Crossgates River Oaks Hospital — Pricing

766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 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 766
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 766 procedures

Procedures with negotiated rates only

These 766 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 $2,200 – $16,361 · median $9,197 35 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $3,100 – $37,484 · median $21,026 33 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $3,100 – $16,186 · median $9,099 33 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,100 – $14,624 · median $8,237 33 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $3,100 – $25,184 · median $14,138 33 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $3,100 – $17,051 · median $9,583 33 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $3,100 – $14,639 · median $8,237 33 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,200 – $17,818 · median $10,013 33 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,200 – $15,274 · median $8,588 33 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,200 – $14,613 · median $8,218 33 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,200 – $16,477 · median $9,262 33 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,200 – $11,512 · median $6,483 33 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,200 – $10,294 · median $5,914 33 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $6,930 – $366,066 · median $186,955 31 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $3,570 – $522,066 · median $147,414 31 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $43,851 – $123,830 · median $48,536 31 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $23,170 – $71,033 · median $25,645 31 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $63,265 – $212,951 · median $70,025 31 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $42,562 – $203,195 · median $49,768 31 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $25,546 – $196,682 · median $35,501 31 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $31,452 – $65,385 · median $34,812 31 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $36,555 – $76,410 · median $40,461 31 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $24,998 – $51,444 · median $27,669 31 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $20,284 – $41,262 · median $22,451 31 plans
028 SPINAL PROCEDURES WITH MCC $42,314 – $101,793 · median $53,468 31 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $27,429 – $56,696 · median $30,360 31 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $17,649 – $35,571 · median $19,535 31 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $36,023 – $75,260 · median $39,872 31 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $17,133 – $40,453 · median $18,964 31 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $13,370 – $26,326 · median $14,798 31 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $31,120 – $64,669 · median $34,445 31 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $19,220 – $38,963 · median $21,273 31 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $15,620 – $38,039 · median $17,289 31 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $26,468 – $54,621 · median $29,296 31 plans
038 EXTRACRANIAL PROCEDURES WITH CC $13,046 – $45,072 · median $14,440 31 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $9,451 – $17,947 · median $10,461 31 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $31,044 – $114,915 · median $34,361 31 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $17,678 – $35,967 · median $19,566 31 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $13,891 – $56,768 · median $15,375 31 plans
113 ORBITAL PROCEDURES WITH CC/MCC $18,903 – $38,278 · median $20,922 31 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $10,878 – $74,765 · median $12,040 31 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $10,953 – $24,140 · median $13,659 31 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $14,537 – $49,861 · median $16,090 31 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,723 – $16,564 · median $9,655 31 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $17,447 – $35,133 · median $19,311 31 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,163 – $36,867 · median $9,035 31 plans
137 MOUTH PROCEDURES WITH CC/MCC $12,005 – $23,379 · median $13,288 31 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $7,125 – $13,530 · median $7,886 31 plans
139 SALIVARY GLAND PROCEDURES $9,935 – $18,907 · median $10,997 31 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $34,293 – $101,541 · median $37,957 31 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $17,536 – $38,588 · median $19,410 31 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $12,835 – $30,577 · median $14,206 31 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $20,650 – $66,625 · median $33,029 31 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $13,933 – $27,542 · median $15,421 31 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $9,666 – $40,654 · median $10,699 31 plans
163 MAJOR CHEST PROCEDURES WITH MCC $36,034 – $253,002 · median $54,138 31 plans
164 MAJOR CHEST PROCEDURES WITH CC $20,293 – $41,281 · median $22,461 31 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $15,382 – $30,691 · median $17,034 31 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $30,051 – $62,360 · median $33,262 31 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $14,499 – $28,767 · median $16,048 31 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,986 – $21,177 · median $12,160 31 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $9,043 – $49,138 · median $26,487 31 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $81,877 – $186,298 · median $96,769 31 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $80,054 – $184,321 · median $88,607 31 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $22,918 – $46,952 · median $25,367 31 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $11,131 – $37,563 · median $12,320 31 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $28,046 – $67,779 · median $31,042 31 plans
253 OTHER VASCULAR PROCEDURES WITH CC $20,869 – $65,038 · median $23,098 31 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $14,325 – $28,390 · median $15,855 31 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $20,747 – $44,293 · median $24,004 31 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $13,651 – $26,934 · median $15,110 31 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,781 – $19,919 · median $9,719 31 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $26,153 – $61,721 · median $28,947 31 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $15,200 – $30,958 · median $16,824 31 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $13,104 – $36,068 · median $14,504 31 plans
263 VEIN LIGATION AND STRIPPING $24,582 – $63,068 · median $27,208 31 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $25,803 – $55,463 · median $29,454 31 plans
265 AICD LEAD PROCEDURES $12,678 – $60,284 · median $32,198 31 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $49,272 – $103,879 · median $54,537 31 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $38,277 – $91,693 · median $42,366 31 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $55,298 – $297,415 · median $71,299 31 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $33,955 – $114,960 · median $37,582 31 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $42,421 – $89,081 · median $46,954 31 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $28,593 – $71,285 · median $31,648 31 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $20,526 – $54,894 · median $22,719 31 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $32,034 – $69,095 · median $36,713 31 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $24,366 – $54,614 · median $29,293 31 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $57,328 – $121,281 · median $63,454 31 plans
276 NON-MALIGANT BREAST DISORDERS $38,675 – $101,764 · median $53,453 31 plans
277 CELLULITIS AGE >17 W CC $37,133 – $128,102 · median $41,100 31 plans
278 CELLULITIS AGE >17 W/O CC $7,937 – $94,115 · median $49,432 31 plans
