274 – $35,467 · median $15,128 34 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,099 – $34,915 · median $14,890 34 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,462 – $20,259 · median $8,582 34 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,135 – $16,065 · median $6,778 34 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $13,649 – $42,974 · median $18,359 34 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,926 – $15,404 · median $6,493 34 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,740 – $13,408 · median $5,436 34 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $15,220 – $47,938 · median $20,495 34 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,484 – $23,490 · median $9,973 34 plans
291 HEART FAILURE AND SHOCK WITH MCC $8,931 – $28,062 · median $11,941 34 plans
292 HEART FAILURE AND SHOCK WITH CC $5,988 – $18,759 · median $7,937 34 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,072 – $12,704 · median $5,331 34 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $11,293 – $35,527 · median $15,153 34 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,467 – $23,434 · median $9,949 34 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,112 – $15,993 · median $6,746 34 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,798 – $14,998 · median $6,318 34 plans
304 HYPERTENSION WITH MCC $8,293 – $26,055 · median $11,077 34 plans
305 HYPERTENSION WITHOUT MCC $5,352 – $16,750 · median $7,072 34 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,391 – $26,354 · median $10,062 34 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,221 – $16,335 · median $6,894 34 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,073 – $12,706 · median $4,866 34 plans
313 CHEST PAIN $5,114 – $15,999 · median $6,749 34 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $14,356 – $45,208 · median $19,320 34 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,761 – $21,205 · median $8,764 34 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $16,786 – $52,889 · median $22,626 34 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $31,356 – $98,938 · median $42,445 34 plans
332 RECTAL RESECTION WITH MCC $24,750 – $78,060 · median $33,559 34 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $17,724 – $55,854 · median $23,902 34 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,560 – $33,212 · median $14,157 34 plans
375 DIGESTIVE MALIGNANCY WITH CC $8,429 – $26,474 · median $11,257 34 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,497 – $20,370 · median $8,630 34 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $12,615 – $39,705 · median $16,952 34 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $6,879 – $21,577 · median $9,150 34 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,508 – $14,082 · median $5,924 34 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,952 – $34,448 · median $14,689 34 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,849 – $21,483 · median $9,109 34 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,853 – $15,171 · median $6,393 34 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $8,826 – $27,730 · median $10,845 34 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,518 – $17,274 · median $7,298 34 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,067 – $34,812 · median $14,846 34 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,575 – $20,614 · median $8,735 34 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,634 – $14,480 · median $6,095 34 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $16,395 – $51,652 · median $22,094 34 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $11,691 – $36,787 · median $15,696 34 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $9,486 – $29,816 · median $12,696 34 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $12,674 – $39,891 · median $17,032 34 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $7,897 – $24,795 · median $10,535 34 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,017 – $18,851 · median $7,976 34 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $11,276 – $35,473 · median $15,130 34 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,935 – $18,592 · median $7,865 34 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,447 – $13,890 · median $5,841 34 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,977 – $15,565 · median $6,562 34 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,551 – $36,344 · median $15,505 34 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $20,773 – $65,491 · median $28,050 34 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $13,298 – $41,864 · median $17,881 34 plans
472 CERVICAL SPINAL FUSION WITH CC $20,184 – $63,627 · median $27,248 34 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $16,766 – $52,827 · median $22,599 34 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $19,955 – $62,904 · median $26,936 34 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $17,408 – $54,855 · median $23,472 34 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $13,823 – $43,524 · median $18,595 34 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,048 – $25,272 · median $10,740 34 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,901 – $18,485 · median $7,819 34 plans
551 MEDICAL BACK PROBLEMS WITH MCC $8,515 – $36,455 · median $13,907 34 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,748 – $21,162 · median $8,971 34 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,860 – $18,355 · median $7,763 34 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,188 – $28,875 · median $12,291 34 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,863 – $18,365 · median $7,767 34 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,302 – $19,754 · median $8,365 34 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $10,690 – $33,620 · median $14,333 34 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,837 – $21,442 · median $9,092 34 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $2,473 – $16,626 · median $6,358 34 plans
598 MALIGNANT BREAST DISORDERS WITH CC $7,899 – $24,799 · median $10,536 34 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,076 – $17,056 · median $7,204 34 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,291 – $22,880 · median $9,710 34 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,336 – $13,539 · median $5,690 34 plans
602 CELLULITIS WITH MCC $9,862 – $31,004 · median $13,207 34 plans
603 CELLULITIS WITHOUT MCC $6,136 – $19,228 · median $8,139 34 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,441 – $20,193 · median $8,554 34 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $6,261 – $19,987 · median $7,637 34 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $19,786 – $62,371 · median $26,707 34 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $10,451 – $32,867 · median $14,009 34 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $10,390 – $32,675 · median $13,926 34 plans
637 DIABETES WITH MCC $9,966 – $31,333 · median $13,349 34 plans
638 DIABETES WITH CC $6,307 – $19,769 · median $8,372 34 plans
639 DIABETES WITHOUT CC/MCC $4,446 – $13,885 · median $5,839 34 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,048 – $29,170 · median $11,134 34 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,508 – $17,244 · median $7,285 34 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $4,436 – $31,021 · median $11,838 34 plans
