DMC Detroit Receiving Hospital — Pricing

782 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 782 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 782
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 782 procedures

Procedures with negotiated rates only

These 782 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $5,708 – $398,661 24 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $5,708 – $180,129 · median $10,875 20 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $5,708 – $313,654 20 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $5,708 – $216,259 20 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $5,708 – $152,264 · median $10,875 20 plans
006 LIVER TRANSPLANT WITHOUT MCC $5,708 – $71,158 · median $10,875 20 plans
007 LUNG TRANSPLANT $5,708 – $180,457 20 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $5,708 – $77,408 · median $10,875 20 plans
010 PANCREAS TRANSPLANT $5,708 – $70,815 · median $10,875 20 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $5,708 – $75,857 · median $10,875 20 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $5,708 – $58,918 · median $10,875 20 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $5,708 – $39,511 · median $10,875 20 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $5,708 – $168,607 20 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $5,708 – $90,873 · median $10,875 20 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $5,708 – $90,873 · median $10,875 20 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $5,708 – $542,011 20 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $5,708 – $117,596 · median $10,875 20 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $5,708 – $124,347 · median $10,875 20 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $5,708 – $90,349 · median $10,875 20 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $5,708 – $51,147 · median $10,875 20 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $5,708 – $83,397 · median $10,875 20 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $5,708 – $55,739 · median $10,875 20 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $5,708 – $64,966 · median $10,875 20 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $5,708 – $43,445 · median $10,875 20 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $5,708 – $35,792 · median $10,875 20 plans
028 SPINAL PROCEDURES WITH MCC $5,708 – $88,653 · median $10,875 20 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $5,708 – $50,434 · median $10,875 20 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $5,708 – $34,116 · median $10,875 20 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $5,708 – $60,561 · median $10,875 20 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $5,708 – $31,686 · median $10,875 20 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $5,708 – $57,395 · median $10,875 20 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $5,708 – $33,829 · median $10,875 20 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $5,708 – $26,601 · median $10,875 20 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $5,708 – $49,660 · median $10,875 20 plans
038 EXTRACRANIAL PROCEDURES WITH CC $5,708 – $25,913 · median $10,875 20 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $5,708 – $56,647 · median $10,875 20 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $5,708 – $32,817 · median $10,875 20 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $5,708 – $28,607 · median $10,875 20 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $5,708 – $25,913 · median $10,257 20 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $5,708 – $25,913 · median $10,702 20 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $5,708 – $35,219 · median $10,875 20 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $5,708 – $25,913 · median $10,875 20 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $5,708 – $25,913 · median $10,875 20 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,708 – $25,913 · median $10,875 20 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $5,708 – $25,913 · median $9,828 20 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $5,708 – $41,233 · median $10,875 20 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $5,708 – $27,536 · median $10,875 20 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $5,708 – $29,467 · median $10,875 20 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $5,708 – $25,913 · median $10,420 20 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,708 – $25,913 · median $8,031 20 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $5,708 – $25,913 · median $10,875 20 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,708 – $25,913 · median $9,697 20 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,708 – $25,913 · median $9,330 20 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $5,708 – $26,326 · median $10,875 20 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $5,708 – $25,913 · median $10,645 20 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $9,146 20 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,708 – $25,913 · median $10,468 20 plans
075 VIRAL MENINGITIS WITH CC/MCC $5,708 – $28,155 · median $10,875 20 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,708 – $25,913 · median $9,953 20 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $5,708 – $25,913 · median $10,875 20 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $5,708 – $25,913 · median $10,422 20 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,708 – $25,913 · median $8,653 20 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $5,708 – $32,493 · median $10,875 20 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,708 – $25,913 · median $9,888 20 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $5,708 – $33,517 · median $10,875 20 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $5,708 – $25,913 · median $10,875 20 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $5,708 – $25,913 · median $9,939 20 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $5,708 – $33,436 · median $10,875 20 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $5,708 – $25,913 · median $10,875 20 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,708 – $25,913 · median $9,772 20 plans
088 CONCUSSION WITH MCC $5,708 – $25,913 · median $10,875 20 plans
089 CONCUSSION WITH CC $5,708 – $25,913 · median $10,875 20 plans
090 CONCUSSION WITHOUT CC/MCC $5,708 – $25,913 · median $10,014 20 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $5,708 – $26,322 · median $10,875 20 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $5,708 – $25,913 · median $10,468 20 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,708 – $25,913 · median $9,046 20 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $5,708 – $53,295 · median $10,875 20 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $5,708 – $35,075 · median $10,875 20 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,708 – $32,067 · median $10,875 20 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $5,708 – $53,504 · median $10,875 20 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $5,708 – $31,696 · median $10,875 20 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
100 SEIZURES WITH MCC $5,708 – $29,166 · median $10,875 20 plans
101 SEIZURES WITHOUT MCC $5,708 – $25,913 · median $9,889 20 plans
102 HEADACHES WITH MCC $5,708 – $25,913 · median $10,875 20 plans
