Ochsner St. Mary — Pricing

757 procedures published in this hospital's Machine-Readable File (MRF) — 186 with a comparable price, 571 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 757
Lowest published price $4,194
Average published price $53,252
Highest published price $366,232

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 757 procedures

Published charges

Showing all 186 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.

DRG Description Published price Cash price vs. LA median vs. National median vs Medicare
329 MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Extreme $366,232 $73,246 $147,076 +149% $88,050 +316% —
853 MS DRG -INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme $350,219 $70,044 $102,538 +242% $86,938 +303% —
004 MS DRG -TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES;APR DRG -TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE;SOI -Major $304,560 $60,912 $292,218 +4% $245,189 +24% —
335 MS DRG -PERITONEAL ADHESIOLYSIS WITH MCC;APR DRG -PERITONEAL ADHESIOLYSIS;SOI -Major $265,531 $53,106 $44,541 +496% $71,755 +270% —
870 MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme $214,384 $42,877 $126,146 +70% $137,160 +56% —
640 MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Extreme $208,203 $41,641 $35,544 +486% $24,244 +759% —
673 MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Extreme $191,543 $38,309 $88,662 +116% $72,879 +163% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $161,669 $32,334 $160,739 +1% $116,058 +39% —
083 MS DRG -TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC;APR DRG -HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI -Major $145,895 $29,179 $22,765 +541% $24,118 +505% —
854 MS DRG -INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC;APR DRG -INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI -Moderate $144,418 $28,884 $61,736 +134% $43,444 +232% —
208 MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS;APR DRG -RESPIRATORY FAILURE;SOI -Major $139,035 $27,807 $55,384 +151% $52,405 +165% —
617 MS DRG -AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Moderate $116,452 $23,290 $37,649 +209% $42,881 +172% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $116,224 $23,245 $45,283 +157% $41,847 +178% —
091 MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Extreme $114,715 $22,943 $34,501 +232% $35,990 +219% —
291 MS DRG -HEART FAILURE AND SHOCK WITH MCC;APR DRG -HEART FAILURE;SOI -Extreme $114,093 $22,819 $27,049 +322% $24,932 +358% ≈117% of Medicare
074 MS DRG -CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Major $112,930 $22,586 $20,035 +464% $23,141 +388% —
330 MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Moderate $108,961 $21,792 $75,804 +44% $58,713 +86% —
331 MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Minor $103,584 $20,717 $51,631 +101% $44,087 +135% —
345 MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG -OTHER SMALL AND LARGE BOWEL PROCEDURES;SOI -Minor $101,783 $20,357 $26,767 +280% $31,062 +228% —
863 MS DRG -POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Moderate $101,731 $20,346 $28,888 +252% $20,007 +408% —
309 MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Major $97,315 $19,463 $22,998 +323% $16,645 +485% —
377 MS DRG -GASTROINTESTINAL HEMORRHAGE WITH MCC;APR DRG -OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE;SOI -Extreme $96,905 $19,381 $46,940 +106% $37,842 +156% —
884 MS DRG -ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Major $93,999 $18,800 $28,404 +231% $25,146 +274% —
336 MS DRG -PERITONEAL ADHESIOLYSIS WITH CC;APR DRG -PERITONEAL ADHESIOLYSIS;SOI -Major $93,301 $18,660 $54,942 +70% $49,071 +90% —
399 MS DRG -APPENDIX PROCEDURES WITHOUT CC/MCC;APR DRG -APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS;SOI -Minor $92,059 $18,412 $28,191 +227% $30,259 +204% —
561 MS DRG -AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC;APR DRG -OTHER AFTERCARE AND CONVALESCENCE;SOI -Moderate $91,261 $18,252 $28,867 +216% $18,150 +403% —
092 MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH CC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Major $90,303 $18,061 $25,748 +251% $24,000 +276% —
416 MS DRG -CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG -CHOLECYSTECTOMY;SOI -Moderate $87,603 $17,521 $28,539 +207% $30,418 +188% —
418 MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC;APR DRG -CHOLECYSTECTOMY;SOI -Moderate $87,304 $17,461 $46,416 +88% $42,119 +107% —
374 MS DRG -DIGESTIVE MALIGNANCY WITH MCC;APR DRG -DIGESTIVE MALIGNANCY;SOI -Major $84,280 $16,856 $42,166 +100% $38,885 +117% —
414 MS DRG -CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC;APR DRG -CHOLECYSTECTOMY;SOI -Major $84,139 $16,828 $45,771 +84% $68,399 +23% —
604 MS DRG -TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC;APR DRG -CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE;SOI -Major $81,761 $16,352 $17,934 +356% $27,597 +196% —
580 MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC;APR DRG -CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE;SOI -Major $81,474 $16,295 $59,184 +38% $36,355 +124% —
559 MS DRG -AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC;APR DRG -OTHER AFTERCARE AND CONVALESCENCE;SOI -Major $78,619 $15,724 $37,740 +108% $30,681 +156% —
191 MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Major $75,522 $15,104 $18,365 +311% $18,104 +317% —
919 MS DRG -COMPLICATIONS OF TREATMENT WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Moderate $75,302 $15,060 $31,482 +139% $29,031 +159% —
699 MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Major $74,703 $14,941 $24,373 +207% $20,732 +260% —
097 MS DRG -NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC;APR DRG -NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS;SOI -Extreme $73,779 $14,756 $55,801 +32% $57,855 +28% —
871 MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme $72,018 $14,404 $47,280 +52% $34,876 +106% ≈115% of Medicare
177 MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Extreme $71,958 $14,392 $40,636 +77% $31,754 +127% —
314 MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Extreme $70,358 $14,072 $66,687 +6% $38,166 +84% —
862 MS DRG -POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Major $68,067 $13,613 $30,606 +122% $29,867 +128% —
689 MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITH MCC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Extreme $67,844 $13,569 $24,198 +180% $22,870 +197% —
674 MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC;APR DRG -ACUTE KIDNEY INJURY;SOI -Major $66,255 $13,251 $51,964 +28% $49,631 +33% —
475 MS DRG -AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Moderate $65,618 $13,124 $65,618 +0% $44,553 +47% —
949 MS DRG -AFTERCARE WITH CC/MCC;APR DRG -OTHER AFTERCARE AND CONVALESCENCE;SOI -Extreme $64,726 $12,945 $26,724 +142% $23,953 +170% —
056 MS DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Major $62,496 $12,499 $62,652 −0% $39,409 +59% —
419 MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG -CHOLECYSTECTOMY;SOI -Moderate $61,603 $12,321 $36,340 +70% $34,564 +78% —
743 MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC;APR DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA;SOI -Minor $61,399 $12,280 $30,778 +99% $27,369 +124% —
832 MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC;APR DRG -ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Moderate $60,869 $12,174 $18,719 +225% $12,895 +372% —
950 MS DRG -AFTERCARE WITHOUT CC/MCC;APR DRG -CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE;SOI -Moderate $59,591 $11,918 $23,839 +150% $13,527 +341% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $59,308 $11,862 $59,308 +0% $51,953 +14% —
976 MS DRG -HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC;APR DRG -HIV WITH MAJOR HIV RELATED CONDITION;SOI -Moderate $58,836 $11,767 $14,958 +293% $16,212 +263% —
737 MS DRG -UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC;APR DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA;SOI -Minor $58,089 $11,618 $29,051 +100% $43,320 +34% —
069 MS DRG -TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC;APR DRG -TRANSIENT ISCHEMIA;SOI -Moderate $57,154 $11,431 $22,611 +153% $20,253 +182% —
983 MS DRG -EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Minor $56,831 $11,366 $30,033 +89% $30,930 +84% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $55,736 $11,147 $63,977 −13% $54,475 +2% —
189 MS DRG -PULMONARY EDEMA AND RESPIRATORY FAILURE;APR DRG -RESPIRATORY FAILURE;SOI -Major $54,764 $10,953 $34,870 +57% $24,603 +123% —
605 MS DRG -TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC;APR DRG -CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE;SOI -Moderate $54,162 $10,832 $24,757 +119% $19,287 +181% —
698 MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Major $53,597 $10,719 $28,616 +87% $29,929 +79% —
637 MS DRG -DIABETES WITH MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Moderate $52,626 $10,525 $39,314 +34% $28,772 +83% —
354 MS DRG -HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC;APR DRG -INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI -Moderate $52,456 $10,491 $41,931 +25% $43,266 +21% —
742 MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC;APR DRG -UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA;SOI -Moderate $52,411 $10,482 $43,855 +20% $40,552 +29% —
