Research Medical Center (Acute Care) — Pricing

765 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 765 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 765
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 765 procedures

Procedures with negotiated rates only

These 765 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 $1,450 – $11,158 · median $9,008 10 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $6,180 – $14,777 · median $12,407 9 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,180 – $14,777 · median $12,407 9 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,180 – $14,777 · median $12,407 9 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $6,180 – $14,777 · median $12,407 9 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $6,180 – $14,777 · median $12,407 9 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,180 – $14,777 · median $12,407 9 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $4,157 – $11,158 · median $9,121 9 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $4,157 – $11,158 · median $9,121 9 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $4,157 – $11,158 · median $9,121 9 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $4,157 – $11,158 · median $9,121 9 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,157 – $11,158 · median $9,121 9 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,157 – $11,158 · median $9,121 9 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $77,047 – $196,853 · median $87,406 8 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $77,047 – $196,853 · median $87,406 8 plans
652 KIDNEY TRANSPLANT $77,047 – $196,853 · median $96,434 8 plans
010 PANCREAS TRANSPLANT $66,489 – $275,595 · median $135,158 7 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $194,267 – $275,595 · median $214,623 4 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $163,678 – $275,595 · median $190,000 4 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $9,819 – $196,479 · median $90,312 4 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $67,875 – $134,744 · median $108,565 4 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $61,451 – $92,088 · median $75,240 4 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $65,678 – $82,606 · median $74,956 4 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $67,875 – $147,327 · median $127,457 4 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $67,875 – $131,297 · median $113,926 4 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $67,875 – $135,896 · median $111,075 4 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $65,678 – $96,411 · median $81,455 4 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC Transplant Services with no allowable $53,741 – $105,109 · median $74,385 4 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $65,678 – $80,895 · median $70,665 4 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $38,632 – $177,676 · median $62,614 4 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $38,632 – $65,446 · median $43,503 4 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $32,237 – $65,446 · median $47,208 4 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $13,951 – $57,078 · median $40,223 4 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $13,951 – $40,240 · median $27,116 4 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $32,011 – $59,641 · median $39,702 4 plans
253 OTHER VASCULAR PROCEDURES WITH CC $32,011 – $44,995 · median $39,702 4 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $30,832 – $40,599 · median $32,557 4 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $16,052 – $49,446 · median $28,433 4 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $16,052 – $38,632 · median $27,569 4 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $23,289 – $60,033 · median $32,543 4 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $23,289 – $38,632 · median $29,949 4 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $23,289 – $38,632 · median $26,602 4 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $13,951 – $68,917 · median $60,222 4 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $13,951 – $55,006 · median $35,128 4 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $13,951 – $20,831 · median $17,152 4 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $13,951 – $38,480 · median $18,808 4 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC Inpatient Outside Transplant $13,951 – $19,778 · median $18,392 4 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $13,951 – $49,495 · median $45,606 4 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $13,951 – $49,428 · median $26,256 4 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $64,660 – $182,125 · median $144,133 4 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $64,660 – $123,488 · median $115,879 4 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $64,660 – $112,750 · median $93,958 4 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $64,660 – $145,010 · median $126,249 4 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $64,660 – $112,750 · median $93,385 4 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $68,882 – $147,246 · median $121,241 4 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $68,882 – $129,733 · median $106,268 4 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $68,882 – $129,733 · median $93,911 4 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $9,819 – $35,049 · median $23,651 4 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,819 – $30,000 · median $17,859 4 plans
028 SPINAL PROCEDURES WITH MCC $29,494 – $107,148 · median $34,388 3 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $29,494 – $59,160 · median $34,388 3 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $29,494 – $39,222 · median $34,388 3 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $13,899 – $189,401 · median $67,875 3 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $67,875 – $167,794 · median $137,128 3 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $67,875 – $137,128 · median $115,357 3 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $67,875 – $137,128 · median $106,272 3 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $67,875 – $86,640 · median $81,280 3 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $54,006 – $81,280 · median $67,875 3 plans
245 AICD GENERATOR PROCEDURES $38,632 – $84,962 · median $65,446 3 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $30,463 – $61,599 · median $32,011 3 plans
265 AICD LEAD PROCEDURES $38,632 – $65,446 · median $62,019 3 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $64,481 – $117,513 · median $67,875 3 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $64,481 – $73,330 · median $67,875 3 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $64,481 – $90,467 · median $67,875 3 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $60,706 – $67,875 · median $64,481 3 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $44,100 – $67,875 · median $64,481 3 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $38,632 – $126,238 · median $119,159 3 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $67,875 – $110,651 · median $98,161 3 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $67,875 – $98,161 · median $83,097 3 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $32,011 – $88,181 · median $40,599 3 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $32,011 – $56,476 · median $40,599 3 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $13,951 – $29,320 · median $20,831 3 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $12,953 – $20,831 · median $13,951 3 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $13,899 – $74,054 · median $13,951 3 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $13,899 – $55,550 · median $13,951 3 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $13,899 – $49,761 · median $13,951 3 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $9,819 – $30,000 · median $13,537 3 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $65,550 – $112,750 · median $68,018 3 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $13,899 – $64,660 · median $62,206 3 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL $51,439 – $116,568 · median $112,338 3 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $51,439 – $70,996 · median $68,420 3 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY $51,439 – $89,540 · median $86,291 3 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $51,439 – $53,653 · median $51,707 3 plans
