Great Falls Clinic Hospital — Pricing

770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770
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 770 procedures

Procedures with negotiated rates only

These 770 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
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $154,449 – $347,509 · median $223,950 6 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $100,913 – $227,053 · median $146,323 6 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $39,946 – $89,878 · median $57,921 6 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $30,957 – $69,653 · median $44,887 6 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $21,270 – $47,858 · median $30,842 6 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $87,601 – $197,102 · median $127,021 6 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $43,399 – $97,647 · median $62,928 6 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $39,788 – $89,522 · median $57,692 6 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $313,867 – $706,201 · median $455,107 6 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $52,147 – $117,330 · median $75,613 6 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $57,477 – $129,324 · median $83,342 6 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $38,782 – $87,259 · median $56,234 6 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $23,416 – $52,687 · median $33,954 6 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $41,951 – $94,390 · median $60,829 6 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $28,749 – $64,685 · median $41,686 6 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $33,358 – $75,055 · median $48,369 6 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $22,921 – $51,573 · median $33,236 6 plans
027 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $18,664 – $41,995 · median $27,063 6 plans
028 SPINAL PROCEDURES WITH MCC $43,969 – $98,931 · median $63,756 6 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $25,117 – $56,513 · median $36,419 6 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $16,285 – $36,642 · median $23,614 6 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $32,877 – $73,974 · median $47,672 6 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $15,819 – $35,593 · median $22,938 6 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $12,421 – $27,946 · median $18,010 6 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $28,450 – $64,012 · median $41,252 6 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $17,703 – $39,832 · median $25,670 6 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $14,453 – $32,519 · median $20,957 6 plans
037 EXTRACRANIAL PROCEDURES WITH COMORBITY $24,249 – $54,560 · median $35,161 6 plans
038 EXTRACRANIAL PROCEDURES WITH COMPLICATION $12,128 – $27,288 · median $17,586 6 plans
039 EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $8,882 – $19,984 · median $12,879 6 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $28,381 – $63,857 · median $41,152 6 plans
041 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMPLICATION OR PERIPH NEUROSTIM $16,311 – $36,699 · median $23,650 6 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $12,891 – $29,005 · median $18,692 6 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $13,498 – $30,371 · median $19,572 6 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,457 – $16,778 · median $10,812 6 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $11,433 – $25,725 · median $16,578 6 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,750 – $17,438 · median $11,238 6 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $17,214 – $38,731 · median $24,960 6 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY $9,754 – $21,946 · median $14,143 6 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $12,759 – $28,708 · median $18,500 6 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,357 – $21,053 · median $13,567 6 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $7,025 – $15,807 · median $10,187 6 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $20,365 – $45,821 · median $29,529 6 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $13,105 – $29,487 · median $19,003 6 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,539 – $23,714 · median $15,282 6 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $14,948 – $33,633 · median $21,674 6 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS $7,683 – $17,286 · median $11,140 6 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,316 – $11,962 · median $7,709 6 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $11,011 – $24,774 · median $15,965 6 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,623 – $14,902 · median $9,604 6 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,147 – $13,831 · median $8,913 6 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $12,434 – $27,977 · median $18,030 6 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $7,797 – $17,542 · median $11,305 6 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY $5,838 – $13,135 · median $8,465 6 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,995 – $26,989 · median $17,393 6 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,831 – $17,621 · median $11,356 6 plans
075 VIRAL MENINGITIS WITH CC/MCC $14,269 – $32,105 · median $20,690 6 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,339 – $14,262 · median $9,191 6 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $13,489 – $30,349 · median $19,558 6 plans
081 NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY $6,850 – $15,412 · median $9,932 6 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $16,942 – $38,119 · median $24,565 6 plans