280 MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC;APR DRG -HEART FAILURE;SOI -Major $52,388 $10,478 $30,357 +73% $28,802 +82% —
065 MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Moderate $50,563 $10,113 $25,712 +97% $22,610 +124% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $50,495 $10,099 $72,579 −30% $62,961 −20% —
176 MS DRG -PULMONARY EMBOLISM WITHOUT MCC;APR DRG -PULMONARY EMBOLISM;SOI -Moderate $49,792 $9,958 $18,538 +169% $17,693 +181% —
193 MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH MCC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Extreme $49,749 $9,950 $31,866 +56% $25,766 +93% ≈114% of Medicare
283 MS DRG -ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC;APR DRG -ACUTE MYOCARDIAL INFARCTION;SOI -Major $49,620 $9,924 $75,916 −35% $35,108 +41% —
378 MS DRG -GASTROINTESTINAL HEMORRHAGE WITH CC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Moderate $49,308 $9,862 $21,582 +128% $21,886 +125% —
388 MS DRG -GASTROINTESTINAL OBSTRUCTION WITH MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Major $48,686 $9,737 $20,298 +140% $28,403 +71% —
296 MS DRG -CARDIAC ARREST, UNEXPLAINED WITH MCC;APR DRG -CARDIAC ARREST AND SHOCK;SOI -Major $46,939 $9,388 $46,939 +0% $30,768 +53% —
391 MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC;APR DRG -OTHER GASTROENTERITIS, NAUSEA AND VOMITING;SOI -Extreme $46,228 $9,246 $26,767 +73% $27,041 +71% —
642 MS DRG -INBORN AND OTHER DISORDERS OF METABOLISM;APR DRG -INBORN ERRORS OF METABOLISM;SOI -Moderate $46,202 $9,240 $16,969 +172% $20,727 +123% —
542 MS DRG -PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC;APR DRG -OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI -Moderate $45,519 $9,104 $64,579 −30% $34,886 +30% —
179 MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Moderate $44,582 $8,916 $16,262 +174% $14,411 +209% —
057 MS DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Minor $44,068 $8,814 $32,819 +34% $25,412 +73% —
305 MS DRG -HYPERTENSION WITHOUT MCC;APR DRG -HYPERTENSION;SOI -Major $41,338 $8,268 $15,455 +167% $16,897 +145% —
947 MS DRG -SIGNS AND SYMPTOMS WITH MCC;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Major $40,660 $8,132 $26,617 +53% $25,474 +60% —
551 MS DRG -MEDICAL BACK PROBLEMS WITH MCC;APR DRG -OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI -Major $40,640 $8,128 $44,103 −8% $31,067 +31% —
392 MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC;APR DRG -OTHER GASTROENTERITIS, NAUSEA AND VOMITING;SOI -Moderate $40,372 $8,074 $22,535 +79% $17,322 +133% —
558 MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate $40,346 $8,069 $16,479 +145% $17,296 +133% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $40,312 $8,062 $20,942 +92% $20,716 +95% —
638 MS DRG -DIABETES WITH CC;APR DRG -OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS;SOI -Minor $40,220 $8,044 $21,692 +85% $18,763 +114% —
903 MS DRG -WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC;APR DRG -OTHER COMPLICATIONS OF TREATMENT;SOI -Minor $39,671 $7,934 $13,078 +203% $23,588 +68% —
917 MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC;APR DRG -TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES;SOI -Moderate $39,603 $7,921 $35,324 +12% $28,001 +41% —
560 MS DRG -AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC;APR DRG -OTHER AFTERCARE AND CONVALESCENCE;SOI -Moderate $39,118 $7,824 $26,439 +48% $24,277 +61% —
206 MS DRG -OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC;APR DRG -RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Moderate $38,529 $7,706 $10,667 +261% $17,731 +117% —
602 MS DRG -CELLULITIS WITH MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Major $38,112 $7,622 $25,010 +52% $29,347 +30% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $37,689 $7,538 $8,555 +341% $15,858 +138% —
623 MS DRG -SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Moderate $37,650 $7,530 $43,775 −14% $33,236 +13% —
304 MS DRG -HYPERTENSION WITH MCC;APR DRG -HYPERTENSION;SOI -Extreme $37,348 $7,470 $26,659 +40% $23,945 +56% —
301 MS DRG -PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Minor $37,106 $7,421 $11,377 +226% $15,598 +138% —
682 MS DRG -RENAL FAILURE WITH MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Major $36,211 $7,242 $27,953 +30% $27,640 +31% —
190 MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Major $35,982 $7,196 $21,887 +64% $24,103 +49% —
432 MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Moderate $35,757 $7,151 $35,757 +0% $36,880 −3% —
194 MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH CC;APR DRG -OTHER PNEUMONIA;SOI -Moderate $35,394 $7,079 $19,357 +83% $18,204 +94% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $34,719 $6,944 $10,099 +244% $14,128 +146% —
064 MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Extreme $34,404 $6,881 $36,919 −7% $35,714 −4% —
856 MS DRG -POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI -Major $34,346 $6,869 $54,047 −36% $72,843 −53% —
100 SEIZURES WITH MCC $34,243 $6,849 $37,366 −8% $35,194 −3% —
857 MS DRG -POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC;APR DRG -POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI -Moderate $34,124 $6,825 $26,079 +31% $41,114 −17% —
643 MS DRG -ENDOCRINE DISORDERS WITH MCC;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Major $33,891 $6,778 $39,492 −14% $32,953 +3% —
178 MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Moderate $33,504 $6,701 $23,848 +40% $22,024 +52% —
439 MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Major $33,419 $6,684 $19,517 +71% $19,096 +75% —
292 MS DRG -HEART FAILURE AND SHOCK WITH CC;APR DRG -HEART FAILURE;SOI -Moderate $33,259 $6,652 $19,922 +67% $15,878 +109% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $33,073 $6,615 $33,073 +0% $37,950 −13% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $32,744 $6,549 $32,278 +1% $29,916 +9% —
379 MS DRG -GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC;APR DRG -DIVERTICULITIS AND DIVERTICULOSIS;SOI -Moderate $32,338 $6,468 $20,711 +56% $14,134 +129% —
071 MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Minor $32,135 $6,427 $22,186 +45% $23,396 +37% —
872 MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Moderate $31,848 $6,370 $28,123 +13% $22,623 +41% —
303 MS DRG -ATHEROSCLEROSIS WITHOUT MCC;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Minor $31,520 $6,304 $14,621 +116% $14,927 +111% —
644 MS DRG -ENDOCRINE DISORDERS WITH CC;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Moderate $31,499 $6,300 $19,297 +63% $22,941 +37% —
641 MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC;APR DRG -HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS;SOI -Major $30,690 $6,138 $16,702 +84% $16,718 +84% —
389 MS DRG -GASTROINTESTINAL OBSTRUCTION WITH CC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Moderate $29,522 $5,904 $17,413 +70% $17,345 +70% —
690 MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Minor $29,414 $5,883 $18,582 +58% $17,379 +69% —
812 MS DRG -RED BLOOD CELL DISORDERS WITHOUT MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Moderate $29,363 $5,873 $21,472 +37% $20,408 +44% —
809 MS DRG -MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC;APR DRG -MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI -Moderate $29,207 $5,841 $22,779 +28% $22,010 +33% —
180 MS DRG -RESPIRATORY NEOPLASMS WITH MCC;APR DRG -RESPIRATORY MALIGNANCY;SOI -Major $29,141 $5,828 $43,392 −33% $36,658 −21% —
552 MS DRG -MEDICAL BACK PROBLEMS WITHOUT MCC;APR DRG -OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI -Moderate $28,719 $5,744 $28,929 −1% $20,632 +39% —
433 MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Moderate $28,232 $5,646 $23,582 +20% $23,749 +19% —
386 MS DRG -INFLAMMATORY BOWEL DISEASE WITH CC;APR DRG -INFLAMMATORY BOWEL DISEASE;SOI -Moderate $28,163 $5,633 $16,577 +70% $20,917 +35% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $27,447 $5,489 $40,098 −32% $32,689 −16% —
101 MS DRG -SEIZURES WITHOUT MCC;APR DRG -SEIZURE;SOI -Moderate $27,327 $5,465 $24,986 +9% $19,930 +37% —
683 MS DRG -RENAL FAILURE WITH CC;APR DRG -ACUTE KIDNEY INJURY;SOI -Major $25,999 $5,200 $16,875 +54% $18,322 +42% ≈132% of Medicare
125 MS DRG -OTHER DISORDERS OF THE EYE WITHOUT MCC;APR DRG -EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Minor $25,920 $5,184 $18,156 +43% $15,876 +63% —
282 MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC;APR DRG -HEART FAILURE;SOI -Minor $24,796 $4,959 $13,973 +77% $18,288 +36% —
441 MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Major $24,575 $4,915 $28,244 −13% $31,913 −23% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $24,452 $4,890 $23,860 +2% $19,448 +26% —
684 MS DRG -RENAL FAILURE WITHOUT CC/MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Minor $23,741 $4,748 $15,085 +57% $13,455 +76% —
313 CHEST PAIN $23,633 $4,727 $11,202 +111% $15,837 +49% —
200 PNEUMOTHORAX WITH CC $23,109 $4,622 $22,598 +2% $20,573 +12% —
543 MS DRG -PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC;APR DRG -FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK;SOI -Moderate $22,979 $4,596 $25,592 −10% $23,400 −2% —
603 MS DRG -CELLULITIS WITHOUT MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Moderate $22,970 $4,594 $19,952 +15% $18,359 +25% —
918 MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC;APR DRG -POISONING OF MEDICINAL AGENTS;SOI -Minor $22,952 $4,590 $11,452 +100% $15,045 +53% —
