Merit Health River Oaks — 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 – $14,472 · median $7,922 34 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $3,100 – $33,157 · median $16,895 32 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $3,100 – $14,317 · median $7,941 32 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,100 – $12,935 · median $7,363 32 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $3,100 – $22,277 · median $11,670 32 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $3,100 – $15,083 · median $8,312 32 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $3,100 – $12,949 · median $7,370 32 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,200 – $15,761 · median $8,541 32 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,200 – $13,511 · median $7,461 32 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,200 – $12,926 · median $7,180 32 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,200 – $14,575 · median $7,972 32 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,200 – $10,333 · median $5,937 32 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,200 – $9,418 · median $5,417 32 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $9,000 – $44,755 · median $12,866 31 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $9,000 – $22,694 · median $11,931 31 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $6,930 – $354,805 · median $148,404 30 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 $97,203 30 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $35,994 – $123,830 · median $47,225 30 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $28,046 – $93,563 · median $36,841 30 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $19,481 – $71,033 · median $25,651 30 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $51,495 – $212,951 · median $67,478 30 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $34,965 – $203,195 · median $45,881 30 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $21,378 – $196,682 · median $28,131 30 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $37,767 – $157,802 · median $49,542 30 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $26,094 – $58,855 · median $34,291 30 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $30,169 – $68,405 · median $37,904 30 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $20,941 – $46,778 · median $27,559 30 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $17,177 – $37,957 · median $22,593 30 plans
028 SPINAL PROCEDURES WITH MCC $39,552 – $90,395 · median $46,331 30 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $22,882 – $51,328 · median $30,027 30 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $15,073 – $33,744 · median $19,658 30 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $29,744 – $67,787 · median $39,060 30 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $14,661 – $40,453 · median $19,083 30 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $11,656 – $25,018 · median $14,566 30 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $25,829 – $59,450 · median $33,945 30 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $16,327 – $35,965 · median $21,407 30 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $13,453 – $38,039 · median $17,321 30 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $22,115 – $49,530 · median $28,260 30 plans
038 EXTRACRANIAL PROCEDURES WITH CC $11,397 – $45,072 · median $14,530 30 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,527 – $17,685 · median $10,567 30 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $25,768 – $114,915 · median $33,866 30 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $15,096 – $35,967 · median $19,689 30 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $12,072 – $56,768 · median $15,472 30 plans
113 ORBITAL PROCEDURES WITH CC/MCC $16,074 – $35,372 · median $21,054 30 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $9,666 – $74,765 · median $11,204 30 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $10,834 – $24,140 · median $12,231 30 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,588 – $49,861 · median $16,192 30 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,945 – $16,322 · median $8,807 30 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $14,911 – $32,648 · median $19,432 30 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,499 – $36,867 · median $9,199 30 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,567 – $22,465 · median $12,879 30 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,670 – $13,541 · median $7,327 30 plans
139 SALIVARY GLAND PROCEDURES $8,913 – $18,812 · median $11,081 30 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $28,362 – $101,541 · median $37,255 30 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $14,983 – $38,588 · median $19,532 30 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,229 – $30,577 · median $14,296 30 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $20,650 – $66,625 · median $29,091 30 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,105 – $26,071 · median $15,360 30 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,699 – $40,654 · median $9,878 30 plans
163 MAJOR CHEST PROCEDURES WITH MCC $29,752 – $253,002 · median $39,071 30 plans
164 MAJOR CHEST PROCEDURES WITH CC $17,184 – $37,974 · median $22,602 30 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $13,269 – $28,799 · median $15,386 30 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $24,975 – $56,234 · median $32,830 30 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $12,558 – $27,132 · median $16,149 30 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,752 – $20,557 · median $12,180 30 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $9,043 – $44,780 · median $23,220 30 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $70,788 – $163,601 · median $84,653 30 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $64,901 – $184,321 · median $84,992 30 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $19,280 – $42,886 · median $24,603 30 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $9,868 – $37,563 · median $12,397 30 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $23,374 – $67,779 · median $30,738 30 plans
253 OTHER VASCULAR PROCEDURES WITH CC $17,643 – $65,038 · median $23,244 30 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $12,419 – $27,264 · median $15,955 30 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $18,297 – $40,582 · median $21,217 30 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $11,881 – $25,545 · median $15,019 30 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,992 – $19,919 · median $9,856 30 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $21,862 – $61,721 · median $28,763 30 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $13,117 – $30,958 · median $16,929 30 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $11,444 – $36,068 · median $14,596 30 plans
263 VEIN LIGATION AND STRIPPING $20,608 – $63,068 · median $25,065 30 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $22,426 – $50,259 · median $26,331 30 plans
265 AICD LEAD PROCEDURES $12,678 – $54,436 · median $28,112 30 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $40,323 – $103,061 · median $52,319 30 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $31,543 – $91,693 · median $40,988 30 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $45,134 – $297,415 · median $59,167 30 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $28,092 – $114,960 · median $34,063 30 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $34,853 – $79,382 · median $45,734 30 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $23,811 – $71,285 · median $31,309 30 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $17,370 – $54,894 · median $22,862 30 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $27,465 – $64,497 · median $32,601 30 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $22,112 – $49,524 · median $25,623 30 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $46,755 – $107,277 · median $61,285 30 plans
276 NON-MALIGANT BREAST DISORDERS $38,675 – $90,369 · median $46,318 30 plans
277 CELLULITIS AGE >17 W CC $30,630 – $128,102 · median $40,217 30 plans
