Lee's Summit Medical Center — Pricing

771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 771
Lowest published price —
Average published price —
Highest published price —

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 771 procedures

Procedures with negotiated rates only

These 771 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,375 – $14,363 · median $9,537 17 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $4,157 – $14,363 · median $9,744 16 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $4,157 – $14,363 · median $9,744 16 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $4,157 – $14,363 · median $9,744 16 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $4,157 – $14,363 · median $9,744 16 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,157 – $14,363 · median $9,744 16 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,157 – $14,363 · median $9,744 16 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $60,603 – $226,720 · median $86,873 14 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $56,656 – $108,323 · median $68,649 14 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $54,716 – $110,508 · median $67,373 14 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $3,285 – $207,999 · median $91,515 14 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $3,285 – $204,683 · median $75,147 14 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $3,285 – $211,571 · median $82,996 14 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $3,285 – $110,508 · median $64,160 14 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $3,285 – $90,424 · median $63,710 14 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $3,285 – $115,770 · median $60,603 14 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $23,133 – $80,495 · median $39,444 14 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $19,622 – $98,329 · median $39,444 14 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $12,457 – $100,610 · median $25,392 14 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $12,457 – $45,538 · median $18,050 14 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $25,533 – $68,403 · median $36,823 14 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $9,978 – $31,443 · median $15,444 14 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $2,530 – $37,161 · median $19,113 14 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $11,617 – $37,161 · median $15,444 14 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $12,457 – $70,308 · median $32,860 14 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $12,457 – $54,949 · median $19,139 14 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $6,180 – $18,755 · median $12,402 14 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,180 – $18,755 · median $12,402 14 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,180 – $18,755 · median $12,402 14 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $6,180 – $18,755 · median $12,402 14 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $6,180 – $18,755 · median $12,402 14 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,180 – $18,755 · median $12,402 14 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $34,491 – $313,195 · median $42,773 13 plans
253 OTHER VASCULAR PROCEDURES WITH CC $28,178 – $62,184 · median $35,439 13 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $19,342 – $53,051 · median $30,521 13 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $16,810 – $42,773 · median $34,111 13 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $17,564 – $61,810 · median $30,680 13 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $24,389 – $44,508 · median $35,312 13 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $20,523 – $44,508 · median $34,491 13 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $17,694 – $44,508 · median $34,491 13 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $12,457 – $100,610 · median $44,786 13 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $12,457 – $56,435 · median $34,581 13 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $15,163 – $144,615 · median $75,147 10 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $60,603 – $150,049 · median $90,675 10 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $60,603 – $150,049 · median $73,264 10 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $60,603 – $150,049 · median $73,264 10 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $3,285 – $88,940 · median $60,603 10 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $3,285 – $88,940 · median $60,603 10 plans
245 AICD GENERATOR PROCEDURES $34,491 – $71,613 · median $42,773 10 plans
265 AICD LEAD PROCEDURES $34,491 – $71,613 · median $39,279 10 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $34,491 – $150,258 · median $60,090 10 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $60,603 – $150,258 · median $70,177 10 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $50,138 – $150,258 · median $61,012 10 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $2,530 – $22,793 · median $15,444 10 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $7,850 – $27,117 · median $12,457 10 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $12,457 – $57,550 · median $15,444 10 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $12,457 – $46,044 · median $15,444 10 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $12,457 – $46,044 · median $15,444 10 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $51,538 – $142,491 · median $75,134 10 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $51,538 – $152,918 · median $105,404 10 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $51,538 – $142,491 · median $76,098 10 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $51,538 – $142,491 · median $101,492 10 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $51,538 – $142,491 · median $77,402 10 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $45,298 – $142,491 · median $62,187 10 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $2,530 – $36,500 · median $21,088 10 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $2,530 – $36,500 · median $15,694 10 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $28,582 – $44,427 · median $35,439 9 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $60,603 – $91,469 · median $74,667 9 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $45,847 – $75,147 · median $60,603 9 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $57,280 – $75,147 · median $60,603 9 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $38,607 – $75,147 · median $60,603 9 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $27,715 – $75,147 · median $60,603 9 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $28,582 – $74,025 · median $35,439 9 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $28,582 – $47,962 · median $35,439 9 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $43,647 – $142,491 · median $53,469 9 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $51,538 – $192,057 · median $119,646 9 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $51,538 – $142,491 · median $87,314 9 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $10,711 – $32,200 · median $14,884 8 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL $51,439 – $122,925 · median $72,535 7 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $36,720 – $74,867 · median $50,000 7 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY $51,439 – $94,423 · median $57,858 7 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $35,069 – $56,579 · median $42,961 7 plans
471 CERVICAL SPINAL FUSION WITH MCC $31,209 – $75,500 · median $52,420 7 plans
