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 – $188,556 12 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $5,708 – $172,721 12 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $5,708 – $300,754 12 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $5,708 – $207,365 12 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $5,708 – $146,002 12 plans
006 LIVER TRANSPLANT WITHOUT MCC $5,708 – $68,232 · median $8,361 12 plans
007 LUNG TRANSPLANT $5,708 – $173,036 12 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $5,708 – $74,224 · median $8,361 12 plans
010 PANCREAS TRANSPLANT $5,708 – $67,903 · median $8,361 12 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $5,708 – $72,737 · median $8,361 12 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $5,708 – $56,495 · median $8,361 12 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $5,708 – $37,886 · median $8,361 12 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $5,708 – $161,673 12 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $5,708 – $87,136 · median $8,361 12 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $5,708 – $87,136 · median $8,361 12 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY — 12 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $5,708 – $112,760 · median $8,361 12 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $5,708 – $119,234 · median $8,361 12 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $5,708 – $86,633 · median $8,361 12 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $5,708 – $49,044 · median $8,361 12 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $5,708 – $79,967 · median $8,361 12 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $5,708 – $53,447 · median $8,361 12 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $5,708 – $62,294 · median $8,361 12 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $5,708 – $41,658 · median $8,361 12 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $5,708 – $34,320 · median $8,361 12 plans
028 SPINAL PROCEDURES WITH MCC $5,708 – $85,007 · median $8,361 12 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $5,708 – $48,360 · median $8,361 12 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $5,708 – $32,713 · median $8,361 12 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $5,708 – $58,071 · median $8,361 12 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $5,708 – $30,383 · median $8,361 12 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $5,708 – $55,035 · median $8,361 12 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $5,708 – $32,438 · median $8,361 12 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $5,708 – $47,618 · median $8,361 12 plans
038 EXTRACRANIAL PROCEDURES WITH CC $5,708 – $25,913 · median $8,361 12 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $5,708 – $54,317 · median $8,361 12 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $5,708 – $31,467 · median $8,361 12 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $5,708 – $27,430 · median $8,361 12 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $5,708 – $25,913 · median $7,744 12 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $5,708 – $25,913 · median $8,188 12 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $5,708 – $33,771 · median $8,361 12 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $5,708 – $25,913 · median $8,361 12 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $5,708 – $25,913 · median $8,361 12 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,708 – $25,913 · median $8,361 12 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $5,708 – $25,913 · median $7,315 12 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $5,708 – $39,538 · median $8,361 12 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $5,708 – $26,403 · median $8,361 12 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $5,708 – $28,255 · median $8,361 12 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $5,708 – $25,913 · median $7,906 12 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,708 – $25,913 · median $6,271 12 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $5,708 – $25,913 · median $8,361 12 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,708 – $25,913 · median $7,183 12 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,708 – $25,913 · median $6,824 12 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $5,708 – $25,913 · median $8,132 12 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $6,746 12 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,708 – $25,913 · median $7,955 12 plans
075 VIRAL MENINGITIS WITH CC/MCC $5,708 – $26,997 · median $8,361 12 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,708 – $25,913 · median $7,439 12 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $5,708 – $25,913 · median $8,361 12 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $5,708 – $25,913 · median $7,909 12 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,708 – $25,913 · median $6,536 12 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $5,708 – $31,157 · median $8,361 12 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,708 – $25,913 · median $7,375 12 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $5,708 – $32,139 · median $8,361 12 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $5,708 – $25,913 · median $8,361 12 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $5,708 – $25,913 · median $7,425 12 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $5,708 – $32,061 · median $8,361 12 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $5,708 – $25,913 · median $8,361 12 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,708 – $25,913 · median $7,259 12 plans
088 CONCUSSION WITH MCC $5,708 – $25,913 · median $8,361 12 plans
089 CONCUSSION WITH CC $5,708 – $25,913 · median $8,361 12 plans
090 CONCUSSION WITHOUT CC/MCC $5,708 – $25,913 · median $7,500 12 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $5,708 – $25,913 · median $8,361 12 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $5,708 – $25,913 · median $7,954 12 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,708 – $25,913 · median $6,703 12 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $5,708 – $51,104 · median $8,361 12 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $5,708 – $33,633 · median $8,361 12 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,708 – $30,748 · median $8,361 12 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $5,708 – $51,304 · median $8,361 12 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $5,708 – $30,392 · median $8,361 12 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
100 SEIZURES WITH MCC $5,708 – $27,966 · median $8,361 12 plans
101 SEIZURES WITHOUT MCC $5,708 – $25,913 · median $7,375 12 plans
102 HEADACHES WITH MCC $5,708 – $25,913 · median $8,361 12 plans
103 HEADACHES WITHOUT MCC $5,708 – $25,913 · median $7,041 12 plans
113 ORBITAL PROCEDURES WITH CC/MCC $5,708 – $35,369 · median $8,361 12 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $5,708 – $25,913 · median $8,361 12 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $5,708 – $25,913 · median $8,361 12 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $5,708 – $25,913 · median $8,361 12 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,708 – $25,913 · median $6,555 12 plans
