Falmouth Hospital — Pricing

771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771
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 771 procedures

Procedures with negotiated rates only

These 771 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
004 TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R. $118,333 – $407,503 · median $145,143 15 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $46,595 – $355,547 · median $55,427 15 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $4,375 – $59,579 · median $26,466 15 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $67,224 – $162,681 · median $79,585 15 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $45,225 – $137,858 · median $56,776 15 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $27,145 – $116,493 · median $36,264 15 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $48,954 – $118,469 · median $58,603 15 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $33,420 – $84,488 · median $39,051 15 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $26,562 – $122,447 · median $29,657 15 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $21,553 – $120,835 · median $25,349 15 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $26,721 – $107,422 · median $32,541 15 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $18,754 – $92,362 · median $20,939 15 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $32,986 – $79,827 · median $36,829 15 plans
041 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMPLICATION OR PERIPH NEUROSTIM $18,784 – $45,456 · median $23,196 15 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $14,760 – $59,249 · median $16,766 15 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $15,474 – $45,080 · median $20,672 15 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $8,365 – $49,957 · median $9,465 15 plans
054 NERVOUS SYSTEM NEOPLASMS WITH COMORBITY $11,851 – $38,308 · median $14,564 15 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,711 – $55,152 · median $10,131 15 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY $19,846 – $56,232 · median $25,722 15 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY $11,068 – $39,241 · median $13,707 15 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $14,604 – $48,210 · median $17,272 15 plans
059 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION $10,601 – $36,700 · median $12,569 15 plans
073 CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY $13,706 – $95,118 · median $15,876 15 plans
082 TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY $19,526 – $56,881 · median $23,374 15 plans
089 CONCUSSION WITH CC $9,385 – $131,311 · median $11,013 15 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY $15,003 – $200,499 · median $17,599 15 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION $8,740 – $148,777 · median $10,589 15 plans
095 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION $21,985 – $64,273 · median $24,601 15 plans
097 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY $30,856 – $80,149 · median $36,821 15 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $19,605 – $89,142 · median $22,283 15 plans
113 ORBITAL PROCEDURES WITH CC/MCC $19,452 – $48,607 · median $22,426 15 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $10,978 – $40,013 · median $12,774 15 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $13,113 – $42,399 · median $15,726 15 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $5,354 – $90,310 · median $11,096 15 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $18,538 – $44,863 · median $24,767 15 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,674 – $37,329 · median $10,048 15 plans
137 MOUTH PROCEDURES WITH CC/MCC $12,756 – $30,871 · median $14,243 15 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $7,555 – $23,906 · median $8,356 15 plans
139 SALIVARY GLAND PROCEDURES $10,557 – $25,547 · median $13,123 15 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $5,104 – $88,182 · median $39,172 15 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $4,097 – $45,092 · median $20,160 15 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $13,638 – $33,004 · median $16,152 15 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $13,663 – $77,458 · median $33,032 15 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $10,945 – $35,826 · median $16,529 15 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $4,927 – $25,136 · median $11,468 15 plans
163 MAJOR CHEST PROCEDURES WITH MCC $37,219 – $148,565 · median $42,802 15 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $16,353 – $117,540 · median $19,147 15 plans
166 OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY $31,931 – $110,062 · median $39,550 15 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $15,407 – $177,079 · median $18,251 15 plans
175 PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE $11,557 – $90,792 · median $13,102 15 plans
176 PULMONARY EMBOLISM WITHOUT COMORBITY $6,715 – $126,245 · median $7,678 15 plans
177 RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY $12,870 – $51,899 · median $15,012 15 plans
178 RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION $7,996 – $186,040 · median $9,309 15 plans
179 RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY — 15 plans
180 RESPIRATORY NEOPLASMS WITH COMORBITY $15,087 – $86,971 · median $16,916 15 plans
181 RESPIRATORY NEOPLASMS WITH COMPLICATION $9,150 – $102,432 · median $10,310 15 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,440 – $96,207 · median $8,603 15 plans
183 MAJOR CHEST TRAUMA WITH COMORBITY $13,070 – $156,530 · median $14,740 15 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY $9,463 – $28,393 · median $10,566 15 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION $7,202 – $41,040 · median $8,041 15 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY $5,049 – $61,064 · median $6,124 15 plans
193 SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY $11,091 – $33,812 · median $12,537 15 plans
194 SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION $6,885 – $29,765 · median $7,687 15 plans
196 INTERSTITIAL LUNG DISEASE WITH COMORBITY $12,479 – $39,016 · median $18,001 15 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $8,108 – $40,563 · median $10,169 15 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,119 – $31,048 · median $7,195 15 plans
199 PNEUMOTHORAX WITH COMORBITY $11,193 – $36,471 · median $16,827 15 plans
200 PNEUMOTHORAX WITH COMPLICATION $8,123 – $37,246 · median $10,485 15 plans
201 PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY $5,513 – $27,595 · median $6,821 15 plans
203 BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY $4,315 – $29,647 · median $6,466 15 plans
204 RESPIRATORY SIGNS & SYMPTOMS $5,282 – $26,532 · median $7,701 15 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY $15,642 – $37,854 · median $17,531 15 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY $5,454 – $39,054 · median $8,977 15 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $24,078 – $133,032 · median $60,064 15 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $45,558 – $188,961 · median $52,726 15 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $39,576 – $102,283 · median $47,190 15 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $26,906 – $90,836 · median $31,908 15 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $51,249 – $174,281 · median $78,691 15 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $51,793 – $125,339 · median $62,749 15 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $49,206 – $158,058 · median $71,845 15 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $46,668 – $112,937 · median $52,105 15 plans
240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION $24,352 – $58,932 · median $29,914 15 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $11,827 – $47,396 · median $15,402 15 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY $27,276 – $66,009 · median $33,020 15 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION $18,204 – $44,055 · median $23,141 15 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY $15,442 – $37,369 · median $18,538 15 plans
245 AICD GENERATOR PROCEDURES $31,192 – $94,324 · median $43,518 15 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $12,768 – $30,898 · median $16,051 15 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $29,801 – $72,118 · median $35,237 15 plans
253 OTHER VASCULAR PROCEDURES WITH CC $22,174 – $53,662 · median $25,654 15 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $15,221 – $41,574 · median $17,970 15 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $27,789 – $120,920 · median $31,812 15 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $16,151 – $100,215 · median $19,492 15 plans