083 TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION $10,481 – $23,583 · median $15,198 6 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,287 – $16,395 · median $10,566 6 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $16,842 – $37,895 · median $24,421 6 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,805 – $22,062 · median $14,218 6 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,988 – $15,724 · median $10,133 6 plans
088 CONCUSSION WITH MCC $10,162 – $22,864 · median $14,735 6 plans
089 CONCUSSION WITH CC $8,324 – $18,728 · median $12,069 6 plans
090 CONCUSSION WITHOUT CC/MCC $6,324 – $14,229 · median $9,170 6 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $13,098 – $29,470 · median $18,992 6 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION $7,775 – $17,493 · median $11,273 6 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,129 – $13,790 · median $8,887 6 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $25,899 – $58,274 · median $37,554 6 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $19,073 – $42,915 · median $27,656 6 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $19,073 – $42,915 · median $27,656 6 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $26,570 – $59,783 · median $38,527 6 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $17,009 – $38,270 · median $24,663 6 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,239 – $23,038 · median $14,846 6 plans
100 SEIZURES WITH MCC $14,409 – $32,421 · median $20,893 6 plans
101 SEIZURES WITHOUT MCC $6,901 – $15,526 · median $10,006 6 plans
102 HEADACHES WITH MCC $8,486 – $19,092 · median $12,304 6 plans
103 HEADACHES WITHOUT MCC $6,419 – $14,443 · median $9,308 6 plans
113 ORBITAL PROCEDURES WITH CC/MCC $17,417 – $39,189 · median $25,255 6 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $10,171 – $22,884 · median $14,747 6 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $11,491 – $25,855 · median $16,662 6 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $13,475 – $30,318 · median $19,538 6 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,224 – $18,504 · median $11,925 6 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,793 – $19,785 · median $12,750 6 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,053 – $13,618 · median $8,776 6 plans
123 NEUROLOGICAL EYE DISORDERS $6,146 – $13,827 · median $8,911 6 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,954 – $22,396 · median $14,433 6 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,922 – $13,324 · median $8,587 6 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $16,102 – $36,230 · median $23,348 6 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,719 – $17,367 · median $11,192 6 plans
137 MOUTH PROCEDURES WITH CC/MCC $11,189 – $25,174 · median $16,223 6 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,782 – $15,258 · median $9,833 6 plans
139 SALIVARY GLAND PROCEDURES $9,319 – $20,968 · median $13,513 6 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $31,315 – $70,458 · median $45,406 6 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $16,183 – $36,412 · median $23,465 6 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,938 – $26,860 · median $17,310 6 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $27,549 – $61,985 · median $39,946 6 plans
144 OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,929 – $29,090 · median $18,747 6 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $9,077 – $20,422 · median $13,161 6 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $15,720 – $35,371 · median $22,795 6 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,579 – $21,553 · median $13,889 6 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,135 – $13,803 · median $8,895 6 plans
149 DYSEQUILIBRIUM $5,804 – $13,060 · median $8,416 6 plans
150 EPISTAXIS WITH MCC $10,015 – $22,533 · median $14,521 6 plans
151 EPISTAXIS WITHOUT COMORBITY $5,677 – $12,772 · median $8,231 6 plans
152 OTITIS MEDIA & URI WITH COMORBITY $8,931 – $20,094 · median $12,949 6 plans
153 OTITIS MEDIA & URI WITHOUT COMORBITY $5,707 – $12,841 · median $8,275 6 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,699 – $26,323 · median $16,963 6 plans
155 OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION $7,002 – $15,753 · median $10,152 6 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,365 – $12,071 · median $7,779 6 plans
157 DENTAL AND ORAL DISEASES WITH MCC $12,812 – $28,827 · median $18,577 6 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,953 – $15,644 · median $10,082 6 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,491 – $12,356 · median $7,963 6 plans
163 MAJOR CHEST PROCEDURES WITH COMORBITY $32,887 – $73,995 · median $47,686 6 plans
164 MAJOR CHEST PROCEDURES WITH CC $18,672 – $42,013 · median $27,075 6 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $14,245 – $32,052 · median $20,655 6 plans
166 OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY $27,484 – $61,840 · median $39,852 6 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $13,441 – $30,242 · median $19,489 6 plans
168 OTHER RESP SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY $10,268 – $23,103 · median $14,889 6 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $21,957 – $49,403 · median $31,838 6 plans
175 PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE $10,320 – $23,220 · median $14,964 6 plans
176 PULMONARY EMBOLISM WITHOUT COMORBITY $6,192 – $13,932 · median $8,978 6 plans