103 HEADACHES WITHOUT MCC $5,708 – $25,913 · median $9,555 20 plans
113 ORBITAL PROCEDURES WITH CC/MCC $5,708 – $36,886 · median $10,875 20 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $5,708 – $25,913 · median $10,875 20 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $5,708 – $26,934 · median $10,875 20 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $5,708 – $25,913 · median $10,875 20 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,708 – $25,913 · median $8,697 20 plans
123 NEUROLOGICAL EYE DISORDERS $5,708 – $25,913 · median $9,364 20 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $5,708 – $25,913 · median $10,875 20 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,708 – $25,913 · median $9,316 20 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $5,708 – $39,016 · median $10,875 20 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,035 20 plans
137 MOUTH PROCEDURES WITH CC/MCC $5,708 – $25,913 · median $10,875 20 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $9,670 20 plans
139 SALIVARY GLAND PROCEDURES $5,708 – $25,913 · median $10,875 20 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $5,708 – $55,582 · median $10,875 20 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $5,708 – $30,478 · median $10,875 20 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $5,708 – $48,925 · median $10,875 20 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $5,708 – $25,913 · median $10,875 20 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $5,708 – $31,056 · median $10,875 20 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $5,708 – $25,913 · median $10,875 20 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $9,790 20 plans
149 DYSEQUILIBRIUM $5,708 – $25,913 · median $8,699 20 plans
150 EPISTAXIS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
151 EPISTAXIS WITHOUT MCC $5,708 – $25,913 · median $9,003 20 plans
152 OTITIS MEDIA AND URI WITH MCC $5,708 – $25,913 · median $10,875 20 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,708 – $25,913 · median $8,583 20 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $5,708 – $25,913 · median $10,875 20 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,708 – $25,913 · median $10,073 20 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,708 – $25,913 · median $7,657 20 plans
157 DENTAL AND ORAL DISEASES WITH MCC $5,708 – $25,913 · median $10,875 20 plans
158 DENTAL AND ORAL DISEASES WITH CC $5,708 – $25,913 · median $10,032 20 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,708 – $25,913 · median $7,887 20 plans
163 MAJOR CHEST PROCEDURES WITH MCC $5,708 – $69,344 · median $10,875 20 plans
164 MAJOR CHEST PROCEDURES WITH CC $5,708 – $37,520 · median $10,875 20 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $5,708 – $27,605 · median $10,875 20 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $5,708 – $59,696 · median $10,875 20 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $5,708 – $26,772 · median $10,875 20 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $5,708 – $45,238 · median $10,875 20 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $5,708 – $25,913 · median $10,875 20 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,708 – $25,913 · median $9,421 20 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $5,708 – $25,913 · median $10,272 20 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,708 – $25,913 · median $8,916 20 plans
180 RESPIRATORY NEOPLASMS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
181 RESPIRATORY NEOPLASMS WITH CC $5,708 – $25,913 · median $10,841 20 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,708 – $25,913 · median $8,866 20 plans
183 MAJOR CHEST TRAUMA WITH MCC $5,708 – $25,913 · median $10,875 20 plans
184 MAJOR CHEST TRAUMA WITH CC $5,708 – $25,913 · median $10,596 20 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,708 – $25,913 · median $8,827 20 plans
186 PLEURAL EFFUSION WITH MCC $5,708 – $25,913 · median $10,875 20 plans
187 PLEURAL EFFUSION WITH CC $5,708 – $25,913 · median $10,320 20 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,708 – $25,913 · median $8,720 20 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $5,708 – $25,913 · median $10,875 20 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $5,708 – $25,913 · median $10,845 20 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,708 – $25,913 · median $9,587 20 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,708 – $25,913 · median $7,497 20 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $5,708 – $25,913 · median $10,875 20 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,708 – $25,913 · median $9,454 20 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,708 – $25,913 · median $7,308 20 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $5,708 – $27,884 · median $10,875 20 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $5,708 – $25,913 · median $10,326 20 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,708 – $25,913 · median $9,090 20 plans
199 PNEUMOTHORAX WITH MCC $5,708 – $26,100 · median $10,875 20 plans
200 PNEUMOTHORAX WITH CC $5,708 – $25,913 · median $10,721 20 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,708 – $25,913 · median $8,248 20 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,708 – $25,913 · median $10,127 20 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,708 – $25,913 · median $8,117 20 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,708 – $25,913 · median $9,458 20 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $5,708 – $26,632 · median $10,875 20 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,708 – $25,913 · median $9,908 20 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $5,708 – $101,627 · median $10,875 20 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $5,708 – $39,777 · median $10,875 20 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES $5,708 – $158,453 · median $10,875 20 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $5,708 – $150,275 · median $10,875 20 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $5,708 – $142,780 · median $10,875 20 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $5,708 – $93,643 · median $10,875 20 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $5,708 – $83,807 · median $10,875 20 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $5,708 – $113,443 · median $10,875 20 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $5,708 – $77,156 · median $10,875 20 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $5,708 – $68,388 · median $10,875 20 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $5,708 – $25,913 · median $10,338 20 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $5,708 – $25,913 · median $10,338 20 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $5,708 – $25,913 · median $10,338 20 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $5,708 – $25,913 · median $10,338 20 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $5,708 – $25,913 · median $10,338 20 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $5,708 – $25,913 · median $10,338 20 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $5,708 – $74,127 · median $10,875 20 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $5,708 – $46,777 · median $10,875 20 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $5,708 – $119,387 · median $10,875 20 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $5,708 – $87,513 · median $10,875 20 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $5,708 – $114,744 · median $10,875 20 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $5,708 – $76,469 · median $10,875 20 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $5,708 – $86,512 · median $10,875 20 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $5,708 – $59,452 · median $10,875 20 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $5,708 – $70,715 · median $10,875 20 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $5,708 – $41,328 · median $10,875 20 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $5,708 – $50,830 · median $10,875 20 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $5,708 – $33,507 · median $10,875 20 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $5,708 – $26,915 · median $10,875 20 plans