263 VEIN LIGATION AND STRIPPING $24,906 – $63,209 · median $28,982 15 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $28,539 – $108,900 · median $35,902 15 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $26,158 – $74,559 · median $33,891 15 plans
280 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY $13,704 – $48,285 · median $15,300 15 plans
281 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION $7,852 – $35,728 · median $9,469 15 plans
282 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY $6,177 – $53,117 · median $7,448 15 plans
283 ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY $16,922 – $41,621 · median $20,086 15 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,913 – $44,440 · median $7,612 15 plans
303 ATHEROSCLEROSIS WITHOUT COMORBITY — 15 plans
304 HYPERTENSION WITH COMORBITY $9,993 – $131,429 · median $11,351 15 plans
305 HYPERTENSION WITHOUT COMORBITY $6,451 – $85,962 · median $7,322 15 plans
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY $10,286 – $52,501 · median $11,615 15 plans
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION $5,916 – $100,624 · median $7,017 15 plans
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY $4,685 – $87,103 · median $5,400 15 plans
312 SYNCOPE & COLLAPSE $7,446 – $165,684 · median $8,314 15 plans
313 CHEST PAIN $6,151 – $87,548 · median $6,868 15 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY $17,814 – $54,978 · median $19,998 15 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION $8,230 – $73,528 · median $9,885 15 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY $5,827 – $77,531 · median $6,900 15 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $55,682 – $138,238 · median $63,547 15 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $20,549 – $71,168 · median $23,778 15 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $23,244 – $79,819 · median $29,242 15 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $15,061 – $82,841 · median $18,584 15 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $36,969 – $89,465 · median $43,753 15 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $26,919 – $65,144 · median $32,820 15 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $26,579 – $84,955 · median $30,169 15 plans
326 STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY $38,693 – $103,110 · median $47,165 15 plans
344 MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY $22,065 – $53,397 · median $25,022 15 plans
346 MINOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY $9,057 – $55,185 · median $11,564 15 plans
347 ANAL & STOMAL PROCEDURES WITH COMORBITY $18,833 – $47,460 · median $21,978 15 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $7,438 – $32,946 · median $9,049 15 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $13,024 – $31,518 · median $15,454 15 plans
380 COMPLICATED PEPTIC ULCER WITH COMORBITY $16,400 – $40,567 · median $18,716 15 plans
381 COMPLICATED PEPTIC ULCER WITH COMPLICATION $8,935 – $83,472 · median $10,335 15 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,840 – $40,820 · median $7,636 15 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $11,740 – $35,330 · median $13,170 15 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $7,303 – $40,899 · median $8,933 15 plans
385 INFLAMMATORY BOWEL DISEASE WITH COMORBITY $13,518 – $38,308 · median $15,827 15 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $46,735 – $115,274 · median $55,764 15 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY $24,669 – $70,439 · median $32,498 15 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $14,844 – $49,974 · median $16,821 15 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $11,956 – $28,934 · median $15,094 15 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $35,479 – $127,545 · median $41,780 15 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $18,691 – $45,233 · median $22,270 15 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $12,817 – $31,017 · median $15,878 15 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $15,125 – $227,854 · median $97,341 15 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $14,559 – $149,239 · median $65,924 15 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY — 15 plans
441 DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY $15,332 – $140,775 · median $18,258 15 plans
442 DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION $8,247 – $78,380 · median $9,207 15 plans
443 DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY $5,978 – $67,484 · median $6,674 15 plans
444 DISORDERS OF THE BILIARY TRACT WITH COMORBITY $13,513 – $86,406 · median $15,938 15 plans
445 DISORDERS OF THE BILIARY TRACT WITH COMPLICATION $9,350 – $98,382 · median $10,439 15 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY $7,068 – $28,518 · median $7,891 15 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $29,390 – $114,183 · median $51,902 15 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $22,725 – $75,739 · median $29,318 15 plans
463 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY $19,012 – $117,832 · median $52,343 15 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $15,580 – $37,704 · median $17,833 15 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY $23,476 – $56,813 · median $26,947 15 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT $25,913 – $62,709 · median $30,354 15 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY $16,479 – $51,428 · median $19,368 15 plans
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY $24,880 – $108,665 · median $30,210 15 plans
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY $13,934 – $71,201 · median $16,296 15 plans
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $23,304 – $109,173 · median $26,175 15 plans
500 SOFT TISSUE PROCEDURES WITH COMORBITY $27,037 – $65,430 · median $30,187 15 plans
501 SOFT TISSUE PROCEDURES WITH COMPLICATION $14,934 – $44,383 · median $18,332 15 plans
510 SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMORBITY $25,804 – $148,521 · median $29,358 15 plans
511 SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMPLICATION $17,764 – $124,897 · median $20,145 15 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $14,142 – $118,314 · median $16,515 15 plans
513 HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY $13,449 – $86,714 · median $15,466 15 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,734 – $114,289 · median $10,473 15 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $13,128 – $71,610 · median $15,333 15 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $31,928 – $95,349 · median $35,760 15 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $17,088 – $97,797 · median $20,255 15 plans
539 OSTEOMYELITIS WITH MCC $16,827 – $50,891 · median $19,353 15 plans
540 OSTEOMYELITIS WITH COMPLICATION $11,074 – $41,077 · median $12,365 15 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,727 – $34,127 · median $8,124 15 plans
542 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY $15,091 – $40,028 · median $19,158 15 plans
543 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION $8,782 – $69,103 · median $10,898 15 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,930 – $72,200 · median $7,890 15 plans
548 SEPTIC ARTHRITIS WITH MCC $16,496 – $83,813 · median $20,694 15 plans
560 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION $9,620 – $23,713 · median $11,697 15 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,868 – $27,324 · median $8,398 15 plans
564 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY $13,187 – $43,745 · median $16,119 15 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $6,401 – $25,171 · median $7,147 15 plans
580 OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION $14,762 – $35,725 · median $18,212 15 plans
581 OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY $5,058 – $29,835 · median $13,365 15 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC — 15 plans
593 SKIN ULCERS WITH CC — 15 plans
602 CELLULITIS WITH COMORBITY $10,388 – $267,838 · median $13,646 15 plans
603 CELLULITIS WITHOUT COMORBITY — 15 plans
607 MINOR SKIN DISORDERS WITHOUT COMORBITY — 15 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $18,725 – $154,121 · median $23,410 15 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $12,886 – $169,392 · median $15,016 15 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $30,406 – $117,648 · median $38,438 15 plans
