Merit Health Wesley — 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 $2,442 – $15,419 · median $8,113 33 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $1,650 – $354,805 · median $160,299 31 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $1,650 – $522,066 · median $105,022 31 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $1,650 – $123,830 · median $46,116 31 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $1,650 – $71,033 · median $24,904 31 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $1,650 – $212,951 · median $66,028 31 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC — 31 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC — 31 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — 31 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — 31 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC — 31 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $1,650 – $35,928 · median $21,945 31 plans
028 SPINAL PROCEDURES WITH MCC — 31 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS — 31 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $1,650 – $33,744 · median $19,243 31 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC — 31 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $1,650 – $40,453 · median $18,713 31 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $1,650 – $23,938 · median $14,853 31 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC — 31 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $1,650 – $34,042 · median $20,853 31 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $1,650 – $38,039 · median $17,161 31 plans
037 EXTRACRANIAL PROCEDURES WITH MCC — 31 plans
038 EXTRACRANIAL PROCEDURES WITH CC $1,650 – $45,072 · median $14,521 31 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $1,650 – $17,581 · median $10,834 31 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — 31 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $1,650 – $35,967 · median $19,271 31 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $1,650 – $56,768 · median $15,388 31 plans
113 ORBITAL PROCEDURES WITH CC/MCC $1,650 – $33,918 · median $20,528 31 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $1,650 – $74,765 · median $11,530 31 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $1,650 – $24,140 · median $12,794 31 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $1,650 – $49,861 · median $16,051 31 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $1,650 – $16,338 · median $9,353 31 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $1,650 – $30,902 · median $19,035 31 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $1,650 – $36,867 · median $9,513 31 plans
137 MOUTH PROCEDURES WITH CC/MCC $1,650 – $21,706 · median $13,454 31 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $1,650 – $13,726 · median $7,834 31 plans
139 SALIVARY GLAND PROCEDURES $1,650 – $18,812 · median $11,330 31 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $1,650 – $101,541 · median $36,313 31 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $1,650 – $38,588 · median $19,126 31 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $1,650 – $30,577 · median $14,305 31 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $1,650 – $66,625 · median $29,706 31 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $1,650 – $24,858 · median $15,430 31 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $1,650 – $40,654 · median $10,251 31 plans
163 MAJOR CHEST PROCEDURES WITH MCC — 31 plans
164 MAJOR CHEST PROCEDURES WITH CC $1,650 – $35,943 · median $21,954 31 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $1,650 – $27,260 · median $15,695 31 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $1,650 – $53,227 · median $31,962 31 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $1,650 – $25,785 · median $16,012 31 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,650 – $20,039 · median $12,408 31 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM — 31 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $1,650 – $154,855 · median $84,205 31 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $1,650 – $184,321 · median $83,247 31 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $1,650 – $139,314 · median $75,861 31 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $1,650 – $93,637 · median $51,335 31 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $1,650 – $93,637 · median $51,335 31 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $1,650 – $109,344 · median $59,769 31 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $1,650 – $75,943 · median $41,834 31 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC — 31 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $1,650 – $92,212 · median $38,887 31 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — 31 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $1,650 – $127,680 · median $65,516 31 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $1,650 – $86,336 · median $47,415 31 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $1,650 – $108,873 · median $59,516 31 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $1,650 – $40,593 · median $24,646 31 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $1,650 – $37,563 · median $12,557 31 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC — 31 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $1,650 – $25,839 · median $14,879 31 plans
245 AICD GENERATOR PROCEDURES $1,650 – $96,678 · median $35,944 31 plans
252 OTHER VASCULAR PROCEDURES WITH MCC — 31 plans
253 OTHER VASCULAR PROCEDURES WITH CC $1,650 – $65,038 · median $22,544 31 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $1,650 – $27,264 · median $15,833 31 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $1,650 – $38,413 · median $21,683 31 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $1,650 – $24,398 · median $15,142 31 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $1,650 – $19,919 · median $10,147 31 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $1,650 – $61,721 · median $27,964 31 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $1,650 – $30,958 · median $16,730 31 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $1,650 – $36,068 · median $14,581 31 plans
263 VEIN LIGATION AND STRIPPING $1,650 – $63,068 · median $25,212 31 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — 31 plans
265 AICD LEAD PROCEDURES — 31 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 31 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $1,650 – $91,693 · median $40,399 31 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $1,650 – $297,415 · median $57,857 31 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $1,650 – $114,960 · median $34,172 31 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $1,650 – $75,138 · median $44,650 31 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $1,650 – $71,285 · median $30,466 31 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $1,650 – $54,894 · median $22,193 31 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC — 31 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC — 31 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $1,650 – $103,186 · median $59,939 31 plans
276 NON-MALIGANT BREAST DISORDERS — 31 plans
277 CELLULITIS AGE >17 W CC — 31 plans
278 CELLULITIS AGE >17 W/O CC — 31 plans
279 CELLULITIS AGE 0-17 — 31 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 31 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $1,650 – $71,940 · median $20,975 31 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC — 31 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY — 31 plans