472 CERVICAL SPINAL FUSION WITH CC $31,209 – $50,000 · median $34,470 7 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $26,503 – $50,000 · median $32,467 7 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $2,530 – $30,343 · median $15,268 7 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $2,530 – $15,416 · median $12,584 7 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,530 – $15,268 · median $10,242 7 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $2,530 – $15,992 · median $13,054 7 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,530 – $15,268 · median $6,954 7 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $3,237 – $36,500 · median $21,691 7 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $10,711 – $36,500 · median $17,960 6 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $3,285 – $151,741 · median $85,424 5 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $3,285 – $151,741 · median $57,470 5 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $3,285 – $151,741 · median $34,494 5 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $3,285 – $100,911 · median $62,208 5 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $3,285 – $101,563 · median $42,468 5 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $3,285 – $60,467 · median $49,359 5 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $3,285 – $59,586 · median $48,640 5 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $3,285 – $40,802 · median $23,134 5 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $3,285 – $40,802 · median $18,052 5 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $3,237 – $51,476 · median $42,020 5 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $3,237 – $40,278 · median $25,951 5 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $3,237 – $40,278 · median $21,091 5 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $3,237 – $43,782 · median $35,739 5 plans
038 EXTRACRANIAL PROCEDURES WITH CC $3,237 – $21,579 · median $17,615 5 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,237 – $20,864 · median $12,761 5 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $3,237 – $40,366 · median $18,756 5 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $2,530 – $30,895 · median $25,220 5 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $2,530 – $17,230 · median $14,065 5 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $2,530 – $22,735 · median $18,558 5 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $2,530 – $16,503 · median $13,471 5 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $2,530 – $12,232 · median $9,985 5 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $10,711 – $36,667 · median $29,931 5 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $10,711 – $34,101 · median $19,076 5 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $10,711 – $34,101 · median $15,240 5 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $10,711 – $34,101 · median $21,831 5 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $10,711 – $34,101 · median $10,968 5 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $7,430 – $34,101 · median $9,102 5 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,711 – $19,532 · median $15,944 5 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $9,384 – $16,931 · median $10,711 5 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $8,672 – $17,199 · median $10,623 5 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $10,665 – $13,709 · median $11,190 5 plans
089 CONCUSSION WITH CC $8,869 – $14,610 · median $11,926 5 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $2,530 – $13,605 · median $11,106 5 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $2,530 – $10,711 · median $8,645 5 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $3,237 – $24,046 · median $19,629 5 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $13,042 – $28,859 · median $23,558 5 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $9,621 – $18,997 · median $11,786 5 plans
149 DYSEQUILIBRIUM $8,159 – $10,863 · median $9,996 5 plans
163 MAJOR CHEST PROCEDURES WITH MCC $3,237 – $59,604 · median $48,654 5 plans
164 MAJOR CHEST PROCEDURES WITH CC $3,237 – $33,567 · median $27,401 5 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $3,237 – $25,457 · median $20,781 5 plans
180 RESPIRATORY NEOPLASMS WITH MCC $10,711 – $23,486 · median $19,172 5 plans
181 RESPIRATORY NEOPLASMS WITH CC $10,711 – $15,807 · median $11,627 5 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $8,183 – $15,807 · median $10,025 5 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $2,530 – $16,430 · median $13,412 5 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $10,711 – $21,526 · median $12,025 5 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $9,152 – $21,526 · median $10,711 5 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $6,970 – $21,526 · median $8,538 5 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $10,711 – $24,180 · median $14,269 5 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $8,749 – $19,312 · median $10,711 5 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $6,823 – $10,711 · median $8,358 5 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $10,543 – $18,691 · median $10,711 5 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $7,274 – $17,730 · median $8,910 5 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $2,530 – $10,738 · median $8,765 5 plans
209 COMPLEX AORTIC ARCH PROCEDURES $90,390 – $150,529 · median $122,877 5 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $90,561 – $334,366 · median $108,093 5 plans
291 HEART FAILURE AND SHOCK WITH MCC $13,937 – $29,325 · median $17,073 5 plans
292 HEART FAILURE AND SHOCK WITH CC $9,217 – $29,325 · median $11,291 5 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $6,145 – $29,325 · median $7,527 5 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $11,589 – $14,751 · median $12,381 5 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $7,813 – $14,751 · median $9,571 5 plans
302 ATHEROSCLEROSIS WITH MCC $2,530 – $15,914 · median $12,990 5 plans
303 ATHEROSCLEROSIS WITHOUT MCC $2,530 – $10,711 · median $7,308 5 plans
304 HYPERTENSION WITH MCC $10,711 – $15,826 · median $12,919 5 plans
305 HYPERTENSION WITHOUT MCC $8,197 – $12,490 · median $10,042 5 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $2,530 – $16,012 · median $13,071 5 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $7,987 – $14,117 · median $9,784 5 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $6,146 – $14,117 · median $7,529 5 plans
311 ANGINA PECTORIS $7,620 – $15,225 · median $9,335 5 plans
313 CHEST PAIN $7,816 – $13,500 · median $9,575 5 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $26,295 – $54,949 · median $27,091 5 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $15,163 – $66,327 · median $54,143 5 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $3,237 – $21,309 · median $17,395 5 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $3,237 – $61,129 · median $49,900 5 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,237 – $31,880 · median $26,024 5 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,237 – $22,381 · median $18,270 5 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $3,237 – $28,044 · median $22,892 5 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $3,237 – $20,414 · median $16,664 5 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $14,208 – $17,406 · median $14,749 5 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $9,451 – $15,163 · median $11,578 5 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $11,760 – $20,274 · median $16,550 5 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $15,031 – $22,374 · median $18,264 5 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $14,601 – $17,887 · median $15,031 5 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $37,329 – $54,949 · median $45,730 5 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $26,210 – $54,949 · median $32,108 5 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $10,711 – $21,171 · median $17,282 5 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $10,711 – $13,555 · median $10,858 5 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $7,608 – $13,555 · median $9,320 5 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $10,711 – $23,581 · median $19,249 5 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $10,711 – $13,578 · median $11,084 5 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $7,897 – $13,555 · median $9,674 5 plans
374 DIGESTIVE MALIGNANCY WITH MCC $2,530 – $28,443 · median $23,218 5 plans