593 MS DRG -SKIN ULCERS WITH CC;APR DRG -SKIN ULCERS;SOI -Major $22,893 $4,579 $17,855 +28% $20,470 +12% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $22,792 $4,558 $22,792 +0% $25,998 −12% —
195 MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC;APR DRG -OTHER PNEUMONIA;SOI -Moderate $22,757 $4,551 $18,452 +23% $13,747 +66% —
066 MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Minor $22,649 $4,530 $20,913 +8% $19,483 +16% —
813 COAGULATION DISORDERS $22,129 $4,426 $47,828 −54% $30,128 −27% —
440 MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Minor $21,637 $4,327 $16,162 +34% $14,770 +46% —
948 MS DRG -SIGNS AND SYMPTOMS WITHOUT MCC;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Moderate $21,613 $4,323 $19,901 +9% $17,719 +22% —
811 MS DRG -RED BLOOD CELL DISORDERS WITH MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Major $21,494 $4,299 $23,654 −9% $27,674 −22% —
192 MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Minor $21,441 $4,288 $14,790 +45% $14,368 +49% —
880 MS DRG -ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION;APR DRG -ACUTE ANXIETY AND STRESS SYNDROMES;SOI -Moderate $21,373 $4,275 $15,116 +41% $15,636 +37% —
536 MS DRG -FRACTURES OF HIP AND PELVIS WITHOUT MCC;APR DRG -FRACTURE OF PELVIS OR DISLOCATION OF HIP;SOI -Minor $20,702 $4,140 $20,702 +0% $17,754 +17% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $20,685 $4,137 $18,217 +14% $21,666 −5% —
438 MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Major $20,537 $4,107 $31,731 −35% $32,417 −37% —
153 MS DRG -OTITIS MEDIA AND URI WITHOUT MCC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Minor $20,219 $4,044 $14,829 +36% $14,251 +42% —
312 MS DRG -SYNCOPE AND COLLAPSE;APR DRG -SYNCOPE AND COLLAPSE;SOI -Moderate $20,184 $4,037 $20,728 −3% $19,342 +4% —
557 MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate $20,080 $4,016 $24,871 −19% $28,385 −29% —
384 MS DRG -UNCOMPLICATED PEPTIC ULCER WITHOUT MCC;APR DRG -PEPTIC ULCER AND GASTRITIS;SOI -Moderate $20,064 $4,013 $14,636 +37% $19,305 +4% —
308 MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Moderate $19,458 $3,892 $19,824 −2% $26,098 −25% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $19,424 $3,885 $16,402 +18% $14,880 +31% —
444 MS DRG -DISORDERS OF THE BILIARY TRACT WITH MCC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Moderate $19,383 $3,877 $49,470 −61% $31,029 −38% —
564 MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Major $18,475 $3,695 $18,475 +0% $32,804 −44% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $18,455 $3,691 $10,879 +70% $16,104 +15% —
885 MS DRG -PSYCHOSES;APR DRG -SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS;SOI -Major $18,392 $3,678 $16,075 +14% $21,489 −14% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $16,725 $3,345 $16,725 +0% $15,007 +11% —
149 MS DRG -DYSEQUILIBRIUM;APR DRG -VERTIGO AND OTHER LABYRINTH DISORDERS;SOI -Minor $15,692 $3,138 $16,577 −5% $17,203 −9% —
310 MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Minor $15,365 $3,073 $11,589 +33% $13,384 +15% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $15,170 $3,034 $26,939 −44% $25,071 −39% —
093 MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Minor $15,045 $3,009 $15,799 −5% $17,522 −14% —
725 MS DRG -BENIGN PROSTATIC HYPERTROPHY WITH MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Moderate $14,807 $2,961 $14,166 +5% $19,894 −26% —
202 MS DRG -BRONCHITIS AND ASTHMA WITH CC/MCC;APR DRG -DEPRESSIVE DISORDERS;SOI -Moderate $14,686 $2,937 $23,318 −37% $17,183 −15% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $14,667 $2,933 $21,442 −32% $29,521 −50% —
831 MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC;APR DRG -ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Moderate $14,309 $2,862 $16,000 −11% $18,133 −21% —
442 MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Moderate $14,059 $2,812 $24,957 −44% $21,449 −34% —
201 PNEUMOTHORAX WITHOUT CC/MCC $13,465 $2,693 $11,438 +18% $13,081 +3% —
394 MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Moderate $13,427 $2,685 $15,999 −16% $18,815 −29% —
443 MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Minor $13,336 $2,667 $16,983 −21% $15,600 −15% —
897 MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC;APR DRG -OPIOID ABUSE AND DEPENDENCE;SOI -Moderate $12,909 $2,582 $13,087 −1% $15,923 −19% —
894 MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA;APR DRG -DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE;SOI -Minor $12,710 $2,542 $11,440 +11% $12,013 +6% —
896 MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC;APR DRG -OTHER DRUG ABUSE AND DEPENDENCE;SOI -Moderate $11,699 $2,340 $20,366 −43% $30,275 −61% —
639 MS DRG -DIABETES WITHOUT CC/MCC;APR DRG -DIABETES;SOI -Minor $11,455 $2,291 $15,755 −27% $13,910 −18% —
084 MS DRG -TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC;APR DRG -HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI -Minor $11,232 $2,246 $12,504 −10% $18,060 −38% —
390 MS DRG -GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Minor $10,290 $2,058 $12,107 −15% $13,318 −23% —
281 MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC;APR DRG -ACUTE MYOCARDIAL INFARCTION;SOI -Moderate $9,531 $1,906 $24,038 −60% $20,463 −53% —
883 MS DRG -DISORDERS OF PERSONALITY AND IMPULSE CONTROL;APR DRG -PERSONALITY DISORDERS;SOI -Minor $8,879 $1,776 $12,046 −26% $22,698 −61% —
554 MS DRG -BONE DISEASES AND ARTHROPATHIES WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate $8,629 $1,726 $24,653 −65% $17,579 −51% —
293 MS DRG -HEART FAILURE AND SHOCK WITHOUT CC/MCC;APR DRG -HEART FAILURE;SOI -Minor $8,495 $1,699 $10,349 −18% $11,826 −28% —
921 MS DRG -COMPLICATIONS OF TREATMENT WITHOUT CC/MCC;APR DRG -OTHER COMPLICATIONS OF TREATMENT;SOI -Minor $8,019 $1,604 $10,735 −25% $14,012 −43% —
881 MS DRG -DEPRESSIVE NEUROSES;APR DRG -DEPRESSIVE DISORDERS;SOI -Minor $7,533 $1,507 $8,250 −9% $15,058 −50% —
882 MS DRG -NEUROSES EXCEPT DEPRESSIVE;APR DRG -ACUTE ANXIETY AND STRESS SYNDROMES;SOI -Moderate $6,615 $1,323 $9,320 −29% $15,680 −58% —
951 MS DRG -OTHER FACTORS INFLUENCING HEALTH STATUS;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Minor $4,927 $985 $10,551 −53% $9,385 −48% —
540 MS DRG -OSTEOMYELITIS WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Minor $4,194 — $23,875 −82% $23,494 −82% —

Procedures with negotiated rates only

These 571 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
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $127,303 – $266,352 · median $208,080 21 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $34,102 – $67,060 · median $52,389 21 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $23,308 – $51,001 · median $39,843 21 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $15,625 – $32,934 · median $25,729 21 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $247,019 – $468,695 · median $366,155 21 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $52,800 – $100,183 · median $78,265 21 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $36,204 – $68,693 · median $53,665 21 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $23,124 – $43,876 · median $34,277 21 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $37,236 – $70,903 · median $55,391 21 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $24,901 – $47,248 · median $36,911 21 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $29,294 – $55,582 · median $43,422 21 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $20,034 – $38,012 · median $29,696 21 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $16,164 – $30,670 · median $23,960 21 plans
028 SPINAL PROCEDURES WITH MCC $39,222 – $75,556 · median $59,026 21 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $21,986 – $41,717 · median $32,590 21 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $13,058 – $27,657 · median $21,606 21 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $27,448 – $52,081 · median $40,687 21 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $13,988 – $26,541 · median $20,735 21 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $10,451 – $19,829 · median $15,491 21 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $24,646 – $48,329 · median $37,756 21 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $14,900 – $28,271 · median $22,086 21 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $12,007 – $22,782 · median $17,798 21 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $21,752 – $41,272 · median $32,243 21 plans
038 EXTRACRANIAL PROCEDURES WITH CC $10,554 – $20,025 · median $15,644 21 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $7,455 – $14,146 · median $11,051 21 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $24,707 – $46,880 · median $36,623 21 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $14,791 – $28,065 · median $21,925 21 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $11,512 – $21,843 · median $17,065 21 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $10,179 – $25,011 · median $19,539 21 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $6,035 – $11,451 · median $8,946 21 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $9,524 – $18,631 · median $14,555 21 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,146 – $13,559 · median $10,593 21 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $11,568 – $22,941 · median $17,922 21 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $7,506 – $15,207 · median $11,880 21 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $5,702 – $11,091 · median $8,664 21 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $17,707 – $33,598 · median $26,247 21 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $11,665 – $22,133 · median $17,291 21 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $9,201 – $17,459 · median $13,639 21 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $9,530 – $18,082 · median $14,126 21 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,774 – $10,955 · median $8,559 21 plans