324 URINARY STONES W/O CC — 31 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE — 31 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $1,650 – $209,595 · median $42,267 31 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $1,650 – $118,473 · median $20,820 31 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $1,650 – $23,141 · median $14,353 31 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $1,650 – $89,137 · median $36,204 31 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $1,650 – $39,082 · median $19,388 31 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,650 – $27,397 · median $13,926 31 plans
332 RECTAL RESECTION WITH MCC — 31 plans
333 RECTAL RESECTION WITH CC $1,650 – $119,150 · median $20,455 31 plans
334 RECTAL RESECTION WITHOUT CC/MCC $1,650 – $23,609 · median $14,269 31 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC — 31 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $1,650 – $47,979 · median $18,529 31 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $1,650 – $22,256 · median $13,799 31 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $1,650 – $48,326 · median $22,439 31 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $1,650 – $32,739 · median $13,549 31 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,650 – $34,843 · median $10,922 31 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $1,650 – $162,246 · median $20,071 31 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $1,650 – $19,282 · median $11,065 31 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $1,650 – $13,521 · median $8,320 31 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $1,650 – $35,486 · median $20,112 31 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $1,650 – $30,385 · median $13,712 31 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $1,650 – $17,428 · median $10,771 31 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $1,650 – $41,326 · median $25,071 31 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $1,650 – $24,194 · median $15,014 31 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $1,650 – $26,456 · median $12,232 31 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $1,650 – $181,687 · median $37,364 31 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $1,650 – $56,426 · median $18,845 31 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,650 – $32,102 · median $12,668 31 plans
397 COAGULATION DISORDERS $1,650 – $34,105 · median $20,889 31 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $1,650 – $45,351 · median $13,622 31 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $1,650 – $86,573 · median $46,251 31 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $1,650 – $71,548 · median $23,234 31 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $1,650 – $54,684 · median $18,030 31 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC — 31 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $1,650 – $31,006 · median $19,095 31 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $1,650 – $25,150 · median $14,233 31 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC — 31 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $1,650 – $50,407 · median $18,393 31 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $1,650 – $41,487 · median $14,833 31 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC — 31 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $1,650 – $29,431 · median $18,183 31 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $1,650 – $54,666 · median $12,383 31 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $1,650 – $33,984 · median $19,305 31 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $1,650 – $24,315 · median $15,090 31 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $1,650 – $20,031 · median $11,752 31 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $1,650 – $60,627 · median $27,110 31 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $1,650 – $47,752 · median $15,468 31 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $1,650 – $26,445 · median $12,681 31 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $1,650 – $89,079 · median $35,387 31 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC — 31 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC — 31 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC — 31 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC — 31 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $1,650 – $81,165 · median $48,139 31 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC — 31 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,650 – $30,136 · median $15,194 31 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC — 31 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC — 31 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $1,650 – $63,579 · median $22,070 31 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT — 31 plans
471 CERVICAL SPINAL FUSION WITH MCC — 31 plans
472 CERVICAL SPINAL FUSION WITH CC — 31 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $1,650 – $61,134 · median $36,540 31 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $1,650 – $39,726 · median $19,906 31 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,650 – $42,029 · median $10,873 31 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 31 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,650 – $35,021 · median $19,862 31 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,650 – $45,691 · median $16,469 31 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC — 31 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $1,650 – $47,215 · median $18,412 31 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $1,650 – $23,518 · median $14,590 31 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $1,650 – $39,474 · median $23,998 31 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC — 31 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $1,650 – $38,891 · median $18,384 31 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $1,650 – $22,666 · median $14,056 31 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $1,650 – $34,537 · median $15,727 31 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $1,650 – $23,859 · median $10,350 31 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC — 31 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $1,650 – $36,116 · median $20,450 31 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $1,650 – $28,574 · median $17,144 31 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — 31 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $1,650 – $50,998 · median $16,016 31 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $1,650 – $19,281 · median $11,105 31 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $1,650 – $44,404 · median $24,125 31 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $1,650 – $72,007 · median $16,464 31 plans
500 SOFT TISSUE PROCEDURES WITH MCC $1,650 – $97,317 · median $27,238 31 plans
501 SOFT TISSUE PROCEDURES WITH CC $1,650 – $34,642 · median $15,556 31 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $1,650 – $28,128 · median $12,239 31 plans
503 FOOT PROCEDURES WITH MCC $1,650 – $112,303 · median $24,156 31 plans
504 FOOT PROCEDURES WITH CC $1,650 – $37,440 · median $16,554 31 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $1,650 – $28,836 · median $15,924 31 plans
506 MAJOR THUMB OR JOINT PROCEDURES $1,650 – $21,309 · median $12,266 31 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $1,650 – $34,939 · median $16,037 31 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $1,650 – $24,012 · median $13,629 31 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC — 31 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $1,650 – $29,612 · median $18,288 31 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $1,650 – $23,839 · median $14,791 31 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $1,650 – $22,773 · median $14,123 31 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $1,650 – $18,258 · median $9,571 31 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — 31 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $1,650 – $29,594 · median $18,277 31 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $1,650 – $22,278 · median $13,813 31 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR — 31 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $1,650 – $28,484 · median $17,635 31 plans