471 CERVICAL SPINAL FUSION WITH MCC $31,209 – $35,832 · median $31,502 3 plans
472 CERVICAL SPINAL FUSION WITH CC $31,209 – $50,371 · median $31,502 3 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $31,209 – $41,160 · median $31,502 3 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $16,867 – $48,053 · median $23,244 3 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $16,867 – $28,146 · median $23,244 3 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $16,867 – $25,763 · median $23,244 3 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $9,819 – $29,625 · median $17,301 3 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $13,899 – $34,739 · median $17,301 3 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $267,087 – $496,452 · median $381,770 2 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $194,217 – $267,087 · median $230,652 2 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $13,899 – $95,100 · median $54,500 2 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $13,899 – $72,326 · median $43,112 2 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $13,899 – $46,705 · median $30,302 2 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $138,673 – $140,150 · median $139,412 2 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $96,098 – $138,673 · median $117,385 2 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $63,064 – $138,673 · median $100,868 2 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $92,221 – $99,189 · median $95,705 2 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $67,910 – $92,221 · median $80,065 2 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $41,857 – $79,889 · median $60,873 2 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $41,857 – $53,906 · median $47,882 2 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $41,857 – $43,494 · median $42,675 2 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $37,288 – $74,857 · median $56,072 2 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $37,288 – $38,148 · median $37,718 2 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $28,500 – $37,288 · median $32,894 2 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $36,809 – $67,609 · median $52,209 2 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $36,809 – $39,550 · median $38,179 2 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $32,745 – $36,809 · median $34,777 2 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $19,067 – $57,737 · median $38,402 2 plans
038 EXTRACRANIAL PROCEDURES WITH CC $19,067 – $28,783 · median $23,925 2 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $19,067 – $20,332 · median $19,699 2 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $36,890 – $66,481 · median $51,685 2 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $36,890 – $39,800 · median $38,345 2 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $30,558 – $36,890 · median $33,724 2 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $9,819 – $35,469 · median $22,644 2 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $9,819 – $16,239 · median $13,029 2 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $9,819 – $26,421 · median $18,120 2 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $9,819 – $19,228 · median $14,523 2 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $9,819 – $43,820 · median $26,819 2 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $9,819 – $23,836 · median $16,827 2 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $9,819 – $32,093 · median $20,956 2 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,819 – $21,274 · median $15,546 2 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $9,819 – $15,515 · median $12,667 2 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $9,819 – $47,001 · median $28,410 2 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $9,819 – $31,193 · median $20,506 2 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $9,819 – $25,094 · median $17,456 2 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $9,819 – $34,584 · median $22,201 2 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $9,819 – $18,165 · median $13,992 2 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $9,819 – $12,295 · median $11,057 2 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $9,819 – $25,295 · median $17,557 2 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $9,819 – $15,746 · median $12,782 2 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $9,819 – $14,292 · median $12,055 2 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $9,819 – $30,646 · median $20,232 2 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $9,819 – $18,574 · median $14,196 2 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $9,819 – $13,222 · median $11,520 2 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $9,819 – $27,240 · median $18,529 2 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $9,819 – $18,123 · median $13,971 2 plans
075 VIRAL MENINGITIS WITH CC/MCC $9,819 – $30,356 · median $20,087 2 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $9,819 – $16,160 · median $12,989 2 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $9,819 – $26,884 · median $18,351 2 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $9,819 – $17,350 · median $13,584 2 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $9,819 – $11,591 · median $10,705 2 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $9,819 – $15,947 · median $12,883 2 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $26,338 – $40,892 · median $33,615 2 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $24,505 – $26,338 · median $25,422 2 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $16,851 – $26,338 · median $21,594 2 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $17,935 – $39,937 · median $28,936 2 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $17,935 – $23,116 · median $20,526 2 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $15,580 – $17,935 · median $16,758 2 plans
088 CONCUSSION WITH MCC $9,819 – $24,863 · median $17,341 2 plans
089 CONCUSSION WITH CC $9,819 – $18,640 · median $14,229 2 plans
090 CONCUSSION WITHOUT CC/MCC $9,819 – $15,110 · median $12,464 2 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $9,819 – $32,128 · median $20,973 2 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $9,819 – $18,407 · median $14,113 2 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $9,819 – $13,723 · median $11,771 2 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $9,819 – $64,307 · median $37,063 2 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $9,819 – $42,249 · median $26,034 2 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $9,819 – $42,249 · median $26,034 2 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $9,819 – $63,177 · median $36,498 2 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $9,819 – $38,233 · median $24,026 2 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $9,819 – $24,556 · median $17,187 2 plans
100 SEIZURES WITH MCC $9,819 – $34,990 · median $22,404 2 plans
101 SEIZURES WITHOUT MCC $9,819 – $16,245 · median $13,032 2 plans
102 HEADACHES WITH MCC $9,819 – $10,903 · median $10,361 2 plans
103 HEADACHES WITHOUT MCC $9,819 – $10,903 · median $10,361 2 plans
113 ORBITAL PROCEDURES WITH CC/MCC $13,899 – $39,772 · median $26,835 2 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $13,899 – $20,834 · median $17,366 2 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $13,899 – $26,983 · median $20,441 2 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $13,899 – $29,010 · median $21,455 2 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $13,899 – $19,010 · median $16,454 2 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $9,819 – $20,501 · median $15,160 2 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $9,819 – $11,955 · median $10,887 2 plans
