Essentia Health Virginia — Pricing

781 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 781 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 781
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 781 procedures

Procedures with negotiated rates only

These 781 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $144,934 – $386,176 · median $144,934 32 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $94,583 – $254,608 · median $94,583 32 plans
011 TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC $37,243 – $97,229 · median $37,243 32 plans
012 TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC $28,788 – $73,945 · median $28,788 32 plans
013 TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC $19,678 – $47,750 · median $19,678 32 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $53,731 – $145,253 · median $53,731 32 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $36,148 – $99,596 · median $36,148 32 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $21,696 – $63,614 · median $21,696 32 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $39,129 – $102,800 · median $39,129 32 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $26,712 – $68,503 · median $26,712 32 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $31,047 – $80,586 · median $31,047 32 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $21,231 – $55,113 · median $21,231 32 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $17,227 – $44,467 · median $17,227 32 plans
028 SPINAL PROCEDURES WITH MCC $41,027 – $109,547 · median $41,027 32 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $23,296 – $60,484 · median $23,296 32 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $14,990 – $40,099 · median $14,990 32 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $30,595 – $75,510 · median $30,595 32 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $14,551 – $38,481 · median $14,551 32 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $11,355 – $28,749 · median $11,355 32 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $26,431 – $70,070 · median $26,431 32 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $16,323 – $40,990 · median $16,323 32 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $13,266 – $33,031 · median $13,266 32 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $22,480 – $59,839 · median $22,480 32 plans
038 EXTRACRANIAL PROCEDURES WITH CC $11,080 – $29,034 · median $11,080 32 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,027 – $20,509 · median $8,027 32 plans
040 PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $26,366 – $67,969 · median $26,366 32 plans
041 PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $15,014 – $40,691 · median $15,014 32 plans
042 PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $11,797 – $31,670 · median $11,797 32 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $12,368 – $36,263 · median $12,368 32 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $6,686 – $16,603 · median $6,686 32 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,426 – $27,012 · median $10,426 32 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $6,962 – $19,659 · median $6,962 32 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $15,863 – $45,121 · median $15,863 32 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $8,847 – $24,045 · median $8,847 32 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $11,673 – $33,261 · median $11,673 32 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $8,473 – $22,048 · median $8,473 32 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,281 – $16,080 · median $6,281 32 plans
061 ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $18,827 – $48,713 · median $18,827 32 plans
062 ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $11,999 – $32,090 · median $11,999 32 plans
063 ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $9,586 – $25,313 · median $9,586 32 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $13,732 – $35,843 · median $13,732 32 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $6,899 – $18,324 · median $6,899 32 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,673 – $12,402 · median $4,673 32 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,029 – $26,216 · median $10,029 32 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,902 – $15,884 · median $5,902 32 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,455 – $14,417 · median $5,455 32 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $11,368 – $31,331 · median $11,368 32 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $7,006 – $18,990 · median $7,006 32 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,164 – $13,518 · median $5,164 32 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $10,955 – $27,850 · median $10,955 32 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,039 – $18,783 · median $7,039 32 plans
075 VIRAL MENINGITIS WITH CC/MCC $13,093 – $31,036 · median $13,093 32 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,635 – $16,522 · median $5,635 32 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $12,359 – $35,818 · median $12,359 32 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,115 – $16,304 · median $6,115 32 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $15,607 – $41,808 · median $15,607 32 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $9,531 – $25,054 · median $9,531 32 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,527 – $17,228 · median $6,527 32 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $15,513 – $40,831 · median $15,513 32 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $8,895 – $23,634 · median $8,895 32 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,246 – $15,929 · median $6,246 32 plans
088 CONCUSSION WITH MCC $9,231 – $25,419 · median $9,231 32 plans
089 CONCUSSION WITH CC $7,502 – $19,318 · median $7,502 32 plans
090 CONCUSSION WITHOUT CC/MCC $5,621 – $15,448 · median $5,621 32 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $11,992 – $32,847 · median $11,992 32 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $6,985 – $19,077 · median $6,985 32 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,437 – $14,222 · median $5,437 32 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $24,032 – $65,746 · median $24,032 32 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $17,612 – $43,195 · median $17,612 32 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $16,923 – $43,195 · median $17,612 32 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $24,663 – $64,591 · median $24,663 32 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $15,670 – $39,089 · median $15,670 32 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $9,303 – $25,106 · median $9,303 32 plans
100 SEIZURES WITH MCC $13,225 – $35,773 · median $13,225 32 plans
101 SEIZURES WITHOUT MCC $6,163 – $16,608 · median $6,163 32 plans
102 HEADACHES WITH MCC $7,654 – $20,893 · median $7,654 32 plans
103 HEADACHES WITHOUT MCC $5,711 – $15,320 · median $5,711 32 plans
113 ORBITAL PROCEDURES WITH CC/MCC $16,054 – $40,662 · median $16,054 32 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $9,239 – $21,300 · median $9,239 32 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $10,481 – $27,587 · median $10,481 32 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,346 – $30,067 · median $12,346 32 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,408 – $19,435 · median $7,408 32 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $7,943 – $20,960 · median $7,943 32 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,366 – $12,222 · median $5,366 32 plans
123 NEUROLOGICAL EYE DISORDERS $5,453 – $14,473 · median $5,453 32 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,035 – $23,495 · median $9,035 32 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,243 – $14,878 · median $5,243 32 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $14,818 – $43,446 · median $14,818 32 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $6,933 – $17,626 · median $6,933 32 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,196 – $25,201 · median $10,196 32 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,051 – $14,658 · median $6,051 32 plans
139 SALIVARY GLAND PROCEDURES $8,438 – $24,740 · median $8,438 32 plans
140 SIMPLE PNEUMONIA AND PLEURISY AGE 0-17 $29,125 – $76,206 · median $29,125 32 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $14,893 – $38,714 · median $14,893 32 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $10,901 – $28,333 · median $10,901 32 plans