623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION $15,325 – $116,169 · median $19,349 15 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $23,774 – $107,020 · median $28,807 15 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $12,809 – $71,434 · median $15,504 15 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC — 15 plans
639 DIABETES WITHOUT COMPLICATION/COMORBITY $4,506 – $76,916 · median $5,925 15 plans
640 MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY $11,410 – $55,930 · median $12,952 15 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $21,273 – $98,532 · median $44,843 15 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $31,659 – $152,975 · median $35,670 15 plans
660 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION $11,291 – $81,671 · median $13,686 15 plans
661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY $8,845 – $73,060 · median $10,545 15 plans
662 MINOR BLADDER PROCEDURES WITH MCC $25,020 – $63,294 · median $29,202 15 plans
663 MINOR BLADDER PROCEDURES WITH COMPLICATION $12,987 – $36,659 · median $15,689 15 plans
690 KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY — 15 plans
694 URINARY STONES WITHOUT COMORBITY $5,441 – $42,681 · median $7,456 15 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $9,772 – $133,204 · median $11,585 15 plans
696 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY $5,886 – $54,606 · median $6,603 15 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $11,971 – $96,722 · median $15,299 15 plans
711 TESTES PROCEDURES WITH CC/MCC $17,743 – $106,670 · median $19,876 15 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $15,460 – $37,414 · median $17,759 15 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,762 – $41,583 · median $11,534 15 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,602 – $37,182 · median $7,484 15 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $15,459 – $164,993 · median $18,678 15 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,975 – $119,466 · median $13,869 15 plans
754 MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY $10,967 – $60,857 · median $17,567 15 plans
755 MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION $7,244 – $56,705 · median $10,376 15 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,206 – $35,774 · median $9,810 15 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,946 – $77,369 · median $13,658 15 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,129 – $47,825 · median $9,466 15 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC — 15 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $5,734 – $56,678 · median $9,610 15 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,234 – $26,996 · median $9,992 15 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,346 – $40,362 · median $6,625 15 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $2,050 – $122,275 · median $23,361 15 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $35,621 – $86,203 · median $42,839 15 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $12,609 – $78,673 · median $15,164 15 plans
810 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITHOUT COMPLICATION/COMORBITY $7,331 – $47,231 · median $9,835 15 plans
811 RED BLOOD CELL DISORDERS WITH COMORBITY $11,997 – $40,127 · median $13,395 15 plans
812 RED BLOOD CELL DISORDERS WITHOUT COMORBITY $7,219 – $29,244 · median $8,758 15 plans
813 COAGULATION DISORDERS $11,338 – $40,310 · median $14,549 15 plans
815 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION $7,958 – $38,592 · median $9,672 15 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,148 – $28,180 · median $6,124 15 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $12,169 – $47,170 · median $23,543 15 plans
841 LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION — 15 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC — 15 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $17,042 – $48,769 · median $19,448 15 plans
844 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMPLICATION $10,400 – $66,692 · median $12,277 15 plans
862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY $10,024 – $37,704 · median $16,748 15 plans
863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY — 15 plans
894 ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA $4,337 – $46,932 · median $5,884 15 plans
950 AFTERCARE WITHOUT CC/MCC $5,362 – $127,237 · median $6,020 15 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,879 – $93,528 · median $5,303 15 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $239,410 – $579,371 · median $287,971 14 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $96,808 – $988,455 · median $116,139 14 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $88,083 – $262,964 · median $110,298 14 plans
006 LIVER TRANSPLANT WITHOUT MCC $39,614 – $382,048 · median $51,105 14 plans
007 LUNG TRANSPLANT $110,634 – $479,375 · median $134,888 14 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $47,880 – $307,596 · median $57,014 14 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $57,081 – $138,137 · median $64,919 14 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $73,979 – $179,028 · median $84,070 14 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $181,328 – $438,814 · median $200,957 12 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $35,288 – $87,162 · median $39,169 12 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $296,199 – $892,769 · median $391,984 12 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $60,951 – $147,502 · median $70,833 12 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $38,843 – $93,999 · median $43,047 12 plans
028 SPINAL PROCEDURES WITH MCC $42,430 – $124,217 · median $56,459 12 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $24,092 – $92,631 · median $41,626 12 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $18,205 – $44,057 · median $20,176 12 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $14,206 – $34,379 · median $15,449 12 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $33,068 – $80,024 · median $36,243 12 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $20,422 – $49,422 · median $22,633 12 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $16,597 – $40,166 · median $18,394 12 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $28,125 – $68,061 · median $31,169 12 plans
038 EXTRACRANIAL PROCEDURES WITH CC $13,862 – $33,546 · median $15,363 12 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $10,042 – $24,302 · median $11,129 12 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $7,858 – $19,016 · median $8,709 12 plans
061 ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY $23,554 – $57,001 · median $26,104 12 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $15,012 – $36,329 · median $16,649 12 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $11,993 – $29,022 · median $13,291 12 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY $17,180 – $41,576 · median $19,040 12 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS $8,631 – $20,887 · median $9,565 12 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY $5,847 – $14,149 · median $6,480 12 plans
067 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITH COMORBITY $8,407 – $30,364 · median $13,661 12 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $7,385 – $17,871 · median $8,216 12 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,824 – $16,515 · median $7,563 12 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY $14,222 – $34,418 · median $16,013 12 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION $8,765 – $21,212 · median $9,786 12 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY $6,460 – $15,634 · median $7,160 12 plans
074 CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY $8,806 – $21,311 · median $9,684 12 plans
075 VIRAL MENINGITIS WITH CC/MCC $9,623 – $39,643 · median $17,651 12 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,956 – $17,060 · median $7,813 12 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $14,905 – $37,420 · median $17,137 12 plans
081 NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY $5,764 – $18,516 · median $8,409 12 plans
083 TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION $11,924 – $28,857 · median $13,014 12 plans
084 TRAUMATIC STUPOR & COMA; COMA >1 HR WITHOUT COMPLICATION/COMORBITY $8,165 – $19,760 · median $8,930 12 plans
085 TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMORBITY $19,409 – $46,970 · median $21,490 12 plans
086 TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMPLICATION $11,129 – $26,932 · median $12,334 12 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $7,814 – $18,911 · median $8,660 12 plans
088 CONCUSSION WITH MCC $11,548 – $27,947 · median $12,997 12 plans