570 SKIN DEBRIDEMENT WITH MCC $1,650 – $308,973 · median $25,393 31 plans
571 SKIN DEBRIDEMENT WITH CC $1,650 – $31,900 · median $15,073 31 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $1,650 – $17,145 · median $10,593 31 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,650 – $93,296 · median $51,152 31 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $1,650 – $49,606 · median $29,766 31 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $1,650 – $36,490 · median $15,959 31 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,650 – $69,796 · median $38,534 31 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $1,650 – $37,748 · median $22,604 31 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $1,650 – $43,842 · median $14,387 31 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $1,650 – $59,225 · median $27,846 31 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $1,650 – $30,652 · median $14,271 31 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $1,650 – $42,023 · median $13,041 31 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $1,650 – $34,858 · median $17,028 31 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $1,650 – $30,361 · median $14,243 31 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $1,650 – $37,025 · median $18,793 31 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $1,650 – $29,011 · median $17,048 31 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $1,650 – $39,958 · median $19,215 31 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $1,650 – $20,472 · median $12,680 31 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $1,650 – $70,806 · median $29,898 31 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $1,650 – $26,664 · median $16,563 31 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,650 – $67,033 · median $12,836 31 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC — 31 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $1,650 – $44,755 · median $14,337 31 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $1,650 – $21,906 · median $12,592 31 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 31 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $1,650 – $25,660 · median $15,933 31 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,650 – $61,745 · median $10,630 31 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $1,650 – $43,008 · median $26,045 31 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $1,650 – $22,584 · median $13,505 31 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $1,650 – $26,695 · median $12,094 31 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $1,650 – $53,072 · median $30,149 31 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $1,650 – $31,028 · median $19,107 31 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $1,650 – $81,456 · median $13,176 31 plans
653 MAJOR BLADDER PROCEDURES WITH MCC — 31 plans
654 MAJOR BLADDER PROCEDURES WITH CC $1,650 – $44,887 · median $22,550 31 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $1,650 – $40,357 · median $18,594 31 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC — 31 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $1,650 – $34,221 · median $16,231 31 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $1,650 – $41,856 · median $12,923 31 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $1,650 – $56,593 · median $21,121 31 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $1,650 – $19,452 · median $12,040 31 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $1,650 – $16,510 · median $9,679 31 plans
662 MINOR BLADDER PROCEDURES WITH MCC $1,650 – $43,598 · median $24,136 31 plans
663 MINOR BLADDER PROCEDURES WITH CC $1,650 – $22,061 · median $13,677 31 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $1,650 – $49,495 · median $9,774 31 plans
665 PROSTATECTOMY WITH MCC — 31 plans
666 PROSTATECTOMY WITH CC $1,650 – $25,074 · median $15,566 31 plans
667 PROSTATECTOMY WITHOUT CC/MCC $1,650 – $16,618 · median $10,263 31 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $1,650 – $70,068 · median $23,385 31 plans
669 TRANSURETHRAL PROCEDURES WITH CC $1,650 – $38,059 · median $12,925 31 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $1,650 – $14,923 · median $8,531 31 plans
671 URETHRAL PROCEDURES WITH CC/MCC $1,650 – $29,582 · median $14,783 31 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $1,650 – $46,051 · median $9,312 31 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC — 31 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $1,650 – $33,303 · median $20,425 31 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $1,650 – $74,951 · median $14,676 31 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $1,650 – $36,830 · median $17,635 31 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $1,650 – $25,754 · median $12,789 31 plans
709 PENIS PROCEDURES WITH CC/MCC $1,650 – $38,160 · median $20,330 31 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $1,650 – $20,497 · median $12,476 31 plans
711 TESTES PROCEDURES WITH CC/MCC $1,650 – $29,675 · median $18,324 31 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $1,650 – $16,533 · median $10,209 31 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $1,650 – $21,840 · median $13,538 31 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $1,650 – $15,977 · median $9,860 31 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $1,650 – $31,861 · median $18,165 31 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $1,650 – $27,928 · median $13,271 31 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $1,650 – $26,930 · median $16,730 31 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $1,650 – $23,675 · median $12,216 31 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $1,650 – $30,333 · median $18,705 31 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $1,650 – $22,683 · median $12,236 31 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC — 31 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $1,650 – $31,937 · median $18,076 31 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,650 – $28,992 · median $13,250 31 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC — 31 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $1,650 – $47,414 · median $14,895 31 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,650 – $80,397 · median $11,980 31 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $1,650 – $26,198 · median $15,554 31 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $1,650 – $38,486 · median $18,038 31 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $1,650 – $133,779 · median $10,521 31 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $1,650 – $24,913 · median $15,465 31 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $1,650 – $14,719 · median $8,230 31 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $1,650 – $20,314 · median $11,666 31 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $1,650 – $36,564 · median $21,989 31 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,650 – $35,757 · median $13,310 31 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $1,650 – $51,038 · median $15,075 31 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $1,650 – $15,257 · median $9,409 31 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $3,663 – $34,962 · median $17,204 31 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $3,663 – $15,273 · median $8,081 31 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,663 – $13,969 · median $7,500 31 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $3,663 – $23,490 · median $11,911 31 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $3,663 – $15,996 · median $8,410 31 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $3,663 – $13,982 · median $7,500 31 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,442 – $16,635 · median $8,740 31 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,442 – $14,512 · median $7,645 31 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,442 – $13,960 · median $7,361 31 plans