245 AICD GENERATOR PROCEDURES $5,708 – $66,664 · median $10,875 20 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $5,708 – $25,913 · median $10,338 20 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $5,708 – $25,913 · median $10,338 20 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $5,708 – $25,913 · median $10,338 20 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $5,708 – $25,913 · median $10,338 20 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $5,708 – $34,584 · median $10,875 20 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $5,708 – $25,913 · median $10,875 20 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $5,708 – $49,339 · median $10,875 20 plans
253 OTHER VASCULAR PROCEDURES WITH CC $5,708 – $37,531 · median $10,875 20 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $5,708 – $40,418 · median $10,875 20 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $5,708 – $25,913 · median $10,875 20 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $10,293 20 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $5,708 – $39,848 · median $10,875 20 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $5,708 – $27,460 · median $10,875 20 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $5,708 – $48,772 · median $10,875 20 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $5,708 – $27,684 · median $10,875 20 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
263 VEIN LIGATION AND STRIPPING $5,708 – $41,563 · median $10,875 20 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $5,708 – $48,048 · median $10,875 20 plans
265 AICD LEAD PROCEDURES $5,708 – $51,992 · median $10,875 20 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $5,708 – $91,890 · median $10,875 20 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $5,708 – $71,795 · median $10,875 20 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $5,708 – $100,843 · median $10,875 20 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $5,708 – $61,179 · median $10,875 20 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $5,708 – $74,395 · median $10,875 20 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $5,708 – $50,846 · median $10,875 20 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $5,708 – $35,889 · median $10,875 20 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $5,708 – $57,331 · median $10,875 20 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $5,708 – $47,677 · median $10,875 20 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $5,708 – $103,507 · median $10,875 20 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $5,708 – $91,361 · median $10,875 20 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $5,708 – $70,356 · median $10,875 20 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $5,708 – $65,619 · median $10,875 20 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $5,708 – $47,086 · median $10,875 20 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $5,708 – $25,913 · median $10,875 20 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,708 – $25,913 · median $9,906 20 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,708 – $25,913 · median $8,388 20 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $5,708 – $29,002 · median $10,875 20 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,708 – $25,913 · median $8,640 20 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,858 – $25,913 · median $6,133 20 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $5,708 – $31,712 · median $10,875 20 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $5,708 – $25,913 · median $10,744 20 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $5,708 – $38,147 · median $10,875 20 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $5,708 – $25,913 · median $10,875 20 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $5,708 – $25,913 · median $10,463 20 plans
291 HEART FAILURE AND SHOCK WITH MCC $5,708 – $25,913 · median $10,875 20 plans
292 HEART FAILURE AND SHOCK WITH CC $5,708 – $25,913 · median $9,625 20 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,582 – $25,913 · median $6,622 20 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $5,708 – $25,913 · median $10,804 20 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,708 – $25,913 · median $7,377 20 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $5,708 – $25,913 · median $10,875 20 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,708 – $25,913 · median $8,511 20 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,363 – $25,913 · median $5,799 20 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $5,708 – $25,913 · median $10,671 20 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $8,291 20 plans
302 ATHEROSCLEROSIS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,708 – $25,913 · median $7,687 20 plans
304 HYPERTENSION WITH MCC $5,708 – $25,913 · median $10,875 20 plans
305 HYPERTENSION WITHOUT MCC $5,708 – $25,913 · median $8,802 20 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,708 – $25,913 · median $10,053 20 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,708 – $25,913 · median $8,699 20 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,497 – $25,913 · median $6,565 20 plans
311 ANGINA PECTORIS $5,708 – $25,913 · median $8,155 20 plans
312 SYNCOPE AND COLLAPSE $5,708 – $25,913 · median $9,660 20 plans
313 CHEST PAIN $5,708 – $25,913 · median $8,452 20 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $5,708 – $30,799 · median $10,875 20 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $5,708 – $25,913 · median $10,175 20 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,708 – $25,913 · median $8,091 20 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $5,708 – $64,170 · median $10,875 20 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $5,708 – $32,748 · median $10,875 20 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $5,708 – $42,291 · median $10,875 20 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $5,708 – $26,825 · median $10,875 20 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $5,708 – $60,906 · median $10,875 20 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $5,708 – $43,673 · median $10,875 20 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $5,708 – $38,902 · median $10,875 20 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $5,708 – $74,720 · median $10,875 20 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $5,708 – $36,741 · median $10,875 20 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $5,708 – $66,449 · median $10,875 20 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $5,708 – $34,897 · median $10,875 20 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