123 NEUROLOGICAL EYE DISORDERS $9,819 – $14,156 · median $11,987 2 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,819 – $22,981 · median $16,400 2 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $9,819 – $14,553 · median $12,186 2 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $13,899 – $41,919 · median $27,909 2 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $13,899 – $17,240 · median $15,570 2 plans
137 MOUTH PROCEDURES WITH CC/MCC $13,899 – $24,650 · median $19,274 2 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $13,899 – $14,532 · median $14,215 2 plans
139 SALIVARY GLAND PROCEDURES $13,899 – $24,198 · median $19,049 2 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $13,899 – $74,538 · median $44,218 2 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $13,899 – $37,866 · median $25,883 2 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $13,899 – $27,713 · median $20,806 2 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $13,899 – $58,194 · median $36,047 2 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $13,899 – $30,961 · median $22,430 2 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $13,899 – $20,882 · median $17,390 2 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $9,819 – $40,432 · median $25,125 2 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,819 – $21,939 · median $15,879 2 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $9,819 – $14,112 · median $11,965 2 plans
149 DYSEQUILIBRIUM $9,819 – $12,996 · median $11,407 2 plans
150 EPISTAXIS WITH MCC $9,819 – $24,361 · median $17,090 2 plans
151 EPISTAXIS WITHOUT MCC $9,819 – $13,359 · median $11,589 2 plans
152 OTITIS MEDIA AND URI WITH MCC $9,819 – $20,000 · median $14,909 2 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $9,819 – $12,543 · median $11,181 2 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $9,819 – $28,663 · median $19,241 2 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $9,819 – $16,454 · median $13,136 2 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $9,819 – $11,851 · median $10,835 2 plans
157 DENTAL AND ORAL DISEASES WITH MCC $9,819 – $28,860 · median $19,339 2 plans
158 DENTAL AND ORAL DISEASES WITH CC $9,819 – $16,578 · median $13,198 2 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $9,819 – $11,625 · median $10,722 2 plans
163 MAJOR CHEST PROCEDURES WITH MCC $13,899 – $80,136 · median $47,017 2 plans
164 MAJOR CHEST PROCEDURES WITH CC $13,899 – $44,961 · median $29,430 2 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $13,899 – $33,297 · median $23,598 2 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $13,899 – $67,860 · median $40,879 2 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $13,899 – $32,204 · median $23,051 2 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,899 – $23,862 · median $18,880 2 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $13,899 – $54,083 · median $33,991 2 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $9,819 – $24,835 · median $17,327 2 plans
176 PULMONARY EMBOLISM WITHOUT MCC $9,819 – $14,355 · median $12,087 2 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $9,819 – $28,490 · median $19,154 2 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $9,819 – $17,485 · median $13,652 2 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $9,819 – $13,566 · median $11,692 2 plans
180 RESPIRATORY NEOPLASMS WITH MCC $9,819 – $30,387 · median $20,103 2 plans
181 RESPIRATORY NEOPLASMS WITH CC $9,819 – $19,833 · median $14,826 2 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $9,819 – $14,960 · median $12,389 2 plans
183 MAJOR CHEST TRAUMA WITH MCC $9,819 – $27,975 · median $18,897 2 plans
184 MAJOR CHEST TRAUMA WITH CC $9,819 – $18,825 · median $14,322 2 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $9,819 – $13,707 · median $11,763 2 plans
186 PLEURAL EFFUSION WITH MCC $9,819 – $27,847 · median $18,833 2 plans
187 PLEURAL EFFUSION WITH CC $9,819 – $17,695 · median $13,757 2 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $9,819 – $12,940 · median $11,379 2 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,819 – $22,104 · median $15,961 2 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $9,819 – $20,060 · median $14,939 2 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $9,819 – $15,346 · median $12,582 2 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $9,819 – $11,561 · median $10,690 2 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,819 – $23,538 · median $16,678 2 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $9,819 – $14,648 · median $12,233 2 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $9,819 – $11,123 · median $10,471 2 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $9,819 – $33,206 · median $21,512 2 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $9,819 – $17,448 · median $13,633 2 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $9,819 – $12,344 · median $11,081 2 plans
199 PNEUMOTHORAX WITH MCC $9,819 – $31,113 · median $20,466 2 plans
200 PNEUMOTHORAX WITH CC $9,819 – $19,519 · median $14,669 2 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $9,819 – $11,934 · median $10,876 2 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $9,819 – $17,268 · median $13,543 2 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $9,819 – $12,443 · median $11,131 2 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $9,819 – $14,100 · median $11,959 2 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $9,819 – $33,272 · median $21,545 2 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $9,819 – $15,964 · median $12,891 2 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $9,819 – $113,982 · median $61,900 2 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $9,819 – $47,301 · median $28,560 2 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $184,201 – $305,571 · median $244,886 2 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $13,899 – $88,773 · median $51,336 2 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $13,899 – $51,326 · median $32,613 2 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $13,899 – $26,611 · median $20,255 2 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $13,899 – $46,115 · median $30,007 2 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $13,899 – $29,851 · median $21,875 2 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $13,899 – $15,719 · median $14,809 2 plans
263 VEIN LIGATION AND STRIPPING $17,193 – $47,271 · median $32,232 2 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $105,585 – $157,506 · median $131,545 2 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $82,918 – $118,265 · median $100,591 2 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $34,463 – $51,581 · median $43,022 2 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $13,060 – $51,581 · median $32,320 2 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $9,894 – $51,581 · median $30,737 2 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $43,767 – $48,141 · median $45,954 2 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $27,789 – $43,767 · median $35,778 2 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $17,254 – $43,767 · median $30,511 2 plans
291 HEART FAILURE AND SHOCK WITH MCC $16,991 – $23,308 · median $20,149 2 plans
292 HEART FAILURE AND SHOCK WITH CC $15,384 – $16,991 · median $16,187 2 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $9,801 – $16,991 · median $13,396 2 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $9,819 – $21,350 · median $15,584 2 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $9,819 – $13,732 · median $11,775 2 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $9,819 – $28,876 · median $19,347 2 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $9,819 – $12,415 · median $11,117 2 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $7,785 – $9,819 · median $8,802 2 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $11,315 – $28,509 · median $19,912 2 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $11,315 – $18,614 · median $14,964 2 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $11,315 – $12,744 · median $12,029 2 plans
302 ATHEROSCLEROSIS WITH MCC $9,819 – $20,225 · median $15,022 2 plans
303 ATHEROSCLEROSIS WITHOUT MCC $9,819 – $12,011 · median $10,915 2 plans
304 HYPERTENSION WITH MCC $9,819 – $20,425 · median $15,122 2 plans