279 CELLULITIS AGE 0-17 $11,624 – $60,079 · median $32,093 31 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $35,882 – $76,648 · median $39,715 31 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $19,339 – $71,940 · median $21,405 31 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $21,456 – $44,699 · median $24,212 31 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY $29,239 – $72,601 · median $38,510 31 plans
324 URINARY STONES W/O CC $11,583 – $52,170 · median $28,041 31 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $25,812 – $53,202 · median $28,569 31 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $40,099 – $209,595 · median $47,421 31 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $19,651 – $118,473 · median $21,751 31 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,882 – $25,274 · median $14,259 31 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $34,696 – $89,137 · median $40,904 31 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $17,239 – $39,082 · median $21,333 31 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,878 – $27,397 · median $14,976 31 plans
332 RECTAL RESECTION WITH MCC $29,110 – $60,328 · median $32,221 31 plans
333 RECTAL RESECTION WITH CC $18,831 – $119,150 · median $20,843 31 plans
334 RECTAL RESECTION WITHOUT CC/MCC $13,169 – $25,892 · median $14,576 31 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $28,710 – $59,463 · median $31,777 31 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $16,954 – $47,979 · median $18,765 31 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,341 – $24,105 · median $13,660 31 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $20,766 – $48,326 · median $22,984 31 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,098 – $32,739 · median $13,390 31 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,537 – $34,843 · median $10,556 31 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $18,457 – $162,246 · median $24,153 31 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $2,419 – $20,177 · median $11,647 31 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $7,000 – $13,448 · median $7,747 31 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $10,122 – $40,724 · median $22,175 31 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $12,257 – $30,385 · median $13,567 31 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $9,389 – $17,830 · median $10,392 31 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $23,332 – $47,846 · median $25,825 31 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $13,527 – $26,665 · median $14,972 31 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,814 – $26,456 · median $11,969 31 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $35,318 – $181,687 · median $41,189 31 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $18,697 – $56,426 · median $20,695 31 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,239 – $32,102 · median $12,440 31 plans
397 COAGULATION DISORDERS $19,255 – $39,039 · median $21,312 31 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $12,169 – $45,351 · median $13,470 31 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $43,983 – $92,453 · median $48,682 31 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $20,321 – $71,548 · median $25,809 31 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $16,838 – $54,684 · median $19,752 31 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $28,264 – $59,371 · median $31,730 31 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $17,505 – $35,260 · median $19,376 31 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $12,765 – $25,150 · median $14,129 31 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $26,559 – $54,815 · median $29,396 31 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $16,904 – $50,407 · median $18,710 31 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $13,350 – $41,487 · median $14,777 31 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $28,643 – $59,319 · median $31,704 31 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $16,616 – $33,339 · median $18,392 31 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,961 – $54,666 · median $12,132 31 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $18,739 – $38,892 · median $21,051 31 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $13,600 – $26,825 · median $15,054 31 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $10,981 – $21,167 · median $12,154 31 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $12,008 – $60,627 · median $30,320 31 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $13,970 – $47,752 · median $15,462 31 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $11,252 – $26,445 · median $12,454 31 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $33,390 – $89,079 · median $36,958 31 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $67,064 – $179,026 · median $74,782 31 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $40,594 – $101,008 · median $53,066 31 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $33,548 – $70,317 · median $37,132 31 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $44,405 – $205,690 · median $51,827 31 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $45,824 – $96,430 · median $50,720 31 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $24,455 – $51,540 · median $27,718 31 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $14,663 – $30,136 · median $16,229 31 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $38,890 – $87,849 · median $46,323 31 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $28,354 – $58,693 · median $31,383 31 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $19,226 – $63,579 · median $24,454 31 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $24,387 – $50,125 · median $26,992 31 plans
471 CERVICAL SPINAL FUSION WITH MCC $38,823 – $214,135 · median $46,256 31 plans
472 CERVICAL SPINAL FUSION WITH CC $23,687 – $48,612 · median $26,217 31 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $34,515 – $72,002 · median $38,203 31 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $18,297 – $39,726 · median $20,251 31 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,489 – $42,029 · median $10,503 31 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $27,775 – $57,443 · median $30,743 31 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $19,577 – $40,156 · median $21,695 31 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $14,946 – $45,691 · median $16,542 31 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $23,415 – $48,025 · median $25,917 31 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $16,840 – $47,215 · median $18,639 31 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $13,113 – $25,772 · median $14,514 31 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $22,286 – $45,587 · median $24,667 31 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $25,946 – $128,639 · median $28,718 31 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $16,812 – $38,891 · median $18,609 31 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,592 – $24,647 · median $13,938 31 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $14,222 – $34,537 · median $15,741 31 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,979 – $23,859 · median $9,938 31 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $29,520 – $61,212 · median $32,674 31 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $15,189 – $41,491 · median $22,569 31 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $16,132 – $32,294 · median $17,856 31 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $29,151 – $69,925 · median $32,265 31 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $14,503 – $50,998 · median $16,053 31 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,715 – $19,281 · median $10,753 31 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $15,371 – $49,840 · median $26,847 31 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $13,284 – $72,007 · median $17,778 31 plans
500 SOFT TISSUE PROCEDURES WITH MCC $25,445 – $97,317 · median $28,164 31 plans
501 SOFT TISSUE PROCEDURES WITH CC $14,055 – $34,642 · median $15,556 31 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,821 – $28,128 · median $11,977 31 plans