278 CELLULITIS AGE >17 W/O CC $7,937 – $83,743 · median $42,961 30 plans
279 CELLULITIS AGE 0-17 $11,624 – $54,258 · median $28,022 30 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $29,631 – $76,648 · median $38,912 30 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $16,422 – $71,940 · median $21,539 30 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $18,447 – $40,934 · median $21,666 30 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY $28,761 – $65,106 · median $33,518 30 plans
324 URINARY STONES W/O CC $11,583 – $47,407 · median $24,551 30 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $21,590 – $48,300 · median $27,558 30 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $32,998 – $209,595 · median $43,311 30 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $16,672 – $118,473 · median $20,236 30 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,267 – $24,107 · median $14,155 30 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $30,488 – $89,137 · median $35,826 30 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $16,370 – $39,082 · median $18,804 30 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,784 – $27,397 · median $13,359 30 plans
332 RECTAL RESECTION WITH MCC $24,224 – $54,473 · median $31,849 30 plans
333 RECTAL RESECTION WITH CC $16,017 – $119,150 · median $20,031 30 plans
334 RECTAL RESECTION WITHOUT CC/MCC $11,495 – $24,642 · median $13,719 30 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $23,905 – $53,724 · median $30,932 30 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $14,518 – $47,979 · median $18,883 30 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $10,835 – $23,094 · median $13,746 30 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $17,561 – $48,326 · median $23,129 30 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,640 – $32,739 · median $13,475 30 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,596 – $34,843 · median $10,659 30 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $15,718 – $162,246 · median $20,557 30 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $2,419 – $19,691 · median $10,508 30 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,570 – $13,448 · median $7,964 30 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $10,122 – $37,491 · median $19,526 30 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,767 – $30,385 · median $13,652 30 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,478 – $17,570 · median $10,501 30 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $19,610 – $43,661 · median $25,821 30 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $11,781 – $25,312 · median $15,066 30 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $9,615 – $26,456 · median $12,037 30 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $29,181 – $181,687 · median $36,540 30 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $15,910 – $56,426 · median $18,771 30 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,955 – $32,102 · median $12,518 30 plans
397 COAGULATION DISORDERS $16,355 – $36,031 · median $21,446 30 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $10,697 – $45,351 · median $13,554 30 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $36,099 – $86,573 · median $47,363 30 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $19,599 – $71,548 · median $22,639 30 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $15,230 – $54,684 · median $17,451 30 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $23,871 – $56,620 · median $28,466 30 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $14,958 – $32,757 · median $19,498 30 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,173 – $25,150 · median $13,832 30 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $22,187 – $49,698 · median $29,187 30 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $14,478 – $50,407 · median $17,648 30 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $11,640 – $41,487 · median $14,870 30 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $23,851 – $53,599 · median $31,361 30 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $14,248 – $31,094 · median $17,762 30 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $9,733 – $54,666 · median $12,208 30 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $16,301 – $35,903 · median $18,963 30 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $11,840 – $25,450 · median $14,513 30 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $9,749 – $20,548 · median $11,367 30 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $12,008 – $60,627 · median $26,503 30 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,135 – $47,752 · median $15,559 30 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $9,965 – $26,445 · median $12,533 30 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $27,641 – $89,079 · median $36,313 30 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $15,026 – $72,207 · median $19,593 30 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $10,612 – $30,936 · median $13,435 30 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $54,927 – $179,026 · median $67,314 30 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $39,262 – $89,715 · median $45,987 30 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $27,767 – $70,317 · median $36,477 30 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $36,436 – $205,690 · median $47,803 30 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $37,569 – $85,749 · median $49,284 30 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $20,976 – $46,861 · median $24,748 30 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,688 – $30,136 · median $14,928 30 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $34,397 – $78,315 · median $40,371 30 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $23,620 – $53,058 · median $29,537 30 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $18,622 – $63,579 · median $21,479 30 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $20,453 – $48,817 · median $26,921 30 plans
471 CERVICAL SPINAL FUSION WITH MCC $31,979 – $214,135 · median $39,828 30 plans
472 CERVICAL SPINAL FUSION WITH CC $19,894 – $44,324 · median $26,191 30 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $28,540 – $64,587 · median $35,791 30 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $15,590 – $39,726 · median $20,379 30 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,557 – $42,029 · median $10,607 30 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,158 – $51,974 · median $30,456 30 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $16,768 – $36,999 · median $19,674 30 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,914 – $45,691 · median $16,646 30 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $19,677 – $43,816 · median $25,907 30 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $14,427 – $47,215 · median $18,756 30 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,451 – $24,538 · median $14,606 30 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $18,775 – $41,703 · median $24,366 30 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $21,697 – $128,639 · median $28,547 30 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $14,405 – $38,891 · median $18,726 30 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,035 – $23,563 · median $14,025 30 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,336 – $34,537 · median $15,841 30 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,150 – $23,859 · median $10,066 30 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $24,551 – $55,239 · median $32,276 30 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $15,189 – $38,156 · median $19,863 30 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $13,862 – $30,188 · median $16,638 30 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $24,256 – $69,925 · median $31,891 30 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $12,561 – $50,998 · median $16,154 30 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $8,738 – $19,281 · median $10,847 30 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $15,371 – $45,388 · median $23,528 30 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $13,284 – $72,007 · median $15,889 30 plans