123 NEUROLOGICAL EYE DISORDERS $5,708 – $25,913 · median $6,850 12 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $5,708 – $25,913 · median $8,361 12 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,708 – $25,913 · median $6,818 12 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $5,708 – $37,412 · median $8,361 12 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $7,522 12 plans
137 MOUTH PROCEDURES WITH CC/MCC $5,708 – $25,913 · median $8,361 12 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $7,157 12 plans
139 SALIVARY GLAND PROCEDURES $5,708 – $25,913 · median $8,361 12 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $5,708 – $53,296 · median $8,361 12 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $5,708 – $29,224 · median $8,361 12 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $5,708 – $46,912 · median $8,361 12 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $5,708 – $25,913 · median $8,361 12 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $5,708 – $29,779 · median $8,361 12 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $5,708 – $25,913 · median $8,361 12 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $7,276 12 plans
149 DYSEQUILIBRIUM $5,708 – $25,913 · median $6,556 12 plans
150 EPISTAXIS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
151 EPISTAXIS WITHOUT MCC $5,708 – $25,913 · median $6,685 12 plans
152 OTITIS MEDIA AND URI WITH MCC $5,708 – $25,913 · median $8,361 12 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,708 – $25,913 · median $6,506 12 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $5,708 – $25,913 · median $8,361 12 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,708 – $25,913 · median $7,559 12 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,708 – $25,913 · median $6,112 12 plans
157 DENTAL AND ORAL DISEASES WITH MCC $5,708 – $25,913 · median $8,361 12 plans
158 DENTAL AND ORAL DISEASES WITH CC $5,708 – $25,913 · median $7,519 12 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,708 – $25,913 · median $6,210 12 plans
163 MAJOR CHEST PROCEDURES WITH MCC $5,708 – $66,492 · median $8,361 12 plans
164 MAJOR CHEST PROCEDURES WITH CC $5,708 – $35,977 · median $8,361 12 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $5,708 – $26,469 · median $8,361 12 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $5,708 – $57,241 · median $8,361 12 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $5,708 – $25,913 · median $8,361 12 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $5,708 – $43,377 · median $8,361 12 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $5,708 – $25,913 · median $8,361 12 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,708 – $25,913 · median $6,908 12 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $5,708 – $25,913 · median $7,758 12 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,708 – $25,913 · median $6,648 12 plans
180 RESPIRATORY NEOPLASMS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
181 RESPIRATORY NEOPLASMS WITH CC $5,708 – $25,913 · median $8,327 12 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,708 – $25,913 · median $6,627 12 plans
183 MAJOR CHEST TRAUMA WITH MCC $5,708 – $25,913 · median $8,361 12 plans
184 MAJOR CHEST TRAUMA WITH CC $5,708 – $25,913 · median $8,082 12 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,708 – $25,913 · median $6,610 12 plans
186 PLEURAL EFFUSION WITH MCC $5,708 – $25,913 · median $8,361 12 plans
187 PLEURAL EFFUSION WITH CC $5,708 – $25,913 · median $7,806 12 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,708 – $25,913 · median $6,564 12 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $5,708 – $25,913 · median $8,361 12 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $5,708 – $25,913 · median $8,331 12 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,708 – $25,913 · median $7,074 12 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,708 – $25,913 · median $6,044 12 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $5,708 – $25,913 · median $8,361 12 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,708 – $25,913 · median $6,941 12 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,708 – $25,913 · median $5,964 12 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $5,708 – $26,737 · median $8,361 12 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $5,708 – $25,913 · median $7,812 12 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,708 – $25,913 · median $6,722 12 plans
199 PNEUMOTHORAX WITH MCC $5,708 – $25,913 · median $8,361 12 plans
200 PNEUMOTHORAX WITH CC $5,708 – $25,913 · median $8,207 12 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,708 – $25,913 · median $6,364 12 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,708 – $25,913 · median $7,613 12 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,708 – $25,913 · median $6,308 12 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,708 – $25,913 · median $6,944 12 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $5,708 – $25,913 · median $8,361 12 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,708 – $25,913 · median $7,395 12 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $5,708 – $97,447 · median $8,361 12 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $5,708 – $38,141 · median $8,361 12 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES $5,708 – $151,937 12 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $5,708 – $144,095 12 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $5,708 – $136,908 12 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $5,708 – $89,792 · median $8,361 12 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $5,708 – $80,360 · median $8,361 12 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $5,708 – $108,778 · median $8,361 12 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $5,708 – $73,983 · median $8,361 12 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $5,708 – $65,575 · median $8,361 12 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $5,708 – $25,913 · median $7,825 12 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $5,708 – $25,913 · median $7,825 12 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $5,708 – $25,913 · median $7,825 12 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $5,708 – $25,913 · median $7,825 12 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $5,708 – $25,913 · median $7,825 12 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $5,708 – $25,913 · median $7,825 12 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $5,708 – $71,078 · median $8,361 12 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $5,708 – $44,853 · median $8,361 12 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $5,708 – $114,477 · median $8,361 12 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $5,708 – $83,914 · median $8,361 12 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $5,708 – $110,025 · median $8,361 12 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $5,708 – $73,324 · median $8,361 12 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $5,708 – $82,955 · median $8,361 12 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $5,708 – $57,007 · median $8,361 12 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $5,708 – $67,807 · median $8,361 12 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $5,708 – $39,628 · median $8,361 12 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $5,708 – $48,739 · median $8,361 12 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $5,708 – $32,129 · median $8,361 12 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