305 HYPERTENSION WITHOUT MCC $9,819 – $13,052 · median $11,435 2 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $9,819 – $26,391 · median $18,105 2 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC Transplant Services with no allowable $9,819 – $16,327 · median $13,073 2 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,819 – $21,541 · median $15,680 2 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $9,819 – $13,206 · median $11,512 2 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $9,819 – $9,994 · median $9,906 2 plans
311 ANGINA PECTORIS $9,819 – $12,474 · median $11,146 2 plans
312 SYNCOPE AND COLLAPSE $9,819 – $15,356 · median $12,587 2 plans
313 CHEST PAIN $10,595 – $12,744 · median $11,669 2 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $9,819 – $37,954 · median $23,886 2 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $9,819 – $16,960 · median $13,389 2 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $9,819 – $12,032 · median $10,925 2 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $91,521 – $109,033 · median $100,277 2 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $68,570 – $77,421 · median $72,995 2 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $39,257 – $40,797 · median $40,027 2 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $13,899 – $88,304 · median $51,101 2 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $13,899 – $42,794 · median $28,347 2 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $13,899 – $27,705 · median $20,802 2 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $13,899 – $79,835 · median $46,867 2 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $13,899 – $42,223 · median $28,061 2 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $13,899 – $29,492 · median $21,695 2 plans
332 RECTAL RESECTION WITH MCC $13,899 – $61,134 · median $37,517 2 plans
333 RECTAL RESECTION WITH CC $13,899 – $37,457 · median $25,678 2 plans
334 RECTAL RESECTION WITHOUT CC/MCC $13,899 – $29,232 · median $21,566 2 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $13,899 – $63,861 · median $38,880 2 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $13,899 – $36,724 · median $25,312 2 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $13,899 – $26,689 · median $20,294 2 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $13,899 – $47,489 · median $30,694 2 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $13,899 – $26,238 · median $20,068 2 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $13,899 – $21,948 · median $17,923 2 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $13,899 – $41,714 · median $27,806 2 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $13,899 – $21,887 · median $17,893 2 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $13,899 – $15,315 · median $14,607 2 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $13,899 – $42,628 · median $28,264 2 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $13,899 – $26,157 · median $20,028 2 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $13,899 – $19,433 · median $16,666 2 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $13,899 – $51,693 · median $32,796 2 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $13,899 – $29,575 · median $21,737 2 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $13,899 – $23,179 · median $18,539 2 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $13,899 – $75,181 · median $44,540 2 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $13,899 – $39,690 · median $26,795 2 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,899 – $23,883 · median $18,891 2 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $9,819 – $29,035 · median $19,427 2 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $9,819 – $17,692 · median $13,755 2 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $9,819 – $12,468 · median $11,143 2 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $9,819 – $30,391 · median $20,105 2 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $9,819 – $17,895 · median $13,857 2 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $9,819 – $12,958 · median $11,388 2 plans
374 DIGESTIVE MALIGNANCY WITH MCC $9,819 – $36,709 · median $23,264 2 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,819 – $21,362 · median $15,590 2 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $9,819 – $15,773 · median $12,796 2 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $9,819 – $31,611 · median $20,715 2 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $9,819 – $17,141 · median $13,480 2 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $9,819 – $11,373 · median $10,596 2 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $9,819 – $33,915 · median $21,867 2 plans
381 COMPLICATED PEPTIC ULCER WITH CC $9,819 – $19,195 · median $14,507 2 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $9,819 – $13,206 · median $11,512 2 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,819 – $22,281 · median $16,050 2 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $9,819 – $15,119 · median $12,469 2 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $9,819 – $28,249 · median $19,034 2 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $9,819 – $17,729 · median $13,774 2 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $9,819 – $11,974 · median $10,896 2 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $9,819 – $25,556 · median $17,687 2 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $9,819 – $13,937 · median $11,878 2 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $9,775 – $9,819 · median $9,797 2 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,819 – $14,644 · median $12,231 2 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $9,819 – $29,186 · median $19,502 2 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $9,819 – $16,365 · median $13,092 2 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $9,819 – $11,216 · median $10,517 2 plans
397 APPENDIX PROCEDURES WITH MCC $13,899 – $43,079 · median $28,489 2 plans
398 APPENDIX PROCEDURES WITH CC $13,899 – $26,309 · median $20,104 2 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $13,899 – $19,538 · median $16,719 2 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $13,899 – $95,678 · median $54,789 2 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $13,899 – $49,497 · median $31,698 2 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $13,899 – $37,642 · median $25,771 2 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $13,899 – $61,709 · median $37,804 2 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $13,899 – $36,950 · median $25,424 2 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $13,899 – $27,337 · median $20,618 2 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $13,899 – $48,228 · median $31,063 2 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $13,899 – $37,568 · median $25,734 2 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $13,899 – $29,301 · median $21,600 2 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $13,899 – $60,917 · median $37,408 2 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $13,899 – $34,391 · median $24,145 2 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $13,899 – $24,476 · median $19,187 2 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $13,899 – $41,885 · median $27,892 2 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $13,899 – $29,228 · median $21,564 2 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $13,899 – $23,222 · median $18,561 2 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $13,899 – $28,862 · median $21,380 2 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $13,899 – $25,897 · median $19,898 2 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $13,899 – $71,686 · median $42,792 2 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $13,899 – $40,242 · median $27,071 2 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $13,899 – $27,244 · median $20,571 2 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $9,819 – $34,061 · median $21,940 2 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $9,819 – $18,600 · median $14,209 2 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $9,819 – $12,109 · median $10,964 2 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $9,819 – $31,723 · median $20,771 2 