503 FOOT PROCEDURES WITH MCC $22,440 – $112,303 · median $24,838 31 plans
504 FOOT PROCEDURES WITH CC $15,028 – $37,440 · median $16,634 31 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $14,414 – $28,836 · median $15,954 31 plans
506 MAJOR THUMB OR JOINT PROCEDURES $10,848 – $21,309 · median $12,007 31 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $14,523 – $34,939 · median $16,075 31 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $12,176 – $24,012 · median $13,477 31 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $24,285 – $49,904 · median $26,879 31 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $16,718 – $33,560 · median $18,505 31 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $13,309 – $26,196 · median $14,731 31 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $12,657 – $24,788 · median $14,010 31 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,219 – $18,258 · median $9,097 31 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $25,623 – $52,794 · median $28,360 31 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $16,708 – $33,537 · median $18,493 31 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $12,355 – $24,135 · median $13,675 31 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $30,048 – $62,353 · median $33,258 31 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $16,082 – $32,184 · median $17,800 31 plans
570 SKIN DEBRIDEMENT WITH MCC $23,646 – $308,973 · median $67,757 31 plans
571 SKIN DEBRIDEMENT WITH CC $13,584 – $31,900 · median $15,035 31 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $9,216 – $17,502 · median $10,201 31 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $32,819 – $111,225 · median $58,301 31 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $27,910 – $57,735 · median $30,892 31 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $14,448 – $36,490 · median $15,992 31 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $7,002 – $82,566 · median $43,197 31 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $21,312 – $43,482 · median $23,589 31 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,915 – $43,842 · median $14,295 31 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $26,038 – $59,225 · median $28,819 31 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $9,908 – $30,652 · median $15,377 31 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $11,603 – $42,023 · median $12,842 31 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $15,490 – $34,858 · median $17,145 31 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $13,779 – $30,361 · median $15,345 31 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $17,211 – $37,025 · median $19,050 31 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $15,510 – $30,950 · median $17,167 31 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $17,622 – $39,958 · median $19,505 31 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $11,250 – $21,748 · median $12,452 31 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $28,039 – $70,806 · median $31,034 31 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $15,037 – $29,928 · median $16,644 31 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $11,403 – $67,033 · median $12,621 31 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $18,580 – $60,163 · median $25,695 31 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $12,866 – $44,755 · median $14,241 31 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,819 – $23,643 · median $13,423 31 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $28,118 – $59,260 · median $31,673 31 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,423 – $28,602 · median $15,964 31 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,646 – $61,745 · median $11,141 31 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $24,282 – $49,897 · median $26,876 31 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $12,055 – $23,487 · median $13,343 31 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $10,680 – $26,695 · median $11,821 31 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $29,963 – $62,170 · median $33,165 31 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $17,518 – $35,286 · median $19,389 31 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $11,734 – $81,456 · median $12,988 31 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $41,779 – $237,945 · median $51,485 31 plans
654 MAJOR BLADDER PROCEDURES WITH CC $22,506 – $46,062 · median $24,911 31 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $17,017 – $40,357 · median $18,836 31 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $25,598 – $72,408 · median $28,333 31 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $14,713 – $34,221 · median $16,285 31 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $12,339 – $41,856 · median $13,809 31 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $20,429 – $56,593 · median $22,611 31 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,626 – $20,401 · median $11,762 31 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $8,325 – $16,510 · median $9,214 31 plans
662 MINOR BLADDER PROCEDURES WITH MCC $18,224 – $50,616 · median $26,996 31 plans
663 MINOR BLADDER PROCEDURES WITH CC $12,222 – $23,848 · median $13,528 31 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,417 – $49,495 · median $9,316 31 plans
665 PROSTATECTOMY WITH MCC $25,094 – $64,356 · median $27,776 31 plans
666 PROSTATECTOMY WITH CC $14,064 – $27,827 · median $15,567 31 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,894 – $16,889 · median $9,844 31 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $19,178 – $70,068 · median $25,985 31 plans
669 TRANSURETHRAL PROCEDURES WITH CC $12,478 – $38,059 · median $13,811 31 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,857 – $14,921 · median $8,697 31 plans
671 URETHRAL PROCEDURES WITH CC/MCC $10,883 – $29,582 · median $15,974 31 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,444 – $46,051 · median $9,606 31 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $29,440 – $96,083 · median $37,390 31 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $18,802 – $38,061 · median $20,811 31 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $13,197 – $74,951 · median $14,607 31 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $16,082 – $36,830 · median $17,801 31 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,529 – $25,754 · median $13,653 31 plans
709 PENIS PROCEDURES WITH CC/MCC $18,710 – $38,160 · median $20,709 31 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $11,266 – $21,781 · median $12,469 31 plans
711 TESTES PROCEDURES WITH CC/MCC $16,754 – $33,636 · median $18,544 31 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,842 – $16,790 · median $9,786 31 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $12,087 – $23,556 · median $13,379 31 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,502 – $16,144 · median $9,410 31 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $10,985 – $36,302 · median $19,910 31 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $11,827 – $27,928 · median $13,090 31 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $15,200 – $30,279 · median $16,824 31 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $10,799 – $23,675 · median $11,952 31 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $17,125 – $34,439 · median $18,955 31 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $10,818 – $22,683 · median $11,974 31 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $28,739 – $75,477 · median $31,810 31 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $16,567 – $33,233 · median $18,337 31 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,807 – $28,992 · median $13,068 31 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $28,110 – $59,669 · median $31,883 31 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $14,211 – $47,414 · median $16,104 31 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,466 – $80,397 · median $12,691 31 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $14,752 – $29,312 · median $16,328 31 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $16,475 – $38,486 · median $18,235 31 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $9,146 – $133,779 · median $13,841 31 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $13,966 – $27,615 · median $15,458 31 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,912 – $14,719 · median $7,650 31 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $8,269 – $21,540 · median $12,346 31 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $20,644 – $42,038 · median $22,849 31 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,865 – $35,757 · median $13,133 31 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $13,586 – $51,038 · median $15,038 31 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $8,062 – $15,309 · median $8,923 31 plans