245 AICD GENERATOR PROCEDURES $5,708 – $63,922 · median $8,361 12 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $5,708 – $25,913 · median $7,825 12 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $5,708 – $25,913 · median $7,825 12 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $5,708 – $25,913 · median $7,825 12 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $5,708 – $25,913 · median $7,825 12 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $5,708 – $33,161 · median $8,361 12 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $5,708 – $25,913 · median $8,361 12 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $5,708 – $47,310 · median $8,361 12 plans
253 OTHER VASCULAR PROCEDURES WITH CC $5,708 – $35,987 · median $8,361 12 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $5,708 – $38,756 · median $8,361 12 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $5,708 – $25,913 · median $8,361 12 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $7,780 12 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $5,708 – $38,209 · median $8,361 12 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $5,708 – $26,331 · median $8,361 12 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $5,708 – $46,766 · median $8,361 12 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $5,708 – $26,546 · median $8,361 12 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
263 VEIN LIGATION AND STRIPPING $5,708 – $39,854 · median $8,361 12 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $5,708 – $46,072 · median $8,361 12 plans
265 AICD LEAD PROCEDURES $5,708 – $49,854 · median $8,361 12 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $5,708 – $88,110 · median $8,361 12 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $5,708 – $68,842 · median $8,361 12 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $5,708 – $96,696 · median $8,361 12 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $5,708 – $58,663 · median $8,361 12 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $5,708 – $71,335 · median $8,361 12 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $5,708 – $48,755 · median $8,361 12 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $5,708 – $34,413 · median $8,361 12 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $5,708 – $54,973 · median $8,361 12 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $5,708 – $45,716 · median $8,361 12 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $5,708 – $99,250 · median $8,361 12 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $5,708 – $87,604 · median $8,361 12 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $5,708 – $67,463 · median $8,361 12 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $5,708 – $62,921 · median $8,361 12 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $5,708 – $45,149 · median $8,361 12 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $5,708 – $25,913 · median $8,361 12 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,708 – $25,913 · median $7,392 12 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,708 – $25,913 · median $6,423 12 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $5,708 – $27,809 · median $8,361 12 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,708 – $25,913 · median $6,531 12 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,858 – $25,913 · median $5,708 12 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $5,708 – $30,408 · median $8,361 12 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $5,708 – $25,913 · median $8,230 12 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $5,708 – $36,578 · median $8,361 12 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $5,708 – $25,913 · median $8,361 12 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $5,708 – $25,913 · median $7,950 12 plans
291 HEART FAILURE AND SHOCK WITH MCC $5,708 – $25,913 · median $8,361 12 plans
292 HEART FAILURE AND SHOCK WITH CC $5,708 – $25,913 · median $7,111 12 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,582 – $25,913 · median $5,708 12 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $5,708 – $25,913 · median $8,290 12 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,708 – $25,913 · median $5,993 12 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $5,708 – $25,913 · median $8,361 12 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,708 – $25,913 · median $6,476 12 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,363 – $25,913 · median $5,708 12 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $5,708 – $25,913 · median $8,158 12 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $6,382 12 plans
302 ATHEROSCLEROSIS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,708 – $25,913 · median $6,125 12 plans
304 HYPERTENSION WITH MCC $5,708 – $25,913 · median $8,361 12 plans
305 HYPERTENSION WITHOUT MCC $5,708 – $25,913 · median $6,599 12 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,708 – $25,913 · median $7,539 12 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,708 – $25,913 · median $6,556 12 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,497 – $25,913 · median $5,708 12 plans
311 ANGINA PECTORIS $5,708 – $25,913 · median $6,324 12 plans
312 SYNCOPE AND COLLAPSE $5,708 – $25,913 · median $7,146 12 plans
313 CHEST PAIN $5,708 – $25,913 · median $6,451 12 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $5,708 – $29,532 · median $8,361 12 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $5,708 – $25,913 · median $7,662 12 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,708 – $25,913 · median $6,297 12 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $5,708 – $61,531 · median $8,361 12 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $5,708 – $31,401 · median $8,361 12 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $5,708 – $40,552 · median $8,361 12 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $5,708 – $25,913 · median $8,361 12 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $5,708 – $58,401 · median $8,361 12 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $5,708 – $41,876 · median $8,361 12 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $5,708 – $37,302 · median $8,361 12 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $5,708 – $71,647 · median $8,361 12 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $5,708 – $35,230 · median $8,361 12 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $5,708 – $63,716 · median $8,361 12 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $5,708 – $33,462 · median $8,361 12 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
332 RECTAL RESECTION WITH MCC $5,708 – $51,173 · median $8,361 12 plans
333 RECTAL RESECTION WITH CC $5,708 – $29,334 · median $8,361 12 plans