799 SPLENECTOMY WITH MCC $1,650 – $64,495 · median $38,486 31 plans
800 SPLENECTOMY WITH CC $1,650 – $78,784 · median $24,307 31 plans
801 SPLENECTOMY WITHOUT CC/MCC $1,650 – $27,184 · median $16,882 31 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $1,650 – $126,582 · median $33,994 31 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $1,650 – $26,514 · median $16,469 31 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $1,650 – $19,902 · median $11,426 31 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,442 – $15,516 · median $8,163 31 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,442 – $11,372 · median $6,085 31 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,442 – $10,355 · median $6,004 31 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $1,650 – $32,492 · median $18,504 31 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $1,650 – $17,315 · median $9,922 31 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,650 – $13,380 · median $7,948 31 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $1,650 – $96,104 · median $49,502 31 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $1,650 – $36,525 · median $19,600 31 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,650 – $26,340 · median $11,069 31 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC — 31 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $1,650 – $32,264 · median $19,823 31 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $1,650 – $19,816 · median $12,268 31 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — 31 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $1,650 – $44,935 · median $20,199 31 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,650 – $24,475 · median $15,190 31 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC — 31 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $1,650 – $62,320 · median $13,551 31 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $1,650 – $70,329 · median $41,865 31 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $1,650 – $29,165 · median $16,336 31 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,650 – $21,759 · median $12,699 31 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $1,650 – $64,777 · median $36,618 31 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $1,650 – $30,496 · median $17,433 31 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $1,650 – $20,388 · median $12,627 31 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC — 31 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $1,650 – $27,264 · median $16,928 31 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $1,650 – $21,779 · median $10,785 31 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $1,650 – $70,506 · median $31,429 31 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $1,650 – $66,054 · median $13,373 31 plans
906 HAND PROCEDURES FOR INJURIES $1,650 – $27,973 · median $16,418 31 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — 31 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $1,650 – $109,461 · median $17,593 31 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $1,650 – $23,406 · median $11,965 31 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $1,650 – $304,046 · median $177,199 31 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $1,650 – $102,144 · median $54,955 31 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC — 31 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $1,650 – $76,338 · median $31,062 31 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $1,650 – $33,279 · median $20,411 31 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $1,650 – $28,876 · median $17,861 31 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $1,650 – $111,857 · median $56,646 31 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA — 31 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 31 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — 31 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — 31 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $1,650 – $407,487 · median $51,618 31 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $1,650 – $159,677 · median $22,889 31 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 31 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $1,650 – $63,034 · median $21,414 31 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,650 – $44,994 · median $15,275 31 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $1,650 – $48,823 · median $27,273 31 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $1,650 – $23,684 · median $13,625 31 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,650 – $17,841 · median $10,227 31 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC — 30 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR — 30 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $1,650 – $77,793 · median $42,482 30 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC — 30 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $1,650 – $70,088 · median $38,386 30 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $1,650 – $30,632 · median $18,032 30 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $1,650 – $31,080 · median $18,442 30 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $1,650 – $21,723 · median $12,975 30 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $1,650 – $44,746 · median $26,067 30 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $1,650 – $28,796 · median $17,167 30 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $5,757 – $23,164 · median $13,151 30 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,757 – $14,158 · median $8,017 30 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,000 – $11,581 · median $6,538 30 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $4,750 – $31,512 · median $17,713 30 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $4,000 – $16,144 · median $9,149 30 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $1,650 – $25,254 · median $14,470 30 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $1,650 – $99,210 · median $10,195 30 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $1,650 – $72,207 · median $18,485 30 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $1,650 – $30,936 · median $13,021 30 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC — 30 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $1,650 – $27,469 · median $15,726 30 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $1,650 – $34,766 · median $19,426 30 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $1,650 – $21,716 · median $12,433 30 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC — 30 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $5,757 – $68,417 · median $37,136 30 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $5,757 – $29,726 · median $16,773 30 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,757 – $21,058 · median $11,950 30 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $5,000 – $36,919 · median $20,559 30 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $5,000 – $19,274 · median $10,933 30 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,000 – $13,242 · median $7,494 30 plans