375 DIGESTIVE MALIGNANCY WITH CC $2,530 – $16,087 · median $13,131 5 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $2,530 – $12,292 · median $10,034 5 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $2,530 – $24,311 · median $19,845 5 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $10,647 – $13,042 · median $10,711 5 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $6,844 – $11,427 · median $8,384 5 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $9,280 – $11,368 · median $10,711 5 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $2,530 – $21,043 · median $17,178 5 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $2,530 – $12,984 · median $10,599 5 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $2,530 – $10,711 · median $7,396 5 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $2,530 – $19,640 · median $16,032 5 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $8,574 – $10,711 · median $10,504 5 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,906 – $10,711 · median $7,235 5 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $10,711 – $14,884 · median $14,884 5 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $9,655 – $12,444 · median $10,158 5 plans
397 APPENDIX PROCEDURES WITH MCC $15,163 – $31,850 · median $25,999 5 plans
398 APPENDIX PROCEDURES WITH CC $15,163 – $20,129 · median $16,432 5 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $12,427 – $17,377 · median $15,163 5 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $15,163 – $47,379 · median $38,676 5 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $15,163 – $28,042 · median $22,436 5 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $14,800 – $28,042 · median $15,163 5 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $15,163 – $64,660 · median $36,988 5 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $15,163 – $113,000 · median $18,862 5 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $2,530 – $26,175 · median $21,367 5 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $2,530 – $14,046 · median $11,466 5 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,530 – $10,711 · median $7,735 5 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $2,530 – $24,426 · median $19,939 5 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $2,530 – $15,043 · median $12,279 5 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $2,530 – $11,348 · median $9,263 5 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $10,711 – $21,680 · median $17,698 5 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $9,132 – $19,876 · median $10,711 5 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $6,746 – $19,876 · median $8,264 5 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $2,530 – $12,838 · median $10,479 5 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $2,530 – $10,711 · median $7,596 5 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $2,530 – $14,554 · median $11,881 5 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $2,530 – $11,002 · median $8,981 5 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $44,142 – $75,252 · median $59,958 5 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $28,877 – $75,252 · median $35,375 5 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $51,310 – $69,227 · median $56,510 5 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $38,285 – $59,102 · median $46,900 5 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $29,832 – $59,102 · median $36,546 5 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $32,928 – $59,102 · median $40,339 5 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $31,627 – $59,102 · median $31,627 5 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $14,675 – $23,525 · median $19,203 5 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,124 – $20,523 · median $14,675 5 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $23,709 – $33,728 · median $27,532 5 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $12,747 – $48,218 · median $39,361 5 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $12,747 – $23,990 · median $19,583 5 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $12,747 – $18,879 · median $13,117 5 plans
501 SOFT TISSUE PROCEDURES WITH CC $14,890 – $23,248 · median $18,977 5 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $14,611 – $17,899 · median $14,890 5 plans
503 FOOT PROCEDURES WITH MCC $16,169 – $37,119 · median $30,300 5 plans
504 FOOT PROCEDURES WITH CC $16,169 – $24,859 · median $20,292 5 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $16,169 – $23,843 · median $19,463 5 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $16,758 – $40,170 · median $32,791 5 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $16,758 – $27,654 · median $22,574 5 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $16,758 – $24,887 · median $17,971 5 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,966 – $20,937 · median $17,091 5 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $11,098 – $15,163 · median $11,966 5 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $13,484 – $36,434 · median $22,560 5 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $13,484 – $36,434 · median $16,682 5 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $27,786 – $49,702 · median $40,572 5 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $21,714 – $31,533 · median $26,601 5 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $31,159 – $59,102 · median $38,171 5 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $22,990 – $59,102 · median $28,163 5 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $2,530 – $23,493 · median $19,177 5 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $2,530 – $13,671 · median $11,160 5 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $2,530 – $10,711 · median $8,192 5 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $2,530 – $33,004 · median $26,941 5 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $2,530 – $15,339 · median $12,521 5 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,530 – $11,121 · median $9,078 5 plans
551 MEDICAL BACK PROBLEMS WITH MCC $14,302 – $24,727 · median $18,196 5 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $10,436 – $14,302 · median $12,784 5 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,711 – $17,579 · median $14,350 5 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $9,017 – $12,063 · median $10,711 5 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $2,530 – $19,774 · median $16,142 5 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $2,530 – $11,879 · median $9,697 5 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $3,237 – $35,252 · median $28,776 5 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,237 – $21,364 · median $17,439 5 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $3,237 – $22,933 · median $18,720 5 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $2,530 – $14,396 · median $11,752 5 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $16,867 – $40,500 · median $31,346 5 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $16,867 – $40,500 · median $17,373 5 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $16,375 – $40,500 · median $16,867 5 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $3,237 – $19,941 · median $16,278 5 plans
637 DIABETES WITH MCC $10,711 – $19,107 · median $15,597 5 plans
638 DIABETES WITH CC $9,729 – $11,919 · median $10,711 5 plans
639 DIABETES WITHOUT CC/MCC $6,744 – $11,016 · median $8,261 5 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $2,530 – $17,762 · median $14,499 5 plans
644 ENDOCRINE DISORDERS WITH CC $2,530 – $13,632 · median $11,127 5 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $2,530 – $10,711 · median $8,341 5 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $14,348 – $32,627 · median $17,577 5 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $11,240 – $27,058 · median $13,770 5 plans
669 TRANSURETHRAL PROCEDURES WITH CC $13,905 – $20,640 · median $16,849 5 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $10,610 – $15,163 · median $12,997 5 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $2,530 – $15,431 · median $12,596 5 plans