143 STOMACH ESOPHAGEAL AND DUODENAL PROC AGE 0-17 $25,583 – $59,497 · median $25,583 32 plans
144 OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC $11,833 – $31,654 · median $11,833 32 plans
145 OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,210 – $21,349 · median $8,210 32 plans
146 EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC $14,458 – $41,337 · median $14,458 32 plans
147 EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC $8,682 – $22,430 · median $8,682 32 plans
148 EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,443 – $14,428 · median $5,443 32 plans
149 DYSEQUILIBRIUM $5,132 – $13,469 · median $5,132 32 plans
150 EPISTAXIS WITH MCC $9,092 – $24,906 · median $9,092 32 plans
151 EPISTAXIS WITHOUT MCC $5,012 – $13,658 · median $5,012 32 plans
152 OTITIS MEDIA AND URI WITH MCC $8,073 – $20,448 · median $8,073 32 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,041 – $12,824 · median $5,041 32 plans
154 OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC $10,676 – $29,304 · median $10,676 32 plans
155 OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC $6,258 – $16,823 · median $6,258 32 plans
156 OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,719 – $12,116 · median $4,719 32 plans
157 DENTAL AND ORAL DISEASES WITH MCC $11,723 – $29,506 · median $11,723 32 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,212 – $16,949 · median $6,212 32 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,838 – $11,885 · median $4,838 32 plans
163 MAJOR CHEST PROCEDURES WITH MCC $30,603 – $83,053 · median $30,603 32 plans
164 MAJOR CHEST PROCEDURES WITH CC $17,235 – $45,354 · median $17,235 32 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $13,071 – $33,587 · median $13,071 32 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $25,522 – $69,379 · median $25,522 32 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $12,314 – $32,924 · median $12,314 32 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,330 – $24,396 · median $9,330 32 plans
173 URETHRAL PROCEDURES AGE 0-17 $20,324 – $55,293 · median $20,324 32 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $9,379 – $25,391 · median $9,379 32 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,497 – $14,676 · median $5,497 32 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,671 – $29,128 · median $10,671 32 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,664 – $17,877 · median $6,664 32 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,155 – $13,869 · median $5,155 32 plans
180 RESPIRATORY NEOPLASMS WITH MCC $12,059 – $31,494 · median $12,059 32 plans
181 RESPIRATORY NEOPLASMS WITH CC $7,313 – $20,007 · median $7,313 32 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,147 – $15,091 · median $5,147 32 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,447 – $28,602 · median $10,447 32 plans
184 MAJOR CHEST TRAUMA WITH CC $7,266 – $19,246 · median $7,266 32 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,371 – $14,013 · median $5,371 32 plans
186 PLEURAL EFFUSION WITH MCC $10,642 – $28,470 · median $10,642 32 plans
187 PLEURAL EFFUSION WITH CC $6,754 – $18,091 · median $6,754 32 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,897 – $13,230 · median $4,897 32 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,436 – $22,297 · median $8,436 32 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,564 – $20,235 · median $7,564 32 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,756 – $15,480 · median $5,756 32 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,384 – $11,662 · median $4,384 32 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $8,975 – $23,744 · median $8,975 32 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,503 – $14,776 · median $5,503 32 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,292 – $11,220 · median $4,292 32 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $12,887 – $33,950 · median $12,887 32 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $6,481 – $17,839 · median $6,481 32 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,890 – $12,621 · median $4,890 32 plans
199 PNEUMOTHORAX WITH MCC $12,046 – $31,809 · median $12,046 32 plans
200 PNEUMOTHORAX WITH CC $7,506 – $19,956 · median $7,506 32 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $4,883 – $12,201 · median $4,883 32 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $6,632 – $17,419 · median $6,632 32 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,575 – $12,552 · median $4,575 32 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,513 – $14,613 · median $5,513 32 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $12,503 – $34,016 · median $12,503 32 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,426 – $16,322 · median $6,426 32 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $43,939 – $116,532 · median $43,939 32 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $18,769 – $48,359 · median $18,769 32 plans
212 TESTES PROCEDURES AGE 0-17 $74,252 – $196,297 · median $74,252 32 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $67,990 – $190,908 · median $67,990 32 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $66,801 – $173,903 · median $66,801 32 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $44,899 – $116,365 · median $44,899 32 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $44,229 – $107,200 · median $44,899 32 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $52,430 – $139,422 · median $52,430 32 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $36,414 – $95,441 · median $36,414 32 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $34,416 – $82,754 · median $34,416 32 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $33,783 – $89,794 · median $33,783 32 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $21,506 – $55,972 · median $21,506 32 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $57,563 – $152,691 · median $57,563 32 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $41,398 – $110,073 · median $41,398 32 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC $52,204 – $140,844 · median $52,204 32 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC $37,301 – $95,865 · median $37,301 32 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $40,073 – $106,027 · median $40,073 32 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $28,603 – $74,096 · median $28,603 32 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $33,607 – $90,760 · median $33,607 32 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $19,464 – $52,475 · median $19,464 32 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $9,453 – $27,207 · median $9,453 32 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $21,802 – $61,120 · median $21,802 32 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $14,551 – $40,593 · median $14,551 32 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $12,342 – $32,519 · median $12,342 32 plans
245 AICD GENERATOR PROCEDURES $31,154 – $88,055 · median $31,154 32 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $14,903 – $41,671 · median $14,903 32 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $10,205 – $28,156 · median $10,205 32 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $23,819 – $61,812 · median $23,819 32 plans
253 OTHER VASCULAR PROCEDURES WITH CC $17,724 – $46,003 · median $17,724 32 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $12,166 – $31,522 · median $12,166 32 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $18,419 – $47,147 · median $18,419 32 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $11,594 – $30,519 · median $11,594 32 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,458 – $16,071 · median $7,458 32 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $21,030 – $50,552 · median $21,455 32 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $13,808 – $31,672 · median $13,808 32 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $22,211 – $61,376 · median $22,211 32 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $12,909 – $34,193 · median $12,909 32 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $11,130 – $27,349 · median $11,130 32 plans
263 VEIN LIGATION AND STRIPPING $20,877 – $48,329 · median $20,877 32 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $22,811 – $62,978 · median $22,811 32 plans