090 CONCUSSION WITHOUT COMPLICATION/COMORBITY $7,033 – $17,019 · median $7,906 12 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY $6,627 – $16,463 · median $7,407 12 plans
094 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMORBITY $30,066 – $72,761 · median $33,321 12 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $22,034 – $53,323 · median $24,326 12 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $11,639 – $28,167 · median $12,967 12 plans
100 SEIZURES WITH COMORBITY $16,546 – $40,042 · median $18,319 12 plans
101 SEIZURES WITHOUT COMORBITY $7,543 – $18,661 · median $8,520 12 plans
102 HEADACHES WITH MCC $8,861 – $23,174 · median $10,612 12 plans
103 HEADACHES WITHOUT COMORBITY $7,145 – $17,290 · median $7,936 12 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $15,447 – $37,381 · median $17,066 12 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $9,268 – $22,429 · median $10,212 12 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,959 – $16,246 · median $7,092 12 plans
123 NEUROLOGICAL EYE DISORDERS $6,822 – $16,510 · median $7,561 12 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $11,303 – $27,354 · median $12,527 12 plans
125 OTHER DISORDERS OF THE EYE WITHOUT COMORBITY $6,559 – $15,874 · median $7,269 12 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $14,905 – $43,776 · median $20,047 12 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $10,862 – $26,287 · median $12,038 12 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,810 – $16,479 · median $7,547 12 plans
149 DYSEQUILIBRIUM $6,421 – $15,539 · median $7,116 12 plans
150 EPISTAXIS WITH MCC $11,375 – $27,528 · median $12,768 12 plans
151 EPISTAXIS WITHOUT MCC $6,271 – $15,175 · median $7,020 12 plans
152 OTITIS MEDIA & URI WITH COMORBITY $7,766 – $24,441 · median $10,983 12 plans
153 OTITIS MEDIA & URI WITHOUT COMORBITY $3,836 – $15,262 · median $6,858 12 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,301 – $32,324 · median $14,803 12 plans
155 OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION $7,593 – $18,948 · median $8,641 12 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,904 – $14,288 · median $6,542 12 plans
157 DENTAL & ORAL DISEASES WITH COMORBITY $14,667 – $35,493 · median $16,254 12 plans
158 DENTAL & ORAL DISEASES WITH COMPLICATION $7,121 – $18,809 · median $8,614 12 plans
159 DENTAL & ORAL DISEASES WITHOUT COMPLICATION/COMORBITY $6,053 – $14,648 · median $6,708 12 plans
164 MAJOR CHEST PROCEDURES WITH CC $21,563 – $52,182 · median $23,897 12 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,673 – $28,249 · median $12,937 12 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $25,428 – $61,535 · median $28,443 12 plans
184 MAJOR CHEST TRAUMA WITH COMPLICATION $8,366 – $21,999 · median $9,959 12 plans
185 MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY $6,719 – $16,260 · median $7,307 12 plans
186 PLEURAL EFFUSION WITH COMORBITY $13,314 – $32,221 · median $14,769 12 plans
187 PLEURAL EFFUSION WITH COMPLICATION $8,450 – $20,449 · median $9,309 12 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $6,127 – $14,828 · median $6,829 12 plans
189 PULMONARY EDEMA & RESPIRATORY FAILURE $8,169 – $25,541 · median $11,551 12 plans
195 SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY $5,369 – $12,994 · median $5,845 12 plans
202 BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY $7,513 – $20,079 · median $9,052 12 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $21,829 – $56,827 · median $25,537 12 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $9,135 – $224,813 · median $101,675 12 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $85,063 – $205,853 · median $96,680 12 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $83,575 – $202,251 · median $92,622 12 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $56,173 – $135,939 · median $62,254 12 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $55,248 – $135,939 · median $61,451 12 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $65,596 – $158,743 · median $72,697 12 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $40,397 – $104,202 · median $46,732 12 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $50,136 – $121,328 · median $55,563 12 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $35,785 – $86,600 · median $39,659 12 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $42,046 – $101,752 · median $46,512 12 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $18,645 – $45,121 · median $21,148 12 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $23,044 – $55,767 · median $25,539 12 plans
256 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION $14,505 – $35,103 · median $16,075 12 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,283 – $22,580 · median $9,789 12 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $26,053 – $64,960 · median $29,192 12 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $16,323 – $41,805 · median $18,782 12 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $13,924 – $33,697 · median $15,432 12 plans
265 AICD LEAD PROCEDURES $30,910 – $74,803 · median $34,257 12 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $51,522 – $126,700 · median $56,936 12 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $4,265 – $98,426 · median $44,231 12 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $16,575 – $142,195 · median $63,900 12 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $4,508 – $87,311 · median $39,236 12 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $4,502 – $109,083 · median $49,020 12 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $5,172 – $73,524 · median $33,040 12 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $21,810 – $52,781 · median $24,171 12 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $35,244 – $85,291 · median $39,060 12 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $28,121 – $68,053 · median $31,165 12 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $51,891 – $147,415 · median $66,316 12 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $39,866 – $124,182 · median $56,869 12 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $39,456 – $95,484 · median $43,727 12 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $37,280 – $115,077 · median $51,256 12 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,116 – $12,382 · median $5,564 12 plans
286 CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY $18,882 – $45,748 · median $20,674 12 plans
287 CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY $9,142 – $22,123 · median $10,163 12 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $23,119 – $55,948 · median $25,622 12 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $14,582 – $35,289 · median $16,118 12 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,942 – $19,221 · median $8,980 12 plans
291 HEART FAILURE & SHOCK WITH COMORBITY $10,616 – $26,542 · median $12,091 12 plans
292 HEART FAILURE & SHOCK WITH COMPLICATION $7,253 – $17,552 · median $7,989 12 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,759 – $11,702 · median $5,258 12 plans
296 CARDIAC ARREST; UNEXPLAINED WITH COMORBITY $13,343 – $32,291 · median $15,056 12 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,416 – $13,107 · median $6,294 12 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,888 – $9,409 · median $4,309 12 plans
299 PERIPHERAL VASCULAR DISORDERS WITH COMORBITY $13,914 – $33,755 · median $15,183 12 plans
300 PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION $9,064 – $22,070 · median $9,987 12 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY $6,148 – $14,879 · median $6,694 12 plans
302 ATHEROSCLEROSIS WITH MCC $10,223 – $24,739 · median $11,329 12 plans
306 CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY $9,935 – $32,578 · median $14,640 12 plans
307 CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY $7,802 – $18,880 · median $8,656 12 plans
311 ANGINA PECTORIS $5,091 – $14,511 · median $6,541 12 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $38,127 – $92,267 · median $42,254 12 plans
327 STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION $20,881 – $50,532 · median $23,141 12 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $13,689 – $33,126 · median $15,170 12 plans
329 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY $39,268 – $95,029 · median $43,519 12 plans
330 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION $20,479 – $49,560 · median $22,696 12 plans
331 MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY $14,377 – $34,793 · median $15,933 12 plans
332 RECTAL RESECTION WITH MCC $30,932 – $74,855 · median $34,280 12 plans
333 RECTAL RESECTION WITH CC $19,735 – $48,423 · median $21,921 12 plans