709 PENIS PROCEDURES WITH CC/MCC $3,237 – $30,948 · median $25,263 5 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $3,237 – $18,635 · median $15,211 5 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $3,237 – $19,994 · median $16,321 5 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $11,479 – $17,827 · median $14,062 5 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $3,237 – $54,944 · median $38,895 5 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $19,645 – $28,421 · median $22,160 5 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $15,482 – $24,451 · median $18,966 5 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $19,661 – $26,761 · median $19,919 5 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $13,469 – $18,920 · median $16,500 5 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $3,237 – $27,251 · median $22,245 5 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $15,061 – $23,094 · median $15,992 5 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $2,530 – $14,467 · median $11,809 5 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,530 – $12,774 · median $10,427 5 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,711 – $19,043 · median $15,545 5 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $10,628 – $15,826 · median $10,711 5 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,204 – $15,826 · median $8,825 5 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $8,672 – $13,399 · median $10,937 5 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $6,193 – $10,711 · median $7,587 5 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,922 – $15,163 · median $10,885 5 plans
811 RED BLOOD CELL DISORDERS WITH MCC $2,530 – $18,676 · median $15,245 5 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $2,530 – $21,696 · median $17,711 5 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $2,530 – $13,437 · median $10,969 5 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $3,237 – $65,678 · median $53,613 5 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,237 – $19,911 · median $16,254 5 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $3,237 – $60,493 · median $49,381 5 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $3,237 – $28,480 · median $23,248 5 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $3,237 – $18,524 · median $15,121 5 plans
865 VIRAL ILLNESS WITH MCC $10,711 – $19,926 · median $16,266 5 plans
866 VIRAL ILLNESS WITHOUT MCC $6,875 – $11,565 · median $9,440 5 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $2,530 – $91,920 · median $75,035 5 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $15,163 – $72,534 · median $59,210 4 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $15,163 – $56,069 · median $45,769 4 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $15,163 – $38,325 · median $31,285 4 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $33,754 – $45,802 · median $37,551 4 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $27,389 – $45,802 · median $30,470 4 plans
028 SPINAL PROCEDURES WITH MCC $37,629 – $79,904 · median $65,226 4 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $37,036 – $45,371 · median $37,333 4 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $23,831 – $37,629 · median $26,513 4 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $40,366 – $51,350 · median $41,917 4 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $23,869 – $40,366 · median $26,555 4 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $10,711 – $24,089 · median $19,664 4 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $10,630 – $13,022 · median $10,671 4 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,711 – $20,306 · median $16,576 4 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $10,711 – $13,560 · median $11,069 4 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $10,711 – $22,140 · median $18,073 4 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $10,711 – $13,645 · median $11,138 4 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $8,209 – $10,711 · median $9,133 4 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $10,711 – $21,336 · median $17,416 4 plans
075 VIRAL MENINGITIS WITH CC/MCC $10,711 – $25,501 · median $20,816 4 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $8,958 – $10,974 · median $9,835 4 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $10,711 – $24,071 · median $19,649 4 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $9,723 – $11,911 · median $10,217 4 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $24,813 – $30,396 · median $26,966 4 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $15,153 – $20,360 · median $16,858 4 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $10,376 – $13,156 · median $11,544 4 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $24,664 – $30,841 · median $27,439 4 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $14,142 – $17,964 · median $15,733 4 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $9,930 – $12,165 · median $10,717 4 plans
088 CONCUSSION WITH MCC $10,711 – $17,978 · median $14,675 4 plans
090 CONCUSSION WITHOUT CC/MCC $8,937 – $10,948 · median $9,824 4 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $10,711 – $23,356 · median $19,065 4 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $10,711 – $46,805 · median $38,207 4 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $10,711 – $34,301 · median $28,000 4 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,711 – $34,301 · median $28,000 4 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $10,711 – $48,033 · median $39,210 4 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $10,711 – $30,520 · median $24,913 4 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,711 – $18,119 · median $14,790 4 plans
100 SEIZURES WITH MCC $10,711 – $25,758 · median $21,026 4 plans
101 SEIZURES WITHOUT MCC $9,799 – $12,004 · median $10,255 4 plans
102 HEADACHES WITH MCC $10,711 – $11,162 · median $11,162 4 plans
103 HEADACHES WITHOUT MCC $10,711 – $11,162 · median $11,162 4 plans
113 ORBITAL PROCEDURES WITH CC/MCC $15,163 – $31,267 · median $25,524 4 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $14,688 – $17,994 · median $14,926 4 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $15,163 – $20,413 · median $16,663 4 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $11,778 – $15,163 · median $13,103 4 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $10,711 – $15,471 · median $12,629 4 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $8,531 – $10,711 · median $9,491 4 plans
123 NEUROLOGICAL EYE DISORDERS $8,670 – $10,711 · median $9,645 4 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $10,711 – $17,596 · median $14,364 4 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $8,335 – $10,711 · median $9,273 4 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $11,022 – $15,163 · median $12,262 4 plans
137 MOUTH PROCEDURES WITH CC/MCC $15,163 – $19,858 · median $16,210 4 plans
139 SALIVARY GLAND PROCEDURES $13,415 – $16,434 · median $14,289 4 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $15,163 – $56,724 · median $46,304 4 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $15,163 – $29,007 · median $23,678 4 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $15,163 – $21,231 · median $17,331 4 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $15,163 – $49,826 · median $40,673 4 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $15,163 – $23,046 · median $18,812 4 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $13,052 – $15,989 · median $14,108 4 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $10,711 – $28,159 · median $22,987 4 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $10,711 – $16,910 · median $13,803 4 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $8,653 – $10,711 · median $9,627 4 plans
150 EPISTAXIS WITH MCC $10,711 – $17,708 · median $14,455 4 plans
151 EPISTAXIS WITHOUT MCC $7,968 – $10,711 · median $8,865 4 plans
152 OTITIS MEDIA AND URI WITH MCC $10,711 – $15,722 · median $12,834 4 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $8,014 – $10,711 · median $8,916 4 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $10,711 – $20,793 · median $16,973 4 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $9,950 – $12,189 · median $10,330 4 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $7,503 – $10,711 · median $8,347 4 plans
157 DENTAL AND ORAL DISEASES WITH MCC $10,711 – $22,832 · median $18,638 4 plans