644 ENDOCRINE DISORDERS WITH CC $7,179 – $22,525 · median $9,558 34 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,441 – $17,033 · median $7,194 34 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $21,793 – $68,713 · median $29,436 34 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $12,628 – $39,748 · median $16,970 34 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $10,745 – $33,796 · median $14,408 34 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $20,007 – $63,069 · median $27,007 34 plans
682 RENAL FAILURE WITH MCC $10,266 – $32,281 · median $13,756 34 plans
683 RENAL FAILURE WITH CC $6,169 – $19,333 · median $8,184 34 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,304 – $13,438 · median $5,647 34 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,720 – $17,914 · median $7,573 34 plans
693 URINARY STONES WITH MCC $9,342 – $29,360 · median $12,500 34 plans
694 URINARY STONES WITHOUT MCC $5,532 – $17,319 · median $7,317 34 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,657 – $15,336 · median $5,867 34 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,111 – $22,311 · median $9,465 34 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $7,976 – $25,043 · median $10,641 34 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,679 – $14,623 · median $6,157 34 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $12,661 – $39,851 · median $17,014 34 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $6,956 – $22,150 · median $9,396 34 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,102 – $12,801 · median $5,372 34 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,495 – $23,522 · median $9,987 34 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $14,174 – $53,122 · median $22,726 34 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,417 – $23,276 · median $9,881 34 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,724 – $21,087 · median $8,939 34 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $11,407 – $35,886 · median $15,308 34 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,801 – $24,489 · median $10,403 34 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,709 – $21,108 · median $8,948 34 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $5,125 – $127,757 · median $48,667 34 plans
791 PREMATURITY WITH MAJOR PROBLEMS $8,399 – $87,438 · median $33,317 34 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $12,744 – $52,996 · median $20,204 34 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $8,538 – $89,804 · median $34,218 34 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $5,531 – $32,172 · median $12,276 34 plans
795 NORMAL NEWBORN $1,442 – $4,869 · median $1,959 34 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $8,095 – $25,563 · median $10,865 34 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $6,951 – $21,998 · median $9,331 34 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,256 – $21,072 · median $8,932 34 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $7,546 – $23,684 · median $10,057 34 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,345 – $16,727 · median $7,062 34 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,804 – $15,019 · median $6,327 34 plans
811 RED BLOOD CELL DISORDERS WITH MCC $9,747 – $30,640 · median $13,050 34 plans
813 COAGULATION DISORDERS $10,566 – $33,229 · median $14,164 34 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,105 – $22,289 · median $9,456 34 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,519 – $14,116 · median $5,939 34 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $15,685 – $49,410 · median $21,129 34 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,088 – $25,396 · median $10,848 34 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,062 – $18,992 · median $8,037 34 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $11,284 – $35,499 · median $15,141 34 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,080 – $22,212 · median $9,423 34 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $11,534 – $56,062 · median $21,372 34 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,096 – $28,584 · median $11,204 34 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,057 – $18,768 · median $7,402 34 plans
866 VIRAL ILLNESS WITHOUT MCC $6,127 – $19,200 · median $8,127 34 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $13,390 – $42,155 · median $18,006 34 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,168 – $22,488 · median $9,542 34 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $9,857 – $42,664 · median $16,271 34 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $9,823 – $30,882 · median $13,154 34 plans
915 ALLERGIC REACTIONS WITH MCC $11,624 – $36,573 · median $15,604 34 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,985 – $18,932 · median $7,236 34 plans
945 REHABILITATION WITH CC/MCC $10,723 – $33,727 · median $14,379 34 plans
946 REHABILITATION WITHOUT CC/MCC $8,004 – $25,131 · median $10,679 34 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,659 – $17,721 · median $7,490 34 plans
950 AFTERCARE WITHOUT CC/MCC $4,490 – $14,024 · median $5,899 34 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,004 – $12,490 · median $5,239 34 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $6,536 – $21,138 · median $9,456 33 plans
881 DEPRESSIVE NEUROSES $6,063 – $20,725 · median $9,266 33 plans
882 NEUROSES EXCEPT DEPRESSIVE $4,716 – $23,569 · median $9,104 33 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $10,942 – $35,017 · median $15,844 33 plans
885 PSYCHOSES $9,370 – $30,479 · median $13,756 33 plans
887 OTHER MENTAL DISORDER DIAGNOSES $7,490 – $23,507 · median $10,546 33 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $143,920 – $454,713 · median $224,374 32 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $94,004 – $296,949 · median $146,770 32 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $37,161 – $117,286 · median $58,394 32 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $28,780 – $90,797 · median $45,364 32 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $19,748 – $62,251 · median $31,220 32 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $292,556 – $924,501 · median $455,463 32 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $53,507 – $168,949 · median $83,807 32 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $36,076 – $113,857 · median $56,707 32 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $21,749 – $68,576 · median $34,422 32 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $39,031 – $123,196 · median $61,301 32 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $26,721 – $84,291 · median $42,164 32 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $31,018 – $97,872 · median $48,845 32 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $21,288 – $67,117 · median $33,684 32 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $17,319 – $54,573 · median $27,332 32 plans