332 RECTAL RESECTION WITH MCC $5,708 – $53,367 · median $10,875 20 plans
333 RECTAL RESECTION WITH CC $5,708 – $30,593 · median $10,875 20 plans
334 RECTAL RESECTION WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $5,708 – $52,594 · median $10,875 20 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $5,708 – $30,972 · median $10,875 20 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $5,708 – $25,913 · median $10,338 20 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $5,708 – $25,913 · median $10,338 20 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $5,708 – $25,913 · median $10,338 20 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $5,708 – $25,913 · median $10,338 20 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $5,708 – $25,913 · median $10,338 20 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $5,708 – $25,913 · median $10,338 20 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $5,708 – $40,315 · median $10,875 20 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $5,708 – $25,913 · median $10,875 20 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $5,708 – $37,501 · median $10,875 20 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $5,708 – $25,913 · median $10,875 20 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,218 20 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $5,708 – $35,308 · median $10,875 20 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $5,708 – $25,913 · median $10,875 20 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $5,708 – $43,021 · median $10,875 20 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $5,708 – $25,913 · median $10,875 20 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $5,708 – $62,946 · median $10,875 20 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $5,708 – $32,318 · median $10,875 20 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,708 – $25,913 · median $10,280 20 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $8,687 20 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,708 – $25,913 · median $10,548 20 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,708 – $25,913 · median $8,369 20 plans
374 DIGESTIVE MALIGNANCY WITH MCC $5,708 – $30,879 · median $10,875 20 plans
375 DIGESTIVE MALIGNANCY WITH CC $5,708 – $25,913 · median $10,875 20 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $9,798 20 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $5,708 – $26,338 · median $10,875 20 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $5,708 – $25,913 · median $10,257 20 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,708 – $25,913 · median $7,396 20 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $5,708 – $28,665 · median $10,875 20 plans
381 COMPLICATED PEPTIC ULCER WITH CC $5,708 – $25,913 · median $10,701 20 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,708 – $25,913 · median $8,844 20 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $5,708 – $25,913 · median $10,875 20 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,708 – $25,913 · median $9,720 20 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $5,708 – $25,913 · median $10,875 20 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $5,708 – $25,913 · median $10,197 20 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,708 – $25,913 · median $7,991 20 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $5,708 – $25,913 · median $10,875 20 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,708 – $25,913 · median $9,303 20 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,557 – $25,913 · median $6,605 20 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,708 – $25,913 · median $9,177 20 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $5,708 – $25,913 · median $10,875 20 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $5,708 – $25,913 · median $10,024 20 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,708 – $25,913 · median $7,563 20 plans
397 APPENDIX PROCEDURES WITH MCC $5,708 – $33,051 · median $10,875 20 plans
398 APPENDIX PROCEDURES WITH CC $5,708 – $25,913 · median $10,875 20 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $5,708 – $80,990 · median $10,875 20 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $5,708 – $42,478 · median $10,875 20 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $5,708 – $31,644 · median $10,875 20 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $5,708 – $54,759 · median $10,875 20 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $5,708 – $28,795 · median $10,875 20 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $5,708 – $42,376 · median $10,875 20 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $5,708 – $30,092 · median $10,875 20 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $5,708 – $51,861 · median $10,875 20 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $5,708 – $29,067 · median $10,875 20 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $5,708 – $34,098 · median $10,875 20 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $5,708 – $25,913 · median $10,875 20 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $5,708 – $47,089 · median $10,875 20 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $5,708 – $25,913 · median $10,875 20 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $5,708 – $57,535 · median $10,875 20 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $5,708 – $30,707 · median $10,875 20 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $5,708 – $28,187 · median $10,875 20 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,708 – $25,913 · median $10,492 20 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,708 – $25,913 · median $7,820 20 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,708 – $25,913 · median $10,839 20 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,708 – $25,913 · median $9,498 20 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $5,708 – $25,913 · median $10,875 20 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,708 – $25,913 · median $9,618 20 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $7,191 20 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $5,708 – $26,896 · median $10,875 20 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $5,708 – $25,913 · median $10,097 20 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,708 – $25,913 · median $8,348 20 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $5,708 – $25,913 · median $10,875 20 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,708 – $25,913 · median $10,769 20 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,708 – $25,913 · median $9,351 20 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $5,708 – $130,364 · median $10,875 20 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $5,708 – $89,980 · median $10,875 20 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $5,708 – $67,755 · median $10,875 20 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $5,708 – $124,009 · median $10,875 20 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $5,708 – $89,377 · median $10,875 20 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $5,708 – $66,658 · median $10,875 20 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $5,708 – $97,571 · median $10,875 20 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $5,708 – $53,813 · median $10,875 20 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $5,708 – $100,310 · median $10,875 20 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $5,708 – $41,873 · median $10,875 20 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $5,708 – $83,322 · median $10,875 20 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $5,708 – $44,155 · median $10,875 20 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,708 – $27,522 · median $10,875 20 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $5,708 – $76,303 · median $10,875 20 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $5,708 – $51,289 · median $10,875 20 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $5,708 – $39,274 · median $10,875 20 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $5,708 – $48,986 · median $10,875 20 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $5,708 – $27,683 · median $10,875 20 plans