265 AICD LEAD PROCEDURES $24,706 – $64,277 · median $24,706 32 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC $41,847 – $107,948 · median $41,847 32 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC $32,509 – $84,774 · median $32,509 32 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $46,965 – $120,143 · median $46,965 32 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $28,838 – $74,972 · median $28,838 32 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $36,029 – $92,492 · median $36,029 32 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $24,284 – $62,065 · median $24,284 32 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $17,433 – $45,087 · median $17,433 32 plans
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC $28,170 – $70,460 · median $28,170 32 plans
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC $22,477 – $56,237 · median $22,477 32 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $48,689 – $127,340 · median $48,689 32 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $41,015 – $111,617 · median $41,015 32 plans
277 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $31,537 – $83,823 · median $31,537 32 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $34,631 – $90,154 · median $38,008 32 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $24,626 – $57,740 · median $24,626 32 plans
280 ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC $10,953 – $29,576 · median $10,953 32 plans
281 ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC $6,276 – $16,610 · median $6,276 32 plans
282 ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC $4,938 – $13,066 · median $4,938 32 plans
283 ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC $13,526 – $35,234 · median $13,526 32 plans
284 ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC $4,727 – $13,352 · median $4,727 32 plans
285 ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC $3,794 – $10,116 · median $4,090 32 plans
286 CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC $15,110 – $39,881 · median $15,110 32 plans
287 CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,307 – $19,635 · median $7,307 32 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $18,479 – $49,219 · median $18,479 32 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,473 – $28,411 · median $11,655 32 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,348 – $17,641 · median $6,348 32 plans
291 HEART FAILURE AND SHOCK WITH MCC $8,766 – $23,511 · median $8,766 32 plans
292 HEART FAILURE AND SHOCK WITH CC $5,797 – $15,518 · median $5,797 32 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,865 – $9,887 · median $3,865 32 plans
296 CARDIAC ARREST- UNEXPLAINED WITH MCC $10,665 – $29,522 · median $10,665 32 plans
297 CARDIAC ARREST- UNEXPLAINED WITH CC $4,329 – $12,693 · median $4,329 32 plans
298 CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC $3,108 – $7,959 · median $3,108 32 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $11,149 – $29,148 · median $11,149 32 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,289 – $19,291 · median $7,289 32 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,914 – $12,855 · median $4,914 32 plans
302 ATHEROSCLEROSIS WITH MCC $8,171 – $20,962 · median $8,171 32 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,597 – $12,116 · median $4,597 32 plans
304 HYPERTENSION WITH MCC $8,126 – $21,169 · median $8,126 32 plans
305 HYPERTENSION WITHOUT MCC $5,156 – $13,527 · median $5,156 32 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $10,760 – $26,982 · median $10,760 32 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,236 – $16,693 · median $6,236 32 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,221 – $21,729 · median $8,221 32 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,024 – $13,321 · median $5,024 32 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,866 – $10,082 · median $3,866 32 plans
311 ANGINA PECTORIS $4,793 – $12,583 · median $4,793 32 plans
312 SYNCOPE AND COLLAPSE $5,952 – $15,700 · median $5,952 32 plans
313 CHEST PAIN $4,916 – $12,855 · median $4,916 32 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $14,239 – $38,804 · median $14,239 32 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,578 – $17,340 · median $6,578 32 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,658 – $12,302 · median $4,658 32 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $30,474 – $79,154 · median $30,474 32 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $16,424 – $41,710 · median $16,424 32 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $18,579 – $51,296 · median $18,579 32 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $12,038 – $32,600 · median $12,038 32 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $29,549 – $76,750 · median $29,549 32 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $21,516 – $57,573 · median $21,516 32 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $20,530 – $51,572 · median $21,922 32 plans
326 STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $34,056 – $91,519 · median $34,056 32 plans
327 STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $16,690 – $43,752 · median $16,690 32 plans
328 STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $10,941 – $28,713 · median $10,941 32 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $31,387 – $82,741 · median $31,387 32 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $16,369 – $42,592 · median $16,369 32 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,491 – $29,749 · median $11,491 32 plans
332 RECTAL RESECTION WITH MCC $24,723 – $62,503 · median $24,723 32 plans
333 RECTAL RESECTION WITH CC $15,993 – $38,296 · median $15,993 32 plans
334 RECTAL RESECTION WITHOUT CC/MCC $11,184 – $29,886 · median $11,184 32 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $24,383 – $65,290 · median $24,383 32 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $14,399 – $38,062 · median $14,399 32 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $10,482 – $27,661 · median $10,482 32 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $17,636 – $48,552 · median $17,636 32 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,275 – $26,825 · median $10,275 32 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,100 – $22,439 · median $8,100 32 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $15,675 – $42,647 · median $15,675 32 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $8,937 – $22,684 · median $8,937 32 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $5,945 – $15,873 · median $5,945 32 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $17,016 – $43,583 · median $17,016 32 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,410 – $27,110 · median $10,410 32 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $7,974 – $19,868 · median $7,974 32 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $19,816 – $52,850 · median $19,816 32 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $11,488 – $30,652 · median $11,488 32 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $9,184 – $24,023 · median $9,184 32 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $29,996 – $76,864 · median $29,996 32 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $15,879 – $40,579 · median $15,879 32 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,545 – $24,418 · median $9,545 32 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $10,870 – $30,092 · median $10,870 32 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $6,830 – $18,336 · median $6,830 32 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,785 – $12,577 · median $4,785 32 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $12,107 – $31,497 · median $12,107 32 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $6,972 – $18,547 · median $6,972 32 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,967 – $13,071 · median $4,967 32 plans
374 DIGESTIVE MALIGNANCY WITH MCC $14,604 – $38,045 · median $14,604 32 plans
375 DIGESTIVE MALIGNANCY WITH CC $8,260 – $22,140 · median $8,260 32 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,311 – $15,911 · median $6,311 32 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $12,482 – $32,762 · median $12,482 32 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $6,697 – $17,765 · median $6,697 32 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,305 – $11,473 · median $4,305 32 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $13,399 – $34,674 · median $13,399 32 plans