158 DENTAL AND ORAL DISEASES WITH CC $9,877 – $12,099 · median $10,294 4 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $7,691 – $10,711 · median $8,557 4 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $15,163 – $49,708 · median $40,577 4 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $15,163 – $23,983 · median $19,578 4 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $14,834 – $18,172 · median $14,998 4 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $15,163 – $39,583 · median $32,312 4 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,711 – $18,268 · median $14,912 4 plans
176 PULMONARY EMBOLISM WITHOUT MCC $8,739 – $10,711 · median $9,722 4 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,711 – $20,782 · median $16,965 4 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $10,596 – $12,980 · median $10,653 4 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $8,196 – $10,711 · median $9,119 4 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,711 – $20,346 · median $16,609 4 plans
184 MAJOR CHEST TRAUMA WITH CC $10,711 – $14,152 · median $11,552 4 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $8,538 – $10,711 · median $9,499 4 plans
186 PLEURAL EFFUSION WITH MCC $10,711 – $20,727 · median $16,919 4 plans
187 PLEURAL EFFUSION WITH CC $10,711 – $13,154 · median $10,738 4 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $7,786 – $10,711 · median $8,662 4 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $10,711 – $25,098 · median $20,487 4 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $10,303 – $12,622 · median $10,507 4 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $7,775 – $10,711 · median $8,650 4 plans
199 PNEUMOTHORAX WITH MCC $10,711 – $23,461 · median $19,151 4 plans
200 PNEUMOTHORAX WITH CC $10,711 – $14,620 · median $11,934 4 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $7,763 – $10,711 · median $8,637 4 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $10,711 – $24,351 · median $19,877 4 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $10,217 – $12,516 · median $10,464 4 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $10,711 – $85,575 · median $69,855 4 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $10,711 – $36,555 · median $29,840 4 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $61,954 – $75,896 · median $66,256 4 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $15,163 – $65,454 · median $53,430 4 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $15,163 – $37,909 · median $30,945 4 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $15,029 – $18,411 · median $15,096 4 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $15,163 – $35,873 · median $29,283 4 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $15,163 – $22,580 · median $18,432 4 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $11,857 – $15,163 · median $13,191 4 plans
263 VEIN LIGATION AND STRIPPING $18,813 – $40,660 · median $33,191 4 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $66,530 – $172,348 · median $74,016 4 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $51,683 – $129,409 · median $57,499 4 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $21,504 – $56,441 · median $23,923 4 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $7,515 – $56,441 · median $8,360 4 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $6,502 – $56,441 · median $7,233 4 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $29,379 – $47,891 · median $32,684 4 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $18,530 – $47,891 · median $20,615 4 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $10,093 – $47,891 · median $11,228 4 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $10,711 – $20,772 · median $16,956 4 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $6,883 – $10,711 · median $7,657 4 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,941 – $10,711 · median $5,496 4 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $12,381 – $21,713 · median $17,725 4 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $10,711 – $20,957 · median $17,107 4 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $9,914 – $12,145 · median $10,312 4 plans
312 SYNCOPE AND COLLAPSE $9,462 – $11,591 · median $10,087 4 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $10,711 – $27,731 · median $22,637 4 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $10,458 – $12,811 · median $10,584 4 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $7,405 – $10,711 · median $8,238 4 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $72,589 – $100,865 · median $80,756 4 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $48,449 – $75,031 · median $53,901 4 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $26,112 – $42,956 · median $29,050 4 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $15,163 – $32,505 · median $26,534 4 plans
332 RECTAL RESECTION WITH MCC $15,163 – $48,152 · median $39,306 4 plans
333 RECTAL RESECTION WITH CC $15,163 – $31,149 · median $25,427 4 plans
334 RECTAL RESECTION WITHOUT CC/MCC $15,163 – $21,782 · median $17,781 4 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $15,163 – $47,489 · median $38,766 4 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $15,163 – $34,349 · median $28,039 4 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $15,163 – $20,011 · median $16,335 4 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,877 – $15,775 · median $14,020 4 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $15,163 – $30,529 · median $24,921 4 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $15,163 – $33,140 · median $27,052 4 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $12,678 – $15,531 · median $13,920 4 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $15,163 – $38,594 · median $31,504 4 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $15,163 – $58,420 · median $47,688 4 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $15,163 – $30,927 · median $25,246 4 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $15,163 – $18,591 · median $15,176 4 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $10,711 – $26,095 · median $21,302 4 plans
381 COMPLICATED PEPTIC ULCER WITH CC $10,711 – $14,410 · median $11,763 4 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $8,691 – $10,711 · median $9,669 4 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $10,711 – $18,362 · median $14,989 4 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $10,711 – $21,269 · median $17,362 4 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $7,046 – $10,711 · median $7,838 4 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $15,163 – $72,752 · median $59,388 4 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $15,163 – $38,570 · median $31,485 4 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $15,163 – $29,519 · median $24,096 4 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $15,163 – $47,419 · median $38,708 4 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $15,163 – $28,956 · median $23,637 4 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $15,163 – $21,115 · median $17,236 4 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $15,163 – $43,931 · median $35,861 4 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $15,163 – $27,961 · median $22,825 4 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $15,163 – $22,083 · median $18,026 4 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $15,163 – $31,737 · median $25,907 4 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $15,163 – $22,497 · median $18,364 4 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $14,827 – $18,164 · median $14,995 4 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $15,163 – $18,612 · median $15,193 4 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $15,163 – $55,231 · median $45,085 4 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $15,163 – $29,097 · median $23,752 4 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $15,163 – $19,953 · median $16,287 4 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $10,711 – $23,868 · median $19,483 4 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $10,711 – $22,221 · median $18,139 4 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $46,181 – $75,798 · median $61,874 4 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $33,813 – $46,181 · median $37,618 4 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $19,798 – $46,181 · median $22,026 4 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $15,163 – $57,091 · median $46,604 4 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $15,163 – $30,265 · median $24,705 4 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $12,812 – $15,696 · median $13,988 4 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $15,163 – $45,943 · median $37,503 4 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,163 – $32,705 · median $26,697 4 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $15,163 – $24,722 · median $20,180 4 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $31,616 – $38,731 · median $34,215 4 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $22,738 – $36,815 · median $25,296 4 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $17,706 – $36,815 · median $19,698 4 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $15,163 – $36,864 · median $30,092 4 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $23,347 – $42,917 · median $35,033 4 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $22,701 – $27,810 · median $23,024 4 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $17,003 – $23,347 · median $18,916 4 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $25,912 – $48,829 · median $39,859 4 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $21,783 – $26,684 · median $23,931 4 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $15,163 – $40,120 · median $32,750 4 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $15,163 – $26,795 · median $21,873 4 plans
500 SOFT TISSUE PROCEDURES WITH MCC $15,163 – $42,089 · median $34,357 4 plans
506 MAJOR THUMB OR JOINT PROCEDURES $14,647 – $17,943 · median $14,905 4 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $19,610 – $24,887 · median $21,817 4 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $16,440 – $24,887 · median $18,290 4 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $34,597 – $42,383 · median $35,516 4 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $16,018 – $19,867 · median $16,218 4 plans
533 FRACTURES OF FEMUR WITH MCC $10,711 – $20,849 · median $17,019 4 plans
534 FRACTURES OF FEMUR WITHOUT MCC $8,751 – $10,720 · median $9,731 4 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $10,711 – $17,049 · median $13,917 4 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $8,767 – $10,740 · median $9,739 4 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $10,360 – $12,691 · median $10,535 4 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $7,820 – $10,711 · median $8,699 4 plans
539 OSTEOMYELITIS WITH MCC $10,711 – $26,195 · median $21,383 4 plans
540 OSTEOMYELITIS WITH CC $10,711 – $17,240 · median $14,073 4 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $8,548 – $10,711 · median $9,510 4 plans
548 SEPTIC ARTHRITIS WITH MCC $10,711 – $25,679 · median $20,962 4 plans
549 SEPTIC ARTHRITIS WITH CC $10,711 – $16,055 · median $13,105 4 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $9,489 – $11,625 · median $10,100 4 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $10,711 – $17,240 · median $14,073 4 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $9,012 – $11,040 · median $9,861 4 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,711 – $24,801 · median $20,245 4 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,711 – $14,976 · median $12,225 4 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $8,727 – $10,711 · median $9,709 4 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $10,711 – $18,948 · median $15,468 4 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $9,722 – $11,909 · median $10,216 4 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $10,711 – $20,528 · median $16,757 4 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $10,578 – $12,959 · median $10,645 4 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $8,134 – $10,711 · median $9,050 4 plans
570 SKIN DEBRIDEMENT WITH MCC $15,163 – $39,114 · median $31,929 4 plans
571 SKIN DEBRIDEMENT WITH CC $15,163 – $22,469 · median $18,341 4 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $12,444 – $15,245 · median $13,804 4 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $15,163 – $87,127 · median $71,122 4 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $15,163 – $46,166 · median $37,686 4 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $15,163 – $23,898 · median $19,508 4 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $15,163 – $65,181 · median $53,207 4 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $15,163 – $43,069 · median $35,157 4 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $15,163 – $22,981 · median $18,759 4 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $15,163 – $19,192 · median $15,666 4 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $15,163 – $25,622 · median $20,915 4 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $15,163 – $28,469 · median $23,239 4 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $15,163 – $25,655 · median $20,942 4 plans
592 SKIN ULCERS WITH MCC $10,711 – $25,738 · median $21,010 4 plans
593 SKIN ULCERS WITH CC $10,711 – $15,777 · median $12,879 4 plans
594 SKIN ULCERS WITHOUT CC/MCC $9,410 – $11,528 · median $10,060 4 plans
595 MAJOR SKIN DISORDERS WITH MCC $10,711 – $28,203 · median $23,022 4 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $10,711 – $22,171 · median $18,098 4 plans
598 MALIGNANT BREAST DISORDERS WITH CC $10,711 – $15,045 · median $12,281 4 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $8,353 – $10,711 · median $9,292 4 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $10,711 – $13,852 · median $11,308 4 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,568 – $10,711 · median $7,307 4 plans
602 CELLULITIS WITH MCC $10,711 – $18,902 · median $15,430 4 plans
603 CELLULITIS WITHOUT MCC $9,454 – $11,582 · median $10,083 4 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $15,981 – $20,117 · median $17,779 4 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $9,944 – $12,182 · median $10,686 4 plans
606 MINOR SKIN DISORDERS WITH MCC $10,711 – $20,124 · median $16,427 4 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $9,840 – $12,054 · median $10,275 4 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $15,163 – $29,149 · median $23,794 4 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $15,163 – $18,609 · median $15,191 4 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $15,163 – $46,379 · median $37,859 4 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $15,163 – $24,873 · median $20,304 4 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $15,163 – $18,862 · median $15,397 4 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $15,163 – $47,334 · median $38,639 4 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $15,163 – $23,857 · median $19,475 4 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $13,591 – $16,649 · median $14,377 4 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $15,163 – $40,164 · median $32,786 4 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $14,420 – $17,665 · median $14,792 4 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $15,163 – $49,563 · median $40,458 4 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $15,163 – $28,976 · median $23,653 4 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $15,163 – $19,410 · median $15,844 4 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $8,448 – $10,711 · median $9,399 4 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $10,711 – $18,913 · median $15,438 4 plans
643 ENDOCRINE DISORDERS WITH MCC $10,711 – $21,892 · median $17,870 4 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $15,163 – $69,107 · median $56,412 4 plans
654 MAJOR BLADDER PROCEDURES WITH CC $15,163 – $37,228 · median $30,389 4 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $15,163 – $28,149 · median $22,978 4 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $15,163 – $42,341 · median $34,563 4 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $15,163 – $24,337 · median $19,867 4 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $16,846 – $20,637 · median $18,355 4 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $27,584 – $49,893 · median $30,688 4 plans
662 MINOR BLADDER PROCEDURES WITH MCC $15,163 – $40,715 · median $33,236 4 plans