334 RECTAL RESECTION WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $5,708 – $50,431 · median $8,361 12 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $5,708 – $29,698 · median $8,361 12 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $5,708 – $25,913 · median $7,825 12 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $5,708 – $25,913 · median $7,825 12 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $5,708 – $25,913 · median $7,825 12 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $5,708 – $25,913 · median $7,825 12 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $5,708 – $25,913 · median $7,825 12 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $5,708 – $25,913 · median $7,825 12 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $5,708 – $38,657 · median $8,361 12 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $5,708 – $25,913 · median $8,361 12 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $5,708 – $35,959 · median $8,361 12 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $5,708 – $25,913 · median $8,361 12 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $7,704 12 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $5,708 – $33,856 · median $8,361 12 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $5,708 – $25,913 · median $8,361 12 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $5,708 – $41,252 · median $8,361 12 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $5,708 – $25,913 · median $8,361 12 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $5,708 – $60,357 · median $8,361 12 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $5,708 – $30,989 · median $8,361 12 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,708 – $25,913 · median $7,766 12 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $6,551 12 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,708 – $25,913 · median $8,035 12 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,708 – $25,913 · median $6,415 12 plans
374 DIGESTIVE MALIGNANCY WITH MCC $5,708 – $29,609 · median $8,361 12 plans
375 DIGESTIVE MALIGNANCY WITH CC $5,708 – $25,913 · median $8,361 12 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $7,285 12 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $5,708 – $25,913 · median $8,361 12 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $5,708 – $25,913 · median $7,744 12 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,708 – $25,913 · median $6,001 12 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $5,708 – $27,486 · median $8,361 12 plans
381 COMPLICATED PEPTIC ULCER WITH CC $5,708 – $25,913 · median $8,187 12 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,708 – $25,913 · median $6,617 12 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $5,708 – $25,913 · median $8,361 12 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,708 – $25,913 · median $7,207 12 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $5,708 – $25,913 · median $8,361 12 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $5,708 – $25,913 · median $7,683 12 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,708 – $25,913 · median $6,254 12 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $5,708 – $25,913 · median $8,361 12 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,708 – $25,913 · median $6,813 12 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,557 – $25,913 · median $5,708 12 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,708 – $25,913 · median $6,759 12 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $5,708 – $25,913 · median $8,361 12 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $5,708 – $25,913 · median $7,511 12 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,708 – $25,913 · median $6,072 12 plans
397 APPENDIX PROCEDURES WITH MCC $5,708 – $31,692 · median $8,361 12 plans
398 APPENDIX PROCEDURES WITH CC $5,708 – $25,913 · median $8,361 12 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $5,708 – $77,659 · median $8,361 12 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $5,708 – $40,731 · median $8,361 12 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $5,708 – $30,343 · median $8,361 12 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $5,708 – $52,507 · median $8,361 12 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $5,708 – $27,611 · median $8,361 12 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $5,708 – $40,634 · median $8,361 12 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $5,708 – $28,855 · median $8,361 12 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $5,708 – $49,728 · median $8,361 12 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $5,708 – $27,872 · median $8,361 12 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $5,708 – $32,696 · median $8,361 12 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $5,708 – $25,913 · median $8,361 12 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $5,708 – $45,152 · median $8,361 12 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $5,708 – $25,913 · median $8,361 12 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $5,708 – $55,169 · median $8,361 12 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $5,708 – $29,444 · median $8,361 12 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $5,708 – $27,028 · median $8,361 12 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,708 – $25,913 · median $7,979 12 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,708 – $25,913 · median $6,182 12 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,708 – $25,913 · median $8,325 12 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,708 – $25,913 · median $6,985 12 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $5,708 – $25,913 · median $8,361 12 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,708 – $25,913 · median $7,105 12 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $5,914 12 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $5,708 – $25,913 · median $7,583 12 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,708 – $25,913 · median $6,406 12 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $5,708 – $25,913 · median $8,361 12 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,708 – $25,913 · median $8,256 12 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,708 – $25,913 · median $6,838 12 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $5,708 – $125,003 12 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $5,708 – $86,279 · median $8,361 12 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $5,708 – $64,969 · median $8,361 12 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $5,708 – $118,909 · median $8,361 12 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $5,708 – $85,701 · median $8,361 12 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $5,708 – $63,916 · median $8,361 12 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $5,708 – $93,558 · median $8,361 12 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $5,708 – $51,600 · median $8,361 12 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $5,708 – $96,185 · median $8,361 12 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $5,708 – $40,151 · median $8,361 12 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $5,708 – $79,895 · median $8,361 12 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $5,708 – $42,339 · median $8,361 12 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,708 – $26,390 · median $8,361 12 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $5,708 – $73,165 · median $8,361 12 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $5,708 – $49,179 · median $8,361 12 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $5,708 – $37,659 · median $8,361 12 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $5,708 – $46,972 · median $8,361 12 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $5,708 – $26,544 · median $8,361 12 plans