799 SPLENECTOMY WITH MCC $36,412 – $76,100 · median $40,303 31 plans
800 SPLENECTOMY WITH CC $22,588 – $78,784 · median $25,001 31 plans
801 SPLENECTOMY WITHOUT CC/MCC $15,348 – $30,599 · median $16,987 31 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $32,032 – $126,582 · median $35,455 31 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $14,946 – $29,730 · median $16,542 31 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $10,749 – $20,997 · median $12,067 31 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $10,856 – $37,071 · median $20,304 31 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,786 – $17,699 · median $10,316 31 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,914 – $13,129 · median $7,652 31 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $47,153 – $99,301 · median $52,191 31 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $17,998 – $36,525 · median $19,921 31 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,680 – $26,340 · median $10,714 31 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $36,862 – $93,737 · median $40,800 31 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $18,215 – $36,794 · median $20,162 31 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $10,849 – $20,882 · median $12,008 31 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $37,610 – $82,475 · median $41,628 31 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $18,582 – $44,935 · median $20,567 31 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $13,699 – $27,037 · median $15,162 31 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $25,406 – $52,327 · median $28,121 31 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $12,100 – $62,320 · median $13,393 31 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $39,706 – $83,216 · median $43,949 31 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $16,065 – $32,148 · median $17,781 31 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,037 – $23,449 · median $13,324 31 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $36,572 – $76,444 · median $40,479 31 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $9,722 – $34,638 · median $18,894 31 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $11,199 – $21,637 · median $12,395 31 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $33,741 – $70,329 · median $37,346 31 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $15,393 – $30,696 · median $17,037 31 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,404 – $21,779 · median $10,408 31 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $29,532 – $70,506 · median $32,687 31 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $11,927 – $66,054 · median $13,201 31 plans
906 HAND PROCEDURES FOR INJURIES $15,793 – $31,561 · median $17,333 31 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $30,868 – $64,124 · median $34,166 31 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $16,041 – $109,461 · median $17,755 31 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $10,554 – $23,406 · median $11,682 31 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $171,658 – $368,242 · median $189,998 31 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $32,068 – $122,015 · median $63,201 31 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $25,895 – $89,106 · median $28,662 31 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $29,173 – $76,338 · median $32,290 31 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $18,789 – $38,032 · median $20,796 31 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $16,303 – $32,662 · median $18,045 31 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $54,118 – $114,346 · median $59,900 31 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $30,255 – $75,104 · median $33,487 31 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $61,264 – $129,782 · median $67,810 31 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $33,880 – $70,630 · median $37,500 31 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $23,671 – $108,396 · median $26,200 31 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $49,215 – $407,487 · median $100,919 31 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $21,205 – $159,677 · median $25,302 31 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $37,722 – $78,930 · median $41,752 31 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $19,766 – $63,034 · median $21,878 31 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,781 – $44,994 · median $15,253 31 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $10,717 – $56,988 · median $30,509 31 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $10,854 – $25,991 · median $14,626 31 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,576 – $18,309 · median $10,672 31 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $33,897 – $93,563 · median $38,990 30 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $46,072 – $157,802 · median $52,994 30 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $5,856 – $28,904 · median $15,909 30 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $5,856 – $14,950 · median $8,616 30 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $5,856 – $23,965 · median $13,351 30 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $5,856 – $15,567 · median $8,970 30 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $5,856 – $37,792 · median $20,394 30 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $5,856 – $19,948 · median $11,389 30 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $5,856 – $27,136 · median $15,016 30 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,856 – $18,998 · median $10,910 30 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $5,856 – $14,043 · median $8,096 30 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $5,856 – $45,329 · median $24,197 30 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $5,856 – $27,964 · median $15,434 30 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $5,856 – $21,827 · median $12,337 30 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $5,856 – $32,372 · median $17,659 30 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $5,856 – $15,425 · median $8,886 30 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,503 – $10,449 · median $6,076 30 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $5,856 – $22,954 · median $12,906 30 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,856 – $13,198 · median $7,610 30 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,856 – $12,196 · median $7,001 30 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $5,856 – $26,359 · median $14,625 30 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $5,856 – $15,665 · median $9,026 30 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,856 – $11,546 · median $6,662 30 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $5,856 – $25,309 · median $14,094 30 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,856 – $15,738 · median $9,068 30 plans
075 VIRAL MENINGITIS WITH CC/MCC $5,856 – $30,748 · median $16,757 30 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,856 – $12,599 · median $7,267 30 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $5,856 – $28,881 · median $15,820 30 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,856 – $13,674 · median $7,845 30 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $5,856 – $37,141 · median $20,065 30 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $5,856 – $21,688 · median $12,208 30 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $5,856 – $14,593 · median $8,411 30 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $5,856 – $36,903 · median $19,945 30 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $5,856 – $20,071 · median $11,396 30 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,856 – $13,966 · median $8,012 30 plans