663 MINOR BLADDER PROCEDURES WITH CC $15,163 – $20,217 · median $16,503 4 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $11,365 – $15,163 · median $12,644 4 plans
665 PROSTATECTOMY WITH MCC $15,163 – $41,509 · median $33,884 4 plans
666 PROSTATECTOMY WITH CC $15,163 – $23,264 · median $18,990 4 plans
667 PROSTATECTOMY WITHOUT CC/MCC $12,009 – $15,163 · median $13,360 4 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $15,163 – $38,833 · median $31,700 4 plans
671 URETHRAL PROCEDURES WITH CC/MCC $15,163 – $23,872 · median $19,487 4 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $11,719 – $15,163 · median $13,038 4 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $15,163 – $55,877 · median $45,613 4 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $15,163 – $31,101 · median $25,388 4 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $15,163 – $21,829 · median $17,819 4 plans
682 RENAL FAILURE WITH MCC $10,711 – $19,696 · median $16,078 4 plans
683 RENAL FAILURE WITH CC $9,508 – $11,647 · median $10,109 4 plans
684 RENAL FAILURE WITHOUT CC/MCC $6,517 – $10,711 · median $7,250 4 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $10,711 – $23,987 · median $19,581 4 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $10,711 – $13,935 · median $11,375 4 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $8,580 – $10,711 · median $9,545 4 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $8,788 – $10,766 · median $9,749 4 plans
693 URINARY STONES WITH MCC $7,391 – $17,881 · median $14,596 4 plans
694 URINARY STONES WITHOUT MCC $7,391 – $10,396 · median $8,486 4 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $10,711 – $15,211 · median $12,417 4 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $7,480 – $10,711 · median $8,321 4 plans
697 URETHRAL STRICTURE $10,711 – $14,334 · median $11,701 4 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $10,711 – $13,499 · median $11,019 4 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $7,490 – $10,711 · median $8,332 4 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $21,715 – $28,567 · median $24,159 4 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $16,655 – $26,490 · median $18,529 4 plans
711 TESTES PROCEDURES WITH CC/MCC $15,163 – $27,713 · median $22,622 4 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $11,938 – $15,163 · median $13,282 4 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $15,163 – $29,754 · median $24,288 4 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $15,163 – $19,563 · median $15,969 4 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $15,163 – $25,142 · median $20,523 4 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $14,581 – $17,862 · median $14,872 4 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $10,711 – $24,067 · median $19,646 4 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $10,711 – $15,197 · median $12,405 4 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,118 – $10,711 · median $7,919 4 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $10,711 – $15,563 · median $12,704 4 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $7,838 – $10,711 · median $8,720 4 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,711 – $19,721 · median $16,098 4 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $8,806 – $10,788 · median $9,759 4 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $10,711 – $14,080 · median $11,493 4 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $7,295 – $10,711 · median $8,116 4 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $15,163 – $28,327 · median $23,123 4 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $14,607 – $17,894 · median $14,885 4 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $15,163 – $47,537 · median $38,805 4 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $15,163 – $27,404 · median $22,370 4 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $15,163 – $19,530 · median $15,942 4 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $12,349 – $15,163 · median $13,738 4 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $15,163 – $23,102 · median $18,858 4 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $9,333 – $15,163 · median $10,383 4 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $15,163 – $34,147 · median $27,874 4 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $15,163 – $19,627 · median $16,021 4 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,711 – $24,493 · median $19,994 4 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $15,163 – $22,473 · median $18,345 4 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $7,107 – $10,711 · median $7,907 4 plans
779 ABORTION WITHOUT D&C $9,133 – $11,189 · median $9,922 4 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS — 4 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,241 – $2,530 · median $2,321 4 plans
795 NORMAL NEWBORN $1,696 – $2,321 · median $2,281 4 plans
799 SPLENIC PROCEDURES WITH MCC $15,163 – $60,230 · median $49,166 4 plans
800 SPLENIC PROCEDURES WITH CC $15,163 – $37,362 · median $30,499 4 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $15,163 – $25,387 · median $20,723 4 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $15,163 – $52,985 · median $43,251 4 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $15,163 – $24,722 · median $20,180 4 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $14,721 – $18,033 · median $14,942 4 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $10,711 – $29,363 · median $23,969 4 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $10,711 – $16,835 · median $13,743 4 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $10,711 – $13,919 · median $11,362 4 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $9,968 – $12,211 · median $10,339 4 plans
813 COAGULATION DISORDERS $10,711 – $20,285 · median $16,559 4 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $10,711 – $28,283 · median $23,088 4 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $10,711 – $13,485 · median $11,008 4 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $6,861 – $10,711 · median $7,633 4 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $15,163 – $77,996 · median $63,668 4 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $15,163 – $29,771 · median $24,302 4 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $13,071 – $16,012 · median $14,117 4 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $15,163 – $60,973 · median $49,773 4 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $15,163 – $30,130 · median $24,595 4 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $14,649 – $17,946 · median $14,906 4 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $15,163 – $62,210 · median $50,782 4 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $15,163 – $30,737 · median $25,090 4 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $15,163 – $22,659 · median $18,497 4 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $15,163 – $42,025 · median $34,305 4 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $15,163 – $20,015 · median $16,338 4 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,530 – $9,597 · median $7,834 4 plans
834 ACUTE LEUKEMIA WITH MCC $10,711 – $73,010 · median $59,598 4 plans
835 ACUTE LEUKEMIA WITH CC $10,711 – $27,739 · median $22,643 4 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $10,711 – $16,218 · median $13,239 4 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $10,711 – $63,892 · median $52,156 4 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $10,711 – $27,760 · median $22,661 4 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,711 – $19,202 · median $15,675 4 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $10,711 – $43,021 · median $35,118 4 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $10,711 – $26,529 · median $21,656 4 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $10,711 – $16,190 · median $13,216 4 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $9,245 – $11,325 · median $9,978 4 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $10,711 – $34,478 · median $28,144 4 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,711 – $17,398 · median $14,202 4 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,221 – $11,296 · median $9,966 4 plans