028 SPINAL PROCEDURES WITH MCC $40,912 – $129,144 · median $64,227 32 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $23,335 – $73,587 · median $36,898 32 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $15,101 – $47,561 · median $23,782 32 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $30,570 – $96,456 · median $48,148 32 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $14,666 – $46,188 · median $23,086 32 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $11,497 – $36,173 · median $18,015 32 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $26,442 – $83,409 · median $41,730 32 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $16,423 – $51,740 · median $25,897 32 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $13,392 – $42,161 · median $21,047 32 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $22,526 – $71,030 · median $35,641 32 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $26,378 – $83,206 · median $41,630 32 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $15,124 – $47,636 · median $23,820 32 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $11,936 – $37,559 · median $18,717 32 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $12,502 – $39,348 · median $19,623 32 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $6,869 – $21,545 · median $10,608 32 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,577 – $33,263 · median $16,542 32 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $15,966 – $50,298 · median $25,167 32 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $9,011 – $28,314 · median $14,036 32 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $11,813 – $37,170 · median $18,520 32 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $8,641 – $27,144 · median $13,443 32 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,467 – $20,274 · median $9,965 32 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $18,904 – $59,583 · median $29,869 32 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $12,136 – $38,190 · median $19,037 32 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $9,743 – $30,629 · median $15,208 32 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,648 – $17,685 · median $8,654 32 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $11,510 – $36,213 · median $18,036 32 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $7,186 – $22,546 · median $11,115 32 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,360 – $16,774 · median $8,192 32 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,101 – $34,919 · median $13,605 32 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,218 – $22,649 · median $11,167 32 plans
075 VIRAL MENINGITIS WITH CC/MCC $13,221 – $41,620 · median $20,773 32 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,827 – $18,250 · median $8,940 32 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $12,493 – $39,320 · median $19,609 32 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,303 – $19,756 · median $9,702 32 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $15,712 – $49,495 · median $24,761 32 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $9,689 – $30,458 · median $15,121 32 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,711 – $21,044 · median $10,355 32 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $15,620 – $49,202 · median $24,613 32 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,059 – $28,466 · median $14,113 32 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,432 – $20,165 · median $9,229 32 plans
088 CONCUSSION WITH MCC $9,391 – $29,517 · median $14,645 32 plans
089 CONCUSSION WITH CC $7,677 – $24,099 · median $10,638 32 plans
090 CONCUSSION WITHOUT CC/MCC $5,813 – $18,207 · median $8,918 32 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,631 – $17,632 · median $8,627 32 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $24,064 – $75,893 · median $38,033 32 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $17,700 – $55,777 · median $27,942 32 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $17,700 – $55,777 · median $25,490 32 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $24,690 – $77,870 · median $39,005 32 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $15,775 – $49,695 · median $19,347 32 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $9,463 – $29,743 · median $14,760 32 plans
113 ORBITAL PROCEDURES WITH CC/MCC $16,156 – $50,897 · median $25,471 32 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $9,399 – $29,542 · median $14,658 32 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,480 – $39,279 · median $19,588 32 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,585 – $23,806 · median $11,753 32 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,115 – $25,484 · median $11,824 32 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,560 – $17,407 · median $8,513 32 plans
123 NEUROLOGICAL EYE DISORDERS $5,647 – $17,681 · median $8,652 32 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $9,197 – $28,903 · median $14,334 32 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,438 – $17,022 · median $8,318 32 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $14,930 – $47,022 · median $23,509 32 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,113 – $22,317 · median $10,999 32 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,348 – $32,542 · median $16,177 32 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,240 – $19,555 · median $9,601 32 plans
139 SALIVARY GLAND PROCEDURES $8,605 – $27,033 · median $13,387 32 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $29,114 – $91,852 · median $45,883 32 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $15,005 – $47,260 · median $23,629 32 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,047 – $34,750 · median $17,295 32 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $25,602 – $80,754 · median $40,424 32 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $11,971 – $37,670 · median $18,773 32 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,379 – $26,318 · median $13,025 32 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $14,574 – $45,897 · median $19,340 32 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,848 – $27,799 · median $13,775 32 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,636 – $17,649 · median $8,635 32 plans
150 EPISTAXIS WITH MCC $9,254 – $29,082 · median $14,425 32 plans
151 EPISTAXIS WITHOUT MCC $5,209 – $16,299 · median $7,952 32 plans
152 OTITIS MEDIA AND URI WITH MCC $8,243 – $25,888 · median $12,807 32 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $10,824 – $34,046 · median $16,938 32 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,399 – $20,060 · median $9,169 32 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,037 – $15,753 · median $7,676 32 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $25,542 – $80,564 · median $40,330 32 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $12,448 – $39,179 · median $19,537 32 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,490 – $29,829 · median $14,803 32 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $16,442 – $64,275 · median $25,014 32 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,819 – $34,029 · median $16,930 32 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,847 – $21,476 · median $10,573 32 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,351 – $16,748 · median $8,179 32 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,597 – $33,327 · median $16,574 32 plans
184 MAJOR CHEST TRAUMA WITH CC $7,444 – $23,361 · median $9,120 32 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,565 – $17,422 · median $8,304 32 plans
187 PLEURAL EFFUSION WITH CC $6,936 – $21,757 · median $10,715 32 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,096 – $15,939 · median $7,770 32 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,696 – $17,837 · median $8,731 32 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $13,016 – $40,972 · median $20,445 32 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $6,665 – $20,901 · median $10,282 32 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,089 – $15,918 · median $7,759 32 plans
199 PNEUMOTHORAX WITH MCC $12,182 – $38,338 · median $19,111 32 plans