088 CONCUSSION WITH MCC $5,856 – $20,924 · median $11,824 30 plans
089 CONCUSSION WITH CC $5,856 – $16,773 · median $9,663 30 plans
090 CONCUSSION WITHOUT CC/MCC $5,856 – $12,569 · median $7,249 30 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $5,856 – $27,947 · median $15,426 30 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $5,856 – $15,619 · median $9,000 30 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,856 – $12,158 · median $7,013 30 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $5,856 – $58,568 · median $30,878 30 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $5,856 – $42,240 · median $22,638 30 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,856 – $42,240 · median $22,528 30 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $5,856 – $60,173 · median $31,688 30 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $5,856 – $37,302 · median $20,049 30 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $5,856 – $21,108 · median $11,916 30 plans
100 SEIZURES WITH MCC $5,856 – $31,083 · median $16,926 30 plans
101 SEIZURES WITHOUT MCC $5,856 – $13,781 · median $7,906 30 plans
102 HEADACHES WITH MCC $5,856 – $17,114 · median $9,858 30 plans
103 HEADACHES WITHOUT MCC $5,856 – $12,769 · median $7,328 30 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $5,856 – $17,761 · median $10,230 30 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,195 – $11,998 · median $6,888 30 plans
123 NEUROLOGICAL EYE DISORDERS $5,856 – $12,193 · median $7,033 30 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $5,856 – $20,425 · median $11,630 30 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,856 – $11,723 · median $6,731 30 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $5,856 – $37,718 · median $18,591 30 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $5,856 – $19,529 · median $11,178 30 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,856 – $12,841 · median $7,020 30 plans
149 DYSEQUILIBRIUM $5,856 – $11,475 · median $6,622 30 plans
150 EPISTAXIS WITH MCC $5,856 – $20,571 · median $11,704 30 plans
151 EPISTAXIS WITHOUT MCC $5,856 – $11,956 · median $6,467 30 plans
152 OTITIS MEDIA AND URI WITH MCC $5,856 – $18,050 · median $10,345 30 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,421 – $11,271 · median $6,473 30 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $5,856 – $24,600 · median $13,737 30 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,856 – $13,993 · median $8,067 30 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,556 – $10,552 · median $6,136 30 plans
157 DENTAL AND ORAL DISEASES WITH MCC $5,856 – $27,263 · median $15,080 30 plans
158 DENTAL AND ORAL DISEASES WITH CC $5,856 – $13,891 · median $8,008 30 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,696 – $10,817 · median $6,244 30 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $5,856 – $21,302 · median $12,014 30 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,856 – $12,291 · median $7,090 30 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $5,856 – $24,586 · median $13,663 30 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $5,856 – $14,901 · median $8,588 30 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,856 – $11,527 · median $6,651 30 plans
180 RESPIRATORY NEOPLASMS WITH MCC $5,856 – $28,117 · median $15,512 30 plans
181 RESPIRATORY NEOPLASMS WITH CC $5,856 – $16,352 · median $9,421 30 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,856 – $12,412 · median $6,641 30 plans
183 MAJOR CHEST TRAUMA WITH MCC $5,856 – $24,017 · median $13,442 30 plans
184 MAJOR CHEST TRAUMA WITH CC $5,856 – $16,247 · median $9,315 30 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,856 – $12,008 · median $6,925 30 plans
186 PLEURAL EFFUSION WITH MCC $5,856 – $24,513 · median $13,693 30 plans
187 PLEURAL EFFUSION WITH CC $5,856 – $15,101 · median $8,703 30 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,766 – $10,950 · median $6,320 30 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $5,856 – $18,902 · median $10,861 30 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $5,856 – $16,912 · median $9,742 30 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,856 – $12,871 · median $7,423 30 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,162 – $9,802 · median $5,713 30 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $5,856 – $20,274 · median $11,554 30 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,856 – $12,304 · median $7,097 30 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,053 – $9,596 · median $5,593 30 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $5,856 – $30,222 · median $16,574 30 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $5,856 – $44,762 · median $21,968 30 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,758 – $11,775 · median $6,311 30 plans
199 PNEUMOTHORAX WITH MCC $5,856 – $28,084 · median $15,419 30 plans
200 PNEUMOTHORAX WITH CC $5,856 – $16,784 · median $9,622 30 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,749 – $10,918 · median $6,302 30 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,856 – $14,828 · median $8,505 30 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,387 – $10,230 · median $5,906 30 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,856 – $12,327 · median $7,111 30 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $5,856 – $29,246 · median $16,003 30 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,856 – $14,369 · median $8,282 30 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $2,730 – $145,810 · median $72,551 30 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $5,856 – $45,184 · median $24,124 30 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $78,654 – $167,345 · median $87,057 30 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $52,865 – $111,640 · median $58,514 30 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $52,865 – $111,640 · median $58,227 30 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $61,734 – $130,796 · median $67,992 30 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $42,876 – $90,062 · median $47,227 30 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $40,007 – $84,980 · median $44,637 30 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $39,777 – $92,212 · median $44,027 30 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $25,322 – $52,144 · median $28,027 30 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $67,776 – $143,849 · median $75,018 30 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $48,743 – $102,736 · median $53,951 30 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $61,467 – $130,221 · median $68,035 30 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $47,184 – $99,367 · median $52,225 30 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $36,921 – $82,922 · median $43,588 30 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $25,670 – $52,896 · median $28,413 30 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $17,132 – $34,454 · median $18,963 30 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $14,532 – $28,838 · median $16,085 30 plans
245 AICD GENERATOR PROCEDURES $36,682 – $96,678 · median $40,601 30 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $17,547 – $35,350 · median $19,422 30 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $12,016 – $23,402 · median $13,300 30 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $25,262 – $52,016 · median $27,962 30 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $16,258 – $32,565 · median $17,995 30 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $5,856 – $25,305 · median $14,093 30 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,856 – $14,033 · median $8,090 30 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,814 – $11,040 · median $6,372 30 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $5,856 – $31,847 · median $17,394 30 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,565 – $18,376 · median $6,145 30 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,815 – $9,144 · median $5,330 30 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $5,856 – $35,877 · median $19,427 30 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $5,856 – $16,338 · median $9,413 30 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $5,856 – $44,445 · median $23,751 30 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $5,856 – $27,091 · median $14,994 30 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $5,856 – $14,195 · median $8,182 30 plans