381 COMPLICATED PEPTIC ULCER WITH CC $7,399 – $19,624 · median $7,399 32 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,467 – $13,502 · median $5,467 32 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,428 – $22,780 · median $9,428 32 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,837 – $15,669 · median $5,837 32 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,805 – $29,277 · median $10,805 32 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,667 – $17,884 · median $6,667 32 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,652 – $12,078 · median $4,652 32 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,084 – $26,486 · median $10,084 32 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,393 – $14,444 · median $5,393 32 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,715 – $9,860 · median $3,715 32 plans
391 ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $8,660 – $23,145 · median $8,660 32 plans
392 ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,323 – $14,060 · median $5,323 32 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $10,921 – $29,839 · median $10,921 32 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,389 – $16,961 · median $6,389 32 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,432 – $11,467 · median $4,432 32 plans
397 MAJOR HEAD AND NECK PROCEDURES WITH CC $16,353 – $44,647 · median $16,353 32 plans
398 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $10,335 – $27,266 · median $10,335 32 plans
399 OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH MCC $7,816 – $20,250 · median $7,816 32 plans
405 PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC $37,355 – $97,820 · median $37,355 32 plans
406 PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC $19,804 – $50,605 · median $19,804 32 plans
407 PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $15,156 – $38,485 · median $15,156 32 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $24,347 – $63,090 · median $24,347 32 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $14,867 – $37,777 · median $14,867 32 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $10,841 – $27,949 · median $10,841 32 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $22,556 – $49,307 · median $22,556 32 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $14,357 – $38,409 · median $14,357 32 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $11,339 – $29,957 · median $11,339 32 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $24,327 – $63,135 · median $24,327 32 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $14,112 – $35,643 · median $14,112 32 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $9,309 – $24,690 · median $9,309 32 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $16,295 – $42,822 · median $16,295 32 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $11,551 – $29,883 · median $11,551 32 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $9,326 – $23,742 · median $9,326 32 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $23,265 – $63,598 · median $23,265 32 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $11,864 – $29,508 · median $11,864 32 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $9,556 – $26,477 · median $9,556 32 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $28,358 – $73,290 · median $28,358 32 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $14,940 – $41,143 · median $14,940 32 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $10,245 – $27,854 · median $10,245 32 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $13,440 – $35,301 · median $13,440 32 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,212 – $19,277 · median $7,212 32 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,865 – $12,550 · median $4,865 32 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $12,542 – $32,877 · median $12,542 32 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $7,724 – $20,320 · median $7,724 32 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,827 – $14,149 · median $5,827 32 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $11,132 – $29,978 · median $11,132 32 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,744 – $15,500 · median $5,744 32 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,243 – $11,083 · median $4,243 32 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,255 – $34,063 · median $12,255 32 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,591 – $17,410 · median $6,591 32 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,778 – $12,662 · median $4,778 32 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,410 – $30,351 · median $11,410 32 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,473 – $19,542 · median $7,473 32 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,649 – $14,367 · median $5,649 32 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC $57,382 – $152,607 · median $57,382 32 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC $40,718 – $103,418 · median $40,718 32 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $28,492 – $77,806 · median $28,492 32 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC $37,713 – $110,577 · median $37,713 32 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC $18,163 – $51,603 · median $18,163 32 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $38,918 – $97,321 · median $38,918 32 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $21,268 – $53,131 · median $21,268 32 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,453 – $31,283 · median $12,453 32 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $35,544 – $91,800 · median $35,544 32 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $24,081 – $61,719 · median $24,081 32 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $18,764 – $47,269 · median $18,764 32 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $20,712 – $58,899 · median $20,712 32 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $13,171 – $33,975 · median $13,171 32 plans
471 CERVICAL SPINAL FUSION WITH MCC $32,972 – $87,524 · median $32,972 32 plans
472 CERVICAL SPINAL FUSION WITH CC $20,117 – $52,205 · median $20,117 32 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $16,670 – $42,658 · median $16,670 32 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $29,314 – $80,810 · median $29,314 32 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $15,539 – $38,872 · median $15,539 32 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,059 – $20,958 · median $8,059 32 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,589 – $61,967 · median $23,589 32 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $16,792 – $42,139 · median $16,792 32 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,693 – $31,998 · median $12,693 32 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $19,886 – $52,994 · median $19,886 32 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $14,302 – $37,388 · median $14,302 32 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,137 – $28,585 · median $11,137 32 plans
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $18,928 – $45,916 · median $18,928 32 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $22,036 – $58,009 · median $22,036 32 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $14,279 – $38,217 · median $14,279 32 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,695 – $28,474 · median $10,695 32 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,079 – $35,415 · median $12,079 32 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $7,626 – $22,315 · median $7,626 32 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC $25,071 – $63,989 · median $25,071 32 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC $17,317 – $43,264 · median $17,317 32 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC $13,701 – $33,973 · median $13,701 32 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $24,758 – $63,438 · median $24,758 32 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $12,318 – $35,551 · median $12,318 32 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $8,251 – $24,192 · median $8,251 32 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $20,272 – $45,496 · median $20,600 32 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $10,014 – $20,916 · median $13,758 32 plans
500 SOFT TISSUE PROCEDURES WITH MCC $21,610 – $57,097 · median $21,610 32 plans
501 SOFT TISSUE PROCEDURES WITH CC $11,937 – $32,159 · median $11,937 32 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $9,190 – $25,176 · median $9,190 32 plans
503 FOOT PROCEDURES WITH MCC $19,059 – $47,689 · median $19,059 32 plans
504 FOOT PROCEDURES WITH CC $12,764 – $31,623 · median $12,764 32 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $12,242 – $31,623 · median $12,242 32 plans
506 MAJOR THUMB OR JOINT PROCEDURES $9,213 – $27,012 · median $9,213 32 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $12,335 – $34,924 · median $12,335 32 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $10,341 – $23,255 · median $10,341 32 plans