334 RECTAL RESECTION WITHOUT CC/MCC $13,993 – $33,862 · median $15,512 12 plans
335 PERITONEAL ADHESIOLYSIS WITH COMORBITY $28,132 – $73,825 · median $33,606 12 plans
336 PERITONEAL ADHESIOLYSIS WITH COMPLICATION $18,015 – $43,596 · median $19,717 12 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY $13,114 – $31,735 · median $14,533 12 plans
345 MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION $12,855 – $31,108 · median $14,246 12 plans
348 ANAL & STOMAL PROCEDURES WITH COMPLICATION $11,181 – $27,058 · median $12,160 12 plans
350 INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMORBITY $21,288 – $51,518 · median $23,593 12 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $9,977 – $24,143 · median $11,057 12 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY $24,792 – $59,996 · median $27,476 12 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION $14,373 – $34,782 · median $15,929 12 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY $11,490 – $27,807 · median $12,734 12 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY $37,528 – $90,818 · median $40,812 12 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION $18,555 – $48,078 · median $21,605 12 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,942 – $28,900 · median $13,235 12 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $13,600 – $32,911 · median $15,072 12 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,278 – $20,678 · median $9,425 12 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,987 – $14,488 · median $6,533 12 plans
371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY $12,207 – $36,657 · median $16,473 12 plans
372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION $8,722 – $21,108 · median $9,577 12 plans
373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY $5,285 – $15,038 · median $6,786 12 plans
374 DIGESTIVE MALIGNANCY WITH COMORBITY $18,271 – $44,216 · median $20,249 12 plans
375 DIGESTIVE MALIGNANCY WITH COMPLICATION $9,031 – $25,007 · median $11,389 12 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $7,616 – $19,109 · median $8,587 12 plans
377 G.I. HEMORRHAGE WITH COMORBITY $14,705 – $37,792 · median $17,031 12 plans
378 G.I. HEMORRHAGE WITH COMPLICATION $8,378 – $20,275 · median $9,186 12 plans
379 G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY $5,386 – $13,033 · median $5,921 12 plans
386 INFLAMMATORY BOWEL DISEASE WITH COMPLICATION $8,341 – $20,184 · median $9,264 12 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,820 – $14,085 · median $6,450 12 plans
388 G.I. OBSTRUCTION WITH COMORBITY $12,616 – $30,532 · median $13,765 12 plans
389 G.I. OBSTRUCTION WITH COMPLICATION $5,942 – $16,328 · median $7,434 12 plans
390 G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY $4,567 – $11,247 · median $5,096 12 plans
391 ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY $10,835 – $26,221 · median $11,926 12 plans
392 ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY $6,605 – $16,118 · median $7,286 12 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY $13,663 – $33,064 · median $15,316 12 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION $7,994 – $19,345 · median $8,767 12 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY $5,544 – $13,418 · median $6,145 12 plans
397 APPENDIX PROCEDURES WITH MCC $20,460 – $49,513 · median $22,821 12 plans
398 APPENDIX PROCEDURES WITH CC $12,931 – $31,292 · median $14,331 12 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $9,779 – $25,094 · median $10,838 12 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $13,033 – $83,121 · median $37,353 12 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $24,777 – $59,959 · median $27,459 12 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $18,962 – $45,888 · median $21,015 12 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $30,461 – $73,716 · median $33,759 12 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $18,601 – $45,014 · median $20,491 12 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $13,564 – $32,824 · median $15,032 12 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $25,412 – $68,293 · median $29,954 12 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $17,962 – $43,467 · median $19,925 12 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $14,186 – $34,329 · median $15,721 12 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $30,435 – $73,654 · median $33,730 12 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION $17,656 – $42,727 · median $19,567 12 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $11,647 – $28,185 · median $12,908 12 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY $20,387 – $49,337 · median $22,331 12 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION $14,451 – $34,972 · median $16,016 12 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY $11,668 – $28,237 · median $12,931 12 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $11,518 – $116,230 · median $52,232 12 plans
432 CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY $16,814 – $40,691 · median $18,635 12 plans
433 CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION $9,023 – $21,836 · median $10,004 12 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,577 – $14,730 · median $6,620 12 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY $15,691 – $37,972 · median $17,390 12 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION $9,663 – $23,385 · median $10,709 12 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION/COMORBITY $7,290 – $17,641 · median $8,042 12 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY $13,927 – $33,703 · median $15,500 12 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION $7,186 – $17,391 · median $7,947 12 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $60,924 – $173,733 · median $78,808 12 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $50,943 – $123,282 · median $56,458 12 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $35,647 – $86,265 · median $39,949 12 plans
464 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION $26,609 – $64,394 · median $29,489 12 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY $44,470 – $107,617 · median $49,284 12 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION $30,128 – $72,910 · median $33,389 12 plans
471 CERVICAL SPINAL FUSION WITH MCC $41,252 – $99,829 · median $45,242 12 plans
472 CERVICAL SPINAL FUSION WITH CC $25,169 – $60,908 · median $27,893 12 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $20,856 – $50,472 · median $22,991 12 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $36,674 – $88,752 · median $41,296 12 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $16,452 – $47,048 · median $21,143 12 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,083 – $24,400 · median $11,174 12 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY $29,513 – $71,421 · median $32,200 12 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $21,009 – $50,842 · median $23,283 12 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $15,461 – $38,431 · median $17,270 12 plans
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION $17,893 – $43,302 · median $19,830 12 plans
485 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY $27,569 – $66,718 · median $30,554 12 plans
486 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION $15,444 – $43,232 · median $19,673 12 plans
487 KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY $12,888 – $32,380 · median $14,696 12 plans
488 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY $15,112 – $36,571 · median $17,562 12 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,541 – $23,089 · median $11,078 12 plans
492 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY $31,367 – $75,907 · median $34,762 12 plans
493 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION $21,666 – $52,432 · median $24,011 12 plans
494 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY $17,142 – $41,483 · median $18,997 12 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $30,975 – $74,958 · median $34,328 12 plans
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION $15,411 – $37,294 · median $17,764 12 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $10,323 – $24,981 · median $11,999 12 plans
498 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY $23,446 – $62,370 · median $27,494 12 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $10,780 – $41,654 · median $17,299 12 plans
502 SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY $11,498 – $27,825 · median $12,906 12 plans
503 FOOT PROCEDURES WITH MCC $23,845 – $57,704 · median $26,426 12 plans