500 SOFT TISSUE PROCEDURES WITH MCC $21,298 – $97,317 · median $28,025 30 plans
501 SOFT TISSUE PROCEDURES WITH CC $12,203 – $34,642 · median $15,654 30 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $9,621 – $28,128 · median $12,053 30 plans
503 FOOT PROCEDURES WITH MCC $18,899 – $112,303 · median $24,891 30 plans
504 FOOT PROCEDURES WITH CC $12,980 – $37,440 · median $16,739 30 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $12,490 – $28,836 · median $15,203 30 plans
506 MAJOR THUMB OR JOINT PROCEDURES $9,642 – $21,309 · median $12,082 30 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $12,577 – $34,939 · median $16,176 30 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $10,703 – $24,012 · median $13,561 30 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $20,371 – $45,443 · median $26,815 30 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $14,330 – $31,285 · median $18,621 30 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $11,608 – $24,905 · median $14,824 30 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,087 – $23,685 · median $13,552 30 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,544 – $18,258 · median $9,259 30 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $21,439 – $47,947 · median $28,210 30 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $14,321 – $31,265 · median $18,609 30 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $10,846 – $23,120 · median $13,761 30 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $24,973 – $56,228 · median $32,827 30 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $13,821 – $30,093 · median $17,912 30 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $19,406 – $43,182 · median $25,554 30 plans
570 SKIN DEBRIDEMENT WITH MCC $19,861 – $308,973 · median $26,149 30 plans
571 SKIN DEBRIDEMENT WITH CC $11,827 – $31,900 · median $15,129 30 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,340 – $17,246 · median $10,318 30 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $32,819 – $98,566 · median $50,471 30 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $23,266 – $52,227 · median $30,596 30 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,517 – $36,490 · median $16,092 30 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $7,002 – $73,739 · median $37,892 30 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $17,997 – $39,880 · median $21,958 30 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,293 – $43,842 · median $14,385 30 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $21,771 – $59,225 · median $28,643 30 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $9,908 – $30,652 · median $13,703 30 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $10,245 – $42,023 · median $12,783 30 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $13,349 – $34,858 · median $16,841 30 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,051 – $30,361 · median $13,822 30 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $14,723 – $37,025 · median $18,748 30 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $13,365 – $29,023 · median $17,275 30 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $15,051 – $39,958 · median $19,628 30 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $9,964 – $21,052 · median $12,531 30 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $23,369 – $70,806 · median $30,731 30 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,987 – $28,139 · median $16,521 30 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,086 – $67,033 · median $12,701 30 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $18,580 – $60,163 · median $22,541 30 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $23,829 – $53,548 · median $28,367 30 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,497 – $26,989 · median $16,064 30 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,017 – $61,745 · median $10,074 30 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $20,369 – $45,437 · median $26,811 30 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $10,606 – $22,584 · median $13,427 30 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,508 – $26,695 · median $11,888 30 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $24,905 – $56,070 · median $30,056 30 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $14,968 – $32,780 · median $19,511 30 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,350 – $81,456 · median $12,919 30 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $34,340 – $237,945 · median $45,064 30 plans
654 MAJOR BLADDER PROCEDURES WITH CC $18,951 – $44,887 · median $22,528 30 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $14,568 – $40,357 · median $18,597 30 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $21,420 – $72,408 · median $28,184 30 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $12,729 – $34,221 · median $15,928 30 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $10,943 – $41,856 · median $12,408 30 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $17,292 – $56,593 · median $20,775 30 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,466 – $19,885 · median $11,687 30 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,628 – $16,510 · median $9,371 30 plans
662 MINOR BLADDER PROCEDURES WITH MCC $18,224 – $46,060 · median $22,281 30 plans
663 MINOR BLADDER PROCEDURES WITH CC $10,740 – $22,871 · median $13,613 30 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,701 – $49,495 · median $9,469 30 plans
665 PROSTATECTOMY WITH MCC $21,018 – $64,356 · median $27,659 30 plans
666 PROSTATECTOMY WITH CC $12,211 – $26,318 · median $15,166 30 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,082 – $16,643 · median $9,966 30 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $19,178 – $70,068 · median $22,790 30 plans
669 TRANSURETHRAL PROCEDURES WITH CC $10,944 – $38,059 · median $12,518 30 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,255 – $14,735 · median $8,246 30 plans
671 URETHRAL PROCEDURES WITH CC/MCC $10,883 – $29,582 · median $14,214 30 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,444 – $46,051 · median $8,760 30 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $27,953 – $96,083 · median $32,559 30 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $15,994 – $35,184 · median $19,911 30 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $11,518 – $74,951 · median $14,298 30 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $13,822 – $36,830 · median $17,913 30 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,529 – $25,754 · median $12,226 30 plans
709 PENIS PROCEDURES WITH CC/MCC $15,920 – $38,160 · median $20,839 30 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $9,976 – $21,081 · median $11,871 30 plans
711 TESTES PROCEDURES WITH CC/MCC $14,358 – $31,351 · median $17,906 30 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,040 – $16,545 · median $9,920 30 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,632 – $22,619 · median $13,463 30 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,769 – $15,909 · median $9,486 30 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $10,985 – $33,660 · median $17,586 30 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,424 – $27,928 · median $12,987 30 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $13,117 – $28,443 · median $16,561 30 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $9,603 – $23,675 · median $12,027 30 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $14,655 – $32,046 · median $19,074 30 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,618 – $22,683 · median $11,859 30 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $23,928 – $75,477 · median $31,461 30 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $14,209 – $31,937 · median $17,322 30 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,408 – $28,992 · median $13,150 30 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $23,981 – $57,635 · median $28,458 30 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $12,598 – $47,414 · median $14,380 30 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,136 – $80,397 · median $11,723 30 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $12,759 – $27,605 · median $15,153 30 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $14,135 – $38,486 · median $18,178 30 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,283 – $133,779 · median $10,243 30 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $12,132 – $26,135 · median $14,973 30 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,500 – $14,719 · median $7,871 30 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $8,269 – $20,872 · median $11,106 30 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $17,464 – $38,630 · median $21,316 30 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,455 – $35,757 · median $12,721 30 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $11,829 – $51,038 · median $15,132 30 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,418 – $15,086 · median $9,065 30 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $620 – $56,558 · median $28,441 30 plans