200 PNEUMOTHORAX WITH CC $7,682 – $24,114 · median $11,909 32 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,081 – $15,894 · median $7,747 32 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $12,635 – $39,769 · median $19,836 32 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,611 – $20,730 · median $10,195 32 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $43,799 – $138,266 · median $68,714 32 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $18,847 – $59,404 · median $29,778 32 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $73,850 – $233,249 · median $115,436 32 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $33,557 – $105,895 · median $52,791 32 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $19,536 – $61,582 · median $30,881 32 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $9,612 – $30,214 · median $14,998 32 plans
245 AICD GENERATOR PROCEDURES $31,125 – $98,208 · median $49,010 32 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $23,854 – $75,228 · median $37,706 32 plans
253 OTHER VASCULAR PROCEDURES WITH CC $17,811 – $56,128 · median $28,119 32 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $12,301 – $38,714 · median $19,302 32 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $18,500 – $58,306 · median $29,222 32 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $11,734 – $36,921 · median $18,394 32 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,634 – $23,962 · median $11,832 32 plans
263 VEIN LIGATION AND STRIPPING $20,937 – $66,008 · median $33,122 32 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $22,854 – $72,067 · median $36,151 32 plans
265 AICD LEAD PROCEDURES $24,733 – $78,007 · median $39,073 32 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $41,725 – $131,713 · median $65,491 32 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $32,468 – $102,453 · median $51,098 32 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $46,799 – $147,749 · median $73,379 32 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $28,829 – $90,951 · median $45,440 32 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $35,957 – $113,482 · median $56,523 32 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $24,314 – $76,682 · median $38,421 32 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $17,523 – $55,217 · median $27,658 32 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $28,167 – $88,861 · median $44,412 32 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $22,523 – $71,021 · median $35,637 32 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $48,508 – $153,151 · median $76,036 32 plans
276 NON-MALIGANT BREAST DISORDERS $40,901 – $129,107 · median $64,209 32 plans
277 CELLULITIS AGE >17 W CC $31,504 – $99,408 · median $49,600 32 plans
278 CELLULITIS AGE >17 W/O CC $14,431 – $119,685 · median $46,548 32 plans
279 CELLULITIS AGE 0-17 $21,134 – $77,754 · median $30,252 32 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $18,560 – $58,494 · median $29,318 32 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,795 – $37,114 · median $18,492 32 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,534 – $20,486 · median $10,072 32 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $10,814 – $34,012 · median $16,921 32 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,532 – $14,159 · median $6,868 32 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,321 – $10,332 · median $4,930 32 plans
302 ATHEROSCLEROSIS WITH MCC $8,341 – $26,196 · median $12,963 32 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $10,908 – $34,309 · median $17,071 32 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,422 – $20,133 · median $9,893 32 plans
311 ANGINA PECTORIS $4,992 – $15,612 · median $7,604 32 plans
312 SYNCOPE AND COLLAPSE $6,141 – $19,243 · median $9,442 32 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,858 – $15,188 · median $7,390 32 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $30,451 – $96,079 · median $47,963 32 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $16,523 – $52,057 · median $26,058 32 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $18,658 – $58,807 · median $29,476 32 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $12,175 – $38,314 · median $17,473 32 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY $29,534 – $93,180 · median $46,537 32 plans
324 URINARY STONES W/O CC $21,061 – $68,011 · median $26,466 32 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $21,973 – $69,282 · median $34,780 32 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $34,002 – $107,301 · median $53,483 32 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,087 – $34,876 · median $17,359 32 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $16,468 – $51,883 · median $25,970 32 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,633 – $36,601 · median $18,232 32 plans
333 RECTAL RESECTION WITH CC $16,096 – $50,707 · median $25,374 32 plans
334 RECTAL RESECTION WITHOUT CC/MCC $11,328 – $35,638 · median $17,744 32 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $24,413 – $76,995 · median $38,575 32 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $14,515 – $45,711 · median $22,845 32 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $10,631 – $33,436 · median $16,629 32 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,426 – $32,788 · median $16,301 32 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,270 – $25,974 · median $12,851 32 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $15,780 – $49,709 · median $24,869 32 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $4,398 – $28,597 · median $11,148 32 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,134 – $19,221 · median $9,432 32 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $17,109 – $53,909 · median $20,985 32 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,146 – $25,580 · median $12,651 32 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $19,885 – $62,684 · median $31,439 32 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $11,629 – $36,590 · median $18,226 32 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $9,345 – $29,371 · median $14,571 32 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $29,977 – $94,580 · median $47,225 32 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $15,983 – $50,349 · median $25,193 32 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,703 – $30,503 · median $15,144 32 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,017 – $34,654 · median $17,246 32 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,011 – $21,994 · median $10,836 32 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,985 – $15,588 · median $7,592 32 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $12,243 – $38,530 · median $19,209 32 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,152 – $22,439 · median $11,061 32 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,165 – $16,157 · median $7,880 32 plans
374 DIGESTIVE MALIGNANCY WITH MCC $8,565 – $46,353 · median $18,049 32 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $13,523 – $42,576 · median $19,986 32 plans
381 COMPLICATED PEPTIC ULCER WITH CC $7,575 – $23,776 · median $11,738 32 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,660 – $17,724 · median $8,673 32 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,587 – $30,135 · median $14,958 32 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,027 – $18,883 · median $9,260 32 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,237 – $32,191 · median $15,999 32 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,587 – $17,492 · median $8,556 32 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,923 – $12,234 · median $5,893 32 plans