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $9,819 – $19,606 · median $14,712 2 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $9,819 – $13,652 · median $11,735 2 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $9,819 – $28,925 · median $19,372 2 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $9,819 – $14,955 · median $12,387 2 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $9,819 – $10,694 · median $10,256 2 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $9,819 – $33,317 · median $21,568 2 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $9,819 – $16,798 · median $13,308 2 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $9,819 – $12,217 · median $11,018 2 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $9,819 – $29,687 · median $19,753 2 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $9,819 – $18,855 · median $14,337 2 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $9,819 – $13,956 · median $11,887 2 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $68,772 – $106,693 · median $87,732 2 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $49,790 – $68,772 · median $59,281 2 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $42,204 – $95,190 · median $68,697 2 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $42,204 – $51,968 · median $47,086 2 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $30,598 – $42,204 · median $36,401 2 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $46,891 – $88,575 · median $67,733 2 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $46,891 – $60,892 · median $53,892 2 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $46,860 – $46,891 · median $46,876 2 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $40,046 – $58,389 · median $49,217 2 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $40,046 – $46,870 · median $43,458 2 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $13,899 – $79,041 · median $46,470 2 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $13,899 – $38,021 · median $25,960 2 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $13,899 – $20,499 · median $17,199 2 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Transplant Services with no allowable $13,899 – $60,611 · median $37,255 2 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $13,899 – $41,217 · median $27,558 2 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,899 – $31,298 · median $22,598 2 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $33,644 – $51,834 · median $42,739 2 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $33,644 – $36,569 · median $35,107 2 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $27,960 – $33,644 · median $30,802 2 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $13,899 – $44,911 · median $29,405 2 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $21,337 – $56,739 · median $39,038 2 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $21,337 – $37,380 · median $29,358 2 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $21,337 – $27,850 · median $24,593 2 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $18,756 – $34,170 · median $26,463 2 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $18,756 – $21,531 · median $20,143 2 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $23,681 – $62,588 · median $43,134 2 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $23,681 – $41,744 · median $32,712 2 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $23,681 – $33,229 · median $28,455 2 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $17,253 – $61,209 · median $39,231 2 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $17,253 – $34,303 · median $25,778 2 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $17,253 – $23,342 · median $20,298 2 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $13,899 – $44,500 · median $29,200 2 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $13,899 – $20,459 · median $17,179 2 plans
500 SOFT TISSUE PROCEDURES WITH MCC $13,899 – $55,847 · median $34,873 2 plans
501 SOFT TISSUE PROCEDURES WITH CC $13,899 – $31,029 · median $22,464 2 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $13,899 – $24,292 · median $19,095 2 plans
503 FOOT PROCEDURES WITH MCC $18,756 – $46,014 · median $32,385 2 plans
504 FOOT PROCEDURES WITH CC $18,756 – $30,512 · median $24,634 2 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $18,756 – $30,512 · median $24,634 2 plans
506 MAJOR THUMB OR JOINT PROCEDURES $13,899 – $26,421 · median $20,160 2 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $22,744 – $34,160 · median $28,452 2 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $22,744 – $22,746 · median $22,745 2 plans
509 ARTHROSCOPY $13,899 – $30,961 · median $22,430 2 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $22,744 – $49,691 · median $36,217 2 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $22,744 – $34,097 · median $28,421 2 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $22,744 – $27,953 · median $25,349 2 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $13,899 – $26,176 · median $20,038 2 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $13,899 – $17,727 · median $15,813 2 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $33,297 – $54,502 · median $43,899 2 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $33,297 – $34,975 · median $34,136 2 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $25,952 – $33,297 · median $29,624 2 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $28,817 – $62,311 · median $45,564 2 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $28,817 – $34,283 · median $31,550 2 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $14,409 – $25,259 · median $19,834 2 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $40,046 – $52,065 · median $46,056 2 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $37,657 – $40,046 · median $38,852 2 plans
533 FRACTURES OF FEMUR WITH MCC $9,819 – $26,876 · median $18,347 2 plans
534 FRACTURES OF FEMUR WITHOUT MCC $9,819 – $14,346 · median $12,082 2 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,819 – $23,439 · median $16,629 2 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $9,819 – $14,292 · median $12,055 2 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $9,819 – $16,197 · median $13,008 2 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $9,819 – $11,835 · median $10,827 2 plans
539 OSTEOMYELITIS WITH MCC $9,819 – $35,644 · median $22,731 2 plans
540 OSTEOMYELITIS WITH CC $9,819 – $22,808 · median $16,313 2 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $9,819 – $15,420 · median $12,619 2 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $9,819 – $32,427 · median $21,123 2 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $9,819 – $18,951 · median $14,385 2 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $9,819 – $13,499 · median $11,659 2 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $9,819 – $43,933 · median $26,876 2 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $9,819 – $20,128 · median $14,973 2 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,819 – $13,329 · median $11,574 2 plans
548 SEPTIC ARTHRITIS WITH MCC $9,819 – $35,506 · median $22,662 2 plans
549 SEPTIC ARTHRITIS WITH CC $9,819 – $21,239 · median $15,529 2 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $9,819 – $15,194 · median $12,506 2 plans
551 MEDICAL BACK PROBLEMS WITH MCC $11,863 – $29,668 · median $20,765 2 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $11,863 – $16,757 · median $14,310 2 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,819 – $23,018 · median $16,418 2 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $9,819 – $14,709 · median $12,264 2 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,819 – $23,412 · median $16,615 2 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $9,819 – $14,196 · median $12,007 2 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $9,819 – $26,943 · median $18,381 2 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $9,819 – $15,018 · median $12,418 2 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,819 – $32,716 · median $21,267 2 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $9,819 – $20,069 · median $14,944 2 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $9,819 – $14,410 · median $12,114 2 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $9,819 – $25,793 · median $17,806 2 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $9,819 – $15,753 · median $12,786 2 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $9,819 – $27,656 · median $18,737 2 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $9,819 – $17,972 · median $13,895 2 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $9,819 – $13,185 · median $11,502 2 plans