471 CERVICAL SPINAL FUSION WITH MCC $5,708 – $72,366 · median $10,875 20 plans
472 CERVICAL SPINAL FUSION WITH CC $5,708 – $43,478 · median $10,875 20 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $5,708 – $36,199 · median $10,875 20 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $5,708 – $63,301 · median $10,875 20 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $5,708 – $31,552 · median $10,875 20 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,708 – $49,563 · median $10,875 20 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,708 – $35,068 · median $10,875 20 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,708 – $27,422 · median $10,875 20 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $5,708 – $43,383 · median $10,875 20 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $5,708 – $30,525 · median $10,875 20 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $5,708 – $36,546 · median $10,875 20 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $5,708 – $48,460 · median $10,875 20 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $5,708 – $29,545 · median $10,875 20 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $5,708 – $30,991 · median $10,875 20 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $5,708 – $50,933 · median $10,875 20 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $5,708 – $35,333 · median $10,875 20 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $5,708 – $27,499 · median $10,875 20 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $5,708 – $52,685 · median $10,875 20 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $5,708 – $29,239 · median $10,875 20 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $5,708 – $38,412 · median $10,875 20 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
500 SOFT TISSUE PROCEDURES WITH MCC $5,708 – $47,706 · median $10,875 20 plans
501 SOFT TISSUE PROCEDURES WITH CC $5,708 – $25,913 · median $10,875 20 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
503 FOOT PROCEDURES WITH MCC $5,708 – $39,455 · median $10,875 20 plans
504 FOOT PROCEDURES WITH CC $5,708 – $25,913 · median $10,875 20 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
506 MAJOR THUMB OR JOINT PROCEDURES $5,708 – $25,913 · median $10,875 20 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $5,708 – $31,361 · median $10,875 20 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
509 ARTHROSCOPY $5,708 – $25,913 · median $10,875 20 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $5,708 – $40,024 · median $10,875 20 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $5,708 – $29,332 · median $10,875 20 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $5,708 – $25,913 · median $10,875 20 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,544 20 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $5,708 – $46,510 · median $10,875 20 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $5,708 – $30,023 · median $10,875 20 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $5,708 – $53,723 · median $10,875 20 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $5,708 – $28,961 · median $10,875 20 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $5,708 – $44,049 · median $10,875 20 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $5,708 – $31,074 · median $10,875 20 plans
533 FRACTURES OF FEMUR WITH MCC $5,708 – $25,913 · median $10,875 20 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,708 – $25,913 · median $9,394 20 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,708 – $25,913 · median $9,194 20 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $5,708 – $25,913 · median $10,174 20 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,708 – $25,913 · median $8,283 20 plans
539 OSTEOMYELITIS WITH MCC $5,708 – $29,194 · median $10,875 20 plans
540 OSTEOMYELITIS WITH CC $5,708 – $25,913 · median $10,875 20 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,708 – $25,913 · median $9,632 20 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $5,708 – $26,829 · median $10,875 20 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $5,708 – $25,913 · median $10,789 20 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $8,965 20 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $5,708 – $36,679 · median $10,875 20 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $5,708 – $25,913 · median $10,875 20 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $9,411 20 plans
548 SEPTIC ARTHRITIS WITH MCC $5,708 – $28,684 · median $10,875 20 plans
549 SEPTIC ARTHRITIS WITH CC $5,708 – $25,913 · median $10,875 20 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,708 – $25,913 · median $9,944 20 plans
551 MEDICAL BACK PROBLEMS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $5,708 – $25,913 · median $10,170 20 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,708 – $25,913 · median $10,875 20 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,708 – $25,913 · median $9,452 20 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,708 – $25,913 · median $10,875 20 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,708 – $25,913 · median $9,465 20 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $5,708 – $25,913 · median $9,734 20 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,708 – $27,224 · median $10,875 20 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,708 – $25,913 · median $10,875 20 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,708 – $25,913 · median $9,114 20 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $5,708 – $25,913 · median $10,875 20 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $5,708 – $25,913 · median $9,819 20 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $5,708 – $25,913 · median $10,875 20 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,708 – $25,913 · median $10,335 20 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,708 – $25,913 · median $8,767 20 plans
570 SKIN DEBRIDEMENT WITH MCC $5,708 – $42,990 · median $10,875 20 plans