849 RADIOTHERAPY $2,500 – $38,585 · median $21,166 30 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $5,757 – $25,889 · median $14,764 29 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $5,757 – $14,948 · median $8,526 29 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $5,757 – $22,149 · median $12,513 29 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $5,757 – $15,480 · median $8,829 29 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $2,109 – $33,083 · median $18,479 29 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $1,581 – $19,108 · median $10,780 29 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $5,757 – $24,550 · median $14,001 29 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,757 – $18,389 · median $10,488 29 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $5,757 – $14,167 · median $8,081 29 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $5,757 – $39,263 · median $21,854 29 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $5,757 – $25,177 · median $14,358 29 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $5,757 – $20,531 · median $11,709 29 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $5,757 – $28,638 · median $16,261 29 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $5,757 – $15,357 · median $8,759 29 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,460 – $11,072 · median $6,316 29 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $5,757 – $21,384 · median $12,196 29 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,757 – $13,439 · median $7,665 29 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,757 – $12,577 · median $7,057 29 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $5,757 – $23,963 · median $13,666 29 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $5,757 – $15,564 · median $8,877 29 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,757 – $12,017 · median $6,840 29 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $5,757 – $23,167 · median $13,212 29 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,757 – $15,627 · median $8,913 29 plans
075 VIRAL MENINGITIS WITH CC/MCC $5,757 – $27,307 · median $15,440 29 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,757 – $12,924 · median $7,368 29 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $1,581 – $25,872 · median $14,348 29 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $1,385 – $13,849 · median $7,631 29 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $5,757 – $32,549 · median $18,319 29 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $5,757 – $20,426 · median $11,531 29 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $5,757 – $14,641 · median $8,351 29 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $5,757 – $32,353 · median $18,217 29 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $5,757 – $19,202 · median $10,833 29 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,757 – $14,100 · median $7,926 29 plans
088 CONCUSSION WITH MCC $5,757 – $19,847 · median $11,319 29 plans
089 CONCUSSION WITH CC $5,757 – $16,518 · median $9,421 29 plans
090 CONCUSSION WITHOUT CC/MCC $5,757 – $12,897 · median $7,352 29 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $5,757 – $25,164 · median $14,351 29 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $5,757 – $15,524 · median $8,854 29 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,757 – $12,544 · median $7,147 29 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $5,757 – $50,119 · median $27,568 29 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $5,757 – $36,730 · median $20,520 29 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,757 – $36,730 · median $20,520 29 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $5,757 – $51,434 · median $28,261 29 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $5,757 – $32,681 · median $18,389 29 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $5,757 – $19,987 · median $11,367 29 plans
100 SEIZURES WITH MCC $5,757 – $27,581 · median $15,705 29 plans
101 SEIZURES WITHOUT MCC $5,757 – $13,941 · median $7,835 29 plans
102 HEADACHES WITH MCC $5,757 – $16,811 · median $9,588 29 plans
103 HEADACHES WITHOUT MCC $5,757 – $13,070 · median $7,338 29 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $5,757 – $17,369 · median $9,906 29 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,195 – $12,406 · median $6,960 29 plans
123 NEUROLOGICAL EYE DISORDERS $5,757 – $12,574 · median $7,164 29 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $5,757 – $19,470 · median $11,104 29 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,757 – $12,169 · median $6,825 29 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $5,757 – $37,718 · median $17,058 29 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $5,757 – $18,792 · median $10,717 29 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,757 – $12,841 · median $7,153 29 plans
149 DYSEQUILIBRIUM $5,757 – $11,956 · median $6,805 29 plans
150 EPISTAXIS WITH MCC $5,757 – $19,580 · median $11,167 29 plans
151 EPISTAXIS WITHOUT MCC $5,757 – $11,956 · median $6,670 29 plans
152 OTITIS MEDIA AND URI WITH MCC $5,757 – $17,617 · median $9,930 29 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,421 – $11,780 · median $6,603 29 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $5,757 – $22,631 · median $12,906 29 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,757 – $14,124 · median $8,056 29 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,503 – $11,161 · median $6,366 29 plans
157 DENTAL AND ORAL DISEASES WITH MCC $5,757 – $24,646 · median $14,055 29 plans
158 DENTAL AND ORAL DISEASES WITH CC $5,757 – $14,036 · median $8,006 29 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,615 – $11,389 · median $6,475 29 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $5,757 – $20,134 · median $11,483 29 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,757 – $12,658 · median $7,213 29 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $5,757 – $22,620 · median $12,900 29 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $5,757 – $14,906 · median $8,502 29 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,757 – $12,001 · median $6,831 29 plans
180 RESPIRATORY NEOPLASMS WITH MCC $5,757 – $25,293 · median $14,424 29 plans
181 RESPIRATORY NEOPLASMS WITH CC $5,757 – $16,155 · median $9,214 29 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,757 – $12,412 · median $6,822 29 plans
183 MAJOR CHEST TRAUMA WITH MCC $5,757 – $22,189 · median $12,654 29 plans
184 MAJOR CHEST TRAUMA WITH CC $5,757 – $16,065 · median $9,162 29 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,757 – $12,415 · median $6,965 29 plans
186 PLEURAL EFFUSION WITH MCC $5,757 – $22,565 · median $12,869 29 plans
187 PLEURAL EFFUSION WITH CC $5,757 – $15,079 · median $8,600 29 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,672 – $11,504 · median $6,542 29 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $5,757 – $18,317 · median $10,447 29 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $5,757 – $16,638 · median $9,489 29 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,757 – $13,158 · median $7,504 29 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,187 – $10,515 · median $5,998 29 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $5,757 – $19,356 · median $11,039 29 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,757 – $12,670 · median $7,220 29 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,100 – $10,338 · median $5,897 29 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $5,757 – $26,887 · median $15,333 29 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $5,757 – $15,421 · median $8,300 29 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,665 – $11,775 · median $6,534 29 plans
199 PNEUMOTHORAX WITH MCC $5,757 – $25,268 · median $14,410 29 plans