570 SKIN DEBRIDEMENT WITH MCC $13,899 – $53,053 · median $33,476 2 plans
571 SKIN DEBRIDEMENT WITH CC $13,899 – $29,509 · median $21,704 2 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $13,899 – $20,134 · median $17,017 2 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $13,899 – $108,535 · median $61,217 2 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $13,899 – $61,067 · median $37,483 2 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,899 – $35,191 · median $24,545 2 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $13,899 – $95,089 · median $54,494 2 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $13,899 – $46,295 · median $30,097 2 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,899 – $29,389 · median $21,644 2 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $13,899 – $57,445 · median $35,672 2 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $13,899 – $31,248 · median $22,574 2 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $13,899 – $25,365 · median $19,632 2 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $13,899 – $30,864 · median $22,382 2 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $13,899 – $28,560 · median $21,230 2 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $13,899 – $36,084 · median $24,992 2 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $13,899 – $34,986 · median $24,443 2 plans
592 SKIN ULCERS WITH MCC $9,819 – $36,241 · median $23,030 2 plans
593 SKIN ULCERS WITH CC $9,819 – $21,550 · median $15,684 2 plans
594 SKIN ULCERS WITHOUT CC/MCC $9,819 – $14,958 · median $12,388 2 plans
595 MAJOR SKIN DISORDERS WITH MCC $9,819 – $37,278 · median $23,548 2 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $9,819 – $18,796 · median $14,307 2 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $9,819 – $30,961 · median $20,390 2 plans
598 MALIGNANT BREAST DISORDERS WITH CC $9,819 – $19,015 · median $14,417 2 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $9,819 – $15,067 · median $12,443 2 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $9,819 – $16,860 · median $13,339 2 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $9,819 – $10,566 · median $10,192 2 plans
602 CELLULITIS WITH MCC $9,819 – $25,894 · median $17,856 2 plans
603 CELLULITIS WITHOUT MCC $9,819 – $15,524 · median $12,671 2 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $23,951 – $26,185 · median $25,068 2 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $16,280 – $23,951 · median $20,115 2 plans
606 MINOR SKIN DISORDERS WITH MCC $9,819 – $28,381 · median $19,100 2 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $9,819 – $15,231 · median $12,525 2 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $13,899 – $40,166 · median $27,033 2 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $13,899 – $25,256 · median $19,577 2 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $13,899 – $68,119 · median $41,009 2 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $13,899 – $34,044 · median $23,971 2 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $13,899 – $21,944 · median $17,922 2 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $13,899 – $65,951 · median $39,925 2 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $13,899 – $33,712 · median $23,806 2 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $13,899 – $17,679 · median $15,789 2 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $13,899 – $50,531 · median $32,215 2 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $13,899 – $26,241 · median $20,070 2 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $13,899 – $22,328 · median $18,114 2 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $13,899 – $69,541 · median $41,720 2 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $13,899 – $39,639 · median $26,769 2 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $13,899 – $24,697 · median $19,298 2 plans
637 DIABETES WITH MCC $9,819 – $25,319 · median $17,569 2 plans
638 DIABETES WITH CC $9,819 – $15,946 · median $12,882 2 plans
639 DIABETES WITHOUT CC/MCC $9,819 – $11,193 · median $10,506 2 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $9,819 – $23,722 · median $16,770 2 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $9,819 – $13,772 · median $11,795 2 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $9,819 – $21,874 · median $15,846 2 plans
643 ENDOCRINE DISORDERS WITH MCC $9,819 – $29,209 · median $19,514 2 plans
644 ENDOCRINE DISORDERS WITH CC $9,819 – $17,967 · median $13,893 2 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $9,819 – $13,539 · median $11,679 2 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $13,899 – $98,250 · median $56,074 2 plans
654 MAJOR BLADDER PROCEDURES WITH CC $13,899 – $49,738 · median $31,819 2 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $13,899 – $36,611 · median $25,255 2 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $13,899 – $57,421 · median $35,660 2 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $13,899 – $32,219 · median $23,059 2 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $18,154 – $26,507 · median $22,330 2 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $45,547 – $45,597 · median $45,572 2 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $23,936 – $29,818 · median $26,877 2 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $18,338 – $20,156 · median $19,247 2 plans
662 MINOR BLADDER PROCEDURES WITH MCC $13,899 – $54,981 · median $34,440 2 plans
663 MINOR BLADDER PROCEDURES WITH CC $13,899 – $26,920 · median $20,409 2 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $13,899 – $19,031 · median $16,465 2 plans
665 PROSTATECTOMY WITH MCC $13,899 – $60,516 · median $37,207 2 plans
666 PROSTATECTOMY WITH CC $13,899 – $29,033 · median $21,466 2 plans
667 PROSTATECTOMY WITHOUT CC/MCC $13,899 – $18,114 · median $16,007 2 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $13,899 – $51,398 · median $32,649 2 plans
669 TRANSURETHRAL PROCEDURES WITH CC $13,899 – $26,905 · median $20,402 2 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $13,899 – $16,616 · median $15,257 2 plans
671 URETHRAL PROCEDURES WITH CC/MCC $13,899 – $30,379 · median $22,139 2 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $13,899 – $19,288 · median $16,594 2 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $13,899 – $73,840 · median $43,869 2 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $13,899 – $40,684 · median $27,292 2 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $13,899 – $27,588 · median $20,743 2 plans
682 RENAL FAILURE WITH MCC $9,819 – $26,470 · median $18,144 2 plans
683 RENAL FAILURE WITH CC $9,819 – $15,666 · median $12,742 2 plans
684 RENAL FAILURE WITHOUT CC/MCC $9,819 – $10,705 · median $10,262 2 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $9,819 – $33,235 · median $21,527 2 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $9,819 – $18,553 · median $14,186 2 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $9,819 – $12,764 · median $11,291 2 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $9,819 – $20,347 · median $15,083 2 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $9,819 – $14,145 · median $11,982 2 plans
693 URINARY STONES WITH MCC $7,034 – $25,564 · median $16,299 2 plans
694 URINARY STONES WITHOUT MCC $7,034 – $13,585 · median $10,310 2 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $9,819 – $19,877 · median $14,848 2 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $9,819 – $12,193 · median $11,006 2 plans
697 URETHRAL STRICTURE $9,819 – $17,656 · median $13,737 2 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $9,819 – $17,975 · median $13,897 2 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $9,819 – $12,235 · median $11,027 2 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $26,107 – $34,202 · median $30,155 2 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $24,209 – $26,128 · median $25,169 2 plans