571 SKIN DEBRIDEMENT WITH CC $5,708 – $25,913 · median $10,875 20 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $5,708 – $91,478 · median $10,875 20 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $5,708 – $50,104 · median $10,875 20 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $5,708 – $30,100 · median $10,875 20 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $5,708 – $83,607 · median $10,875 20 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $5,708 – $38,972 · median $10,875 20 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $5,708 – $49,169 · median $10,875 20 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $5,708 – $25,913 · median $10,875 20 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $5,708 – $25,913 · median $10,875 20 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $5,708 – $28,814 · median $10,875 20 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
592 SKIN ULCERS WITH MCC $5,708 – $30,749 · median $10,875 20 plans
593 SKIN ULCERS WITH CC $5,708 – $25,913 · median $10,875 20 plans
594 SKIN ULCERS WITHOUT CC/MCC $5,708 – $25,913 · median $9,198 20 plans
595 MAJOR SKIN DISORDERS WITH MCC $5,708 – $31,998 · median $10,875 20 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $5,708 – $25,913 · median $10,383 20 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
598 MALIGNANT BREAST DISORDERS WITH CC $5,708 – $25,913 · median $10,875 20 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $7,259 20 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $5,708 – $25,913 · median $10,465 20 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $7,273 20 plans
602 CELLULITIS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
603 CELLULITIS WITHOUT MCC $5,708 – $25,913 · median $9,765 20 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $5,708 – $25,913 · median $10,875 20 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,708 – $25,913 · median $9,885 20 plans
606 MINOR SKIN DISORDERS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,708 – $25,913 · median $9,809 20 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $5,708 – $33,136 · median $10,875 20 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $5,708 – $58,224 · median $10,875 20 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $5,708 – $29,195 · median $10,875 20 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $5,708 – $38,081 · median $10,875 20 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $5,708 – $25,913 · median $10,875 20 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $5,708 – $56,280 · median $10,875 20 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $5,708 – $27,384 · median $10,875 20 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $5,708 – $42,975 · median $10,875 20 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $5,708 – $25,913 · median $10,875 20 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $5,708 – $59,059 · median $10,875 20 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $5,708 – $33,289 · median $10,875 20 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
637 DIABETES WITH MCC $5,708 – $25,913 · median $10,875 20 plans
638 DIABETES WITH CC $5,708 – $25,913 · median $9,838 20 plans
639 DIABETES WITHOUT CC/MCC $5,708 – $25,913 · median $7,271 20 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $5,708 – $25,913 · median $10,875 20 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,708 – $25,913 · median $9,128 20 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $5,708 – $25,913 · median $10,875 20 plans
643 ENDOCRINE DISORDERS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
644 ENDOCRINE DISORDERS WITH CC $5,708 – $25,913 · median $10,645 20 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $8,888 20 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $5,708 – $79,642 · median $10,875 20 plans
654 MAJOR BLADDER PROCEDURES WITH CC $5,708 – $40,273 · median $10,875 20 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $5,708 – $31,009 · median $10,875 20 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $5,708 – $46,159 · median $10,875 20 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $5,708 – $27,131 · median $10,875 20 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $5,708 – $38,087 · median $10,875 20 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $5,708 – $25,913 · median $10,875 20 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $5,708 – $25,913 · median $10,579 20 plans
662 MINOR BLADDER PROCEDURES WITH MCC $5,708 – $44,086 · median $10,875 20 plans
663 MINOR BLADDER PROCEDURES WITH CC $5,708 – $25,913 · median $10,875 20 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,644 20 plans
665 PROSTATECTOMY WITH MCC $5,708 – $45,445 · median $10,875 20 plans
666 PROSTATECTOMY WITH CC $5,708 – $25,913 · median $10,875 20 plans
667 PROSTATECTOMY WITHOUT CC/MCC $5,708 – $25,913 · median $10,585 20 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $5,708 – $41,457 · median $10,875 20 plans
669 TRANSURETHRAL PROCEDURES WITH CC $5,708 – $25,913 · median $10,875 20 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,152 20 plans
671 URETHRAL PROCEDURES WITH CC/MCC $5,708 – $25,913 · median $10,875 20 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $9,954 20 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $5,708 – $54,403 · median $10,875 20 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $5,708 – $35,046 · median $10,875 20 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
682 RENAL FAILURE WITH MCC $5,708 – $25,913 · median $10,875 20 plans
683 RENAL FAILURE WITH CC $5,708 – $25,913 · median $9,845 20 plans
684 RENAL FAILURE WITHOUT CC/MCC $5,708 – $25,913 · median $7,108 20 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $5,708 – $27,060 · median $10,875 20 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,708 – $25,913 · median $10,563 20 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,708 – $25,913 · median $9,122 20 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,708 – $25,913 · median $9,378 20 plans
693 URINARY STONES WITH MCC $5,708 – $25,913 · median $10,875 20 plans
694 URINARY STONES WITHOUT MCC $5,708 – $25,913 · median $9,143 20 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,708 – $25,913 · median $8,084 20 plans
697 URETHRAL STRICTURE $5,708 – $25,913 · median $10,875 20 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $5,708 – $25,913 · median $10,875 20 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $5,708 – $25,913 · median $10,441 20 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,708 – $25,913 · median $8,274 20 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $5,708 – $28,862 · median $10,875 20 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
709 PENIS PROCEDURES WITH CC/MCC $5,708 – $31,188 · median $10,875 20 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