397 COAGULATION DISORDERS $16,452 – $51,834 · median $25,945 32 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $10,487 – $32,978 · median $16,398 32 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $7,989 – $25,086 · median $12,401 32 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $37,272 – $117,637 · median $58,567 32 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $19,873 – $62,645 · median $31,419 32 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $15,266 – $48,083 · median $24,046 32 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $24,377 – $76,881 · median $38,519 32 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $14,979 – $47,178 · median $23,588 32 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $10,988 – $34,564 · median $17,200 32 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $22,602 – $71,269 · median $35,759 32 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $14,473 – $45,578 · median $22,777 32 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $11,481 – $36,121 · median $17,989 32 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $24,357 – $76,817 · median $38,488 32 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $14,231 – $44,812 · median $22,390 32 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $9,469 – $29,763 · median $14,769 32 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $21,833 – $73,490 · median $28,595 32 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,002 – $37,769 · median $18,823 32 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $9,714 – $30,537 · median $15,161 32 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $28,353 – $89,449 · median $44,701 32 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $15,051 – $47,405 · median $23,703 32 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $10,397 – $32,694 · median $16,254 32 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $13,564 – $42,705 · median $21,323 32 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,390 – $23,192 · median $11,442 32 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,064 – $15,839 · median $7,719 32 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,389 – $38,993 · median $19,443 32 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,775 – $21,247 · median $10,458 32 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,649 – $24,009 · median $11,856 32 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,841 – $18,295 · median $8,963 32 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $57,125 – $180,387 · median $89,434 32 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $40,606 – $128,177 · median $63,751 32 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $28,486 – $89,868 · median $44,907 32 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $45,136 – $176,974 · median $56,525 32 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $25,002 – $79,729 · median $31,289 32 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $37,627 – $118,760 · median $59,119 32 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $18,247 – $57,506 · median $28,817 32 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $38,822 – $122,537 · median $60,977 32 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $21,325 – $67,234 · median $33,743 32 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,586 – $39,613 · median $19,757 32 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $35,477 – $111,965 · median $55,777 32 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $24,113 – $76,047 · median $38,109 32 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $18,843 – $59,389 · median $29,770 32 plans
471 CERVICAL SPINAL FUSION WITH MCC $32,927 – $103,906 · median $51,812 32 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $29,300 – $92,442 · median $46,173 32 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $15,645 – $49,284 · median $24,654 32 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,230 – $25,845 · median $12,786 32 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,626 – $74,507 · median $37,351 32 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $16,888 – $53,210 · median $26,642 32 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,824 – $40,366 · median $20,138 32 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $14,419 – $45,407 · median $22,691 32 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,281 – $35,490 · median $17,669 32 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $19,004 – $59,900 · median $30,029 32 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $22,086 – $69,639 · median $34,957 32 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $14,396 – $45,334 · median $22,654 32 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,843 – $34,104 · median $16,967 32 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,215 – $38,441 · median $19,163 32 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $7,801 – $24,489 · median $12,099 32 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $25,095 – $79,149 · median $39,635 32 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $24,784 – $78,167 · median $39,152 32 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $12,452 – $39,189 · median $19,543 32 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $8,420 – $26,446 · median $13,090 32 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $20,662 – $65,140 · median $27,947 32 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $13,879 – $43,702 · median $21,827 32 plans
500 SOFT TISSUE PROCEDURES WITH MCC $21,664 – $68,306 · median $34,286 32 plans
501 SOFT TISSUE PROCEDURES WITH CC $12,074 – $37,996 · median $18,938 32 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $9,351 – $29,390 · median $14,581 32 plans
503 FOOT PROCEDURES WITH MCC $19,134 – $60,311 · median $30,237 32 plans
504 FOOT PROCEDURES WITH CC $12,894 – $40,587 · median $20,250 32 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $12,377 – $38,952 · median $19,422 32 plans
506 MAJOR THUMB OR JOINT PROCEDURES $9,374 – $29,461 · median $14,617 32 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $12,469 – $39,243 · median $19,570 32 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $10,492 – $32,995 · median $16,406 32 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $20,687 – $65,219 · median $32,723 32 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $14,317 – $45,084 · median $22,527 32 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $11,446 – $36,012 · median $17,934 32 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $10,897 – $34,277 · median $17,055 32 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,161 – $22,467 · median $11,075 32 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $21,814 – $68,779 · median $34,525 32 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $14,308 – $45,056 · median $22,513 32 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $10,643 – $33,473 · median $16,648 32 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $25,539 – $80,555 · median $40,326 32 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $13,780 – $43,389 · median $21,669 32 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,353 – $32,557 · median $16,184 32 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $19,670 – $62,003 · median $31,094 32 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $14,576 – $45,903 · median $22,942 32 plans