177 RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY $11,693 – $26,310 · median $16,955 6 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,434 – $16,725 · median $10,779 6 plans
179 RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY $5,829 – $13,115 · median $8,452 6 plans
180 RESPIRATORY NEOPLASMS WITH COMORBITY $13,169 – $29,631 · median $19,095 6 plans
181 RESPIRATORY NEOPLASMS WITH COMPLICATION $8,123 – $18,277 · median $11,779 6 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,820 – $13,096 · median $8,439 6 plans
183 MAJOR CHEST TRAUMA WITH COMORBITY $11,455 – $25,774 · median $16,610 6 plans
184 MAJOR CHEST TRAUMA WITH CC $8,073 – $18,165 · median $11,706 6 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,058 – $13,630 · median $8,784 6 plans
186 PLEURAL EFFUSION WITH COMORBITY $11,663 – $26,241 · median $16,911 6 plans
187 PLEURAL EFFUSION WITH COMPLICATION $7,529 – $16,939 · median $10,917 6 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,555 – $12,498 · median $8,054 6 plans
189 PULMONARY EDEMA & RESPIRATORY FAILURE $9,317 – $20,963 · median $13,509 6 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY $8,390 – $18,877 · median $12,165 6 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION $6,468 – $14,553 · median $9,378 6 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,009 – $11,269 · median $7,262 6 plans
193 SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY $9,890 – $22,253 · median $14,341 6 plans
194 SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION $6,199 – $13,947 · median $8,988 6 plans
195 SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY $4,911 – $11,049 · median $7,120 6 plans
196 INTERSTITIAL LUNG DISEASE WITH COMORBITY $14,049 – $31,610 · median $20,371 6 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,238 – $16,286 · median $10,495 6 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,547 – $12,481 · median $8,044 6 plans
199 PNEUMOTHORAX WITH COMORBITY $13,155 – $29,600 · median $19,075 6 plans
200 PNEUMOTHORAX WITH COMPLICATION $8,329 – $18,740 · median $12,077 6 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,539 – $12,463 · median $8,032 6 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,399 – $16,647 · median $10,728 6 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,212 – $11,727 · median $7,557 6 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,209 – $13,971 · median $9,004 6 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY $13,641 – $30,692 · median $19,780 6 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY $7,180 – $16,155 · median $10,411 6 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $47,065 – $105,897 · median $68,245 6 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $20,304 – $45,684 · median $29,441 6 plans
209 COMPLEX AORTIC ARCH PROCEDURES $82,525 – $185,682 · median $119,662 6 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $79,297 – $178,417 · median $114,980 6 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $41,781 – $94,008 · median $60,583 6 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $72,638 – $163,436 · median $105,325 6 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $71,373 – $160,590 · median $103,491 6 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $48,086 – $108,194 · median $69,725 6 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $48,086 – $108,194 · median $69,725 6 plans
219 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMORBITY $56,094 – $126,212 · median $81,337 6 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $39,065 – $87,897 · median $56,644 6 plans
221 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITHOUT COMPLICATION/COMORBITY $36,941 – $83,117 · median $53,564 6 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $36,267 – $81,601 · median $52,587 6 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $23,214 – $52,231 · median $33,660 6 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $61,551 – $138,490 · median $89,249 6 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $44,364 – $99,818 · median $64,327 6 plans
233 CORONARY BYPASS WITH CARDIAC CATH WITH COMORBITY $55,854 – $125,671 · median $80,988 6 plans
234 CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY $40,008 – $90,019 · median $58,012 6 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATH WITH COMORBITY $42,955 – $96,649 · median $62,285 6 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATH WITHOUT COMORBITY $30,759 – $69,209 · median $44,601 6 plans
239 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY $36,080 – $81,181 · median $52,317 6 plans
240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION $21,043 – $47,347 · median $30,512 6 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $10,399 – $23,397 · median $15,078 6 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY $23,528 – $52,938 · median $34,116 6 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION $15,818 – $35,591 · median $22,937 6 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY $13,470 – $30,308 · median $19,532 6 plans
245 AICD GENERATOR PROCEDURES $33,472 – $75,312 · median $48,534 6 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $16,193 – $36,434 · median $23,480 6 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $11,198 – $25,195 · median $16,237 6 plans
252 OTHER VASCULAR PROCEDURES WITH COMORBITY $25,674 – $57,765 · median $37,227 6 plans