200 PNEUMOTHORAX WITH CC $5,757 – $16,527 · median $9,309 29 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,658 – $11,476 · median $6,526 29 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,757 – $14,843 · median $8,349 29 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,367 – $10,883 · median $6,181 29 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,757 – $12,690 · median $7,232 29 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $5,757 – $26,148 · median $14,792 29 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,757 – $14,448 · median $8,240 29 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $2,730 – $91,635 · median $48,324 29 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $5,757 – $39,143 · median $21,791 29 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC — 29 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $5,757 – $28,208 · median $16,034 29 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,511 – $18,376 · median $6,375 29 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,909 – $9,948 · median $5,675 29 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $5,757 – $38,538 · median $21,472 29 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $5,757 – $24,516 · median $13,981 29 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $5,757 – $14,298 · median $8,155 29 plans
291 HEART FAILURE AND SHOCK WITH MCC $5,757 – $18,953 · median $10,691 29 plans
292 HEART FAILURE AND SHOCK WITH CC $5,757 – $13,237 · median $7,550 29 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,697 – $9,516 · median $5,480 29 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $5,757 – $33,905 · median $12,894 29 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,136 – $11,967 · median $5,938 29 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,983 – $8,058 · median $4,551 29 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $5,757 – $23,540 · median $13,425 29 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $5,757 – $16,109 · median $9,188 29 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,688 – $11,537 · median $6,561 29 plans
302 ATHEROSCLEROSIS WITH MCC $5,757 – $17,807 · median $10,156 29 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,388 – $11,329 · median $6,232 29 plans
304 HYPERTENSION WITH MCC $5,757 – $17,720 · median $10,106 29 plans
305 HYPERTENSION WITHOUT MCC $5,757 – $12,002 · median $6,832 29 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $5,757 – $22,792 · median $12,998 29 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,757 – $14,081 · median $8,031 29 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $5,757 – $17,904 · median $10,211 29 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,757 – $11,747 · median $6,584 29 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,698 – $9,517 · median $5,429 29 plans
311 ANGINA PECTORIS $5,573 – $11,303 · median $6,447 29 plans
312 SYNCOPE AND COLLAPSE $5,757 – $13,534 · median $7,603 29 plans
313 CHEST PAIN $5,690 – $11,541 · median $6,563 29 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $5,757 – $29,695 · median $16,817 29 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $5,757 – $14,739 · median $8,407 29 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,445 – $11,042 · median $6,299 29 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $5,757 – $32,188 · median $13,119 29 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,757 – $15,225 · median $8,683 29 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,566 – $11,288 · median $6,439 29 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $5,757 – $25,386 · median $14,477 29 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,757 – $15,498 · median $8,722 29 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,737 – $11,638 · median $6,522 29 plans
374 DIGESTIVE MALIGNANCY WITH MCC $5,757 – $30,457 · median $17,218 29 plans
375 DIGESTIVE MALIGNANCY WITH CC $5,757 – $17,978 · median $10,253 29 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $5,757 – $14,227 · median $8,114 29 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $5,757 – $26,108 · median $14,889 29 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $5,757 – $14,968 · median $8,537 29 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,112 – $10,362 · median $5,911 29 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $5,757 – $35,341 · median $15,895 29 plans
381 COMPLICATED PEPTIC ULCER WITH CC $5,757 – $16,320 · median $9,308 29 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,757 – $12,600 · median $7,180 29 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $5,757 – $20,227 · median $11,536 29 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,757 – $13,313 · median $7,593 29 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $5,757 – $22,878 · median $13,047 29 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $5,757 – $14,910 · median $8,504 29 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,440 – $11,032 · median $6,293 29 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $5,757 – $21,491 · median $12,256 29 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,757 – $12,458 · median $6,990 29 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,453 – $9,227 · median $5,264 29 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $5,757 – $18,749 · median $10,693 29 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $5,757 – $23,101 · median $13,175 29 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $5,757 – $14,377 · median $8,200 29 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,232 – $10,607 · median $6,051 29 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,641 – $11,442 · median $6,456 29 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $5,757 – $26,223 · median $14,954 29 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,757 – $16,946 · median $9,665 29 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,757 – $13,293 · median $7,582 29 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $5,757 – $23,508 · median $13,406 29 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,757 – $13,134 · median $7,490 29 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,054 – $10,244 · median $5,809 29 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $5,757 – $25,670 · median $14,639 29 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $5,757 – $14,766 · median $8,422 29 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,559 – $11,274 · median $6,408 29 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $5,757 – $24,043 · median $13,711 29 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,757 – $16,463 · median $9,390 29 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,757 – $12,951 · median $7,384 29 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $1,650 – $43,216 · median $17,251 29 plans
533 FRACTURES OF FEMUR WITH MCC $5,757 – $22,686 · median $12,938 29 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,757 – $12,673 · median $7,222 29 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $5,757 – $18,930 · median $10,796 29 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,757 – $12,692 · median $7,233 29 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $5,757 – $14,621 · median $8,339 29 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,692 – $11,545 · median $6,566 29 plans
539 OSTEOMYELITIS WITH MCC $5,757 – $28,050 · median $15,951 29 plans
540 OSTEOMYELITIS WITH CC $5,757 – $19,118 · median $10,903 29 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,757 – $12,427 · median $7,079 29 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $5,757 – $34,540 · median $14,428 29 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $5,757 – $20,124 · median $8,892 29 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,757 – $11,995 · median $6,828 29 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $5,757 – $36,455 · median $19,789 29 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $5,757 – $17,239 · median $9,832 29 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,757 – $13,068 · median $7,452 29 plans