533 FRACTURES OF FEMUR WITH MCC $10,853 – $34,136 · median $16,984 32 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,697 – $17,841 · median $8,733 32 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $8,919 – $28,023 · median $13,889 32 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,707 – $17,873 · median $8,749 32 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,701 – $21,012 · median $10,338 32 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,117 – $16,006 · median $7,803 32 plans
539 OSTEOMYELITIS WITH MCC $4,927 – $42,737 · median $16,643 32 plans
540 OSTEOMYELITIS WITH CC $9,016 – $28,329 · median $14,043 32 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,571 – $17,441 · median $8,530 32 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $12,199 – $38,389 · median $19,137 32 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,199 – $22,589 · median $11,137 32 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,349 – $16,739 · median $8,175 32 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $12,537 – $53,691 · median $20,901 32 plans
548 SEPTIC ARTHRITIS WITH MCC $13,311 – $41,907 · median $20,918 32 plans
549 SEPTIC ARTHRITIS WITH CC $8,412 – $26,423 · median $12,962 32 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,158 – $19,296 · median $7,534 32 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,016 – $28,329 · median $14,043 32 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $10,306 – $32,407 · median $16,108 32 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,287 – $19,705 · median $9,465 32 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,865 – $40,494 · median $20,203 32 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,863 – $24,688 · median $12,200 32 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,682 – $17,794 · median $8,709 32 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $9,885 – $31,078 · median $12,157 32 plans
570 SKIN DEBRIDEMENT WITH MCC $24,716 – $76,706 · median $32,740 32 plans
571 SKIN DEBRIDEMENT WITH CC $11,677 – $36,742 · median $18,303 32 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,000 – $25,120 · median $12,418 32 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $44,589 – $140,763 · median $59,671 32 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $23,739 – $74,866 · median $37,528 32 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,405 – $39,042 · median $19,468 32 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $12,730 – $105,457 · median $41,018 32 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $18,184 – $57,307 · median $28,716 32 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,115 – $34,964 · median $17,403 32 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $22,163 – $69,883 · median $35,077 32 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $11,938 – $37,566 · median $17,516 32 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $10,009 – $31,470 · median $15,634 32 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $13,282 – $41,815 · median $20,872 32 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $11,914 – $37,488 · median $18,681 32 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $14,732 – $46,395 · median $23,191 32 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $13,299 – $41,868 · median $20,899 32 plans
592 SKIN ULCERS WITH MCC $13,341 – $42,001 · median $20,966 32 plans
593 SKIN ULCERS WITH CC $8,271 – $25,976 · median $11,857 32 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,108 – $19,140 · median $9,390 32 plans
595 MAJOR SKIN DISORDERS WITH MCC $14,596 – $45,967 · median $22,975 32 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,568 – $23,755 · median $9,267 32 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $11,526 – $36,263 · median $18,061 32 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,206 – $32,090 · median $15,948 32 plans
606 MINOR SKIN DISORDERS WITH MCC $10,484 – $32,970 · median $16,393 32 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $15,077 – $47,489 · median $23,745 32 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $9,713 – $30,533 · median $15,159 32 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $23,848 – $75,208 · median $37,696 32 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,901 – $40,610 · median $20,262 32 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,841 – $30,939 · median $15,365 32 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,073 – $34,833 · median $17,337 32 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $24,334 – $76,745 · median $38,452 32 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,384 – $38,975 · median $19,434 32 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,715 – $27,379 · median $13,562 32 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $20,684 – $65,210 · median $32,718 32 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,232 – $29,014 · median $14,390 32 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $25,468 – $80,330 · median $40,216 32 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $14,989 – $47,211 · median $23,604 32 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,120 – $31,821 · median $15,812 32 plans
643 ENDOCRINE DISORDERS WITH MCC $11,384 – $35,813 · median $17,833 32 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $35,416 – $111,773 · median $55,682 32 plans
654 MAJOR BLADDER PROCEDURES WITH CC $19,190 – $60,486 · median $30,326 32 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $14,568 – $45,880 · median $22,930 32 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $17,441 – $54,958 · median $27,527 32 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,188 – $28,873 · median $14,319 32 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,250 – $22,747 · median $11,217 32 plans
662 MINOR BLADDER PROCEDURES WITH MCC $20,965 – $66,096 · median $31,642 32 plans
663 MINOR BLADDER PROCEDURES WITH CC $10,531 – $33,120 · median $16,469 32 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,327 – $22,993 · median $11,342 32 plans
665 PROSTATECTOMY WITH MCC $21,369 – $67,373 · median $33,814 32 plans
666 PROSTATECTOMY WITH CC $12,082 – $38,021 · median $18,951 32 plans
667 PROSTATECTOMY WITHOUT CC/MCC $7,729 – $24,262 · median $11,984 32 plans
669 TRANSURETHRAL PROCEDURES WITH CC $10,747 – $33,800 · median $16,814 32 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $6,856 – $21,504 · median $10,588 32 plans
671 URETHRAL PROCEDURES WITH CC/MCC $12,391 – $38,999 · median $19,446 32 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,548 – $23,691 · median $11,695 32 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $28,682 – $90,489 · median $45,213 32 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $16,071 – $50,629 · median $25,335 32 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $11,352 – $35,713 · median $17,782 32 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $12,450 – $39,185 · median $15,318 32 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,333 – $23,012 · median $11,351 32 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,590 – $17,503 · median $8,562 32 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,095 – $25,419 · median $12,570 32 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,896 – $25,066 · median $9,776 32 plans
697 URETHRAL STRICTURE $7,537 – $23,654 · median $11,676 32 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,440 – $35,991 · median $17,923 32 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,911 – $15,355 · median $6,715 32 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $13,781 – $43,391 · median $21,670 32 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,626 – $33,419 · median $16,621 32 plans