799 SPLENECTOMY WITH MCC $30,055 – $68,137 · median $39,466 30 plans
800 SPLENECTOMY WITH CC $19,016 – $78,784 · median $25,044 30 plans
801 SPLENECTOMY WITHOUT CC/MCC $13,235 – $28,719 · median $16,434 30 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $26,557 – $126,582 · median $34,896 30 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,914 – $27,967 · median $16,646 30 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $9,686 – $20,401 · median $10,868 30 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $10,856 – $34,327 · median $17,923 30 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,422 – $17,440 · median $9,367 30 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,501 – $13,196 · median $7,603 30 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $38,630 – $96,104 · median $50,670 30 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $15,352 – $36,525 · median $20,047 30 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,710 – $26,340 · median $10,810 30 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $30,413 – $93,737 · median $39,935 30 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $15,525 – $34,086 · median $20,025 30 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,643 – $20,302 · median $12,084 30 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $31,010 – $82,475 · median $40,715 30 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $15,818 – $44,935 · median $20,355 30 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,918 – $25,634 · median $15,258 30 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $21,267 – $47,542 · median $25,526 30 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $10,642 – $62,320 · median $13,477 30 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $32,685 – $74,301 · median $41,604 30 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $13,808 – $30,061 · median $16,147 30 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,592 – $22,525 · median $12,368 30 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $30,182 – $68,435 · median $36,595 30 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $9,722 – $32,219 · median $16,855 30 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,923 – $20,956 · median $12,473 30 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $27,921 – $66,244 · median $36,679 30 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $13,271 – $28,804 · median $17,144 30 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,489 – $21,779 · median $10,517 30 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $24,561 – $70,506 · median $32,288 30 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $10,504 – $66,054 · median $13,284 30 plans
906 HAND PROCEDURES FOR INJURIES $13,591 – $29,553 · median $16,106 30 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $25,628 – $57,762 · median $33,682 30 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,789 – $109,461 · median $17,867 30 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,408 – $23,406 · median $11,755 30 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $138,043 – $321,218 · median $180,550 30 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $32,068 – $107,913 · median $53,523 30 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $21,657 – $89,106 · median $28,495 30 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $24,274 – $76,338 · median $31,914 30 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $15,983 – $35,159 · median $19,633 30 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $13,998 – $30,507 · median $18,158 30 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $44,192 – $111,857 · median $57,936 30 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $25,138 – $75,104 · median $33,042 30 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $49,898 – $114,641 · median $65,390 30 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $28,032 – $63,398 · median $36,824 30 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $19,881 – $108,396 · median $25,264 30 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $40,277 – $407,487 · median $52,821 30 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $17,912 – $159,677 · median $23,602 30 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $31,100 – $70,588 · median $40,832 30 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $16,763 – $63,034 · median $21,992 30 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,984 – $44,994 · median $15,349 30 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $10,717 – $51,580 · median $26,665 30 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $10,854 – $24,728 · median $13,060 30 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,679 – $18,042 · median $9,672 30 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $4,833 – $25,661 · median $13,087 29 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $4,833 – $14,759 · median $7,527 29 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $4,833 – $21,935 · median $11,187 29 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $4,833 – $15,289 · median $7,797 29 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $4,833 – $32,366 · median $16,507 29 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $4,833 – $18,905 · median $9,641 29 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $4,833 – $24,327 · median $12,407 29 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $4,833 – $18,188 · median $9,276 29 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $4,833 – $13,981 · median $7,130 29 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $4,833 – $38,052 · median $19,407 29 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $4,833 – $24,952 · median $12,726 29 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $4,833 – $20,322 · median $10,364 29 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $4,833 – $28,277 · median $14,421 29 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $4,833 – $15,167 · median $7,735 29 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,833 – $10,897 · median $5,558 29 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $4,833 – $21,172 · median $10,798 29 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $4,833 – $13,255 · median $6,760 29 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $4,833 – $12,396 · median $6,322 29 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $4,833 – $23,742 · median $12,108 29 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $4,833 – $15,373 · median $7,840 29 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $4,833 – $11,838 · median $6,037 29 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $4,833 – $22,949 · median $11,704 29 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $4,833 – $15,435 · median $7,872 29 plans
075 VIRAL MENINGITIS WITH CC/MCC $4,833 – $27,052 · median $13,797 29 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $4,833 – $12,742 · median $6,498 29 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $4,833 – $25,644 · median $13,078 29 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $4,833 – $13,664 · median $6,969 29 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $4,833 – $31,875 · median $16,256 29 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $4,833 – $20,217 · median $10,311 29 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $4,833 – $14,453 · median $7,371 29 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $4,833 – $31,695 · median $16,165 29 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $4,833 – $18,998 · median $9,689 29 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $4,833 – $13,914 · median $7,096 29 plans