471 CERVICAL SPINAL FUSION WITH MCC $5,708 – $69,390 · median $8,361 12 plans
472 CERVICAL SPINAL FUSION WITH CC $5,708 – $41,690 · median $8,361 12 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $5,708 – $34,710 · median $8,361 12 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $5,708 – $60,697 · median $8,361 12 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $5,708 – $30,254 · median $8,361 12 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,708 – $47,525 · median $8,361 12 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,708 – $33,626 · median $8,361 12 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,708 – $26,294 · median $8,361 12 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $5,708 – $41,599 · median $8,361 12 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $5,708 – $29,270 · median $8,361 12 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $5,708 – $35,043 · median $8,361 12 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $5,708 – $46,467 · median $8,361 12 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $5,708 – $28,330 · median $8,361 12 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $5,708 – $29,717 · median $8,361 12 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $5,708 – $48,838 · median $8,361 12 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $5,708 – $33,880 · median $8,361 12 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $5,708 – $26,368 · median $8,361 12 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $5,708 – $50,518 · median $8,361 12 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $5,708 – $28,037 · median $8,361 12 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $5,708 – $36,832 · median $8,361 12 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
500 SOFT TISSUE PROCEDURES WITH MCC $5,708 – $45,744 · median $8,361 12 plans
501 SOFT TISSUE PROCEDURES WITH CC $5,708 – $25,913 · median $8,361 12 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
503 FOOT PROCEDURES WITH MCC $5,708 – $37,832 · median $8,361 12 plans
504 FOOT PROCEDURES WITH CC $5,708 – $25,913 · median $8,361 12 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
506 MAJOR THUMB OR JOINT PROCEDURES $5,708 – $25,913 · median $8,361 12 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $5,708 – $30,071 · median $8,361 12 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
509 ARTHROSCOPY $5,708 – $25,913 · median $8,361 12 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $5,708 – $38,378 · median $8,361 12 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $5,708 – $28,125 · median $8,361 12 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $5,708 – $25,913 · median $8,361 12 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,031 12 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $5,708 – $44,598 · median $8,361 12 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $5,708 – $28,788 · median $8,361 12 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $5,708 – $51,514 · median $8,361 12 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $5,708 – $27,770 · median $8,361 12 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $5,708 – $42,238 · median $8,361 12 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $5,708 – $29,796 · median $8,361 12 plans
533 FRACTURES OF FEMUR WITH MCC $5,708 – $25,913 · median $8,361 12 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,708 – $25,913 · median $6,880 12 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,708 – $25,913 · median $6,766 12 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $5,708 – $25,913 · median $7,660 12 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,708 – $25,913 · median $6,379 12 plans
539 OSTEOMYELITIS WITH MCC $5,708 – $27,993 · median $8,361 12 plans
540 OSTEOMYELITIS WITH CC $5,708 – $25,913 · median $8,361 12 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,708 – $25,913 · median $7,118 12 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $5,708 – $25,913 · median $8,361 12 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $5,708 – $25,913 · median $8,275 12 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $6,669 12 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $5,708 – $35,170 · median $8,361 12 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $5,708 – $25,913 · median $8,361 12 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $6,897 12 plans
548 SEPTIC ARTHRITIS WITH MCC $5,708 – $27,505 · median $8,361 12 plans
549 SEPTIC ARTHRITIS WITH CC $5,708 – $25,913 · median $8,361 12 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,708 – $25,913 · median $7,431 12 plans
551 MEDICAL BACK PROBLEMS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $5,708 – $25,913 · median $7,657 12 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,708 – $25,913 · median $8,361 12 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,708 – $25,913 · median $6,939 12 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,708 – $25,913 · median $8,361 12 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,708 – $25,913 · median $6,952 12 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $5,708 – $25,913 · median $7,220 12 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,708 – $26,104 · median $8,361 12 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,708 – $25,913 · median $8,361 12 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,708 – $25,913 · median $6,732 12 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $5,708 – $25,913 · median $8,361 12 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $5,708 – $25,913 · median $7,306 12 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $5,708 – $25,913 · median $8,361 12 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,708 – $25,913 · median $7,822 12 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,708 – $25,913 · median $6,584 12 plans
570 SKIN DEBRIDEMENT WITH MCC $5,708 – $41,222 · median $8,361 12 plans
571 SKIN DEBRIDEMENT WITH CC $5,708 – $25,913 · median $8,361 12 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $5,708 – $87,715 · median $8,361 12 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $5,708 – $48,044 · median $8,361 12 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $5,708 – $28,862 · median $8,361 12 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $5,708 – $80,168 · median $8,361 12 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $5,708 – $37,369 · median $8,361 12 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $5,708 – $47,147 · median $8,361 12 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $5,708 – $25,913 · median $8,361 12 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $5,708 – $25,913 · median $8,361 12 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $5,708 – $27,629 · median $8,361 12 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