709 PENIS PROCEDURES WITH CC/MCC $15,993 – $50,383 · median $25,211 32 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $9,726 – $30,574 · median $15,180 32 plans
711 TESTES PROCEDURES WITH CC/MCC $14,346 – $45,178 · median $22,575 32 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $7,685 – $24,123 · median $11,914 32 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,418 – $32,760 · median $16,287 32 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,398 – $23,218 · median $11,455 32 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $15,385 – $48,462 · median $19,973 32 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,198 – $32,067 · median $15,936 32 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $13,038 – $41,042 · median $20,481 32 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $9,332 – $29,330 · median $14,550 32 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $12,491 – $39,314 · median $19,605 32 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,162 – $25,631 · median $12,677 32 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,128 – $16,042 · median $7,822 32 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,279 – $32,322 · median $16,065 32 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,732 – $17,950 · median $8,788 32 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,407 – $23,246 · median $11,377 32 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,790 – $14,972 · median $7,280 32 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $14,659 – $46,166 · median $23,075 32 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,349 – $29,382 · median $14,576 32 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $24,437 – $77,072 · median $38,613 32 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $14,189 – $44,682 · median $22,324 32 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,181 – $32,013 · median $15,909 32 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $24,494 – $77,249 · median $38,700 32 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $12,490 – $39,311 · median $19,604 32 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,894 – $31,106 · median $15,450 32 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $8,639 – $27,140 · median $13,441 32 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $14,111 – $44,435 · median $22,199 32 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $7,941 – $24,932 · median $12,323 32 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $11,999 – $37,760 · median $18,819 32 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,060 – $18,988 · median $9,314 32 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,632 – $30,276 · median $14,348 32 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $17,621 – $55,529 · median $27,816 32 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,231 – $32,170 · median $15,988 32 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $12,708 – $39,998 · median $19,952 32 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,604 – $23,868 · median $11,785 32 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,250 – $21,145 · median $8,252 32 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,934 – $31,230 · median $15,512 32 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,868 – $21,540 · median $10,606 32 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,733 – $14,792 · median $7,189 32 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $11,679 – $36,748 · median $18,306 32 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,028 – $22,048 · median $10,863 32 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,672 – $14,602 · median $7,093 32 plans
779 ABORTION WITHOUT D&C $5,936 – $18,594 · median $9,114 32 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,354 – $39,153 · median $15,251 32 plans
799 SPLENECTOMY WITH MCC $30,898 – $97,491 · median $48,657 32 plans
800 SPLENECTOMY WITH CC $19,258 – $60,702 · median $30,436 32 plans
801 SPLENECTOMY WITHOUT CC/MCC $13,162 – $41,436 · median $20,680 32 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $27,210 – $85,835 · median $42,924 32 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,824 – $40,366 · median $20,138 32 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $9,420 – $29,606 · median $14,690 32 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $15,186 – $47,833 · median $18,624 32 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,810 – $27,679 · median $13,714 32 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,325 – $22,987 · median $11,338 32 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,456 – $20,240 · median $9,947 32 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $14,637 – $46,096 · median $23,040 32 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $39,941 – $126,073 · median $62,717 32 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $15,394 – $48,490 · median $24,252 32 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,391 – $26,354 · median $13,044 32 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $31,276 – $98,687 · median $49,246 32 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $15,577 – $49,068 · median $24,544 32 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,375 – $29,465 · median $14,619 32 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $31,906 – $100,677 · median $50,224 32 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $15,886 – $50,043 · median $25,038 32 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,774 – $37,048 · median $18,458 32 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $21,631 – $68,203 · median $34,234 32 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $10,428 – $32,794 · median $16,304 32 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $8,381 – $26,322 · median $13,027 32 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,125 – $16,033 · median $7,817 32 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,780 – $11,782 · median $4,614 32 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $37,403 – $118,052 · median $45,913 32 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $14,360 – $45,221 · median $22,597 32 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,496 – $26,686 · median $12,174 32 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $32,762 – $103,384 · median $51,556 32 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $14,371 – $45,255 · median $22,614 32 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,015 – $31,487 · median $15,642 32 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $22,139 – $69,806 · median $32,808 32 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $13,744 – $43,274 · median $21,611 32 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $2,159 – $26,641 · median $10,388 32 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,005 – $18,815 · median $9,226 32 plans
849 RADIOTHERAPY $18,582 – $58,565 · median $29,353 32 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $33,671 – $106,257 · median $52,969 32 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $13,766 – $43,344 · median $21,646 32 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,376 – $32,627 · median $16,220 32 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $31,032 – $97,915 · median $48,866 32 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $14,737 – $46,412 · median $18,072 32 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,670 – $30,396 · median $15,090 32 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $12,586 – $39,613 · median $19,757 32 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $6,996 – $21,945 · median $10,811 32 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,250 – $19,587 · median $9,617 32 plans