504 FOOT PROCEDURES WITH CC $15,969 – $38,644 · median $17,697 12 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $15,316 – $37,065 · median $16,974 12 plans
506 MAJOR THUMB OR JOINT PROCEDURES $11,169 – $27,894 · median $12,774 12 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $15,432 – $37,346 · median $17,614 12 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $11,986 – $31,309 · median $13,927 12 plans
515 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY $27,226 – $65,887 · median $30,173 12 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $17,753 – $42,963 · median $19,675 12 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $12,762 – $30,885 · median $14,144 12 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $24,520 – $59,339 · median $27,222 12 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $18,092 – $43,782 · median $20,050 12 plans
533 FRACTURES OF FEMUR WITH MCC $13,393 – $32,411 · median $14,843 12 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,727 – $16,665 · median $7,567 12 plans
535 FRACTURES OF HIP & PELVIS WITH COMORBITY $10,952 – $26,504 · median $12,289 12 plans
536 FRACTURES OF HIP & PELVIS WITHOUT COMORBITY $6,803 – $16,696 · median $7,560 12 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $8,153 – $19,729 · median $9,035 12 plans
538 SPRAINS; STRAINS; & DISLOCATIONS OF HIP; PELVIS & THIGH WITHOUT COMPLICATION/COMORBITY $6,154 – $14,892 · median $6,820 12 plans
544 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITHOUT COMPLICATION/COMORBITY $6,447 – $15,601 · median $7,144 12 plans
545 CONNECTIVE TISSUE DISORDERS WITH COMORBITY $21,201 – $51,307 · median $23,568 12 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $9,854 – $23,846 · median $10,920 12 plans
549 SEPTIC ARTHRITIS WITH CC $10,313 – $24,958 · median $11,430 12 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,160 – $18,071 · median $8,121 12 plans
551 MEDICAL BACK PROBLEMS WITH COMORBITY $13,505 – $34,652 · median $15,798 12 plans
552 MEDICAL BACK PROBLEMS WITHOUT COMORBITY $7,753 – $19,874 · median $8,992 12 plans
553 BONE DISEASES & ARTHROPATHIES WITH COMORBITY $11,074 – $26,800 · median $12,273 12 plans
554 BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY $6,564 – $17,162 · median $7,776 12 plans
555 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITH COMORBITY $10,614 – $27,327 · median $12,463 12 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $7,096 – $17,172 · median $7,717 12 plans
557 TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY $8,917 – $30,740 · median $14,078 12 plans
558 TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY $4,741 – $18,466 · median $8,298 12 plans
559 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY $15,932 – $38,555 · median $17,657 12 plans
562 FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY $11,787 – $29,457 · median $13,490 12 plans
563 FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY $7,650 – $18,514 · median $8,357 12 plans
565 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION $8,324 – $20,145 · median $9,381 12 plans
570 SKIN DEBRIDEMENT WITH COMORBITY $25,126 – $60,805 · median $28,005 12 plans
571 SKIN DEBRIDEMENT WITH COMPLICATION $13,395 – $34,929 · median $15,715 12 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $9,793 – $23,699 · median $10,853 12 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $55,969 – $135,445 · median $62,028 12 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION $18,519 – $71,768 · median $32,399 12 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $15,352 – $37,152 · median $17,841 12 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $41,871 – $101,328 · median $48,425 12 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $22,645 – $54,801 · median $25,096 12 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,724 – $33,211 · median $15,510 12 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $27,264 – $66,953 · median $30,350 12 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $16,262 – $39,831 · median $18,047 12 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $18,288 – $44,257 · median $20,268 12 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $16,480 – $39,883 · median $18,417 12 plans
592 SKIN ULCERS WITH COMORBITY $16,533 – $40,011 · median $18,778 12 plans
594 SKIN ULCERS WITHOUT CC/MCC $7,405 – $17,920 · median $8,207 12 plans
595 MAJOR SKIN DISORDERS WITH MCC $18,117 – $43,844 · median $20,078 12 plans
596 MAJOR SKIN DISORDERS WITHOUT COMORBITY $6,867 – $22,380 · median $10,106 12 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $12,196 – $34,466 · median $15,784 12 plans
598 MALIGNANT BREAST DISORDERS WITH CC $9,665 – $23,389 · median $10,657 12 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,573 – $15,907 · median $7,386 12 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $5,690 – $21,534 · median $9,677 12 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,703 – $12,508 · median $5,626 12 plans
604 TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY $12,576 – $30,434 · median $13,816 12 plans
605 TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY $7,765 – $18,938 · median $8,593 12 plans
606 MINOR SKIN DISORDERS WITH COMORBITY $7,813 – $31,284 · median $14,327 12 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $11,954 – $28,929 · median $13,327 12 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $29,793 – $72,099 · median $34,578 12 plans
617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION $15,978 – $38,667 · median $17,771 12 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $11,562 – $29,322 · median $12,930 12 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $24,667 – $59,695 · median $27,337 12 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $13,671 – $33,085 · median $15,151 12 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,316 – $25,882 · median $11,009 12 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $11,348 – $27,462 · median $12,576 12 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $31,838 – $77,049 · median $36,098 12 plans
629 OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION $18,614 – $45,045 · median $20,629 12 plans
637 DIABETES WITH COMORBITY $11,637 – $29,703 · median $13,513 12 plans
638 DIABETES WITH COMPLICATION $6,106 – $18,528 · median $8,470 12 plans
641 MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY $6,648 – $16,089 · median $7,285 12 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $11,526 – $29,401 · median $12,904 12 plans
643 ENDOCRINE DISORDERS WITH COMORBITY $14,063 – $34,032 · median $15,430 12 plans
644 ENDOCRINE DISORDERS WITH COMPLICATION $8,290 – $21,191 · median $9,615 12 plans
645 ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY $5,173 – $15,884 · median $7,227 12 plans
653 MAJOR BLADDER PROCEDURES WITH COMORBITY $44,393 – $107,431 · median $50,666 12 plans
654 MAJOR BLADDER PROCEDURES WITH COMPLICATION $21,981 – $57,873 · median $26,256 12 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $18,082 – $43,759 · median $20,040 12 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $21,375 – $65,822 · median $30,086 12 plans
657 KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION $15,634 – $37,834 · median $17,326 12 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $13,257 – $32,082 · median $14,692 12 plans
659 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY $19,130 – $52,531 · median $23,938 12 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,944 – $21,644 · median $10,007 12 plans
665 PROSTATECTOMY WITH MCC $26,665 – $64,528 · median $30,828 12 plans
666 PROSTATECTOMY WITH COMPLICATION $14,944 – $36,165 · median $16,562 12 plans
667 PROSTATECTOMY WITHOUT CC/MCC $9,450 – $22,870 · median $10,473 12 plans
668 TRANSURETHRAL PROCEDURES WITH COMORBITY $24,946 – $60,369 · median $27,646 12 plans
669 TRANSURETHRAL PROCEDURES WITH COMPLICATION $10,991 – $32,086 · median $14,478 12 plans
670 TRANSURETHRAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $8,349 – $20,205 · median $9,253 12 plans
671 URETHRAL PROCEDURES WITH CC/MCC $15,335 – $37,110 · median $16,995 12 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $9,222 – $22,318 · median $10,230 12 plans
673 OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY $35,894 – $86,865 · median $39,198 12 plans
674 OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION $19,979 – $48,349 · median $22,141 12 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $14,023 – $33,935 · median $15,541 12 plans
682 RENAL FAILURE WITH COMORBITY $12,652 – $30,618 · median $13,933 12 plans
683 RENAL FAILURE WITH COMPLICATION $7,274 – $18,106 · median $8,243 12 plans