592 SKIN ULCERS WITH MCC $5,708 – $29,484 · median $8,361 12 plans
593 SKIN ULCERS WITH CC $5,708 – $25,913 · median $8,361 12 plans
594 SKIN ULCERS WITHOUT CC/MCC $5,708 – $25,913 · median $6,768 12 plans
595 MAJOR SKIN DISORDERS WITH MCC $5,708 – $30,682 · median $8,361 12 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $5,708 – $25,913 · median $7,869 12 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
598 MALIGNANT BREAST DISORDERS WITH CC $5,708 – $25,913 · median $8,361 12 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $5,943 12 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $5,708 – $25,913 · median $7,951 12 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $5,949 12 plans
602 CELLULITIS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
603 CELLULITIS WITHOUT MCC $5,708 – $25,913 · median $7,251 12 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $5,708 – $25,913 · median $8,361 12 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,708 – $25,913 · median $7,371 12 plans
606 MINOR SKIN DISORDERS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,708 – $25,913 · median $7,295 12 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $5,708 – $31,773 · median $8,361 12 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $5,708 – $55,829 · median $8,361 12 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $5,708 – $27,994 · median $8,361 12 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $5,708 – $36,515 · median $8,361 12 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $5,708 – $25,913 · median $8,361 12 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $5,708 – $53,966 · median $8,361 12 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $5,708 – $26,258 · median $8,361 12 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $5,708 – $41,208 · median $8,361 12 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $5,708 – $25,913 · median $8,361 12 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $5,708 – $56,630 · median $8,361 12 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $5,708 – $31,920 · median $8,361 12 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
637 DIABETES WITH MCC $5,708 – $25,913 · median $8,361 12 plans
638 DIABETES WITH CC $5,708 – $25,913 · median $7,324 12 plans
639 DIABETES WITHOUT CC/MCC $5,708 – $25,913 · median $5,948 12 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $5,708 – $25,913 · median $8,361 12 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,708 – $25,913 · median $6,738 12 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $5,708 – $25,913 · median $8,361 12 plans
643 ENDOCRINE DISORDERS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
644 ENDOCRINE DISORDERS WITH CC $5,708 – $25,913 · median $8,131 12 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $6,636 12 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $5,708 – $63,444 · median $5,708 12 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $5,708 – $48,786 · median $5,708 12 plans
652 KIDNEY TRANSPLANT $5,708 – $42,381 · median $5,708 12 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $5,708 – $76,367 · median $8,361 12 plans
654 MAJOR BLADDER PROCEDURES WITH CC $5,708 – $38,616 · median $8,361 12 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $5,708 – $29,734 · median $8,361 12 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $5,708 – $44,260 · median $8,361 12 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $5,708 – $26,015 · median $8,361 12 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $5,708 – $36,520 · median $8,361 12 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $5,708 – $25,913 · median $8,361 12 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $5,708 – $25,913 · median $8,065 12 plans
662 MINOR BLADDER PROCEDURES WITH MCC $5,708 – $42,273 · median $8,361 12 plans
663 MINOR BLADDER PROCEDURES WITH CC $5,708 – $25,913 · median $8,361 12 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,131 12 plans
665 PROSTATECTOMY WITH MCC $5,708 – $43,576 · median $8,361 12 plans
666 PROSTATECTOMY WITH CC $5,708 – $25,913 · median $8,361 12 plans
667 PROSTATECTOMY WITHOUT CC/MCC $5,708 – $25,913 · median $8,071 12 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $5,708 – $39,752 · median $8,361 12 plans
669 TRANSURETHRAL PROCEDURES WITH CC $5,708 – $25,913 · median $8,361 12 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $7,639 12 plans
671 URETHRAL PROCEDURES WITH CC/MCC $5,708 – $25,913 · median $8,361 12 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $7,440 12 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $5,708 – $52,166 · median $8,361 12 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $5,708 – $33,604 · median $8,361 12 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
682 RENAL FAILURE WITH MCC $5,708 – $25,913 · median $8,361 12 plans
683 RENAL FAILURE WITH CC $5,708 – $25,913 · median $7,331 12 plans
684 RENAL FAILURE WITHOUT CC/MCC $5,708 – $25,913 · median $5,879 12 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $5,708 – $25,947 · median $8,361 12 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,708 – $25,913 · median $8,050 12 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,708 – $25,913 · median $6,735 12 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,708 – $25,913 · median $6,865 12 plans
693 URINARY STONES WITH MCC $5,708 – $25,913 · median $8,361 12 plans
694 URINARY STONES WITHOUT MCC $5,708 – $25,913 · median $6,744 12 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,708 – $25,913 · median $6,294 12 plans
697 URETHRAL STRICTURE $5,708 – $25,913 · median $8,361 12 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $5,708 – $25,913 · median $8,361 12 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $5,708 – $25,913 · median $7,928 12 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,708 – $25,913 · median $6,375 12 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $5,708 – $27,675 · median $8,361 12 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
709 PENIS PROCEDURES WITH CC/MCC $5,708 – $29,906 · median $8,361 12 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