088 CONCUSSION WITH MCC $4,833 – $19,641 · median $10,017 29 plans
089 CONCUSSION WITH CC $4,833 – $16,324 · median $8,325 29 plans
090 CONCUSSION WITHOUT CC/MCC $4,833 – $12,716 · median $6,485 29 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $4,833 – $24,939 · median $12,719 29 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $4,833 – $15,333 · median $7,820 29 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,833 – $12,363 · median $6,305 29 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $4,833 – $48,039 · median $24,500 29 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $4,833 – $35,721 · median $18,218 29 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,833 – $35,721 · median $18,218 29 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $4,833 – $49,250 · median $25,117 29 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $4,833 – $31,997 · median $16,318 29 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $4,833 – $19,780 · median $10,088 29 plans
100 SEIZURES WITH MCC $4,833 – $27,305 · median $13,926 29 plans
101 SEIZURES WITHOUT MCC $4,833 – $13,756 · median $7,015 29 plans
102 HEADACHES WITH MCC $4,833 – $16,616 · median $8,474 29 plans
103 HEADACHES WITHOUT MCC $4,833 – $12,887 · median $6,572 29 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $4,833 – $17,171 · median $8,757 29 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,833 – $12,226 · median $6,235 29 plans
123 NEUROLOGICAL EYE DISORDERS $4,833 – $12,393 · median $6,321 29 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $4,833 – $19,265 · median $9,825 29 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,833 – $11,990 · median $6,115 29 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $4,833 – $37,718 · median $15,132 29 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $4,833 – $18,589 · median $9,480 29 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $4,833 – $12,841 · median $6,311 29 plans
149 DYSEQUILIBRIUM $4,833 – $11,778 · median $6,007 29 plans
150 EPISTAXIS WITH MCC $4,833 – $19,375 · median $9,881 29 plans
151 EPISTAXIS WITHOUT MCC $4,833 – $11,956 · median $5,889 29 plans
152 OTITIS MEDIA AND URI WITH MCC $4,833 – $17,419 · median $8,884 29 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $4,833 – $11,602 · median $5,917 29 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $4,833 – $22,414 · median $11,431 29 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,833 – $13,938 · median $7,108 29 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,833 – $10,985 · median $5,602 29 plans
157 DENTAL AND ORAL DISEASES WITH MCC $4,833 – $24,423 · median $12,456 29 plans
158 DENTAL AND ORAL DISEASES WITH CC $4,833 – $13,850 · median $7,064 29 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,833 – $11,213 · median $5,719 29 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $4,833 – $19,927 · median $10,163 29 plans
176 PULMONARY EMBOLISM WITHOUT MCC $4,833 – $12,477 · median $6,363 29 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $4,833 – $22,404 · median $11,426 29 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $4,833 – $14,717 · median $7,506 29 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $4,833 – $11,822 · median $6,029 29 plans
180 RESPIRATORY NEOPLASMS WITH MCC $4,833 – $25,067 · median $12,784 29 plans
181 RESPIRATORY NEOPLASMS WITH CC $4,833 – $15,962 · median $8,141 29 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $4,833 – $12,412 · median $6,021 29 plans
183 MAJOR CHEST TRAUMA WITH MCC $4,833 – $21,974 · median $11,207 29 plans
184 MAJOR CHEST TRAUMA WITH CC $4,833 – $15,872 · median $8,095 29 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,833 – $12,235 · median $6,240 29 plans
186 PLEURAL EFFUSION WITH MCC $4,833 – $22,349 · median $11,398 29 plans
187 PLEURAL EFFUSION WITH CC $4,833 – $14,889 · median $7,593 29 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,833 – $11,327 · median $5,777 29 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $4,833 – $18,116 · median $9,239 29 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $4,833 – $16,443 · median $8,386 29 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $4,833 – $12,975 · median $6,617 29 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,833 – $10,342 · median $5,274 29 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $4,833 – $19,151 · median $9,767 29 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $4,833 – $12,489 · median $6,369 29 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,833 – $10,165 · median $5,184 29 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $4,833 – $26,655 · median $13,594 29 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $4,833 – $20,243 · median $7,326 29 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,833 – $11,775 · median $5,770 29 plans
199 PNEUMOTHORAX WITH MCC $4,833 – $25,043 · median $12,772 29 plans
200 PNEUMOTHORAX WITH CC $4,833 – $16,333 · median $8,330 29 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $4,833 – $11,299 · median $5,763 29 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $4,833 – $14,655 · median $7,474 29 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,833 – $10,708 · median $5,461 29 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $4,833 – $12,509 · median $6,379 29 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $4,833 – $25,919 · median $13,219 29 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,833 – $14,260 · median $7,273 29 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $2,730 – $86,902 · median $43,557 29 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $4,833 – $37,942 · median $19,350 29 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $63,783 – $147,182 · median $78,654 29 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $43,192 – $98,925 · median $52,865 29 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $43,192 – $98,925 · median $52,865 29 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $50,272 – $115,520 · median $61,734 29 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $35,215 – $80,232 · median $42,876 29 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $33,337 – $75,830 · median $40,007 29 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $32,741 – $92,212 · median $39,777 29 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $21,199 – $47,384 · median $25,322 29 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $55,097 – $127,680 · median $67,776 29 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $39,900 – $91,212 · median $48,743 29 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $50,060 – $115,022 · median $61,467 29 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $38,655 – $88,293 · median $47,184 29 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $32,576 – $74,047 · median $36,921 29 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $21,477 – $51,832 · median $25,670 29 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $14,660 – $32,059 · median $17,132 29 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $12,584 – $27,194 · median $14,532 29 plans
245 AICD GENERATOR PROCEDURES $30,270 – $96,678 · median $36,682 29 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $14,992 – $32,836 · median $17,547 29 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $10,575 – $22,485 · median $12,016 29 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $21,152 – $47,273 · median $25,262 29 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $13,962 – $30,422 · median $16,258 29 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $4,833 – $22,946 · median $11,703 29 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $4,833 – $13,972 · median $7,126 29 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,833 – $11,404 · median $5,816 29 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $4,833 – $27,882 · median $14,220 29 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,833 – $18,376 · median $5,610 29 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,815 – $9,777 · median $4,986 29 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $4,833 – $30,921 · median $15,770 29 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $4,833 – $15,950 · median $8,135 29 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $4,833 – $37,385 · median $19,066 29 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $4,833 – $24,293 · median $12,390 29 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $4,833 – $14,111 · median $7,197 29 plans