865 VIRAL ILLNESS WITH MCC $10,383 – $32,651 · median $16,232 32 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $14,410 – $45,379 · median $22,677 32 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,220 – $22,655 · median $11,170 32 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,180 – $16,207 · median $7,905 32 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $47,028 – $148,474 · median $73,736 32 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $28,648 – $90,382 · median $45,160 32 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $13,200 – $41,556 · median $20,741 32 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,158 – $25,618 · median $12,671 32 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $25,105 – $79,181 · median $39,651 32 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $10,282 – $32,332 · median $16,070 32 plans
906 HAND PROCEDURES FOR INJURIES $13,537 – $42,621 · median $21,280 32 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $26,230 – $82,737 · median $41,400 32 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,747 – $43,282 · median $21,615 32 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,127 – $28,680 · median $14,221 32 plans
913 TRAUMATIC INJURY WITH MCC $11,306 – $35,567 · median $17,708 32 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,235 – $19,540 · median $9,593 32 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,751 – $14,850 · median $6,382 32 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,858 – $34,151 · median $16,991 32 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $12,634 – $39,765 · median $19,834 32 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,025 – $22,039 · median $8,600 32 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,901 – $15,323 · median $5,990 32 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $12,083 – $38,023 · median $18,952 32 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $3,159 – $22,368 · median $8,728 32 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $144,768 – $457,394 · median $225,693 32 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $48,794 – $154,056 · median $59,905 32 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $22,043 – $69,504 · median $34,890 32 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $26,601 – $83,912 · median $41,977 32 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $15,205 – $47,891 · median $23,949 32 plans
935 NON-EXTENSIVE BURNS $14,185 – $44,669 · median $17,449 32 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $24,803 – $78,227 · median $39,181 32 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $16,060 – $50,593 · median $25,317 32 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $13,967 – $43,978 · median $21,967 32 plans
947 SIGNS AND SYMPTOMS WITH MCC $8,834 – $27,754 · median $13,752 32 plans
949 AFTERCARE WITH CC/MCC $8,294 – $26,048 · median $10,158 32 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $45,805 – $144,608 · median $71,834 32 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $25,713 – $81,105 · median $40,597 32 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $51,822 – $163,624 · median $81,188 32 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $28,766 – $90,752 · median $45,342 32 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $20,170 – $63,584 · median $31,895 32 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $18,746 – $59,085 · median $29,617 32 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,615 – $33,385 · median $16,603 32 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,607 – $20,717 · median $10,189 32 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $44,200 – $138,846 · median $66,315 32 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $18,094 – $57,022 · median $28,572 32 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $19,777 – $62,341 · median $31,265 32 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,007 – $28,301 · median $13,517 32 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,351 – $19,908 · median $9,779 32 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $9,025 – $28,359 · median $14,059 32 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $32,001 – $100,977 · median $50,372 32 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $16,883 – $53,195 · median $26,634 32 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,843 – $37,266 · median $18,569 32 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $19,485 – $73,946 · median $28,772 32 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,367 – $35,760 · median $17,806 32 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,358 – $26,252 · median $12,992 32 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $26,403 – $83,285 · median $45,277 31 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $14,289 – $44,996 · median $24,528 31 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,417 – $13,793 · median $7,291 31 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $12,054 – $37,931 · median $20,625 31 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $6,217 – $19,482 · median $10,434 31 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $10,708 – $33,678 · median $14,396 30 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $6,793 – $21,945 · median $8,649 30 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,754 – $14,859 · median $6,298 30 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $8,553 – $26,868 · median $10,582 30 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,835 – $17,492 · median $6,902 30 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $60,226 – $273,656 · median $88,704 30 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $41,643 – $131,454 · median $51,638 30 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $31,417 – $146,158 · median $46,637 30 plans
509 ARTHROSCOPY $12,132 – $136,253 · median $18,477 30 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $16,369 – $153,241 · median $58,999 29 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $32,066 – $101,182 · median $54,646 29 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $25,326 – $79,881 · median $43,495 29 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $38,882 – $257,720 · median $98,147 28 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $40,380 – $127,462 · median $70,260 28 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $18,898 – $116,820 · median $44,503 28 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $211,043 – $600,173 · median $340,827 27 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $85,495 – $243,041 · median $137,817 27 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $77,813 – $221,190 · median $125,396 27 plans
006 LIVER TRANSPLANT WITHOUT MCC $35,140 – $99,804 · median $56,395 27 plans
007 LUNG TRANSPLANT $157,500 – $544,334 · median $213,673 27 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $42,418 – $120,506 · median $68,163 27 plans
010 PANCREAS TRANSPLANT $54,235 – $154,120 · median $87,271 27 plans
652 KIDNEY TRANSPLANT $24,554 – $69,690 · median $39,277 27 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,676 – $11,378 · median $5,689 9 plans
999 UNGROUPABLE $1,676 – $21,765 · median $10,883 9 plans
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