709 PENIS PROCEDURES WITH CC/MCC $13,899 – $39,068 · median $26,484 2 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $13,899 – $26,103 · median $20,001 2 plans
711 TESTES PROCEDURES WITH CC/MCC $13,899 – $33,673 · median $23,786 2 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $13,899 – $18,851 · median $16,375 2 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $13,899 – $25,140 · median $19,520 2 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $13,899 – $16,786 · median $15,342 2 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $13,899 – $39,801 · median $26,850 2 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $13,899 – $25,015 · median $19,457 2 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $13,899 – $32,702 · median $23,301 2 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $13,899 – $21,712 · median $17,805 2 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $9,819 – $30,471 · median $20,145 2 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,819 – $19,791 · median $14,805 2 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,819 – $12,841 · median $11,330 2 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,819 – $22,253 · median $16,036 2 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $9,819 – $13,120 · median $11,469 2 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $9,819 – $25,897 · median $17,858 2 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $9,819 – $14,401 · median $12,110 2 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $9,819 – $19,403 · median $14,611 2 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $9,819 – $10,696 · median $10,257 2 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $13,899 – $37,061 · median $25,480 2 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $13,899 – $21,394 · median $17,647 2 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $13,899 – $69,398 · median $41,649 2 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $13,899 – $35,221 · median $24,560 2 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $13,899 – $26,735 · median $20,317 2 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $50,213 – $69,212 · median $59,712 2 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $25,973 – $31,613 · median $28,793 2 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $22,346 – $23,881 · median $23,113 2 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $24,456 – $31,759 · median $28,108 2 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $16,677 – $20,841 · median $18,759 2 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $13,899 – $33,972 · median $23,936 2 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $13,899 – $18,062 · median $15,980 2 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $13,899 – $29,514 · median $21,707 2 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $13,899 – $16,835 · median $15,367 2 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $21,105 – $23,685 · median $22,395 2 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $13,899 – $45,623 · median $29,761 2 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,899 – $22,727 · median $18,313 2 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,819 – $31,888 · median $20,853 2 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,819 – $19,300 · median $14,559 2 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,819 – $16,604 · median $13,211 2 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,819 – $24,606 · median $17,212 2 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,819 – $17,722 · median $13,770 2 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,819 – $11,432 · median $10,625 2 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $9,819 – $17,136 · median $13,477 2 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $9,819 – $11,021 · median $10,420 2 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $13,899 – $24,489 · median $19,194 2 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $13,899 – $18,707 · median $16,303 2 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $9,819 – $12,575 · median $11,197 2 plans
779 ABORTION WITHOUT D&C $9,819 – $16,475 · median $13,147 2 plans
799 SPLENIC PROCEDURES WITH MCC $13,899 – $83,801 · median $48,850 2 plans
800 SPLENIC PROCEDURES WITH CC $13,899 – $51,354 · median $32,627 2 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $13,899 – $28,934 · median $21,417 2 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $13,899 – $63,180 · median $38,540 2 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $13,899 – $31,372 · median $22,635 2 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $13,899 – $19,486 · median $16,692 2 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $9,819 – $40,365 · median $25,092 2 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $9,819 – $21,828 · median $15,823 2 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $9,819 – $16,775 · median $13,297 2 plans
811 RED BLOOD CELL DISORDERS WITH MCC $9,819 – $24,460 · median $17,139 2 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $9,819 – $16,266 · median $13,042 2 plans
813 COAGULATION DISORDERS $9,819 – $27,283 · median $18,551 2 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $9,819 – $36,844 · median $23,331 2 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $9,819 – $17,908 · median $13,863 2 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $9,819 – $11,622 · median $10,720 2 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $11,975 – $44,075 · median $28,025 2 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $11,975 – $22,393 · median $17,184 2 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,975 – $14,196 · median $13,085 2 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $13,899 – $102,616 · median $58,257 2 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $13,899 – $39,345 · median $26,622 2 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $13,899 – $20,157 · median $17,028 2 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $13,899 – $82,474 · median $48,186 2 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $13,899 – $38,763 · median $26,331 2 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $13,899 – $21,692 · median $17,796 2 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $13,899 – $84,166 · median $49,032 2 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $13,899 – $41,592 · median $27,746 2 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $13,899 – $28,250 · median $21,075 2 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $13,899 – $54,350 · median $34,125 2 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $13,899 – $25,776 · median $19,837 2 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $11,975 – $20,011 · median $15,993 2 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $9,037 – $11,975 · median $10,506 2 plans
834 ACUTE LEUKEMIA WITH MCC $9,819 – $97,416 · median $53,617 2 plans
835 ACUTE LEUKEMIA WITH CC $9,819 – $37,644 · median $23,731 2 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $9,819 – $22,395 · median $16,107 2 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $9,819 – $88,249 · median $49,034 2 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $9,819 – $35,746 · median $22,782 2 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,819 – $24,153 · median $16,986 2 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $9,819 – $56,205 · median $33,012 2 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $9,819 – $27,261 · median $18,540 2 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $9,819 – $18,790 · median $14,304 2 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $9,819 – $33,368 · median $21,593 2 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $9,819 – $21,065 · median $15,442 2 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $9,819 – $14,748 · median $12,283 2 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $9,819 – $45,009 · median $27,414 2 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,819 – $22,395 · median $16,107 2 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,819 – $14,433 · median $12,126 2 plans