684 RENAL FAILURE WITHOUT COMPLICATION/COMORBITY $5,128 – $12,411 · median $5,658 12 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $15,409 – $37,290 · median $17,358 12 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,567 – $21,662 · median $9,811 12 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,726 – $16,339 · median $7,433 12 plans
689 KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY $9,912 – $23,988 · median $10,933 12 plans
693 URINARY STONES WITH MCC $11,486 – $27,796 · median $12,817 12 plans
697 URETHRAL STRICTURE $9,208 – $22,283 · median $10,204 12 plans
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY $14,134 – $34,203 · median $15,579 12 plans
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION $7,727 – $20,984 · median $9,505 12 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,894 – $14,263 · median $6,532 12 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $17,089 – $41,355 · median $18,939 12 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $13,107 – $31,718 · median $14,526 12 plans
709 PENIS PROCEDURES WITH COMPLICATION/COMORBITY $19,881 – $48,111 · median $22,033 12 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $9,395 – $22,735 · median $10,217 12 plans
713 TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY $12,844 – $31,082 · median $14,234 12 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,726 – $21,861 · median $9,824 12 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $19,113 – $46,254 · median $21,182 12 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $12,567 – $30,412 · median $13,927 12 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $16,151 – $39,085 · median $17,899 12 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $11,440 – $27,768 · median $12,638 12 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,997 – $24,193 · median $11,446 12 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY $6,168 – $14,927 · median $6,899 12 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $12,668 – $30,658 · median $14,040 12 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,196 – $16,771 · median $7,606 12 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $9,045 – $21,888 · median $10,161 12 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,008 – $13,893 · median $6,203 12 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $18,197 – $44,036 · median $20,166 12 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $11,272 – $27,817 · median $12,557 12 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $30,537 – $73,900 · median $35,330 12 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $17,604 – $42,601 · median $19,509 12 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,545 – $30,360 · median $14,047 12 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $30,608 – $74,071 · median $35,571 12 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,183 – $29,483 · median $13,502 12 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $15,675 – $37,933 · median $17,372 12 plans
743 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY $10,599 – $25,650 · median $11,747 12 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $17,506 – $42,363 · median $19,401 12 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $9,517 – $23,517 · median $10,608 12 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $14,840 – $35,913 · median $16,139 12 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $7,344 – $17,774 · median $8,535 12 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $11,852 – $28,681 · median $13,135 12 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $18,482 – $53,083 · median $24,083 12 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,782 – $11,795 · median $5,401 12 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $5,510 – $22,154 · median $10,126 12 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $12,608 – $34,935 · median $14,798 12 plans
779 ABORTION WITHOUT D&C $4,286 – $17,393 · median $7,965 12 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $11,763 – $50,757 · median $20,974 12 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,887 – $21,917 · median $10,010 12 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $7,535 – $19,802 · median $8,884 12 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $9,094 – $23,089 · median $10,376 12 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $8,191 – $19,822 · median $8,908 12 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $15,396 – $37,259 · median $17,063 12 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $6,940 – $122,877 · median $55,532 12 plans
791 PREMATURITY WITH MAJOR PROBLEMS $3,010 – $83,916 · median $37,925 12 plans
795 NORMAL NEWBORN $1,256 – $4,131 · median $1,867 12 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $9,970 – $24,127 · median $11,493 12 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $8,546 – $20,682 · median $9,472 12 plans
799 SPLENIC PROCEDURES WITH MCC $38,691 – $93,631 · median $43,676 12 plans
800 SPLENIC PROCEDURES WITH CC $24,001 – $58,082 · median $26,648 12 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $15,246 – $39,465 · median $17,636 12 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $33,290 – $82,368 · median $37,132 12 plans
803 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMPLICATION $15,629 – $38,431 · median $17,270 12 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $10,267 – $28,034 · median $12,133 12 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $5,477 – $22,312 · median $10,026 12 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,883 – $15,588 · median $7,005 12 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,177 – $13,939 · median $6,264 12 plans
808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY $18,862 – $45,647 · median $21,165 12 plans
809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION $10,701 – $26,171 · median $11,761 12 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $14,225 – $43,968 · median $19,758 12 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,903 – $23,966 · median $10,975 12 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $7,346 – $17,778 · median $7,989 12 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $50,103 – $121,250 · median $55,527 12 plans
821 LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMPLICATION $19,124 – $46,281 · median $20,883 12 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $10,286 – $24,892 · median $11,399 12 plans
823 LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMORBITY $39,168 – $94,787 · median $43,593 12 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $19,355 – $46,839 · median $21,450 12 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $11,429 – $27,898 · median $12,662 12 plans
826 MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMORBITY $39,963 – $96,710 · median $44,482 12 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $19,745 – $47,782 · median $21,980 12 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $14,556 – $35,225 · median $16,131 12 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURE WITH COMPLICATION/COMORBITY $26,930 – $65,330 · median $29,358 12 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $11,901 – $31,115 · median $13,982 12 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $5,878 – $24,861 · median $11,172 12 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,333 – $14,918 · median $6,832 12 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,973 – $10,811 · median $4,871 12 plans
834 ACUTE LEUKEMIA WITH MCC $46,900 – $113,499 · median $51,977 12 plans
835 ACUTE LEUKEMIA WITH CC $17,819 – $43,122 · median $19,865 12 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $10,418 – $25,477 · median $11,716 12 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $41,043 – $99,325 · median $45,933 12 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $11,870 – $43,155 · median $19,393 12 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,108 – $29,851 · median $13,415 12 plans
840 LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY $27,636 – $66,879 · median $30,628 12 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $7,275 – $17,606 · median $8,063 12 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $17,875 – $53,598 · median $24,086 12 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,791 – $27,046 · median $12,154 12 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,190 – $17,561 · median $7,891 12 plans
849 RADIOTHERAPY $23,147 – $56,017 · median $25,653 12 plans
853 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY $42,191 – $102,101 · median $46,777 12 plans