070 MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Major $11,389 – $21,610 · median $16,882 21 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $4,914 – $9,323 · median $7,284 21 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $9,394 – $19,209 · median $15,006 21 plans
075 VIRAL MENINGITIS WITH CC/MCC $11,282 – $21,406 · median $16,723 21 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,006 – $11,395 · median $8,902 21 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $10,128 – $19,217 · median $15,013 21 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $6,536 – $12,402 · median $9,689 21 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,367 – $8,286 · median $6,473 21 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $8,843 – $24,704 · median $19,300 21 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $14,048 – $28,835 · median $22,527 21 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $14,243 – $28,162 · median $22,001 21 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $8,016 – $16,301 · median $12,734 21 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,302 – $10,986 · median $8,583 21 plans
088 CONCUSSION WITH MCC $9,240 – $17,532 · median $13,697 21 plans
089 CONCUSSION WITH CC $6,789 – $13,324 · median $10,409 21 plans
090 CONCUSSION WITHOUT CC/MCC $5,154 – $10,655 · median $8,324 21 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $23,899 – $45,346 · median $35,425 21 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $15,702 – $29,792 · median $23,275 21 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $14,215 – $29,792 · median $23,275 21 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $12,745 – $26,960 · median $21,062 21 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $8,543 – $17,316 · median $13,528 21 plans
102 HEADACHES WITH MCC $7,528 – $14,410 · median $11,258 21 plans
103 HEADACHES WITHOUT MCC $4,809 – $10,566 · median $8,255 21 plans
113 ORBITAL PROCEDURES WITH CC/MCC $13,713 – $28,045 · median $21,909 21 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $7,374 – $14,691 · median $11,477 21 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $9,054 – $19,027 · median $14,865 21 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $10,687 – $20,737 · median $16,200 21 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $5,927 – $13,405 · median $10,472 21 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $7,373 – $14,456 · median $11,294 21 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,437 – $8,430 · median $6,586 21 plans
123 NEUROLOGICAL EYE DISORDERS $5,026 – $9,982 · median $7,798 21 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $8,541 – $16,205 · median $12,660 21 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $14,515 – $29,965 · median $23,409 21 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $6,407 – $12,157 · median $9,497 21 plans
137 MOUTH PROCEDURES WITH CC/MCC $9,161 – $17,382 · median $13,579 21 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,328 – $10,110 · median $7,898 21 plans
139 SALIVARY GLAND PROCEDURES $6,618 – $17,064 · median $13,331 21 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $27,701 – $52,561 · median $41,061 21 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $14,073 – $26,702 · median $20,860 21 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $10,299 – $19,542 · median $15,266 21 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $21,627 – $41,036 · median $32,058 21 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $11,506 – $21,832 · median $17,056 21 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $7,760 – $14,725 · median $11,503 21 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $14,726 – $28,511 · median $22,274 21 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,153 – $15,470 · median $12,086 21 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,245 – $9,951 · median $7,774 21 plans
150 EPISTAXIS WITH MCC $9,053 – $17,178 · median $13,420 21 plans
151 EPISTAXIS WITHOUT MCC $4,733 – $9,420 · median $7,359 21 plans
152 OTITIS MEDIA AND URI WITH MCC $7,248 – $14,103 · median $11,018 21 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $9,950 – $20,212 · median $15,790 21 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,115 – $11,603 · median $9,064 21 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,404 – $8,357 · median $6,528 21 plans
157 DENTAL AND ORAL DISEASES WITH MCC $10,726 – $20,351 · median $15,899 21 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,153 – $11,690 · median $9,132 21 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,320 – $8,198 · median $6,404 21 plans
163 MAJOR CHEST PROCEDURES WITH MCC $30,190 – $57,283 · median $44,751 21 plans
164 MAJOR CHEST PROCEDURES WITH CC $16,486 – $31,281 · median $24,438 21 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $12,209 – $23,166 · median $18,098 21 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $25,219 – $47,852 · median $37,383 21 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $11,968 – $22,708 · median $17,740 21 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,868 – $16,826 · median $13,145 21 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $20,099 – $38,137 · median $29,793 21 plans
181 RESPIRATORY NEOPLASMS WITH CC $7,272 – $13,799 · median $10,780 21 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,486 – $10,408 · median $8,131 21 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,397 – $19,727 · median $15,411 21 plans
184 MAJOR CHEST TRAUMA WITH CC $6,996 – $13,274 · median $10,370 21 plans
186 PLEURAL EFFUSION WITH MCC $10,349 – $19,636 · median $15,340 21 plans
187 PLEURAL EFFUSION WITH CC $6,576 – $12,478 · median $9,748 21 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,809 – $9,125 · median $7,128 21 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $12,044 – $23,416 · median $18,293 21 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $6,485 – $12,304 · median $9,612 21 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,588 – $8,705 · median $6,800 21 plans
199 PNEUMOTHORAX WITH MCC $11,563 – $21,939 · median $17,139 21 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,563 – $8,657 · median $6,763 21 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $4,894 – $10,079 · median $7,874 21 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $10,058 – $23,462 · median $18,329 21 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $71,355 – $135,389 · median $105,769 21 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $69,396 – $131,672 · median $106,675 21 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $11,050 – $119,944 · median $93,703 21 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $11,050 – $80,259 · median $62,700 21 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $11,050 – $73,938 · median $57,762 21 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $11,050 – $96,162 · median $75,124 21 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $11,050 – $65,827 · median $51,426 21 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $11,050 – $57,077 · median $44,590 21 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $11,050 – $61,932 · median $48,383 21 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $11,050 – $38,605 · median $30,159 21 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $11,050 – $105,314 · median $82,273 21 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $11,050 – $75,919 · median $59,310 21 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $11,050 – $97,142 · median $75,890 21 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $11,050 – $66,119 · median $51,654 21 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $11,050 – $73,129 · median $57,130 21 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $11,050 – $51,105 · median $39,925 21 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $11,050 – $62,599 · median $48,903 21 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $9,890 – $18,765 · median $14,660 21 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $22,218 – $42,156 · median $32,933 21 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $14,756 – $27,998 · median $21,873 21 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $11,821 – $22,429 · median $17,522 21 plans
245 AICD GENERATOR PROCEDURES $32,009 – $60,733 · median $47,446 21 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $15,148 – $28,741 · median $22,453 21 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $10,235 – $19,420 · median $15,171 21 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $22,469 – $42,633 · median $33,306 21 plans