711 TESTES PROCEDURES WITH CC/MCC $5,708 – $31,231 · median $10,875 20 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $5,708 – $25,913 · median $10,875 20 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $5,708 – $25,913 · median $10,132 20 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $5,708 – $32,476 · median $10,875 20 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $5,708 – $26,682 · median $10,875 20 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $5,708 – $27,581 · median $10,875 20 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $5,708 – $25,913 · median $10,875 20 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,708 – $25,913 · median $9,391 20 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $5,708 – $25,913 · median $10,875 20 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,708 – $25,913 · median $8,538 20 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $5,708 – $25,913 · median $10,875 20 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,708 – $25,913 · median $9,344 20 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $5,708 – $25,913 · median $10,357 20 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,708 – $25,913 · median $7,261 20 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $5,708 – $31,977 · median $10,875 20 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $5,708 – $57,187 · median $10,875 20 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $5,708 – $29,038 · median $10,875 20 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $5,708 – $53,201 · median $10,875 20 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $5,708 – $26,289 · median $10,875 20 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $5,708 – $26,214 · median $10,875 20 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $5,708 – $27,693 · median $10,875 20 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $5,708 – $25,913 · median $10,516 20 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $5,708 – $25,913 · median $10,875 20 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $9,777 20 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $5,708 – $25,913 · median $10,875 20 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $5,708 – $37,032 · median $10,875 20 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,708 – $27,253 · median $10,875 20 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,708 – $25,913 · median $10,759 20 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,708 – $25,913 · median $10,287 20 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,708 – $25,913 · median $10,875 20 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,708 – $25,913 · median $10,301 20 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,708 – $25,913 · median $7,548 20 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $5,708 – $25,913 · median $10,315 20 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $7,074 20 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $5,708 – $25,913 · median $7,438 20 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $5,708 – $25,913 · median $10,875 20 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $5,708 – $25,913 · median $9,330 20 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,708 – $25,913 · median $8,372 20 plans
779 ABORTION WITHOUT D&C $5,708 – $25,913 · median $10,284 20 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $5,708 – $26,066 · median $9,747 20 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $5,708 – $25,913 · median $9,747 20 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,708 – $25,913 · median $9,747 20 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $5,708 – $25,913 · median $9,747 20 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $5,708 – $25,913 · median $9,747 20 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $5,708 – $25,913 · median $9,747 20 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $5,708 – $25,913 · median $7,438 20 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $5,708 – $25,913 · median $7,438 20 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $5,708 – $25,913 · median $7,438 20 plans
799 SPLENECTOMY WITH MCC $5,708 – $72,890 · median $10,875 20 plans
800 SPLENECTOMY WITH CC $5,708 – $41,453 · median $10,875 20 plans
801 SPLENECTOMY WITHOUT CC/MCC $5,708 – $26,329 · median $10,875 20 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $5,708 – $49,876 · median $10,875 20 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $5,708 – $27,337 · median $10,875 20 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $5,708 – $25,913 · median $7,438 20 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,708 – $25,913 · median $7,438 20 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,708 – $25,913 · median $7,438 20 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $5,708 – $32,220 · median $10,875 20 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $5,708 – $25,913 · median $10,875 20 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $10,360 20 plans
811 RED BLOOD CELL DISORDERS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,708 – $25,913 · median $9,844 20 plans
813 COAGULATION DISORDERS $5,708 – $25,913 · median $10,875 20 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $5,708 – $31,308 · median $10,875 20 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $5,708 – $25,913 · median $10,309 20 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $8,296 20 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $5,708 – $33,174 · median $10,875 20 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $5,708 – $25,913 · median $10,875 20 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $9,877 20 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $5,708 – $88,956 · median $10,875 20 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $5,708 – $32,838 · median $10,875 20 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $5,708 – $66,230 · median $10,875 20 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $5,708 – $32,849 · median $10,875 20 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $5,708 – $64,566 · median $10,875 20 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $5,708 – $34,089 · median $10,875 20 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $5,708 – $46,397 · median $10,875 20 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $5,708 – $25,913 · median $10,387 20 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,708 – $25,913 · median $8,617 20 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $5,088 – $25,913 · median $6,288 20 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $5,708 – $82,370 · median $10,875 20 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $5,708 – $32,888 · median $10,875 20 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $5,708 – $69,977 · median $10,875 20 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $5,708 – $28,723 · median $10,875 20 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $5,708 – $45,976 · median $10,875 20 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $5,708 – $25,913 · median $10,875 20 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $5,708 – $25,913 · median $10,668 20 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $5,708 – $27,372 · median $10,875 20 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $5,708 – $25,913 · median $10,875 20 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,708 – $25,913 · median $9,666 20 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $5,708 – $35,955 · median $10,875 20 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $5,708 – $25,913 · median $10,875 20 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,708 – $25,913 · median $8,872 20 plans
849 RADIOTHERAPY $5,708 – $39,595 · median $10,875 20 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $5,708 – $73,547 · median $10,875 20 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $5,708 – $29,985 · median $10,875 20 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $5,708 – $65,148 · median $10,875 20 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $5,708 – $31,419 · median $10,875 20 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $5,708 – $27,099 · median $10,875 20 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $5,708 – $25,913 · median $10,365 20 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,708 – $25,913 · median $9,755 20 plans