510 SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC $20,625 – $51,500 · median $20,625 32 plans
511 SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC $14,199 – $35,339 · median $14,199 32 plans
512 SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC $11,304 – $28,971 · median $11,304 32 plans
513 HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $10,750 – $27,129 · median $10,750 32 plans
514 HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $6,981 – $18,372 · median $6,981 32 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $21,761 – $55,722 · median $21,761 32 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $14,190 – $36,249 · median $14,190 32 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $10,493 – $26,897 · median $10,493 32 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $25,520 – $64,580 · median $25,520 32 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $13,658 – $35,532 · median $13,658 32 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,201 – $25,825 · median $10,201 32 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $19,599 – $52,520 · median $19,599 32 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $14,460 – $37,986 · median $14,460 32 plans
533 FRACTURES OF FEMUR WITH MCC $10,705 – $27,477 · median $10,705 32 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,504 – $14,667 · median $5,504 32 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $8,754 – $23,963 · median $8,754 32 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,515 – $14,612 · median $5,515 32 plans
537 SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC $6,516 – $16,559 · median $6,516 32 plans
538 SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC $4,918 – $12,100 · median $4,918 32 plans
539 OSTEOMYELITIS WITH MCC $13,450 – $36,442 · median $13,450 32 plans
540 OSTEOMYELITIS WITH CC $8,852 – $23,318 · median $8,852 32 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,377 – $15,765 · median $5,377 32 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $12,062 – $33,607 · median $12,062 32 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,020 – $19,116 · median $7,020 32 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,153 – $13,617 · median $5,153 32 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $16,946 – $45,532 · median $16,946 32 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $7,876 – $20,861 · median $7,876 32 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,710 – $13,446 · median $5,710 32 plans
548 SEPTIC ARTHRITIS WITH MCC $13,185 – $36,301 · median $13,185 32 plans
549 SEPTIC ARTHRITIS WITH CC $8,243 – $21,715 · median $8,243 32 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,969 – $15,534 · median $5,969 32 plans
551 MEDICAL BACK PROBLEMS WITH MCC $11,445 – $30,748 · median $11,445 32 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,564 – $17,367 · median $6,564 32 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $8,852 – $23,533 · median $8,852 32 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,668 – $15,039 · median $5,668 32 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,026 – $24,264 · median $9,026 32 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,672 – $14,713 · median $5,672 32 plans
557 TENDONITIS- MYOSITIS AND BURSITIS WITH MCC $10,153 – $27,924 · median $10,153 32 plans
558 TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC $6,099 – $15,565 · median $6,099 32 plans
559 AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,734 – $33,449 · median $12,734 32 plans
560 AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,689 – $20,518 · median $7,689 32 plans
561 AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,489 – $14,732 · median $5,489 32 plans
562 FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC $9,729 – $26,371 · median $9,729 32 plans
563 FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC $6,115 – $16,105 · median $6,115 32 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $10,540 – $28,275 · median $10,540 32 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,654 – $18,374 · median $6,654 32 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,117 – $13,480 · median $5,117 32 plans
570 SKIN DEBRIDEMENT WITH MCC $20,083 – $54,241 · median $20,083 32 plans
571 SKIN DEBRIDEMENT WITH CC $11,537 – $30,169 · median $11,537 32 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $7,827 – $20,585 · median $7,827 32 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $44,735 – $110,965 · median $44,735 32 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $23,704 – $62,434 · median $23,704 32 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,271 – $35,979 · median $12,271 32 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $33,467 – $97,218 · median $33,467 32 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $18,100 – $47,981 · median $18,100 32 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $10,969 – $30,459 · median $10,969 32 plans
579 OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $22,114 – $58,731 · median $22,114 32 plans
580 OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $11,799 – $31,948 · median $11,799 32 plans
581 OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $9,854 – $25,933 · median $9,854 32 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $13,156 – $31,555 · median $13,156 32 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $11,775 – $29,600 · median $11,775 32 plans
584 BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $14,618 – $36,892 · median $14,618 32 plans
585 BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $13,075 – $35,770 · median $13,173 32 plans
592 SKIN ULCERS WITH MCC $13,215 – $37,052 · median $13,215 32 plans
593 SKIN ULCERS WITH CC $8,101 – $22,032 · median $8,101 32 plans
594 SKIN ULCERS WITHOUT CC/MCC $5,919 – $15,293 · median $5,919 32 plans
595 MAJOR SKIN DISORDERS WITH MCC $14,481 – $38,112 · median $14,481 32 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,392 – $19,480 · median $7,392 32 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $11,384 – $31,654 · median $11,384 32 plans
598 MALIGNANT BREAST DISORDERS WITH CC $7,725 – $19,441 · median $7,725 32 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,224 – $15,404 · median $5,254 32 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,112 – $17,237 · median $7,112 32 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,131 – $10,802 · median $4,131 32 plans
602 CELLULITIS WITH MCC $9,705 – $26,474 · median $9,705 32 plans
603 CELLULITIS WITHOUT MCC $5,947 – $15,871 · median $5,947 32 plans
604 TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,052 – $26,771 · median $10,052 32 plans
605 TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,255 – $16,644 · median $6,255 32 plans
606 MINOR SKIN DISORDERS WITH MCC $10,333 – $29,016 · median $10,333 32 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $6,189 – $15,572 · median $6,189 32 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $14,966 – $41,065 · median $14,966 32 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $9,555 – $25,821 · median $9,555 32 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $23,813 – $69,643 · median $23,813 32 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,771 – $34,806 · median $12,771 32 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,018 – $22,435 · median $9,685 32 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $19,716 – $49,129 · median $19,716 32 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $10,927 – $28,776 · median $10,927 32 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $10,300 – $26,340 · median $10,300 32 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $24,304 – $67,427 · median $24,304 32 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,249 – $34,467 · median $12,249 32 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,548 – $18,075 · median $8,548 32 plans
625 THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $20,622 – $51,662 · median $20,622 32 plans
626 THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $10,238 – $27,196 · median $10,238 32 plans
627 THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,070 – $22,828 · median $9,070 32 plans
628 OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $25,448 – $71,098 · median $25,448 32 plans
629 OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $14,878 – $40,527 · median $14,878 32 plans
630 OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $9,966 – $25,250 · median $9,966 32 plans