253 OTHER VASCULAR PROCEDURES WITH CC $16,722 – $31,729 · median $24,787 21 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $11,459 – $21,742 · median $16,985 21 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $17,138 – $32,518 · median $25,404 21 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $11,094 – $21,049 · median $16,444 21 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $5,842 – $11,085 · median $8,659 21 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $18,376 – $34,867 · median $27,239 21 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $11,513 – $21,845 · median $17,066 21 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $22,311 – $42,332 · median $33,071 21 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $12,429 – $23,583 · median $18,424 21 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $9,942 – $18,863 · median $14,736 21 plans
263 VEIN LIGATION AND STRIPPING $13,633 – $33,333 · median $26,041 21 plans
265 AICD LEAD PROCEDURES $19,409 – $44,333 · median $34,634 21 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $39,240 – $74,454 · median $58,165 21 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $30,816 – $58,470 · median $45,678 21 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $43,673 – $82,865 · median $64,736 21 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $27,253 – $51,709 · median $40,396 21 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $33,621 – $63,793 · median $49,836 21 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $22,561 – $42,807 · median $33,442 21 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $16,389 – $31,097 · median $24,294 21 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $25,612 – $48,597 · median $37,965 21 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $20,443 – $38,788 · median $30,302 21 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $46,289 – $87,829 · median $68,614 21 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $40,573 – $76,984 · median $60,142 21 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $30,470 – $57,814 · median $45,165 21 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $32,772 – $62,181 · median $48,577 21 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $20,989 – $39,824 · median $31,112 21 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,854 – $9,209 · median $7,194 21 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,677 – $6,977 · median $5,451 21 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $14,497 – $27,507 · median $21,489 21 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,138 – $13,543 · median $10,580 21 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $17,891 – $33,947 · median $26,520 21 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $10,327 – $19,595 · median $15,308 21 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,412 – $12,167 · median $9,505 21 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $6,813 – $15,262 · median $11,923 21 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,538 – $9,816 · median $7,668 21 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,376 – $8,754 · median $6,839 21 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $2,893 – $5,489 · median $4,288 21 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $9,850 – $20,104 · median $15,705 21 plans
302 ATHEROSCLEROSIS WITH MCC $7,425 – $14,457 · median $11,295 21 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $9,808 – $18,610 · median $14,538 21 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,714 – $11,513 · median $8,994 21 plans
311 ANGINA PECTORIS $4,077 – $8,678 · median $6,780 21 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,472 – $8,485 · median $6,628 21 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $40,521 – $76,885 · median $60,064 21 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $28,773 – $54,594 · median $42,650 21 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $15,162 – $28,768 · median $22,474 21 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $18,647 – $35,380 · median $27,640 21 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $11,850 – $22,485 · median $17,566 21 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $27,899 – $52,936 · median $41,355 21 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $20,928 – $39,709 · median $31,021 21 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $18,747 – $35,570 · median $27,788 21 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $33,267 – $63,122 · median $49,312 21 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $15,904 – $30,176 · median $23,575 21 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $10,437 – $19,804 · median $15,471 21 plans
332 RECTAL RESECTION WITH MCC $22,720 – $43,109 · median $33,977 21 plans
333 RECTAL RESECTION WITH CC $13,921 – $26,413 · median $20,635 21 plans
334 RECTAL RESECTION WITHOUT CC/MCC $10,864 – $20,613 · median $16,103 21 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $10,055 – $19,078 · median $14,904 21 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $17,649 – $33,487 · median $26,161 21 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,157 – $15,477 · median $12,091 21 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $15,503 – $29,415 · median $22,979 21 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $8,246 – $15,646 · median $12,223 21 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $5,770 – $10,948 · median $8,553 21 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $15,842 – $30,060 · median $23,483 21 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $9,854 – $18,698 · median $14,607 21 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $6,669 – $13,703 · median $10,705 21 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $19,211 – $36,451 · median $28,477 21 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $8,505 – $16,569 · median $12,944 21 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $27,708 – $53,014 · median $41,416 21 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $14,751 – $27,988 · median $21,865 21 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,876 – $16,841 · median $13,157 21 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $10,939 – $20,755 · median $16,214 21 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $6,665 – $12,647 · median $9,880 21 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,572 – $8,675 · median $6,777 21 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $11,449 – $21,724 · median $16,971 21 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $6,742 – $12,792 · median $9,994 21 plans
375 DIGESTIVE MALIGNANCY WITH CC $8,048 – $15,270 · median $11,929 21 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $5,784 – $10,974 · median $8,573 21 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $12,604 – $23,915 · median $18,683 21 plans
381 COMPLICATED PEPTIC ULCER WITH CC $7,134 – $13,535 · median $10,574 21 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,908 – $9,312 · median $7,275 21 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $8,281 – $15,711 · median $12,274 21 plans
397 APPENDIX PROCEDURES WITH MCC $16,230 – $30,794 · median $24,057 21 plans
398 APPENDIX PROCEDURES WITH CC $9,911 – $18,806 · median $14,692 21 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $25,625 – $48,621 · median $37,984 21 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $35,558 – $67,468 · median $52,707 21 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $18,395 – $34,903 · median $27,267 21 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $13,815 – $26,544 · median $20,737 21 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $22,934 – $43,514 · median $33,994 21 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $13,732 – $26,055 · median $20,355 21 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $10,160 – $19,277 · median $15,060 21 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $17,923 – $34,008 · median $26,568 21 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $13,962 – $26,492 · median $20,696 21 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $10,889 – $20,662 · median $16,141 21 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $15,566 – $29,535 · median $23,074 21 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $23,118 – $43,865 · median $34,268 21 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $10,726 – $20,352 · median $15,900 21 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $8,788 – $18,262 · median $14,266 21 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $26,641 – $50,550 · median $39,491 21 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $14,956 – $28,377 · median $22,169 21 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $10,125 – $19,211 · median $15,008 21 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $68,614 – $130,188 · median $101,706 21 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $46,523 – $88,272 · median $68,960 21 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $36,052 – $68,405 · median $53,439 21 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $54,631 – $103,657 · median $80,979 21 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $35,832 – $67,987 · median $53,113 21 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,443 – $8,656 · median $6,762 21 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $7,386 – $14,015 · median $10,949 21 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,143 – $9,758 · median $7,624 21 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,222 – $9,909 · median $7,741 21 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $43,916 – $83,326 · median $65,096 21 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $26,747 – $50,750 · median $39,647 21 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $33,733 – $64,005 · median $50,002 21 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $20,213 – $38,353 · median $29,962 21 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $55,473 – $105,255 · median $82,228 21 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $37,593 – $71,329 · median $55,724 21 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $28,283 – $53,664 · median $41,924 21 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $36,273 – $76,267 · median $59,581 21 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $18,758 – $35,591 · median $27,805 21 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $35,377 – $67,124 · median $52,438 21 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $19,313 – $36,645 · median $28,628 21 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,371 – $21,576 · median $16,856 21 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $33,370 – $63,316 · median $49,464 21 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $22,435 – $42,568 · median $33,255 21 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $17,183 – $32,602 · median $25,470 21 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $21,410 – $40,623 · median $31,736 21 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $12,350 – $23,433 · median $18,306 21 plans
471 CERVICAL SPINAL FUSION WITH MCC $31,815 – $60,367 · median $47,160 21 plans
472 CERVICAL SPINAL FUSION WITH CC $18,977 – $36,006 · median $28,129 21 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $15,506 – $29,422 · median $22,985 21 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $26,623 – $55,736 · median $43,542 21 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,618 – $14,455 · median $11,293 21 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $22,525 – $42,740 · median $33,389 21 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,318 – $29,064 · median $22,706 21 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $11,631 – $22,070 · median $17,241 21 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $19,264 – $36,551 · median $28,554 21 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $13,591 – $25,787 · median $20,145 21 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $10,391 – $19,716 · median $15,402 21 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $16,691 – $31,669 · median $24,741 21 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $21,086 – $40,009 · median $31,256 21 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $13,892 – $26,359 · median $20,592 21 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,350 – $19,639 · median $15,342 21 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,544 – $24,426 · median $19,082 21 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,112 – $15,391 · median $12,024 21 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $22,976 – $44,134 · median $34,479 21 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $14,415 – $29,840 · median $23,311 21 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $10,880 – $23,432 · median $18,305 21 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $21,012 – $43,754 · median $34,182 21 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $12,480 – $24,520 · median $19,156 21 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $8,467 – $16,686 · median $13,035 21 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $15,825 – $31,379 · median $24,514 21 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $6,913 – $14,426 · median $11,270 21 plans
500 SOFT TISSUE PROCEDURES WITH MCC $20,755 – $39,381 · median $30,765 21 plans
501 SOFT TISSUE PROCEDURES WITH CC $11,407 – $22,180 · median $17,328 21 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $8,140 – $17,364 · median $13,565 21 plans
503 FOOT PROCEDURES WITH MCC $16,301 – $32,892 · median $25,696 21 plans
504 FOOT PROCEDURES WITH CC $11,495 – $21,811 · median $17,039 21 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $8,714 – $21,811 · median $17,039 21 plans
506 MAJOR THUMB OR JOINT PROCEDURES $8,691 – $18,631 · median $14,555 21 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $12,695 – $24,088 · median $18,818 21 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $8,453 – $16,040 · median $12,530 21 plans
509 ARTHROSCOPY $9,560 – $21,832 · median $17,056 21 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $16,397 – $35,520 · median $27,749 21 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $11,472 – $24,374 · median $19,041 21 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $8,854 – $19,982 · median $15,610 21 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $9,862 – $18,712 · median $14,618 21 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $6,338 – $12,672 · median $9,899 21 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $20,255 – $38,432 · median $30,024 21 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $13,177 – $25,001 · median $19,532 21 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $9,777 – $18,551 · median $14,493 21 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $23,084 – $44,542 · median $34,797 21 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $12,916 – $24,507 · median $19,145 21 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $9,387 – $17,812 · median $13,915 21 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $19,091 – $36,224 · median $28,299 21 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $13,808 – $26,199 · median $20,468 21 plans
533 FRACTURES OF FEMUR WITH MCC $9,931 – $18,951 · median $14,805 21 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,315 – $10,116 · median $7,903 21 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $8,711 – $16,528 · median $12,912 21 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,019 – $11,421 · median $8,923 21 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,398 – $8,345 · median $6,520 21 plans
539 OSTEOMYELITIS WITH MCC $13,247 – $25,134 · median $19,636 21 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,731 – $10,873 · median $8,494 21 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $4,950 – $9,392 · median $7,337 21 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $16,551 – $31,404 · median $24,534 21 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $7,583 – $14,388 · median $11,240 21 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,888 – $9,274 · median $7,245 21 plans
548 SEPTIC ARTHRITIS WITH MCC $12,856 – $25,037 · median $19,560 21 plans
549 SEPTIC ARTHRITIS WITH CC $7,893 – $14,977 · median $11,700 21 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,647 – $10,714 · median $8,370 21 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $8,554 – $16,231 · median $12,680 21 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,643 – $16,736 · median $13,074 21 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,100 – $10,147 · median $7,927 21 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $9,586 – $18,188 · median $14,209 21 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $5,439 – $11,108 · median $8,678 21 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,679 – $12,673 · median $9,900 21 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $4,794 – $9,297 · median $7,263 21 plans
570 SKIN DEBRIDEMENT WITH MCC $17,434 – $37,411 · median $29,226 21 plans
571 SKIN DEBRIDEMENT WITH CC $10,759 – $20,808 · median $16,256 21 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $7,274 – $14,198 · median $11,092 21 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $24,991 – $76,534 · median $59,790 21 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $19,404 – $43,062 · median $33,641 21 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $10,377 – $24,815 · median $19,386 21 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $30,985 – $67,053 · median $52,383 21 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $14,589 – $33,093 · median $25,853 21 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $9,107 – $21,008 · median $16,412 21 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $18,843 – $40,508 · median $31,646 21 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $7,655 – $17,886 · median $13,973 21 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $8,599 – $21,764 · median $17,002 21 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $7,009 – $20,415 · median $15,949 21 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $12,269 – $25,445 · median $19,878 21 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $9,500 – $24,671 · median $19,273 21 plans
592 SKIN ULCERS WITH MCC $10,200 – $25,556 · median $19,965 21 plans
594 SKIN ULCERS WITHOUT CC/MCC $4,918 – $10,548 · median $8,240 21 plans