291 HEART FAILURE AND SHOCK WITH MCC $5,856 – $19,743 · median $11,231 30 plans
292 HEART FAILURE AND SHOCK WITH CC $5,856 – $12,962 · median $7,475 30 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,551 – $8,642 · median $5,037 30 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $5,856 – $33,905 · median $13,723 30 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,097 – $11,967 · median $5,642 30 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,659 – $8,393 · median $4,280 30 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $5,856 – $25,802 · median $14,343 30 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $5,856 – $16,298 · median $9,390 30 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,786 – $10,988 · median $6,342 30 plans
302 ATHEROSCLEROSIS WITH MCC $5,856 – $18,270 · median $10,521 30 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,413 – $11,329 · median $5,977 30 plans
304 HYPERTENSION WITH MCC $5,856 – $18,169 · median $10,464 30 plans
305 HYPERTENSION WITHOUT MCC $5,856 – $11,529 · median $6,652 30 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $5,856 – $24,814 · median $13,845 30 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,856 – $13,943 · median $8,038 30 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $5,856 – $18,383 · median $10,535 30 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,856 – $11,233 · median $6,482 30 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,551 – $8,643 · median $5,029 30 plans
311 ANGINA PECTORIS $5,643 – $11,201 · median $6,214 30 plans
312 SYNCOPE AND COLLAPSE $5,856 – $13,308 · median $7,636 30 plans
313 CHEST PAIN $5,789 – $10,993 · median $6,345 30 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $5,856 – $33,661 · median $18,309 30 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $5,856 – $14,708 · median $8,477 30 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,484 – $10,414 · median $6,056 30 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $9,671 – $28,065 · median $15,625 30 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $5,856 – $32,188 · median $13,986 30 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,856 – $15,271 · median $8,800 30 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,634 – $10,700 · median $6,209 30 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $5,856 – $28,240 · median $15,574 30 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,856 – $15,589 · median $8,939 30 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,848 – $11,106 · median $6,378 30 plans
374 DIGESTIVE MALIGNANCY WITH MCC $5,856 – $34,590 · median $18,686 30 plans
375 DIGESTIVE MALIGNANCY WITH CC $5,856 – $18,468 · median $10,635 30 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $5,856 – $14,112 · median $8,135 30 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $5,856 – $29,194 · median $16,055 30 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $5,856 – $14,973 · median $8,615 30 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,068 – $9,625 · median $5,610 30 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $5,856 – $35,341 · median $17,231 30 plans
381 COMPLICATED PEPTIC ULCER WITH CC $5,856 – $16,543 · median $9,530 30 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,856 – $12,223 · median $7,051 30 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $5,856 – $21,425 · median $12,135 30 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,856 – $13,051 · median $7,526 30 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $5,856 – $24,927 · median $13,902 30 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $5,856 – $14,906 · median $8,591 30 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,478 – $10,402 · median $6,049 30 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $5,856 – $23,094 · median $12,914 30 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,856 – $12,059 · median $6,923 30 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,374 – $9,534 · median $4,854 30 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $5,856 – $19,473 · median $11,096 30 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $5,856 – $25,222 · median $14,051 30 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $5,856 – $14,286 · median $8,235 30 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,218 – $9,909 · median $5,775 30 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $9,203 – $99,210 · median $10,187 30 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $17,591 – $72,207 · median $20,234 30 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $12,062 – $30,936 · median $13,875 30 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,729 – $10,878 · median $6,248 30 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $5,856 – $29,345 · median $16,131 30 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,856 – $17,270 · median $9,947 30 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,856 – $13,028 · median $7,513 30 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $5,856 – $25,759 · median $14,321 30 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,856 – $12,843 · median $7,407 30 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,996 – $9,487 · median $5,518 30 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $5,856 – $28,615 · median $15,763 30 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $5,856 – $14,738 · median $8,469 30 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,626 – $10,683 · median $6,169 30 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $5,856 – $26,465 · median $14,678 30 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,856 – $16,709 · median $9,626 30 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,856 – $12,631 · median $7,285 30 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $21,386 – $47,051 · median $23,671 30 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $15,181 – $30,946 · median $17,093 30 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $18,209 – $39,845 · median $21,430 30 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $12,011 – $23,391 · median $13,243 30 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $23,076 – $47,294 · median $26,544 30 plans
533 FRACTURES OF FEMUR WITH MCC $5,856 – $24,673 · median $13,774 30 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,856 – $12,307 · median $7,099 30 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $5,856 – $19,711 · median $11,270 30 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,856 – $12,330 · median $7,112 30 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $5,856 – $14,570 · median $8,398 30 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,791 – $10,997 · median $6,347 30 plans
539 OSTEOMYELITIS WITH MCC $5,856 – $31,655 · median $17,297 30 plans
540 OSTEOMYELITIS WITH CC $5,856 – $19,960 · median $11,395 30 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,856 – $12,022 · median $6,935 30 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $5,856 – $34,540 · median $15,516 30 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $5,856 – $20,124 · median $9,044 30 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,856 – $11,521 · median $6,648 30 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $5,856 – $40,547 · median $21,784 30 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $5,856 – $17,610 · median $10,143 30 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,856 – $12,900 · median $7,363 30 plans
548 SEPTIC ARTHRITIS WITH MCC $5,856 – $30,981 · median $16,957 30 plans
549 SEPTIC ARTHRITIS WITH CC $5,856 – $18,431 · median $10,614 30 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,856 – $13,346 · median $7,695 30 plans