637 DIABETES WITH MCC $9,810 – $26,241 · median $9,810 32 plans
638 DIABETES WITH CC $6,120 – $16,527 · median $6,120 32 plans
639 DIABETES WITHOUT CC/MCC $4,242 – $11,291 · median $4,242 32 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC $9,120 – $23,929 · median $9,120 32 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC $5,314 – $14,080 · median $5,314 32 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $9,711 – $22,363 · median $9,711 32 plans
643 ENDOCRINE DISORDERS WITH MCC $11,240 – $29,863 · median $11,240 32 plans
644 ENDOCRINE DISORDERS WITH CC $6,999 – $18,621 · median $6,999 32 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,246 – $14,031 · median $5,246 32 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $35,483 – $100,449 · median $35,483 32 plans
654 MAJOR BLADDER PROCEDURES WITH CC $19,115 – $50,851 · median $19,115 32 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $14,453 – $37,431 · median $14,453 32 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $21,740 – $58,706 · median $21,740 32 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $12,496 – $32,941 · median $12,496 32 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $10,596 – $27,101 · median $10,596 32 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $17,350 – $46,567 · median $17,350 32 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,025 – $24,145 · median $9,025 32 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,070 – $18,498 · median $7,070 32 plans
662 MINOR BLADDER PROCEDURES WITH MCC $20,905 – $56,212 · median $20,905 32 plans
663 MINOR BLADDER PROCEDURES WITH CC $10,380 – $27,522 · median $10,380 32 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,149 – $19,457 · median $7,149 32 plans
665 PROSTATECTOMY WITH MCC $21,313 – $61,870 · median $21,313 32 plans
666 PROSTATECTOMY WITH CC $11,945 – $29,683 · median $11,945 32 plans
667 PROSTATECTOMY WITHOUT CC/MCC $7,554 – $18,520 · median $7,554 32 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $19,939 – $52,549 · median $19,939 32 plans
669 TRANSURETHRAL PROCEDURES WITH CC $10,598 – $27,884 · median $10,598 32 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $6,673 – $17,221 · median $6,673 32 plans
671 URETHRAL PROCEDURES WITH CC/MCC $12,257 – $31,059 · median $12,257 32 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,279 – $19,720 · median $7,371 32 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $28,690 – $75,492 · median $28,690 32 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $15,969 – $41,595 · median $15,969 32 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $11,208 – $28,205 · median $11,208 32 plans
682 RENAL FAILURE WITH MCC $10,113 – $27,063 · median $10,113 32 plans
683 RENAL FAILURE WITH CC $5,980 – $16,017 · median $5,980 32 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,099 – $10,945 · median $4,099 32 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $12,316 – $33,978 · median $12,316 32 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,155 – $18,969 · median $7,155 32 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,396 – $13,049 · median $5,396 32 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $7,923 – $21,088 · median $7,923 32 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,528 – $14,462 · median $5,528 32 plans
693 URINARY STONES WITH MCC $9,181 – $26,495 · median $9,181 32 plans
694 URINARY STONES WITHOUT MCC $5,338 – $14,080 · median $5,338 32 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $7,810 – $20,322 · median $7,810 32 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,705 – $12,466 · median $4,705 32 plans
697 URETHRAL STRICTURE $7,360 – $18,051 · median $7,360 32 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,297 – $30,288 · median $11,297 32 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $6,931 – $18,378 · median $6,931 32 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,711 – $12,509 · median $4,711 32 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $13,659 – $34,968 · median $13,659 32 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,476 – $26,713 · median $10,476 32 plans
709 PENIS PROCEDURES WITH CC/MCC $15,890 – $40,490 · median $15,890 32 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $9,568 – $27,054 · median $9,568 32 plans
711 TESTES PROCEDURES WITH CC/MCC $14,229 – $34,427 · median $14,229 32 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $7,509 – $19,273 · median $7,509 32 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,266 – $26,055 · median $10,266 32 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,220 – $16,932 · median $7,220 32 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $15,277 – $40,692 · median $15,277 32 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,045 – $25,574 · median $10,045 32 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $12,909 – $33,434 · median $12,909 32 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $9,129 – $22,198 · median $9,171 32 plans
722 MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC $12,357 – $31,153 · median $12,357 32 plans
723 MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC $7,803 – $20,234 · median $7,803 32 plans
724 MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,477 – $13,129 · median $4,477 32 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $7,991 – $22,751 · median $7,991 32 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,930 – $13,413 · median $4,930 32 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,126 – $26,477 · median $10,126 32 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,539 – $14,723 · median $5,539 32 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,229 – $19,837 · median $7,229 32 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,589 – $10,936 · median $4,589 32 plans
734 PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $14,544 – $37,890 · median $14,544 32 plans
735 PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,188 – $21,873 · median $9,188 32 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $24,408 – $70,952 · median $24,408 32 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $14,071 – $36,009 · median $14,071 32 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,027 – $27,333 · median $10,027 32 plans
739 UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC $24,465 – $71,732 · median $24,465 32 plans
740 UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC $12,357 – $32,764 · median $12,357 32 plans
741 UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC $9,738 – $24,751 · median $9,738 32 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $12,529 – $32,915 · median $12,529 32 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $8,472 – $21,599 · median $8,472 32 plans
744 D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $13,992 – $35,209 · median $13,992 32 plans
745 D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $7,767 – $18,466 · median $7,767 32 plans
746 VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC $11,862 – $30,175 · median $11,862 32 plans
747 VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $5,870 – $17,212 · median $5,870 32 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,473 – $24,547 · median $9,473 32 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $17,533 – $46,644 · median $17,533 32 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,077 – $23,236 · median $10,077 32 plans
754 MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC $12,576 – $32,602 · median $12,576 32 plans
755 MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC $7,428 – $20,003 · median $7,428 32 plans
756 MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,559 – $17,208 · median $6,559 32 plans
757 INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,778 – $25,502 · median $9,778 32 plans
758 INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC $6,685 – $18,367 · median $6,685 32 plans
759 INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,531 – $11,532 · median $4,531 32 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $6,880 – $17,760 · median $6,880 32 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,896 – $11,422 · median $3,896 32 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $11,539 – $25,037 · median $11,539 32 plans
770 ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY $6,201 – $19,388 · median $6,847 32 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,471 – $12,857 · median $4,471 32 plans
779 ABORTION WITHOUT D&C $5,745 – $16,844 · median $5,745 32 plans
799 SPLENIC PROCEDURES WITH MCC $30,925 – $85,677 · median $30,925 32 plans