595 MAJOR SKIN DISORDERS WITH MCC $13,854 – $26,286 · median $20,536 21 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $6,701 – $13,436 · median $10,496 21 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $11,506 – $21,832 · median $17,056 21 plans
598 MALIGNANT BREAST DISORDERS WITH CC $7,067 – $13,409 · median $10,475 21 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,726 – $10,625 · median $8,300 21 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $6,266 – $11,889 · median $9,288 21 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,927 – $7,451 · median $5,821 21 plans
606 MINOR SKIN DISORDERS WITH MCC $9,812 – $20,013 · median $15,634 21 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,084 – $10,740 · median $8,391 21 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $14,927 – $28,323 · median $22,127 21 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $9,386 – $17,809 · median $13,913 21 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,155 – $15,474 · median $12,089 21 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $17,859 – $33,885 · median $26,472 21 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $10,460 – $19,848 · median $15,505 21 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $9,575 – $18,167 · median $14,193 21 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $24,184 – $46,506 · median $36,331 21 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $6,570 – $12,467 · median $9,739 21 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $17,330 – $35,632 · median $27,837 21 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $8,993 – $18,758 · median $14,654 21 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $6,105 – $15,745 · median $12,300 21 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $24,191 – $49,037 · median $38,309 21 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $14,732 – $27,952 · median $21,837 21 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $9,179 – $17,415 · median $13,605 21 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,082 – $9,678 · median $7,560 21 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $36,514 – $69,281 · median $54,124 21 plans
654 MAJOR BLADDER PROCEDURES WITH CC $18,485 – $35,073 · median $27,400 21 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $13,606 – $25,817 · median $20,169 21 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $21,340 – $40,490 · median $31,632 21 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $11,974 – $22,720 · median $17,749 21 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $9,851 – $18,692 · median $14,602 21 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $16,927 – $32,118 · median $25,091 21 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $8,777 – $16,654 · median $13,589 21 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $6,724 – $12,759 · median $9,967 21 plans
662 MINOR BLADDER PROCEDURES WITH MCC $20,433 – $38,770 · median $30,288 21 plans
663 MINOR BLADDER PROCEDURES WITH CC $10,004 – $18,983 · median $14,830 21 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,073 – $13,420 · median $10,484 21 plans
665 PROSTATECTOMY WITH MCC $22,490 – $42,673 · median $33,337 21 plans
666 PROSTATECTOMY WITH CC $10,790 – $20,473 · median $15,994 21 plans
667 PROSTATECTOMY WITHOUT CC/MCC $6,459 – $12,774 · median $9,979 21 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $18,459 – $36,244 · median $28,314 21 plans
669 TRANSURETHRAL PROCEDURES WITH CC $9,162 – $19,232 · median $15,025 21 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $6,030 – $11,877 · median $9,279 21 plans
671 URETHRAL PROCEDURES WITH CC/MCC $11,290 – $21,422 · median $16,735 21 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $6,377 – $13,601 · median $10,626 21 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $9,966 – $19,454 · median $15,198 21 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $12,351 – $23,435 · median $18,308 21 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $6,895 – $13,083 · median $10,221 21 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,744 – $9,000 · median $7,031 21 plans
693 URINARY STONES WITH MCC $9,631 – $18,274 · median $14,276 21 plans
694 URINARY STONES WITHOUT MCC $4,965 – $9,711 · median $7,587 21 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $7,387 – $14,016 · median $10,950 21 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,531 – $8,598 · median $6,717 21 plans
697 URETHRAL STRICTURE $5,937 – $12,450 · median $9,727 21 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,547 – $8,628 · median $6,740 21 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $12,711 – $24,118 · median $18,841 21 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $9,331 – $18,425 · median $14,394 21 plans
709 PENIS PROCEDURES WITH CC/MCC $14,719 – $27,927 · median $21,817 21 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $9,693 – $18,659 · median $14,577 21 plans
711 TESTES PROCEDURES WITH CC/MCC $12,514 – $23,745 · median $18,550 21 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $6,915 – $13,293 · median $10,385 21 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $9,471 – $17,971 · median $14,039 21 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $5,343 – $11,679 · median $9,124 21 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $14,792 – $28,066 · median $21,926 21 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $6,950 – $17,639 · median $13,780 21 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $12,154 – $23,060 · median $18,015 21 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $6,342 – $15,310 · median $11,961 21 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $11,324 – $21,487 · median $16,786 21 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $7,355 – $13,955 · median $10,902 21 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,971 – $9,055 · median $7,074 21 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,876 – $9,251 · median $7,227 21 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $9,625 – $18,262 · median $14,266 21 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,352 – $10,155 · median $7,933 21 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,211 – $13,682 · median $10,689 21 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,975 – $7,543 · median $5,892 21 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $13,773 – $26,134 · median $20,416 21 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $7,951 – $15,086 · median $11,786 21 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $25,791 – $48,936 · median $38,230 21 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,096 – $18,852 · median $14,728 21 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $22,843 – $49,475 · median $38,651 21 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $11,418 – $22,598 · median $17,654 21 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $8,279 – $17,071 · median $13,336 21 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $10,888 – $24,284 · median $18,971 21 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $6,145 – $12,736 · median $9,950 21 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,257 – $11,871 · median $9,274 21 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $7,287 – $16,931 · median $13,227 21 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $16,955 – $32,171 · median $25,133 21 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,834 – $16,026 · median $12,520 21 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,851 – $22,486 · median $17,567 21 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,271 – $13,796 · median $10,778 21 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,572 – $12,428 · median $9,272 21 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,270 – $16,776 · median $13,001 21 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,676 – $12,428 · median $9,896 21 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,192 – $12,428 · median $6,214 21 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $5,820 – $12,428 · median $9,569 21 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,540 – $12,428 · median $6,550 21 plans
799 SPLENIC PROCEDURES WITH MCC $6,550 – $56,359 · median $44,716 21 plans
800 SPLENIC PROCEDURES WITH CC $6,550 – $34,537 · median $27,232 21 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $6,550 – $19,459 · median $15,151 21 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $22,839 – $44,552 · median $34,805 21 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $11,659 – $22,122 · median $17,282 21 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $7,242 – $13,740 · median $10,734 21 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $15,001 – $28,464 · median $22,237 21 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $5,938 – $11,829 · median $9,241 21 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $12,206 – $25,981 · median $20,297 21 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $6,655 – $12,628 · median $9,865 21 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,319 – $8,195 · median $6,402 21 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $38,136 – $72,360 · median $56,529 21 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $14,622 – $27,744 · median $21,674 21 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $7,491 – $14,214 · median $11,104 21 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $30,651 – $58,157 · median $45,433 21 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $14,406 – $27,334 · median $21,354 21 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $8,062 – $14,589 · median $11,248 21 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $10,678 – $56,604 · median $44,913 21 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $10,678 – $27,972 · median $21,972 21 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,847 – $19,921 · median $15,563 21 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $20,199 – $38,325 · median $29,941 21 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $9,225 – $18,176 · median $14,199 21 plans