849 RADIOTHERAPY $10,711 – $36,034 · median $29,414 4 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $15,163 – $115,163 · median $94,008 4 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $10,711 – $24,253 · median $19,798 4 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $10,711 – $13,271 · median $10,833 4 plans
864 FEVER AND INFLAMMATORY CONDITIONS $9,637 – $11,806 · median $10,174 4 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $10,711 – $27,838 · median $22,724 4 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $10,711 – $13,713 · median $11,194 4 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $7,922 – $10,711 · median $8,813 4 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $15,163 – $51,399 · median $41,957 4 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $10,424 – $12,770 · median $10,567 4 plans
881 DEPRESSIVE NEUROSES $10,214 – $12,513 · median $10,463 4 plans
882 NEUROSES EXCEPT DEPRESSIVE $10,711 – $14,281 · median $11,657 4 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $10,711 – $26,150 · median $21,346 4 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $10,711 – $21,397 · median $17,466 4 plans
885 PSYCHOSES $10,711 – $18,576 · median $15,164 4 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $10,711 – $27,599 · median $22,530 4 plans
887 OTHER MENTAL DISORDER DIAGNOSES $10,711 – $14,242 · median $11,626 4 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $6,697 – $10,711 · median $7,451 4 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $10,711 – $18,826 · median $15,368 4 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $10,711 – $23,208 · median $18,945 4 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $9,584 – $11,740 · median $10,147 4 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $15,163 – $55,811 · median $45,558 4 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $15,163 – $25,461 · median $20,784 4 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $12,697 – $15,555 · median $13,930 4 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $15,163 – $48,849 · median $39,875 4 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $15,163 – $19,728 · median $16,104 4 plans
906 HAND PROCEDURES FOR INJURIES $15,163 – $26,123 · median $21,324 4 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $15,163 – $51,059 · median $41,679 4 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $15,163 – $26,534 · median $21,660 4 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $14,251 – $17,458 · median $14,707 4 plans
913 TRAUMATIC INJURY WITH MCC $10,711 – $21,739 · median $17,745 4 plans
914 TRAUMATIC INJURY WITHOUT MCC $9,613 – $11,776 · median $10,162 4 plans
915 ALLERGIC REACTIONS WITH MCC $10,711 – $22,364 · median $18,256 4 plans
916 ALLERGIC REACTIONS WITHOUT MCC $7,233 – $10,711 · median $8,047 4 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,711 – $20,858 · median $17,027 4 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $9,305 – $11,399 · median $10,008 4 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $10,711 – $24,348 · median $19,875 4 plans
920 COMPLICATIONS OF TREATMENT WITH CC $10,711 – $13,330 · median $10,881 4 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $7,473 – $10,711 · median $8,314 4 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $10,711 – $23,265 · median $18,992 4 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $10,711 – $13,534 · median $11,048 4 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $15,163 – $95,390 · median $77,867 4 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $15,163 – $48,255 · median $39,391 4 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $15,163 – $31,078 · median $25,369 4 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $15,163 – $26,966 · median $22,013 4 plans
947 SIGNS AND SYMPTOMS WITH MCC $10,711 – $16,882 · median $13,781 4 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $8,690 – $10,711 · median $9,668 4 plans
949 AFTERCARE WITH CC/MCC $10,711 – $15,822 · median $12,915 4 plans
950 AFTERCARE WITHOUT CC/MCC $6,814 – $10,711 · median $7,581 4 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $6,036 – $10,711 · median $6,715 4 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $73,073 – $89,517 · median $77,697 4 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $40,851 – $55,025 · median $45,448 4 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $82,722 – $101,337 · median $89,910 4 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $45,746 – $59,007 · median $50,893 4 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $31,961 – $39,154 · median $35,381 4 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $29,678 – $43,091 · median $33,017 4 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $16,638 – $22,653 · median $18,510 4 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $10,210 – $14,524 · median $11,359 4 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $15,163 – $81,407 · median $66,453 4 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $15,163 – $35,075 · median $28,632 4 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $10,711 – $38,381 · median $31,330 4 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,711 – $17,222 · median $14,059 4 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $9,800 – $12,005 · median $10,255 4 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,711 – $17,258 · median $14,088 4 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $15,163 – $62,396 · median $50,934 4 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,163 – $32,696 · median $26,690 4 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $15,163 – $22,795 · median $18,607 4 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $15,163 – $45,594 · median $37,219 4 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,163 – $21,858 · median $17,843 4 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,019 – $15,948 · median $14,091 4 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $304,227 – $372,690 · median $304,227 3 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $123,018 – $150,702 · median $123,018 3 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $111,931 – $137,119 · median $111,931 3 plans
006 LIVER TRANSPLANT WITHOUT MCC $50,339 – $61,668 · median $50,339 3 plans
007 LUNG TRANSPLANT $140,587 – $172,225 · median $140,587 3 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $130,466 – $159,826 · median $130,466 3 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $64,373 – $78,859 · median $64,373 3 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $58,973 – $72,244 · median $58,973 3 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $468,792 – $574,288 · median $468,792 3 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY — 3 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE — 3 plans
791 PREMATURITY WITH MAJOR PROBLEMS — 3 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS — 3 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH $268,331 – $268,331 · median $268,331 1 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC $188,581 – $188,581 · median $188,581 1 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $294,887 – $294,887 · median $294,887 1 plans
010 PANCREAS TRANSPLANT $294,887 – $294,887 · median $294,887 1 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $294,887 – $294,887 · median $294,887 1 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $210,633 – $210,633 · median $210,633 1 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $210,633 – $210,633 · median $210,633 1 plans
652 KIDNEY TRANSPLANT $210,633 – $210,633 · median $210,633 1 plans
767 VAGINAL DELIVERY W STERILIZATION &/OR D&C $2,375 – $2,375 · median $2,375 1 plans
774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES $2,375 – $2,375 · median $2,375 1 plans
775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES $2,375 – $2,375 · median $2,375 1 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT — 1 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $15,163 – $15,163 · median $15,163 1 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $10,711 – $10,711 · median $10,711 1 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $10,711 – $10,711 · median $10,711 1 plans
935 NON-EXTENSIVE BURNS $10,711 – $10,711 · median $10,711 1 plans
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