291 HEART FAILURE AND SHOCK WITH MCC $4,833 – $18,750 · median $9,563 29 plans
292 HEART FAILURE AND SHOCK WITH CC $4,833 – $13,054 · median $6,657 29 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,551 – $9,346 · median $4,833 29 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $4,833 – $33,905 · median $11,421 29 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,833 – $11,967 · median $5,221 29 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,659 – $7,893 · median $4,341 29 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $4,833 – $23,321 · median $11,894 29 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $4,833 – $15,916 · median $8,117 29 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,833 – $11,360 · median $5,793 29 plans
302 ATHEROSCLEROSIS WITH MCC $4,833 – $17,608 · median $8,980 29 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,833 – $11,329 · median $5,483 29 plans
304 HYPERTENSION WITH MCC $4,833 – $17,521 · median $8,936 29 plans
305 HYPERTENSION WITHOUT MCC $4,833 – $11,823 · median $6,030 29 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $4,833 – $22,576 · median $11,514 29 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $4,833 – $13,895 · median $7,086 29 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $4,833 – $17,705 · median $9,029 29 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,833 – $11,569 · median $5,900 29 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,551 – $9,347 · median $4,833 29 plans
311 ANGINA PECTORIS $4,833 – $11,201 · median $5,674 29 plans
312 SYNCOPE AND COLLAPSE $4,833 – $13,350 · median $6,808 29 plans
313 CHEST PAIN $4,833 – $11,364 · median $5,795 29 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $4,833 – $29,249 · median $14,917 29 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $4,833 – $14,551 · median $7,421 29 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,833 – $10,867 · median $5,542 29 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $9,671 – $26,524 · median $13,765 29 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $4,833 – $32,188 · median $11,621 29 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $4,833 – $15,035 · median $7,668 29 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,833 – $11,112 · median $5,667 29 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $4,833 – $25,160 · median $12,832 29 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $4,833 – $15,307 · median $7,807 29 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,833 – $11,461 · median $5,845 29 plans
374 DIGESTIVE MALIGNANCY WITH MCC $4,833 – $29,950 · median $15,275 29 plans
375 DIGESTIVE MALIGNANCY WITH CC $4,833 – $17,778 · median $9,067 29 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $4,833 – $14,040 · median $7,160 29 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $4,833 – $25,880 · median $13,199 29 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $4,833 – $14,779 · median $7,537 29 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,833 – $10,190 · median $5,197 29 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $4,833 – $35,341 · median $14,095 29 plans
381 COMPLICATED PEPTIC ULCER WITH CC $4,833 – $16,126 · median $8,224 29 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,833 – $12,420 · median $6,334 29 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $4,833 – $20,020 · median $10,210 29 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $4,833 – $13,130 · median $6,696 29 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $4,833 – $22,661 · median $11,557 29 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $4,833 – $14,721 · median $7,508 29 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,833 – $10,857 · median $5,537 29 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $4,833 – $21,279 · median $10,852 29 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,833 – $12,278 · median $6,262 29 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,374 – $9,058 · median $4,619 29 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $4,833 – $18,547 · median $9,459 29 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $4,833 – $22,883 · median $11,671 29 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $4,833 – $14,189 · median $7,237 29 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,833 – $10,433 · median $5,321 29 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $8,329 – $99,210 · median $9,310 29 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $4,833 – $27,717 · median $14,135 29 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $4,833 – $15,768 · median $8,042 29 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,833 – $11,265 · median $5,745 29 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $4,833 – $25,994 · median $13,257 29 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $4,833 – $16,749 · median $8,542 29 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $4,833 – $13,110 · median $6,686 29 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $4,833 – $23,288 · median $11,877 29 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $4,833 – $12,951 · median $6,605 29 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,833 – $10,072 · median $5,137 29 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $4,833 – $25,443 · median $12,976 29 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $4,833 – $14,577 · median $7,434 29 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,833 – $11,098 · median $5,660 29 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $4,833 – $23,822 · median $12,149 29 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $4,833 – $16,269 · median $8,297 29 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,833 – $12,769 · median $6,512 29 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $18,057 – $47,051 · median $21,386 29 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $13,364 – $29,020 · median $15,181 29 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $16,653 – $36,729 · median $18,653 29 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,571 – $22,476 · median $12,011 29 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $14,576 – $43,216 · median $17,026 29 plans
533 FRACTURES OF FEMUR WITH MCC $4,833 – $22,469 · median $11,459 29 plans
534 FRACTURES OF FEMUR WITHOUT MCC $4,833 – $12,492 · median $6,371 29 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $4,833 – $18,726 · median $9,550 29 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $4,833 – $12,511 · median $6,381 29 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $4,833 – $14,433 · median $7,361 29 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,833 – $11,367 · median $5,797 29 plans
539 OSTEOMYELITIS WITH MCC $4,833 – $27,736 · median $14,145 29 plans
540 OSTEOMYELITIS WITH CC $4,833 – $18,914 · median $9,646 29 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $4,833 – $12,247 · median $6,246 29 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $4,833 – $34,540 · median $12,788 29 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $4,833 – $20,124 · median $7,853 29 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $4,833 – $11,817 · median $6,027 29 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $4,833 – $36,455 · median $17,566 29 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $4,833 – $17,042 · median $8,691 29 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,833 – $12,900 · median $6,572 29 plans
548 SEPTIC ARTHRITIS WITH MCC $4,833 – $27,228 · median $13,886 29 plans