548 SEPTIC ARTHRITIS WITH MCC $5,757 – $27,497 · median $15,660 29 plans
549 SEPTIC ARTHRITIS WITH CC $5,757 – $17,946 · median $10,235 29 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,757 – $13,567 · median $7,738 29 plans
551 MEDICAL BACK PROBLEMS WITH MCC $5,757 – $24,111 · median $13,750 29 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $5,757 – $14,713 · median $8,392 29 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,757 – $19,118 · median $10,903 29 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,757 – $12,988 · median $7,405 29 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,757 – $19,453 · median $11,094 29 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,757 – $12,995 · median $7,409 29 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $5,757 – $21,624 · median $12,332 29 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $5,757 – $13,818 · median $7,765 29 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,757 – $26,593 · median $15,166 29 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,757 – $16,880 · median $9,627 29 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,757 – $13,607 · median $7,205 29 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $5,757 – $20,807 · median $11,866 29 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $5,757 – $13,848 · median $7,899 29 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $5,757 – $22,369 · median $12,757 29 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,757 – $14,885 · median $8,490 29 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,457 – $11,926 · median $6,686 29 plans
592 SKIN ULCERS WITH MCC $5,757 – $27,560 · median $15,693 29 plans
593 SKIN ULCERS WITH CC $5,757 – $17,671 · median $10,079 29 plans
594 SKIN ULCERS WITHOUT CC/MCC $5,757 – $13,471 · median $7,567 29 plans
595 MAJOR SKIN DISORDERS WITH MCC $5,757 – $30,200 · median $16,963 29 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $5,757 – $16,307 · median $9,183 29 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $5,757 – $23,993 · median $13,683 29 plans
598 MALIGNANT BREAST DISORDERS WITH CC $5,757 – $16,948 · median $9,666 29 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,757 – $12,190 · median $6,837 29 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $5,757 – $15,769 · median $8,994 29 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,949 – $10,029 · median $5,757 29 plans
602 CELLULITIS WITH MCC $5,757 – $20,761 · median $11,840 29 plans
603 CELLULITIS WITHOUT MCC $5,757 – $13,525 · median $7,597 29 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $5,757 – $21,429 · median $12,221 29 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,757 – $14,118 · median $7,935 29 plans
606 MINOR SKIN DISORDERS WITH MCC $5,757 – $21,969 · median $12,529 29 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,757 – $13,991 · median $7,863 29 plans
637 DIABETES WITH MCC $5,757 – $20,964 · median $11,956 29 plans
638 DIABETES WITH CC $5,757 – $13,857 · median $7,787 29 plans
639 DIABETES WITHOUT CC/MCC $5,053 – $10,242 · median $5,808 29 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $5,757 – $19,634 · median $11,198 29 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,668 – $12,306 · median $6,903 29 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $5,757 – $20,772 · median $11,728 29 plans
643 ENDOCRINE DISORDERS WITH MCC $5,757 – $23,717 · median $13,525 29 plans
644 ENDOCRINE DISORDERS WITH CC $5,757 – $15,551 · median $8,869 29 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,757 – $12,176 · median $6,829 29 plans
682 RENAL FAILURE WITH MCC $5,757 – $21,546 · median $12,288 29 plans
683 RENAL FAILURE WITH CC $5,757 – $13,589 · median $7,634 29 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,918 – $9,967 · median $5,686 29 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $5,757 – $25,789 · median $14,707 29 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,757 – $17,651 · median $9,040 29 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,757 – $12,465 · median $6,993 29 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $5,757 – $17,330 · median $9,884 29 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,757 – $12,717 · median $7,137 29 plans
693 URINARY STONES WITH MCC $5,757 – $19,751 · median $11,264 29 plans
694 URINARY STONES WITHOUT MCC $5,757 – $12,352 · median $7,035 29 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,757 – $17,113 · median $9,760 29 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,490 – $11,133 · median $6,351 29 plans
697 URETHRAL STRICTURE $5,757 – $16,245 · median $9,265 29 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $5,757 – $23,826 · median $13,588 29 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $5,757 – $15,419 · median $8,794 29 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,496 – $11,145 · median $6,357 29 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $5,757 – $25,868 · median $14,752 29 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $5,757 – $17,181 · median $9,752 29 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,275 – $10,695 · median $6,101 29 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $5,757 – $17,460 · median $9,958 29 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,702 – $12,996 · median $6,579 29 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $5,757 – $27,658 · median $12,302 29 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,757 – $12,740 · median $7,261 29 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $5,757 – $15,994 · median $9,122 29 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,380 – $10,909 · median $6,196 29 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $1,650 – $28,593 · median $10,545 29 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,757 – $26,288 · median $14,992 29 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,757 – $16,376 · median $9,340 29 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,757 – $14,703 · median $8,386 29 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,757 – $20,900 · median $11,920 29 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,757 – $14,946 · median $8,525 29 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,326 – $10,799 · median $6,132 29 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $5,757 – $15,321 · median $8,621 29 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,726 – $9,575 · median $5,524 29 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,521 – $10,682 · median $6,064 29 plans
779 ABORTION WITHOUT D&C $5,757 – $13,135 · median $7,376 29 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $5,757 – $25,769 · median $14,696 29 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,680 – $84,639 · median $44,715 29 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,365 – $57,803 · median $30,871 29 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $735 – $34,878 · median $19,044 29 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $945 – $59,378 · median $31,683 29 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $630 – $21,479 · median $11,894 29 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $5,757 – $31,442 · median $17,737 29 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $5,757 – $18,718 · median $10,675 29 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $5,757 – $15,835 · median $8,914 29 plans
811 RED BLOOD CELL DISORDERS WITH MCC $5,757 – $20,538 · median $11,713 29 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,757 – $14,146 · median $7,952 29 plans