865 VIRAL ILLNESS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
866 VIRAL ILLNESS WITHOUT MCC $5,708 – $25,913 · median $9,929 20 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $5,708 – $30,781 · median $10,875 20 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $5,708 – $25,913 · median $10,763 20 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,708 – $25,913 · median $8,068 20 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $5,708 – $102,464 · median $10,875 20 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $5,708 – $29,167 · median $10,875 20 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $5,708 – $25,913 · median $10,487 20 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,708 – $25,913 · median $6,711 20 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $5,708 – $25,913 · median $10,875 20 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $5,708 – $26,159 · median $10,875 20 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,708 – $25,913 · median $9,620 20 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $5,708 – $63,668 · median $10,875 20 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $5,708 – $27,727 · median $10,875 20 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $5,708 – $47,904 · median $10,875 20 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
906 HAND PROCEDURES FOR INJURIES $5,708 – $27,681 · median $10,875 20 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $5,708 – $54,719 · median $10,875 20 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $5,708 – $29,483 · median $10,875 20 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
913 TRAUMATIC INJURY WITH MCC $5,708 – $25,913 · median $10,875 20 plans
914 TRAUMATIC INJURY WITHOUT MCC $5,708 – $25,913 · median $9,879 20 plans
915 ALLERGIC REACTIONS WITH MCC $5,708 – $26,098 · median $10,875 20 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,708 – $25,913 · median $7,695 20 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,708 – $25,913 · median $9,647 20 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $5,708 – $26,844 · median $10,875 20 plans
920 COMPLICATIONS OF TREATMENT WITH CC $5,708 – $25,913 · median $10,506 20 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,708 – $25,913 · median $8,151 20 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $5,708 – $25,913 · median $10,875 20 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $5,708 – $25,913 · median $10,395 20 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $5,708 – $387,776 20 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $5,708 – $101,799 · median $10,875 20 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $5,708 – $47,305 · median $10,875 20 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $5,708 – $44,605 · median $10,875 20 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $5,708 – $30,784 · median $10,875 20 plans
935 NON-EXTENSIVE BURNS $5,708 – $30,028 · median $10,875 20 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $5,708 – $47,302 · median $10,875 20 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $5,708 – $31,874 · median $10,875 20 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $5,708 – $27,305 · median $10,875 20 plans
947 SIGNS AND SYMPTOMS WITH MCC $5,708 – $25,913 · median $10,875 20 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,708 – $25,913 · median $9,349 20 plans
949 AFTERCARE WITH CC/MCC $5,708 – $25,913 · median $10,517 20 plans
950 AFTERCARE WITHOUT CC/MCC $5,708 – $25,913 · median $7,338 20 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,708 – $25,913 · median $6,892 20 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $5,708 – $89,596 · median $10,875 20 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $5,708 – $57,054 · median $10,875 20 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $5,708 – $106,401 · median $10,875 20 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $5,708 – $59,505 · median $10,875 20 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,708 – $37,255 · median $10,875 20 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $5,708 – $40,226 · median $10,875 20 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $5,708 – $25,913 · median $10,875 20 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,708 – $25,913 · median $10,119 20 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $5,708 – $101,106 · median $10,875 20 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $5,708 – $35,372 · median $10,875 20 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $5,708 – $42,906 · median $10,875 20 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $5,708 – $25,913 · median $10,875 20 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $5,708 – $25,913 · median $9,569 20 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $5,708 – $25,913 · median $10,875 20 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $5,708 – $69,738 · median $10,875 20 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $5,708 – $36,573 · median $10,875 20 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $5,708 – $25,913 · median $10,875 20 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $5,708 – $49,676 · median $10,875 20 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $5,708 – $25,913 · median $10,875 20 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $5,708 – $25,913 · median $10,737 20 plans
999 UNGROUPABLE $5,708 – $25,913 · median $10,338 20 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $5,708 – $54,896 · median $10,735 19 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,708 – $25,913 · median $9,490 19 plans
881 DEPRESSIVE NEUROSES $5,708 – $25,913 · median $9,012 19 plans
882 NEUROSES EXCEPT DEPRESSIVE $5,708 – $25,913 · median $9,338 19 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $5,708 – $27,590 · median $10,735 19 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $5,708 – $25,913 · median $10,735 19 plans
885 PSYCHOSES $5,708 – $25,913 · median $10,735 19 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $5,708 – $25,913 · median $10,735 19 plans
887 OTHER MENTAL DISORDER DIAGNOSES $5,708 – $25,913 · median $10,735 19 plans
945 REHABILITATION WITH CC/MCC $5,708 – $25,913 · median $10,735 19 plans
946 REHABILITATION WITHOUT CC/MCC $5,708 – $25,913 · median $10,067 19 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $5,708 – $66,165 · median $5,708 16 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $5,708 – $50,878 · median $5,708 16 plans
652 KIDNEY TRANSPLANT $5,708 – $44,199 · median $5,708 16 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $5,708 – $26,766 · median $5,708 16 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $5,708 – $88,270 · median $5,708 16 plans
791 PREMATURITY WITH MAJOR PROBLEMS $5,708 – $60,283 · median $5,708 16 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $5,708 – $36,374 · median $5,708 16 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $5,708 – $61,925 · median $5,708 16 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $5,708 – $25,913 · median $5,708 16 plans
795 NORMAL NEWBORN $2,005 – $25,913 · median $5,708 16 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $5,708 – $25,913 · median $5,708 16 plans
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