849 RADIOTHERAPY $9,819 – $47,077 · median $28,448 2 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $13,899 – $162,355 · median $88,127 2 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $13,899 – $86,953 · median $50,426 2 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $13,899 – $28,263 · median $21,081 2 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $13,899 – $78,439 · median $46,169 2 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $13,899 – $37,882 · median $25,891 2 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $13,899 – $22,400 · median $18,150 2 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $9,819 – $32,406 · median $21,112 2 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $9,819 – $17,623 · median $13,721 2 plans
864 FEVER AND INFLAMMATORY CONDITIONS $9,819 – $15,827 · median $12,823 2 plans
865 VIRAL ILLNESS WITH MCC $9,819 – $25,660 · median $17,739 2 plans
866 VIRAL ILLNESS WITHOUT MCC $9,819 – $15,383 · median $12,601 2 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $9,819 – $37,792 · median $23,805 2 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $9,819 – $18,507 · median $14,163 2 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $9,819 – $12,683 · median $11,251 2 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $9,819 – $120,946 · median $65,382 2 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $13,899 – $69,257 · median $41,578 2 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $9,819 – $16,895 · median $13,357 2 plans
881 DEPRESSIVE NEUROSES IPF $9,819 – $16,111 · median $12,965 2 plans
882 NEUROSES EXCEPT DEPRESSIVE IPF $9,819 – $16,955 · median $13,387 2 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $9,819 – $32,674 · median $21,246 2 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $9,819 – $29,436 · median $19,627 2 plans
885 PSYCHOSES $9,819 – $24,844 · median $17,331 2 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $9,819 – $31,662 · median $20,740 2 plans
887 OTHER MENTAL DISORDER DIAGNOSES IPF $9,819 – $20,963 · median $15,391 2 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $9,819 – $10,999 · median $10,409 2 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY IPF $9,819 – $25,519 · median $17,669 2 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $9,819 – $31,386 · median $20,602 2 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $9,819 – $15,548 · median $12,683 2 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC Transplant Services with no allowable $13,899 – $78,085 · median $45,992 2 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $13,899 – $33,444 · median $23,672 2 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $13,899 – $21,486 · median $17,693 2 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $13,899 – $68,050 · median $40,974 2 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $13,899 – $29,049 · median $21,474 2 plans
906 HAND PROCEDURES FOR INJURIES $13,899 – $38,465 · median $26,182 2 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $13,899 – $70,211 · median $42,055 2 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,899 – $35,550 · median $24,725 2 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $13,899 – $22,353 · median $18,126 2 plans
913 TRAUMATIC INJURY WITH MCC $9,819 – $28,522 · median $19,170 2 plans
914 TRAUMATIC INJURY WITHOUT MCC $9,819 – $16,151 · median $12,985 2 plans
915 ALLERGIC REACTIONS WITH MCC $9,819 – $30,630 · median $20,224 2 plans
916 ALLERGIC REACTIONS WITHOUT MCC $9,819 – $11,704 · median $10,761 2 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $9,819 – $28,899 · median $19,359 2 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC IPF $9,819 – $15,591 · median $12,705 2 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $9,819 – $32,140 · median $20,979 2 plans
920 COMPLICATIONS OF TREATMENT WITH CC $9,819 – $17,905 · median $13,862 2 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $9,819 – $12,120 · median $10,969 2 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $9,819 – $29,775 · median $19,797 2 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $9,819 – $17,975 · median $13,897 2 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $13,899 – $55,940 · median $34,920 2 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $13,899 – $37,212 · median $25,556 2 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $13,899 – $34,444 · median $24,171 2 plans
947 SIGNS AND SYMPTOMS WITH MCC $9,819 – $22,669 · median $16,244 2 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC IPF $9,819 – $14,003 · median $11,911 2 plans
949 AFTERCARE WITH CC/MCC $9,819 – $19,017 · median $14,418 2 plans
950 AFTERCARE WITHOUT CC/MCC $9,819 – $10,330 · median $10,074 2 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $9,819 – $9,993 · median $9,906 2 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $83,355 – $120,346 · median $101,850 2 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $67,368 – $135,205 · median $101,286 2 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $107,381 – $131,553 · median $119,467 2 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $72,433 – $107,381 · median $89,907 2 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $46,597 – $107,381 · median $76,989 2 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC Transplant Services with no allowable $41,266 – $47,881 · median $44,573 2 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $26,439 – $41,266 · median $33,852 2 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $16,084 – $41,266 · median $28,675 2 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $13,899 – $111,463 · median $62,681 2 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $13,899 – $46,763 · median $30,331 2 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $9,819 – $52,630 · median $31,224 2 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,819 – $25,052 · median $17,435 2 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $9,819 – $17,677 · median $13,748 2 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $9,819 – $25,413 · median $17,616 2 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $13,899 – $83,785 · median $48,842 2 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $13,899 – $43,150 · median $28,525 2 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,899 – $29,401 · median $21,650 2 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $13,899 – $61,733 · median $37,816 2 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $13,899 – $30,244 · median $22,071 2 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,899 – $20,365 · median $17,132 2 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $187,690 – $187,690 · median $187,690 1 plans
006 LIVER TRANSPLANT WITHOUT MCC $85,465 – $85,465 · median $85,465 1 plans
007 LUNG TRANSPLANT $230,331 – $230,331 · median $230,331 1 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $230,913 – $230,913 · median $230,913 1 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $106,380 – $106,380 · median $106,380 1 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $106,380 – $106,380 · median $106,380 1 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $664,670 – $664,670 · median $664,670 1 plans
767 VAGINAL DELIVERY W STERILIZATION &/OR D&C $1,450 – $1,450 · median $1,450 1 plans
774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES $1,450 – $1,450 · median $1,450 1 plans
775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES $1,450 – $1,450 · median $1,450 1 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $5,765 – $5,765 · median $5,765 1 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE — 1 plans
791 PREMATURITY WITH MAJOR PROBLEMS — 1 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $5,765 – $5,765 · median $5,765 1 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $16,631 – $16,631 · median $16,631 1 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $5,226 – $5,226 · median $5,226 1 plans
795 NORMAL NEWBORN $3,498 – $3,498 · median $3,498 1 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $12,994 – $12,994 · median $12,994 1 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $117,712 – $117,712 · median $117,712 1 plans
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