813 COAGULATION DISORDERS $5,757 – $22,128 · median $12,620 29 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $5,757 – $30,286 · median $17,128 29 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $5,757 – $15,406 · median $8,670 29 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,123 – $10,384 · median $5,890 29 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $5,757 – $17,884 · median $10,082 29 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,700 – $11,562 · median $6,479 29 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,420 – $8,949 · median $5,063 29 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $5,757 – $78,180 · median $42,340 29 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $5,757 – $33,199 · median $16,822 29 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,757 – $18,108 · median $10,327 29 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $5,757 – $46,067 · median $25,436 29 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $5,757 – $23,523 · median $13,415 29 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $5,757 – $15,359 · median $8,760 29 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $5,757 – $33,283 · median $16,139 29 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $5,757 – $18,918 · median $10,312 29 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,757 – $13,271 · median $7,569 29 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $5,757 – $26,052 · median $14,857 29 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $5,757 – $15,194 · median $8,666 29 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,757 – $13,745 · median $7,723 29 plans
865 VIRAL ILLNESS WITH MCC $5,757 – $21,773 · median $12,417 29 plans
866 VIRAL ILLNESS WITHOUT MCC $5,757 – $13,507 · median $7,588 29 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $5,757 – $29,809 · median $16,877 29 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $5,757 – $15,631 · median $8,915 29 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,752 – $11,668 · median $6,637 29 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $3,150 – $98,429 · median $51,829 29 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $5,757 – $27,663 · median $15,747 29 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $5,757 – $15,528 · median $8,739 29 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,650 – $52,196 · median $30,033 29 plans
913 TRAUMATIC INJURY WITH MCC $5,757 – $23,565 · median $13,439 29 plans
914 TRAUMATIC INJURY WITHOUT MCC $5,757 – $13,717 · median $7,824 29 plans
915 ALLERGIC REACTIONS WITH MCC $5,757 – $24,183 · median $13,791 29 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,344 – $10,835 · median $6,180 29 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $1,695 – $22,695 · median $12,824 29 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $1,625 – $13,343 · median $7,417 29 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $5,757 – $26,145 · median $14,790 29 plans
920 COMPLICATIONS OF TREATMENT WITH CC $5,757 – $15,252 · median $8,699 29 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,486 – $11,125 · median $6,346 29 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $5,757 – $25,075 · median $14,300 29 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $5,624 – $15,455 · median $8,697 29 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $5,757 – $55,456 · median $30,252 29 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $5,757 – $31,480 · median $17,636 29 plans
935 NON-EXTENSIVE BURNS $5,757 – $29,336 · median $16,628 29 plans
947 SIGNS AND SYMPTOMS WITH MCC $1,755 – $18,764 · median $10,584 29 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,581 – $12,599 · median $7,070 29 plans
949 AFTERCARE WITH CC/MCC $5,757 – $18,584 · median $10,104 29 plans
950 AFTERCARE WITHOUT CC/MCC $5,095 – $10,327 · median $5,891 29 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,633 – $9,384 · median $5,353 29 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $5,757 – $38,931 · median $21,679 29 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $5,757 – $22,224 · median $12,675 29 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,757 – $14,440 · median $8,236 29 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $5,757 – $41,099 · median $22,820 29 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $5,757 – $19,100 · median $10,893 29 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $5,757 – $13,943 · median $7,953 29 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $5,757 – $20,824 · median $10,914 29 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 28 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,170 – $12,324 · median $6,846 28 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $5,757 – $28,029 · median $15,880 28 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,757 – $15,961 · median $9,045 28 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 28 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 28 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $1,650 – $465,626 · median $232,228 27 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 27 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $1,650 – $260,459 · median $86,162 27 plans
006 LIVER TRANSPLANT WITHOUT MCC — 27 plans
007 LUNG TRANSPLANT — 27 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 27 plans
010 PANCREAS TRANSPLANT — 27 plans
652 KIDNEY TRANSPLANT — 27 plans
945 REHABILITATION WITH CC/MCC $1,325 – $22,435 · median $12,794 27 plans
946 REHABILITATION WITHOUT CC/MCC $1,000 – $17,152 · median $9,782 27 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $72,060 – $614,952 · median $328,076 26 plans
795 NORMAL NEWBORN $2,083 – $6,456 · median $2,544 26 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $850 – $14,000 · median $7,436 26 plans
881 DEPRESSIVE NEUROSES $850 – $13,754 · median $7,308 26 plans
882 NEUROSES EXCEPT DEPRESSIVE $850 – $15,448 · median $8,190 26 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $850 – $26,821 · median $14,107 26 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $850 – $22,267 · median $11,737 26 plans
885 PSYCHOSES $850 – $19,564 · median $10,331 26 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $850 – $28,211 · median $14,758 26 plans
887 OTHER MENTAL DISORDER DIAGNOSES $850 – $15,411 · median $8,170 26 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $850 – $9,625 · median $5,639 26 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $850 – $19,803 · median $10,963 26 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $850 – $24,003 · median $12,641 26 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $850 – $13,013 · median $6,923 26 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $78,475 – $264,713 · median $100,241 25 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $39,252 – $87,218 · median $50,038 25 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $36,048 – $77,360 · median $45,936 25 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $11,013 – $24,988 · median $12,718 24 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,480 – $15,194 · median $8,608 24 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,346 – $10,849 · median $6,111 24 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $8,962 – $18,220 · median $10,332 24 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,139 – $12,458 · median $7,043 24 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $58,140 – $218,925 · median $67,544 24 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $40,455 – $82,490 · median $46,970 24 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $30,722 – $116,927 · median $35,647 24 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $43,779 – $141,579 · median $50,837 24 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $24,617 – $63,783 · median $28,544 24 plans
509 ARTHROSCOPY $12,368 – $109,002 · median $14,295 24 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,676 – $9,102 · median $4,267 8 plans
999 UNGROUPABLE $1,676 – $17,412 · median $8,162 8 plans
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