834 ACUTE LEUKEMIA WITH MCC $36,204 – $68,693 · median $53,665 21 plans
835 ACUTE LEUKEMIA WITH CC $13,990 – $26,545 · median $20,738 21 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $8,323 – $15,792 · median $12,337 21 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $32,797 – $62,229 · median $48,615 21 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $13,285 – $25,206 · median $20,341 21 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $8,976 – $17,031 · median $13,305 21 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $20,888 – $39,633 · median $30,962 21 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $10,270 – $19,487 · median $15,224 21 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $6,890 – $13,073 · median $10,213 21 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $12,401 – $23,530 · median $18,382 21 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $7,829 – $14,854 · median $11,604 21 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,481 – $10,400 · median $8,125 21 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $16,727 – $31,739 · median $24,795 21 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $7,985 – $15,792 · median $12,337 21 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,364 – $10,177 · median $7,951 21 plans
849 RADIOTHERAPY $10,278 – $33,196 · median $25,934 21 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $60,338 – $114,485 · median $89,439 21 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,648 – $20,203 · median $15,783 21 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $8,439 – $16,012 · median $12,509 21 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,882 – $11,160 · median $8,719 21 plans
865 VIRAL ILLNESS WITH MCC $9,667 – $18,342 · median $14,330 21 plans
866 VIRAL ILLNESS WITHOUT MCC $5,670 – $10,996 · median $8,591 21 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $14,045 – $26,649 · median $20,819 21 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $6,878 – $13,051 · median $10,195 21 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,713 – $8,943 · median $6,987 21 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $29,020 – $55,062 · median $43,016 21 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,326 – $23,583 · median $18,424 21 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $22,908 – $47,986 · median $37,488 21 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $9,004 – $20,484 · median $16,002 21 plans
906 HAND PROCEDURES FOR INJURIES $8,826 – $27,124 · median $21,190 21 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $26,093 – $49,509 · median $38,678 21 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,212 – $25,069 · median $19,584 21 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $8,307 – $15,762 · median $12,314 21 plans
913 TRAUMATIC INJURY WITH MCC $8,433 – $20,112 · median $15,712 21 plans
914 TRAUMATIC INJURY WITHOUT MCC $5,132 – $11,389 · median $8,897 21 plans
915 ALLERGIC REACTIONS WITH MCC $10,626 – $21,599 · median $16,873 21 plans
916 ALLERGIC REACTIONS WITHOUT MCC $3,709 – $8,253 · median $6,448 21 plans
920 COMPLICATIONS OF TREATMENT WITH CC $6,654 – $12,626 · median $9,863 21 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $10,891 – $20,996 · median $16,402 21 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $4,778 – $12,675 · median $9,902 21 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $118,761 – $294,827 · median $230,325 21 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $41,680 – $83,005 · median $64,846 21 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $15,945 – $39,526 · median $30,879 21 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $23,664 – $53,775 · median $42,010 21 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $11,581 – $26,668 · median $20,834 21 plans
935 NON-EXTENSIVE BURNS $10,040 – $27,297 · median $21,325 21 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $20,790 – $39,446 · median $30,816 21 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $12,758 – $26,240 · median $20,500 21 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $9,674 – $24,288 · median $18,974 21 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $39,018 – $84,862 · median $66,296 21 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $25,037 – $47,505 · median $37,112 21 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $48,581 – $92,765 · median $72,470 21 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $26,919 – $51,077 · median $39,902 21 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $17,318 – $32,858 · median $25,670 21 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $17,794 – $33,763 · median $26,377 21 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $9,826 – $18,643 · median $14,565 21 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,978 – $11,342 · median $8,860 21 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $39,624 – $78,598 · median $61,403 21 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $16,446 – $32,975 · median $25,761 21 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $19,009 – $37,112 · median $28,993 21 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $8,080 – $17,920 · median $13,999 21 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $31,138 – $59,081 · median $46,156 21 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $16,036 – $30,427 · median $23,771 21 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $22,943 – $43,532 · median $34,008 21 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,240 – $21,326 · median $16,661 21 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $7,528 – $14,361 · median $11,219 21 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $6,550 – $22,403 · median $17,502 20 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $6,550 – $65,690 · median $46,167 20 plans
791 PREMATURITY WITH MAJOR PROBLEMS $6,550 – $44,862 · median $31,460 20 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $6,550 – $27,069 · median $18,895 20 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $25,479 – $51,831 · median $40,492 20 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $9,018 – $18,346 · median $14,332 20 plans
945 REHABILITATION WITH CC/MCC $9,964 – $18,971 · median $14,821 20 plans
946 REHABILITATION WITHOUT CC/MCC $7,313 – $13,876 · median $10,840 20 plans
795 NORMAL NEWBORN $874 – $2,483 · median $1,940 19 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,714 – $12,114 · median $9,971 15 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $4,228 – $20,355 · median $17,054 15 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $4,228 – $11,967 · median $9,845 15 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $4,228 – $9,652 · median $7,863 15 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $4,228 – $17,856 · median $14,906 15 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $4,228 – $11,733 · median $9,643 15 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $4,228 – $9,997 · median $8,151 15 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,714 – $14,106 · median $11,683 15 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,714 – $10,699 · median $8,754 15 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,714 – $10,699 · median $8,754 15 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,714 – $11,028 · median $9,038 15 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,714 – $7,996 · median $6,432 15 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,714 – $7,042 · median $5,612 15 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $4,704 – $16,470 · median $13,491 14 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $4,704 – $12,754 · median $10,113 14 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,704 – $8,457 · median $6,739 14 plans
779 ABORTION WITHOUT D&C $3,496 – $11,080 · median $8,757 14 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $4,704 – $30,049 · median $24,125 14 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $4,704 – $15,267 · median $12,149 14 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $4,704 – $9,678 · median $7,621 14 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,405 – $6,161 · median $4,876 14 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,265 – $48,837 · median $43,878 12 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,049 – $22,327 · median $20,060 12 plans
887 OTHER MENTAL DISORDER DIAGNOSES $981 – $14,782 · median $13,281 12 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $8,618 – $17,995 · median $16,167 11 plans
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