800 SPLENIC PROCEDURES WITH CC $19,184 – $52,504 · median $19,184 32 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $13,035 – $29,582 · median $13,035 32 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $26,637 – $64,595 · median $27,205 32 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,693 – $32,074 · median $12,693 32 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $9,259 – $19,922 · median $9,259 32 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $15,076 – $41,269 · median $15,076 32 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,644 – $22,317 · median $8,644 32 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,147 – $17,150 · median $7,147 32 plans
811 RED BLOOD CELL DISORDERS WITH MCC $9,589 – $25,351 · median $9,589 32 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,270 – $16,630 · median $6,270 32 plans
813 COAGULATION DISORDERS $10,415 – $27,893 · median $10,415 32 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $14,522 – $37,669 · median $14,522 32 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $6,924 – $18,309 · median $6,924 32 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,316 – $11,882 · median $4,316 32 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $15,580 – $45,680 · median $15,580 32 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $7,915 – $23,208 · median $7,915 32 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,872 – $14,713 · median $5,872 32 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $40,047 – $104,912 · median $40,047 32 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $15,286 – $40,226 · median $15,286 32 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,221 – $20,608 · median $8,221 32 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $31,307 – $84,320 · median $31,307 32 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $15,470 – $39,631 · median $15,470 32 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,214 – $22,178 · median $9,214 32 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $31,942 – $86,050 · median $31,942 32 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $15,782 – $42,523 · median $15,782 32 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,634 – $28,883 · median $11,634 32 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $21,578 – $55,567 · median $21,578 32 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $10,277 – $26,353 · median $10,277 32 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $8,211 – $20,740 · median $8,211 32 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,927 – $13,467 · median $4,927 32 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,571 – $9,366 · median $3,571 32 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $37,487 – $99,596 · median $37,487 32 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $14,243 – $38,487 · median $14,243 32 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,327 – $22,897 · median $8,327 32 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $32,806 – $90,225 · median $32,806 32 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $14,254 – $36,546 · median $14,254 32 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,859 – $24,693 · median $9,859 32 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $22,089 – $57,463 · median $22,089 32 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $11,140 – $28,254 · median $11,140 32 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $6,899 – $18,954 · median $6,899 32 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $13,621 – $34,115 · median $13,621 32 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $8,313 – $21,536 · median $8,313 32 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,815 – $15,078 · median $5,815 32 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $17,703 – $46,017 · median $17,703 32 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $8,933 – $22,897 · median $8,933 32 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,800 – $14,756 · median $5,800 32 plans
849 RADIOTHERAPY $18,501 – $48,131 · median $18,501 32 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $33,723 – $90,118 · median $33,723 32 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $13,644 – $36,004 · median $13,644 32 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,223 – $29,292 · median $10,223 32 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $31,060 – $81,295 · median $31,060 32 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $14,623 – $39,262 · median $14,623 32 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,511 – $23,216 · median $9,511 32 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $12,453 – $33,132 · median $12,453 32 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $6,814 – $18,017 · median $6,814 32 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,062 – $16,181 · median $6,062 32 plans
865 VIRAL ILLNESS WITH MCC $10,231 – $26,594 · median $10,231 32 plans
866 VIRAL ILLNESS WITHOUT MCC $5,938 – $15,943 · median $5,938 32 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $14,293 – $38,638 · median $14,293 32 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,041 – $18,922 · median $7,041 32 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,983 – $12,966 · median $4,983 32 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $47,196 – $125,349 · median $47,196 32 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $13,264 – $35,355 · median $13,264 32 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $6,987 – $18,578 · median $6,987 32 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $26,391 – $70,807 · median $26,391 32 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $6,557 – $17,273 · median $6,557 32 plans
881 DEPRESSIVE NEUROSES $6,425 – $16,471 · median $6,425 32 plans
882 NEUROSES EXCEPT DEPRESSIVE $7,293 – $17,334 · median $7,332 32 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $13,427 – $33,405 · median $13,427 32 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $10,986 – $30,095 · median $10,986 32 plans
885 PSYCHOSES $9,538 – $25,400 · median $9,538 32 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $13,057 – $32,371 · median $14,171 32 plans
887 OTHER MENTAL DISORDER DIAGNOSES $7,313 – $21,432 · median $7,313 32 plans
894 ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA $4,212 – $11,246 · median $4,212 32 plans
895 ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY $9,666 – $26,090 · median $9,666 32 plans
896 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC $11,916 – $32,088 · median $11,916 32 plans
897 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC $6,028 – $15,896 · median $6,028 32 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $28,656 – $79,833 · median $28,656 32 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $13,073 – $34,193 · median $13,073 32 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $7,986 – $21,967 · median $7,986 32 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $25,081 – $69,573 · median $25,081 32 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $10,129 – $29,699 · median $10,129 32 plans
906 HAND PROCEDURES FOR INJURIES $13,413 – $39,326 · median $13,413 32 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $26,216 – $71,782 · median $26,216 32 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,624 – $36,346 · median $13,624 32 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $8,964 – $22,854 · median $8,964 32 plans
913 TRAUMATIC INJURY WITH MCC $11,162 – $29,160 · median $11,162 32 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,047 – $16,513 · median $6,047 32 plans
915 ALLERGIC REACTIONS WITH MCC $11,483 – $31,315 · median $11,483 32 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,550 – $11,966 · median $4,550 32 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,710 – $29,546 · median $10,710 32 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,853 – $15,940 · median $5,853 32 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $12,501 – $32,859 · median $12,501 32 plans
920 COMPLICATIONS OF TREATMENT WITH CC $6,844 – $18,306 · median $6,844 32 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,701 – $12,392 · median $4,701 32 plans
922 OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $11,946 – $30,441 · median $11,946 32 plans
923 OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,949 – $18,378 · median $6,949 32 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $145,789 – $427,461 · median $145,789 32 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $48,978 – $120,347 · median $48,978 32 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $21,993 – $57,308 · median $21,993 32 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $23,540 – $77,966 · median $26,591 32 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $15,095 – $38,665 · median $15,095 32 plans