551 MEDICAL BACK PROBLEMS WITH MCC $5,856 – $26,556 · median $14,724 30 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $5,856 – $14,677 · median $8,459 30 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,856 – $19,960 · median $11,395 30 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,856 – $12,674 · median $7,310 30 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,856 – $20,403 · median $11,619 30 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,856 – $12,682 · median $7,314 30 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $5,856 – $23,270 · median $13,066 30 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $5,856 – $13,637 · median $7,824 30 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,856 – $29,835 · median $16,378 30 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,856 – $17,193 · median $9,904 30 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,856 – $13,607 · median $7,080 30 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $5,856 – $22,191 · median $12,521 30 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $5,856 – $13,672 · median $7,883 30 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $5,856 – $24,255 · median $13,562 30 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,856 – $14,877 · median $8,574 30 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,457 – $11,440 · median $6,569 30 plans
592 SKIN ULCERS WITH MCC $5,856 – $31,057 · median $16,995 30 plans
593 SKIN ULCERS WITH CC $5,856 – $18,112 · median $10,431 30 plans
594 SKIN ULCERS WITHOUT CC/MCC $5,856 – $13,234 · median $7,594 30 plans
595 MAJOR SKIN DISORDERS WITH MCC $5,856 – $34,277 · median $18,529 30 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $5,856 – $16,528 · median $9,475 30 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $5,856 – $26,399 · median $14,645 30 plans
598 MALIGNANT BREAST DISORDERS WITH CC $5,856 – $17,273 · median $9,949 30 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,856 – $11,747 · median $6,745 30 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $5,856 – $15,903 · median $9,163 30 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,864 – $9,237 · median $5,384 30 plans
602 CELLULITIS WITH MCC $5,856 – $22,131 · median $12,491 30 plans
603 CELLULITIS WITHOUT MCC $5,856 – $13,297 · median $7,630 30 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $5,856 – $23,013 · median $12,936 30 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,856 – $13,985 · median $8,023 30 plans
606 MINOR SKIN DISORDERS WITH MCC $5,856 – $23,727 · median $13,231 30 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,856 – $13,839 · median $7,939 30 plans
637 DIABETES WITH MCC $5,856 – $22,398 · median $12,608 30 plans
638 DIABETES WITH CC $5,856 – $13,683 · median $7,851 30 plans
639 DIABETES WITHOUT CC/MCC $4,994 – $9,484 · median $5,528 30 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $5,856 – $20,642 · median $11,683 30 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,668 – $11,881 · median $6,821 30 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $5,856 – $22,144 · median $12,437 30 plans
643 ENDOCRINE DISORDERS WITH MCC $5,856 – $26,035 · median $14,461 30 plans
644 ENDOCRINE DISORDERS WITH CC $5,856 – $15,650 · median $9,018 30 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,856 – $11,730 · median $6,735 30 plans
682 RENAL FAILURE WITH MCC $5,856 – $23,167 · median $13,014 30 plans
683 RENAL FAILURE WITH CC $5,856 – $13,372 · median $7,673 30 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,826 – $9,165 · median $5,342 30 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $5,856 – $28,772 · median $15,842 30 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,856 – $17,651 · median $9,217 30 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,856 – $12,066 · median $6,927 30 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $5,856 – $17,715 · median $10,203 30 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,856 – $12,359 · median $7,094 30 plans
693 URINARY STONES WITH MCC $5,856 – $20,797 · median $11,818 30 plans
694 URINARY STONES WITHOUT MCC $5,856 – $11,935 · median $6,885 30 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,856 – $17,463 · median $10,059 30 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,540 – $10,520 · median $6,117 30 plans
697 URETHRAL STRICTURE $5,856 – $16,456 · median $9,480 30 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $5,856 – $26,179 · median $14,534 30 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $5,856 – $15,497 · median $8,930 30 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,547 – $10,533 · median $6,125 30 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $5,856 – $28,876 · median $15,895 30 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $5,856 – $17,447 · median $10,049 30 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,272 – $10,203 · median $5,835 30 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $5,856 – $17,867 · median $10,290 30 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,805 – $12,996 · median $6,362 30 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $5,856 – $27,658 · median $13,031 30 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,856 – $12,385 · median $7,144 30 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $5,856 – $16,164 · median $9,313 30 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,403 – $10,260 · median $5,966 30 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,856 – $29,432 · median $16,175 30 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,856 – $16,608 · median $9,521 30 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,856 – $14,665 · median $8,452 30 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,856 – $22,315 · median $12,584 30 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,856 – $14,947 · median $8,614 30 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,335 – $10,132 · median $5,867 30 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $5,856 – $15,382 · median $8,821 30 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,587 – $8,710 · median $5,077 30 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,521 – $9,996 · median $5,813 30 plans
779 ABORTION WITHOUT D&C $5,856 – $12,845 · median $7,372 30 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $5,856 – $28,746 · median $15,829 30 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,680 – $100,668 · median $51,868 30 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,365 – $67,940 · median $35,433 30 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $735 – $39,982 · median $21,394 30 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $945 – $69,860 · median $36,398 30 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $630 – $23,079 · median $12,906 30 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $5,856 – $35,791 · median $19,384 30 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $5,856 – $19,432 · median $11,129 30 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $5,856 – $15,979 · median $9,162 30 plans
811 RED BLOOD CELL DISORDERS WITH MCC $5,856 – $21,835 · median $12,342 30 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,856 – $14,019 · median $8,042 30 plans
813 COAGULATION DISORDERS $5,856 – $23,937 · median $13,402 30 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $5,856 – $34,381 · median $18,673 30 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $5,856 – $15,482 · median $8,878 30 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,081 – $9,649 · median $5,624 30 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $5,856 – $18,360 · median $10,522 30 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,802 – $11,017 · median $6,328 30 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,204 – $9,263 · median $4,724 30 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $5,856 – $92,790 · median $48,147 30 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $5,856 – $33,671 · median $18,314 30 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,856 – $18,626 · median $10,722 30 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $5,856 – $111,833 · median $55,649 30 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $5,856 – $33,699 · median $18,239 30 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,856 – $22,523 · median $12,627 30 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $5,856 – $53,627 · median $28,385 30 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $5,856 – $25,779 · median $14,332 30 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $5,856 – $15,427 · median $8,890 30 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $5,856 – $33,283 · median $17,517 30 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $5,856 – $18,918 · median $10,704 30 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,856 – $13,002 · median $7,498 30 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $5,856 – $42,471 · median $22,755 30 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $5,856 – $20,166 · median $11,500 30 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,856 – $12,969 · median $7,479 30 plans