549 SEPTIC ARTHRITIS WITH CC $4,833 – $17,746 · median $9,051 29 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $4,833 – $13,382 · median $6,825 29 plans
551 MEDICAL BACK PROBLEMS WITH MCC $4,833 – $23,890 · median $12,184 29 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $4,833 – $14,525 · median $7,408 29 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $4,833 – $18,914 · median $9,646 29 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,833 – $12,806 · median $6,531 29 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,833 – $19,248 · median $9,816 29 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $4,833 – $12,813 · median $6,534 29 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $4,833 – $21,411 · median $10,920 29 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,833 – $13,633 · median $6,953 29 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,833 – $26,363 · median $13,445 29 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $4,833 – $16,754 · median $8,509 29 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,833 – $13,607 · median $6,356 29 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $4,833 – $20,597 · median $10,505 29 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $4,833 – $13,663 · median $6,968 29 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $4,833 – $22,154 · median $11,298 29 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $4,833 – $14,697 · median $7,495 29 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $4,833 – $11,747 · median $5,991 29 plans
592 SKIN ULCERS WITH MCC $4,833 – $27,286 · median $13,916 29 plans
593 SKIN ULCERS WITH CC $4,833 – $17,473 · median $8,911 29 plans
594 SKIN ULCERS WITHOUT CC/MCC $4,833 – $13,287 · median $6,776 29 plans
595 MAJOR SKIN DISORDERS WITH MCC $4,833 – $29,714 · median $15,154 29 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $4,833 – $16,113 · median $8,218 29 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $4,833 – $23,772 · median $12,124 29 plans
598 MALIGNANT BREAST DISORDERS WITH CC $4,833 – $16,752 · median $8,544 29 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,833 – $12,011 · median $6,125 29 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $4,833 – $15,577 · median $7,944 29 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,833 – $9,857 · median $5,027 29 plans
602 CELLULITIS WITH MCC $4,833 – $20,551 · median $10,481 29 plans
603 CELLULITIS WITHOUT MCC $4,833 – $13,341 · median $6,804 29 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $4,833 – $21,217 · median $10,821 29 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $4,833 – $13,931 · median $7,105 29 plans
606 MINOR SKIN DISORDERS WITH MCC $4,833 – $21,755 · median $11,095 29 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $4,833 – $13,806 · median $7,041 29 plans
637 DIABETES WITH MCC $4,833 – $20,753 · median $10,584 29 plans
638 DIABETES WITH CC $4,833 – $13,672 · median $6,973 29 plans
639 DIABETES WITHOUT CC/MCC $4,833 – $10,069 · median $5,135 29 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $4,833 – $19,429 · median $9,909 29 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,833 – $12,126 · median $6,184 29 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $4,833 – $20,562 · median $10,487 29 plans
643 ENDOCRINE DISORDERS WITH MCC $4,833 – $23,497 · median $11,983 29 plans
644 ENDOCRINE DISORDERS WITH CC $4,833 – $15,359 · median $7,833 29 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $4,833 – $11,996 · median $6,118 29 plans
682 RENAL FAILURE WITH MCC $4,833 – $21,334 · median $10,880 29 plans
683 RENAL FAILURE WITH CC $4,833 – $13,405 · median $6,836 29 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,826 – $9,795 · median $4,996 29 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $4,833 – $25,561 · median $13,036 29 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $4,833 – $17,651 · median $7,986 29 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,833 – $12,285 · median $6,265 29 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $4,833 – $17,132 · median $8,737 29 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $4,833 – $12,536 · median $6,393 29 plans
693 URINARY STONES WITH MCC $4,833 – $19,545 · median $9,968 29 plans
694 URINARY STONES WITHOUT MCC $4,833 – $12,172 · median $6,208 29 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $4,833 – $16,916 · median $8,627 29 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,833 – $10,957 · median $5,588 29 plans
697 URETHRAL STRICTURE $4,833 – $16,051 · median $8,186 29 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $4,833 – $23,605 · median $12,039 29 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $4,833 – $15,228 · median $7,766 29 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,833 – $10,969 · median $5,594 29 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $4,833 – $25,640 · median $13,076 29 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $4,833 – $17,181 · median $8,620 29 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,833 – $10,521 · median $5,366 29 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $4,833 – $17,262 · median $8,803 29 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,833 – $12,996 · median $5,809 29 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $4,833 – $27,658 · median $10,893 29 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,833 – $12,558 · median $6,405 29 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $4,833 – $15,801 · median $8,058 29 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,833 – $10,735 · median $5,475 29 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $4,833 – $26,059 · median $13,290 29 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,833 – $16,182 · median $8,253 29 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,833 – $14,514 · median $7,402 29 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $4,833 – $20,690 · median $10,552 29 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,833 – $14,757 · median $7,526 29 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,833 – $10,625 · median $5,419 29 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $4,833 – $15,130 · median $7,716 29 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,587 – $9,405 · median $4,833 29 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,521 – $10,508 · median $5,359 29 plans
779 ABORTION WITHOUT D&C $4,833 – $12,953 · median $6,606 29 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $4,833 – $25,542 · median $13,026 29 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,680 – $80,268 · median $40,309 29 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,365 – $55,109 · median $27,848 29 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $735 – $34,018 · median $17,204 29 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $630 – $21,267 · median $10,768 29 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $4,833 – $30,857 · median $15,737 29 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $4,833 – $18,516 · median $9,443 29 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $4,833 – $15,642 · median $7,978 29 plans
811 RED BLOOD CELL DISORDERS WITH MCC $4,833 – $20,329 · median $10,368 29 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,833 – $13,960 · median $7,120 29 plans