935 NON-EXTENSIVE BURNS $14,066 – $39,577 · median $14,066 32 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $24,777 – $57,192 · median $24,777 32 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $15,957 – $38,045 · median $15,957 32 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $13,846 – $35,215 · median $13,846 32 plans
945 REHABILITATION WITH CC/MCC $10,574 – $27,506 · median $10,574 32 plans
946 REHABILITATION WITHOUT CC/MCC $7,831 – $20,118 · median $7,831 32 plans
947 SIGNS AND SYMPTOMS WITH MCC $8,668 – $23,176 · median $8,668 32 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,466 – $14,316 · median $5,466 32 plans
949 AFTERCARE WITH CC/MCC $8,124 – $19,443 · median $8,124 32 plans
950 AFTERCARE WITHOUT CC/MCC $4,286 – $10,561 · median $4,286 32 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,797 – $10,217 · median $3,797 32 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $45,962 – $123,039 · median $45,962 32 plans
956 LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $25,695 – $68,876 · median $25,695 32 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $52,032 – $134,497 · median $52,032 32 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $28,774 – $74,054 · median $28,774 32 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $19,662 – $47,640 · median $20,103 32 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $18,667 – $48,952 · median $18,667 32 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,465 – $27,030 · median $10,465 32 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,422 – $16,444 · median $6,422 32 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $41,799 – $113,958 · median $41,799 32 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $18,009 – $47,810 · median $18,009 32 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $19,707 – $53,808 · median $19,707 32 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $8,843 – $25,612 · median $8,843 32 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,164 – $18,073 · median $6,164 32 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $8,861 – $25,982 · median $8,861 32 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $32,037 – $85,661 · median $32,037 32 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $16,788 – $44,116 · median $16,788 32 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,704 – $30,059 · median $11,704 32 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $23,410 – $63,115 · median $23,410 32 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,223 – $30,921 · median $11,223 32 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,189 – $20,821 · median $8,189 32 plans
789 NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $12,306 – $32,481 · median $12,306 31 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE $40,584 – $107,119 · median $40,584 31 plans
791 PREMATURITY WITH MAJOR PROBLEMS $27,716 – $73,155 · median $27,716 31 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $16,724 – $44,141 · median $16,724 31 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $28,472 – $75,148 · median $28,472 31 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $10,078 – $26,600 · median $10,078 31 plans
795 NORMAL NEWBORN $1,364 – $3,600 · median $1,364 31 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $191,358 – $459,735 · median $191,358 30 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $77,378 – $192,526 · median $77,378 30 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $70,404 – $173,809 · median $70,404 30 plans
006 LIVER TRANSPLANT WITHOUT MCC $31,663 – $79,144 · median $31,663 30 plans
007 LUNG TRANSPLANT $88,429 – $213,296 · median $88,429 30 plans
008 SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT $38,270 – $88,804 · median $38,270 30 plans
010 PANCREAS TRANSPLANT $37,373 – $130,127 · median $48,998 30 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $82,063 – $213,834 · median $82,063 30 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $40,490 – $98,512 · median $40,490 30 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $37,094 – $98,512 · median $37,094 30 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $286,047 – $615,511 · median $294,868 30 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $48,718 – $129,381 · median $48,718 30 plans
650 NEONATE BIRTHWT 1500-1999G WITHOUT SIGNIF O.R. PROC WITH OTHER PROB $32,103 – $75,196 · median $32,103 30 plans
651 NEONATE BIRTHWT 2000-2499G WITH SIGNIF O.R. PROC WITH MULT MAJOR PROB $25,305 – $56,675 · median $25,305 30 plans
652 KIDNEY TRANSPLANT $22,052 – $50,128 · median $22,052 30 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,317 – $19,153 · median $7,317 29 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $13,756 – $27,860 · median $16,764 29 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,239 – $16,103 · median $7,239 29 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,540 – $13,622 · median $6,540 29 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $11,263 – $27,509 · median $11,263 29 plans
787 NEONATE BIRTHWT >2499G W SIGNIF O.R. PROC W/O MULT MAJOR PROB $7,626 – $16,528 · median $7,626 29 plans
788 NEONATE BIRTHWT >2499G W MINOR ABDOM PROCEDURE $6,547 – $13,444 · median $6,547 29 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,969 – $22,303 · median $7,969 29 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $6,831 – $15,660 · median $6,831 29 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,484 – $13,131 · median $6,535 29 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $7,369 – $15,853 · median $7,369 29 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,149 – $11,741 · median $5,149 29 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,604 – $10,288 · median $4,604 29 plans
317 ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MCC $45,658 – $111,473 · median $45,658 26 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $27,453 – $70,494 · median $27,453 26 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $75,257 – $188,756 · median $75,257 26 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $49,291 – $127,984 · median $49,291 26 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $38,389 – $99,178 · median $38,389 26 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $61,521 – $150,289 · median $61,521 26 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $39,380 – $98,573 · median $39,380 26 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $45,624 – $120,812 · median $45,624 26 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $28,958 – $73,581 · median $28,958 26 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $36,393 – $92,800 · median $36,393 26 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $22,058 – $55,607 · median $22,058 26 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $59,130 – $165,989 · median $59,130 26 plans
209 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE 0-17 $77,289 – $77,289 · median $77,289 21 plans
213 SPLENIC PROCEDURES AGE 0-17 $38,969 – $38,969 · median $38,969 21 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $16,540 – $16,540 · median $16,540 21 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $23,480 – $23,480 · median $23,480 21 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $16,486 – $16,486 · median $16,486 21 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $11,731 – $27,863 · median $21,913 11 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,895 – $17,981 · median $14,748 11 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,752 – $12,013 · median $10,744 11 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $8,491 – $22,127 · median $15,862 11 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,189 – $14,231 · median $11,560 11 plans
509 ARTHROSCOPY $10,606 – $31,654 · median $21,481 11 plans
453 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC $68,800 – $144,627 · median $128,517 7 plans
454 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC $47,487 – $99,824 · median $88,705 7 plans
455 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC $35,758 – $75,168 · median $66,795 7 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $51,493 – $108,246 · median $96,188 7 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $28,400 – $59,701 · median $53,051 7 plans
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