849 RADIOTHERAPY $5,856 – $46,957 · median $24,891 30 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $5,856 – $29,119 · median $16,016 30 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $5,856 – $15,236 · median $8,780 30 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,856 – $13,553 · median $7,776 30 plans
865 VIRAL ILLNESS WITH MCC $5,856 – $23,468 · median $13,165 30 plans
866 VIRAL ILLNESS WITHOUT MCC $5,856 – $13,277 · median $7,619 30 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $5,856 – $33,799 · median $18,379 30 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $5,856 – $15,743 · median $9,071 30 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,856 – $11,141 · median $6,430 30 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $3,150 – $117,484 · median $60,313 30 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $5,856 – $31,182 · median $16,975 30 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $5,856 – $15,624 · median $8,959 30 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,680 – $59,009 · median $33,906 30 plans
913 TRAUMATIC INJURY WITH MCC $5,856 – $25,835 · median $14,360 30 plans
914 TRAUMATIC INJURY WITHOUT MCC $5,856 – $13,520 · median $7,795 30 plans
915 ALLERGIC REACTIONS WITH MCC $5,856 – $26,651 · median $14,772 30 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,357 – $10,173 · median $5,916 30 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $5,856 – $24,685 · median $13,713 30 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,856 – $13,086 · median $7,510 30 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $5,856 – $29,242 · median $16,001 30 plans
920 COMPLICATIONS OF TREATMENT WITH CC $5,856 – $15,303 · median $8,819 30 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,535 – $10,510 · median $6,112 30 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $5,856 – $27,829 · median $15,291 30 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $5,624 – $15,538 · median $8,910 30 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $5,856 – $65,078 · median $33,996 30 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $5,856 – $35,838 · median $19,313 30 plans
935 NON-EXTENSIVE BURNS $5,856 – $33,223 · median $18,088 30 plans
947 SIGNS AND SYMPTOMS WITH MCC $5,856 – $19,493 · median $11,159 30 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,856 – $12,222 · median $7,050 30 plans
949 AFTERCARE WITH CC/MCC $5,856 – $18,584 · median $10,461 30 plans
950 AFTERCARE WITHOUT CC/MCC $5,047 – $9,584 · median $5,586 30 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,470 – $8,489 · median $4,948 30 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $5,856 – $44,925 · median $23,993 30 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $5,856 – $24,064 · median $13,466 30 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,856 – $14,359 · median $8,277 30 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $5,856 – $47,568 · median $25,327 30 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $5,856 – $19,937 · median $11,384 30 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $5,856 – $13,782 · median $7,946 30 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $5,856 – $20,824 · median $11,407 30 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $43,920 – $92,318 · median $48,142 29 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $33,678 – $70,194 · median $36,924 29 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,170 – $11,903 · median $6,834 29 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $5,856 – $33,438 · median $18,281 29 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,856 – $16,126 · median $9,336 29 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $17,026 – $43,216 · median $18,845 29 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,975 – $28,593 · median $11,041 29 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $9,003 – $169,870 · median $63,178 28 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $37,799 – $175,827 · median $41,838 28 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $29,795 – $175,827 · median $32,978 28 plans
795 NORMAL NEWBORN $1,606 – $6,212 · median $2,592 28 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $850 – $14,660 · median $8,393 28 plans
881 DEPRESSIVE NEUROSES $850 – $14,366 · median $8,225 28 plans
882 NEUROSES EXCEPT DEPRESSIVE $850 – $16,395 · median $9,338 28 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $850 – $30,021 · median $17,169 28 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $850 – $24,565 · median $14,051 28 plans
885 PSYCHOSES $850 – $21,326 · median $12,201 28 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $850 – $31,686 · median $18,031 28 plans
887 OTHER MENTAL DISORDER DIAGNOSES $850 – $16,350 · median $9,359 28 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $850 – $9,419 · median $5,441 28 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $850 – $25,544 · median $14,611 28 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $850 – $26,644 · median $15,254 28 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $850 – $13,479 · median $7,734 28 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $225,312 – $484,139 · median $249,385 27 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $91,108 – $414,088 · median $113,318 27 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $82,896 – $260,459 · median $91,753 27 plans
006 LIVER TRANSPLANT WITHOUT MCC $37,281 – $337,154 · median $79,784 27 plans
007 LUNG TRANSPLANT $104,120 – $1,189,566 · median $344,703 27 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $45,061 – $325,567 · median $77,507 27 plans
010 PANCREAS TRANSPLANT $55,708 – $200,150 · median $63,228 27 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $72,060 – $1,005,171 · median $502,419 27 plans
652 KIDNEY TRANSPLANT $25,965 – $202,201 · median $28,739 27 plans
945 REHABILITATION WITH CC/MCC $1,325 – $24,341 · median $13,540 27 plans
946 REHABILITATION WITHOUT CC/MCC $1,000 – $17,509 · median $10,036 27 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $96,624 – $264,713 · median $106,947 26 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $47,675 – $100,428 · median $52,768 26 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $43,676 – $91,790 · median $48,342 26 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $13,256 – $26,550 · median $13,652 25 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $8,567 – $15,236 · median $8,823 25 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,735 – $11,527 · median $5,906 25 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $10,534 – $18,774 · median $10,849 25 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,788 – $12,059 · median $6,990 25 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $75,800 – $232,607 · median $78,073 25 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $52,329 – $103,669 · median $53,898 25 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $39,413 – $124,235 · median $40,594 25 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $56,741 – $150,428 · median $58,442 25 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $31,310 – $67,770 · median $32,248 25 plans
509 ARTHROSCOPY $15,055 – $115,815 · median $15,505 25 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,676 – $9,671 · median $4,551 9 plans
999 UNGROUPABLE $1,676 – $18,501 · median $8,706 9 plans
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