711 TESTES PROCEDURES WITH CC/MCC $5,708 – $29,947 · median $8,361 12 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $5,708 – $25,913 · median $8,361 12 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $5,708 – $25,913 · median $7,618 12 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $5,708 – $31,140 · median $8,361 12 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $5,708 – $25,913 · median $8,361 12 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $5,708 – $26,447 · median $8,361 12 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $5,708 – $25,913 · median $8,361 12 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,708 – $25,913 · median $6,878 12 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $5,708 – $25,913 · median $8,361 12 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,708 – $25,913 · median $6,487 12 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $5,708 – $25,913 · median $8,361 12 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,708 – $25,913 · median $6,831 12 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $5,708 – $25,913 · median $7,844 12 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,708 – $25,913 · median $5,944 12 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $5,708 – $30,662 · median $8,361 12 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $5,708 – $54,835 · median $8,361 12 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $5,708 – $27,843 · median $8,361 12 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $5,708 – $51,013 · median $8,361 12 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $5,708 – $25,913 · median $8,361 12 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $5,708 – $25,913 · median $8,361 12 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $5,708 – $26,554 · median $8,361 12 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $5,708 – $25,913 · median $8,003 12 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $5,708 – $25,913 · median $8,361 12 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $7,264 12 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $5,708 – $25,913 · median $8,361 12 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $5,708 – $35,509 · median $8,361 12 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,708 – $26,132 · median $8,361 12 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,708 – $25,913 · median $8,246 12 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,708 – $25,913 · median $7,773 12 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,708 – $25,913 · median $8,361 12 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,708 – $25,913 · median $7,788 12 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,708 – $25,913 · median $6,066 12 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $5,708 – $25,913 · median $7,802 12 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $5,864 12 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $5,708 – $25,913 · median $6,526 12 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $5,708 – $25,913 · median $8,361 12 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $5,708 – $25,913 · median $6,824 12 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,708 – $25,913 · median $6,416 12 plans
779 ABORTION WITHOUT D&C $5,708 – $25,913 · median $7,771 12 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $5,708 – $25,913 · median $7,694 12 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $5,708 – $25,913 · median $7,694 12 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,708 – $25,913 · median $7,694 12 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $5,708 – $25,913 · median $7,694 12 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $5,708 – $25,913 · median $7,694 12 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $5,708 – $25,913 · median $7,694 12 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $5,708 – $25,913 · median $5,708 12 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $5,708 – $84,640 · median $5,708 12 plans
791 PREMATURITY WITH MAJOR PROBLEMS $5,708 – $57,804 · median $5,708 12 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $5,708 – $34,878 · median $5,708 12 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $5,708 – $59,378 · median $5,708 12 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $5,708 – $25,913 · median $5,708 12 plans
795 NORMAL NEWBORN $2,005 – $25,913 · median $5,708 12 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $5,708 – $25,913 · median $6,526 12 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $5,708 – $25,913 · median $6,526 12 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $5,708 – $25,913 · median $6,526 12 plans
799 SPLENECTOMY WITH MCC $5,708 – $69,892 · median $8,361 12 plans
800 SPLENECTOMY WITH CC $5,708 – $39,748 · median $8,361 12 plans
801 SPLENECTOMY WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $5,708 – $47,825 · median $8,361 12 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $5,708 – $26,213 · median $8,361 12 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $5,708 – $25,913 · median $6,526 12 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,708 – $25,913 · median $6,526 12 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,708 – $25,913 · median $6,526 12 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $5,708 – $30,895 · median $8,361 12 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $5,708 – $25,913 · median $8,361 12 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $7,847 12 plans
811 RED BLOOD CELL DISORDERS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,708 – $25,913 · median $7,331 12 plans
813 COAGULATION DISORDERS $5,708 – $25,913 · median $8,361 12 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $5,708 – $30,020 · median $8,361 12 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $5,708 – $25,913 · median $7,796 12 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,708 – $25,913 · median $6,384 12 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $5,708 – $31,810 · median $8,361 12 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $5,708 – $25,913 · median $8,361 12 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $7,363 12 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $5,708 – $85,298 · median $8,361 12 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $5,708 – $31,487 · median $8,361 12 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $5,708 – $63,506 · median $8,361 12 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $5,708 – $31,498 · median $8,361 12 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $5,708 – $61,910 · median $8,361 12 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $5,708 – $32,688 · median $8,361 12 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $5,708 – $44,489 · median $8,361 12 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $5,708 – $25,913 · median $7,873 12 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,708 – $25,913 · median $6,521 12 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $5,088 – $25,913 · median $5,708 12 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $5,708 – $78,982 · median $8,361 12 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $5,708 – $31,535 · median $8,361 12 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $5,708 – $67,099 · median $8,361 12 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $5,708 – $27,541 · median $8,361 12 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $5,708 – $44,086 · median $8,361 12 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $5,708 – $25,913 · median $8,361 12 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $5,708 – $25,913 · median $8,155 12 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $5,708 – $26,247 · median $8,361 12 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $5,708 – $25,913 · median $8,361 12 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,708 – $25,913 · median $7,153 12 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $5,708 – $34,476 · median $8,361 12 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $5,708 – $25,913 · median $8,361 12 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,708 – $25,913 · median $6,629 12 plans