813 COAGULATION DISORDERS $4,833 – $21,914 · median $11,176 29 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $4,833 – $29,793 · median $15,194 29 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $4,833 – $15,215 · median $7,760 29 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,833 – $10,211 · median $5,207 29 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $4,833 – $17,685 · median $9,019 29 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,833 – $11,384 · median $5,806 29 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,204 – $8,781 · median $4,818 29 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $4,833 – $77,651 · median $37,666 29 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $4,833 – $33,199 · median $14,921 29 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $4,833 – $17,908 · median $9,133 29 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $4,833 – $65,731 · median $33,085 29 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $4,833 – $29,278 · median $14,932 29 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,833 – $20,848 · median $10,632 29 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $4,833 – $44,312 · median $22,599 29 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $4,833 – $23,304 · median $11,885 29 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $4,833 – $15,168 · median $7,736 29 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $4,833 – $33,283 · median $14,313 29 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $4,833 – $18,918 · median $9,119 29 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $4,833 – $13,088 · median $6,675 29 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $4,833 – $35,896 · median $18,307 29 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $4,833 – $19,070 · median $9,726 29 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,833 – $13,059 · median $6,660 29 plans
849 RADIOTHERAPY $4,833 – $37,428 · median $19,089 29 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $4,833 – $25,823 · median $13,170 29 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $4,833 – $15,004 · median $7,652 29 plans
864 FEVER AND INFLAMMATORY CONDITIONS $4,833 – $13,561 · median $6,916 29 plans
865 VIRAL ILLNESS WITH MCC $4,833 – $21,560 · median $10,996 29 plans
866 VIRAL ILLNESS WITHOUT MCC $4,833 – $13,323 · median $6,795 29 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $4,833 – $29,354 · median $14,971 29 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $4,833 – $15,439 · median $7,874 29 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,833 – $11,491 · median $5,860 29 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $3,150 – $93,345 · median $46,711 29 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $4,833 – $27,380 · median $13,964 29 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $4,833 – $15,337 · median $7,822 29 plans
913 TRAUMATIC INJURY WITH MCC $4,833 – $23,346 · median $11,906 29 plans
914 TRAUMATIC INJURY WITHOUT MCC $4,833 – $13,532 · median $6,901 29 plans
915 ALLERGIC REACTIONS WITH MCC $4,833 – $23,962 · median $12,220 29 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,833 – $10,660 · median $5,437 29 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $4,833 – $22,479 · median $11,464 29 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,833 – $13,160 · median $6,711 29 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $4,833 – $25,916 · median $13,217 29 plans
920 COMPLICATIONS OF TREATMENT WITH CC $4,833 – $15,062 · median $7,682 29 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,833 – $10,950 · median $5,584 29 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $4,833 – $24,850 · median $12,673 29 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $4,833 – $15,264 · median $7,785 29 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $4,833 – $52,950 · median $27,004 29 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $4,833 – $30,892 · median $15,755 29 plans
935 NON-EXTENSIVE BURNS $4,833 – $28,919 · median $14,749 29 plans
947 SIGNS AND SYMPTOMS WITH MCC $4,833 – $18,561 · median $9,466 29 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,833 – $12,418 · median $6,333 29 plans
949 AFTERCARE WITH CC/MCC $4,833 – $18,584 · median $8,934 29 plans
950 AFTERCARE WITHOUT CC/MCC $4,833 – $10,154 · median $5,179 29 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,470 – $9,215 · median $4,833 29 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $4,833 – $37,778 · median $19,251 29 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $4,833 – $22,010 · median $11,225 29 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $4,833 – $14,252 · median $7,269 29 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $4,833 – $39,741 · median $20,268 29 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $4,833 – $18,897 · median $9,637 29 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $4,833 – $13,757 · median $7,016 29 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $4,833 – $20,824 · median $9,655 29 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $36,049 – $82,186 · median $42,172 28 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $27,871 – $63,021 · median $32,461 28 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,833 – $12,144 · median $6,179 28 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $8,946 – $28,593 · median $9,989 28 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,680 – $58,147 · median $27,610 28 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $9,003 – $169,870 · median $52,472 27 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $31,162 – $175,827 · median $37,799 27 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $24,771 – $175,827 · median $29,795 27 plans
795 NORMAL NEWBORN $1,606 – $5,799 · median $2,308 27 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $180,883 – $465,626 · median $236,520 26 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $73,727 – $414,088 · median $96,522 26 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $67,170 – $260,459 · median $87,956 26 plans
006 LIVER TRANSPLANT WITHOUT MCC $30,748 – $337,154 · median $40,372 26 plans
007 LUNG TRANSPLANT $104,120 – $1,189,566 · median $129,203 26 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $36,960 – $325,567 · median $48,488 26 plans
010 PANCREAS TRANSPLANT $40,093 – $200,150 · median $54,238 26 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $72,060 – $603,502 · median $300,870 26 plans
652 KIDNEY TRANSPLANT $21,713 – $202,201 · median $28,568 26 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $850 – $12,968 · median $7,287 26 plans
881 DEPRESSIVE NEUROSES $850 – $12,707 · median $7,161 26 plans
882 NEUROSES EXCEPT DEPRESSIVE $850 – $14,502 · median $8,031 26 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $850 – $26,555 · median $13,875 26 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $850 – $21,729 · median $11,535 26 plans
885 PSYCHOSES $850 – $18,864 · median $10,146 26 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $850 – $28,027 · median $14,589 26 plans
887 OTHER MENTAL DISORDER DIAGNOSES $850 – $14,463 · median $8,012 26 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $850 – $8,761 · median $5,097 26 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $850 – $19,118 · median $10,319 26 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $850 – $23,568 · median $12,487 26 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $850 – $11,922 · median $6,813 26 plans
945 REHABILITATION WITH CC/MCC $1,325 – $22,219 · median $11,332 26 plans
946 REHABILITATION WITHOUT CC/MCC $1,000 – $16,955 · median $8,647 26 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $78,131 – $264,713 · median $96,624 25 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $39,047 – $87,218 · median $47,675 25 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $35,854 – $73,364 · median $43,676 25 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $10,907 – $26,550 · median $11,316 24 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,387 – $15,004 · median $7,652 24 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,261 – $11,527 · median $5,439 24 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $8,864 – $18,019 · median $9,190 24 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,051 – $12,278 · median $6,262 24 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $57,867 – $232,607 · median $60,193 24 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $40,245 – $82,062 · median $41,852 24 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $30,547 – $124,235 · median $31,758 24 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $43,558 – $150,428 · median $45,299 24 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $24,463 – $67,770 · median $25,425 24 plans
509 ARTHROSCOPY $12,258 – $115,815 · median $12,722 24 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,676 – $9,671 · median $6,542 8 plans
999 UNGROUPABLE $1,676 – $18,501 · median $12,515 8 plans
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