854 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION $16,159 – $41,309 · median $18,667 12 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,791 – $30,953 · median $14,688 12 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY $31,580 – $94,041 · median $42,321 12 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION $16,146 – $44,274 · median $20,180 12 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $11,900 – $28,797 · median $12,941 12 plans
864 FEVER AND INFLAMMATORY CONDITIONS $7,426 – $18,352 · median $8,340 12 plans
865 VIRAL ILLNESS WITH COMORBITY $12,800 – $30,976 · median $14,186 12 plans
866 VIRAL ILLNESS WITHOUT COMORBITY $7,151 – $17,978 · median $8,194 12 plans
867 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY $17,882 – $43,275 · median $19,939 12 plans
868 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMPLICATION $8,809 – $21,317 · median $9,720 12 plans
869 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITHOUT COMPLICATION/COMORBITY $4,569 – $15,086 · median $6,779 12 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $59,048 – $142,896 · median $65,440 12 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY $16,595 – $40,160 · median $18,239 12 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY $8,100 – $21,156 · median $9,596 12 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $33,018 – $79,904 · median $36,606 12 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,224 – $19,851 · median $8,963 12 plans
881 DEPRESSIVE NEUROSES $4,416 – $19,452 · median $8,742 12 plans
882 NEUROSES EXCEPT DEPRESSIVE $8,933 – $22,200 · median $9,986 12 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $16,798 – $40,652 · median $18,268 12 plans
884 ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY $13,745 – $33,263 · median $15,428 12 plans
885 PSYCHOSES $6,206 – $28,878 · median $13,108 12 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $11,084 – $42,905 · median $18,756 12 plans
887 OTHER MENTAL DISORDER DIAGNOSES $9,149 – $22,140 · median $10,630 12 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $6,286 – $29,266 · median $13,375 12 plans
896 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY $11,802 – $36,079 · median $16,469 12 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $35,852 – $86,761 · median $40,585 12 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION $16,356 – $39,581 · median $18,126 12 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,992 – $24,181 · median $11,238 12 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $31,379 – $75,938 · median $34,955 12 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $12,673 – $30,668 · median $14,727 12 plans
906 HAND PROCEDURES FOR INJURIES $12,744 – $40,610 · median $18,598 12 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY $32,799 – $79,374 · median $36,807 12 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION $17,045 – $41,249 · median $18,890 12 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $11,214 – $27,139 · median $12,196 12 plans
913 TRAUMATIC INJURY WITH MCC $13,964 – $33,794 · median $15,476 12 plans
914 TRAUMATIC INJURY WITHOUT COMORBITY $7,493 – $18,307 · median $8,384 12 plans
915 ALLERGIC REACTIONS WITH MCC $12,631 – $34,766 · median $15,921 12 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,271 – $13,775 · median $6,214 12 plans
917 POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY $12,220 – $32,425 · median $14,849 12 plans
918 POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY $5,976 – $17,720 · median $8,115 12 plans
919 COMPLICATIONS OF TREATMENT WITH COMORBITY $15,317 – $37,850 · median $17,069 12 plans
920 COMPLICATIONS OF TREATMENT WITH COMPLICATION $8,240 – $20,722 · median $9,426 12 plans
921 COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY $4,860 – $14,232 · median $6,427 12 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $14,945 – $36,167 · median $16,563 12 plans
923 OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY $6,180 – $21,040 · median $9,517 12 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $182,398 – $441,404 · median $211,979 12 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $47,176 – $148,290 · median $66,638 12 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $21,738 – $66,587 · median $29,923 12 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $33,268 – $80,509 · median $36,870 12 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $6,453 – $45,702 · median $20,538 12 plans
935 NON-EXTENSIVE BURNS $16,102 – $42,589 · median $19,504 12 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $29,475 – $75,016 · median $33,711 12 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $19,607 – $48,313 · median $21,824 12 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $17,323 – $41,921 · median $19,198 12 plans
945 REHABILITATION WITH CC/MCC $13,230 – $32,016 · median $14,662 12 plans
946 REHABILITATION WITHOUT CC/MCC $9,797 – $23,709 · median $10,858 12 plans
947 SIGNS & SYMPTOMS WITH COMORBITY $10,845 – $26,244 · median $12,026 12 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,839 – $16,550 · median $7,579 12 plans
949 AFTERCARE WITH CC/MCC $10,020 – $24,596 · median $11,132 12 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $57,504 – $139,160 · median $63,806 12 plans
956 LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA $32,147 – $86,918 · median $35,694 12 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $65,097 – $157,535 · median $72,144 12 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $36,000 – $87,119 · median $39,897 12 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $24,552 – $60,867 · median $27,412 12 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY $23,355 – $56,519 · median $25,513 12 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION $13,093 – $31,685 · median $14,510 12 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,035 – $19,444 · median $8,904 12 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $52,295 – $126,553 · median $58,558 12 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $22,531 – $54,526 · median $24,970 12 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $24,655 – $59,666 · median $27,629 12 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $11,063 – $26,773 · median $12,776 12 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,712 – $18,663 · median $8,962 12 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $11,086 – $26,829 · median $12,884 12 plans
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY $40,082 – $96,999 · median $44,452 12 plans
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION $21,003 – $50,828 · median $23,277 12 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,427 – $35,436 · median $15,924 12 plans
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY $29,289 – $70,879 · median $32,616 12 plans
988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION $14,041 – $33,980 · median $15,807 12 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,767 – $24,792 · median $11,141 12 plans
010 PANCREAS TRANSPLANT $53,186 – $148,352 · median $68,444 11 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $102,670 – $248,460 · median $121,666 11 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $50,658 – $122,592 · median $56,051 11 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $46,408 – $112,308 · median $56,051 11 plans
209 COMPLEX AORTIC ARCH PROCEDURES $4,692 – $234,007 · median $103,949 11 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $17,386 – $117,985 · median $52,411 11 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $20,693 – $50,077 · median $22,762 11 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $29,376 – $142,727 · median $32,314 11 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $20,625 – $64,467 · median $22,688 11 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $76,969 – $186,266 · median $84,666 11 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $49,269 – $119,230 · median $54,195 11 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $36,229 – $87,675 · median $39,852 11 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $45,531 – $110,185 · median $50,084 11 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $27,597 – $66,786 · median $30,357 11 plans
652 KIDNEY TRANSPLANT $27,590 – $66,767 · median $30,804 11 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $14,092 – $34,102 · median $15,501 11 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $8,177 – $19,787 · median $8,994 11 plans
897 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY $7,542 – $18,251 · median $8,296 11 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH COMORBITY $14,359 – $17,231 · median $16,694 5 plans
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