849 RADIOTHERAPY $5,708 – $37,966 · median $8,361 12 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $5,708 – $70,522 · median $8,361 12 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $5,708 – $28,752 · median $8,361 12 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $5,708 – $62,469 · median $8,361 12 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $5,708 – $30,127 · median $8,361 12 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $5,708 – $25,984 · median $8,361 12 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $5,708 – $25,913 · median $7,852 12 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,708 – $25,913 · median $7,242 12 plans
865 VIRAL ILLNESS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
866 VIRAL ILLNESS WITHOUT MCC $5,708 – $25,913 · median $7,415 12 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $5,708 – $29,515 · median $8,361 12 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $5,708 – $25,913 · median $8,249 12 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,708 – $25,913 · median $6,287 12 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $5,708 – $98,250 · median $8,361 12 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $5,708 – $27,967 · median $8,361 12 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $5,708 – $25,913 · median $7,973 12 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,708 – $25,913 · median $5,710 12 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $5,708 – $25,913 · median $8,361 12 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $5,708 – $25,913 · median $8,361 12 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,708 – $25,913 · median $7,107 12 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $5,708 – $61,050 · median $8,361 12 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $5,708 – $26,586 · median $8,361 12 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $5,708 – $45,933 · median $8,361 12 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
906 HAND PROCEDURES FOR INJURIES $5,708 – $26,543 · median $8,361 12 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $5,708 – $52,469 · median $8,361 12 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $5,708 – $28,271 · median $8,361 12 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
913 TRAUMATIC INJURY WITH MCC $5,708 – $25,913 · median $8,361 12 plans
914 TRAUMATIC INJURY WITHOUT MCC $5,708 – $25,913 · median $7,366 12 plans
915 ALLERGIC REACTIONS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,708 – $25,913 · median $6,129 12 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,708 – $25,913 · median $7,133 12 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $5,708 – $25,913 · median $8,361 12 plans
920 COMPLICATIONS OF TREATMENT WITH CC $5,708 – $25,913 · median $7,993 12 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,708 – $25,913 · median $6,322 12 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $5,708 – $25,913 · median $8,361 12 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $5,708 – $25,913 · median $7,881 12 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $5,708 – $371,828 12 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $5,708 – $97,613 · median $8,361 12 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $5,708 – $45,359 · median $8,361 12 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $5,708 – $42,771 · median $8,361 12 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $5,708 – $29,518 · median $8,361 12 plans
935 NON-EXTENSIVE BURNS $5,708 – $28,793 · median $8,361 12 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $5,708 – $45,357 · median $8,361 12 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $5,708 – $30,563 · median $8,361 12 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $5,708 – $26,182 · median $8,361 12 plans
947 SIGNS AND SYMPTOMS WITH MCC $5,708 – $25,913 · median $8,361 12 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,708 – $25,913 · median $6,835 12 plans
949 AFTERCARE WITH CC/MCC $5,708 – $25,913 · median $8,004 12 plans
950 AFTERCARE WITHOUT CC/MCC $5,708 – $25,913 · median $5,976 12 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,708 – $25,913 · median $5,787 12 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $5,708 – $85,911 · median $8,361 12 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $5,708 – $54,708 · median $8,361 12 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $5,708 – $102,025 · median $8,361 12 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $5,708 – $57,058 · median $8,361 12 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,708 – $35,723 · median $8,361 12 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $5,708 – $38,571 · median $8,361 12 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $5,708 – $25,913 · median $8,361 12 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,708 – $25,913 · median $7,605 12 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $5,708 – $96,948 · median $8,361 12 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $5,708 – $33,918 · median $8,361 12 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $5,708 – $41,142 · median $8,361 12 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $5,708 – $25,913 · median $8,361 12 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $5,708 – $25,913 · median $7,056 12 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $5,708 – $25,913 · median $8,361 12 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $5,708 – $66,870 · median $8,361 12 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $5,708 – $35,069 · median $8,361 12 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $5,708 – $25,913 · median $8,361 12 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $5,708 – $47,633 · median $8,361 12 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $5,708 – $25,913 · median $8,361 12 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $5,708 – $25,913 · median $8,224 12 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $5,708 – $25,913 · median $5,708 12 plans
999 UNGROUPABLE $5,708 – $25,913 · median $7,825 12 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $5,708 – $52,638 · median $5,708 11 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,708 – $25,913 · median $5,708 11 plans
881 DEPRESSIVE NEUROSES $5,708 – $25,913 · median $5,708 11 plans
882 NEUROSES EXCEPT DEPRESSIVE $5,708 – $25,913 · median $5,708 11 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $5,708 – $26,455 · median $5,708 11 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $5,708 – $25,913 · median $5,708 11 plans
885 PSYCHOSES $5,708 – $25,913 · median $5,708 11 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $5,708 – $25,913 · median $5,708 11 plans
887 OTHER MENTAL DISORDER DIAGNOSES $5,708 – $25,913 · median $5,708 11 plans
945 REHABILITATION WITH CC/MCC $5,708 – $25,913 · median $5,708 11 plans
946 REHABILITATION WITHOUT CC/MCC $5,708 – $25,913 · median $5,708 11 plans
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