253 OTHER VASCULAR PROCEDURES WITH COMPLICATION $19,192 – $43,183 · median $27,829 6 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $13,283 – $29,887 · median $19,261 6 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $19,931 – $44,846 · median $28,900 6 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,675 – $28,518 · median $18,378 6 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,277 – $18,624 · median $12,002 6 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $23,160 – $52,110 · median $33,582 6 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $15,029 – $33,814 · median $21,791 6 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMORBITY $23,964 – $53,918 · median $34,747 6 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION $14,073 – $31,664 · median $20,406 6 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $12,181 – $27,407 · median $17,662 6 plans
263 VEIN LIGATION AND STRIPPING $22,545 – $50,726 · median $32,690 6 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $24,601 – $55,353 · median $35,672 6 plans
265 AICD LEAD PROCEDURES $26,617 – $59,887 · median $38,594 6 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $44,841 – $100,893 · median $65,020 6 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $34,912 – $78,553 · median $50,623 6 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH COMORBITY $50,283 – $113,137 · median $72,910 6 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY $31,009 – $69,771 · median $44,963 6 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY $38,655 – $86,974 · median $56,050 6 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $26,167 – $58,876 · median $37,942 6 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY $18,883 – $42,487 · median $27,380 6 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $30,300 – $68,175 · median $43,935 6 plans
274 PERCUTANEOUS INTRACARDIAC PROCEDURES WITHOUT COMORBITY $24,246 – $54,554 · median $35,157 6 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $52,116 – $117,262 · median $75,569 6 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $43,957 – $98,904 · median $63,738 6 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $33,879 – $76,228 · median $49,125 6 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $40,760 – $91,709 · median $59,102 6 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $26,531 – $59,695 · median $38,470 6 plans
280 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY $11,994 – $26,986 · median $17,391 6 plans
281 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION $7,020 – $15,796 · median $10,180 6 plans
282 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY $5,597 – $12,594 · median $8,116 6 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $14,729 – $33,139 · median $21,357 6 plans
284 ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMPLICATION $5,373 – $12,089 · median $7,791 6 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,696 – $10,565 · median $6,809 6 plans
286 CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY $16,413 – $36,929 · median $23,799 6 plans
287 CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY $8,117 – $18,263 · median $11,769 6 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $19,995 – $44,989 · median $28,993 6 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $12,740 – $28,665 · median $18,473 6 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,097 – $15,969 · median $10,291 6 plans
291 HEART FAILURE & SHOCK WITH COMORBITY $9,668 – $21,754 · median $14,019 6 plans
292 HEART FAILURE & SHOCK WITH COMPLICATION $6,511 – $14,651 · median $9,442 6 plans
293 HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY $4,457 – $10,028 · median $6,462 6 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,687 – $26,296 · median $16,947 6 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,950 – $11,139 · median $7,178 6 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,652 – $8,216 · median $5,295 6 plans
299 PERIPHERAL VASCULAR DISORDERS WITH COMORBITY $12,201 – $27,453 · median $17,692 6 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,098 – $18,220 · median $11,742 6 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY $5,573 – $12,539 · median $8,080 6 plans
302 ATHEROSCLEROSIS WITH MCC $9,035 – $20,329 · median $13,101 6 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,235 – $11,779 · median $7,591 6 plans
304 HYPERTENSION WITH MCC $8,987 – $20,221 · median $13,031 6 plans
305 HYPERTENSION WITHOUT COMORBITY $5,830 – $13,117 · median $8,453 6 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,788 – $26,524 · median $17,093 6 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,978 – $15,700 · median $10,117 6 plans
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY $9,089 – $20,450 · median $13,179 6 plans
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION $5,689 – $12,800 · median $8,249 6 plans
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY $4,458 – $10,029 · median $6,463 6 plans
311 ANGINA PECTORIS $5,443 – $12,248 · median $7,893 6 plans
312 SYNCOPE & COLLAPSE $6,676 – $15,020 · median $9,680 6 plans
313 CHEST PAIN $5,575 – $12,544 · median $8,084 6 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY $15,487 – $34,845 · median $22,456 6 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION $7,341 – $16,518 · median $10,645 6 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,300 – $11,924 · median $7,685 6 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $48,893 – $110,010 · median $70,895 6 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $17,933 – $40,350 · median $26,003 6 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $32,749 – $73,686 · median $47,487 6 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $17,811 – $40,074 · median $25,825 6 plans
321 CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION $20,101 – $45,228 · median $29,147 6 plans
322 SHOULDER AND ELBOW JOINT REPLACEMENT $13,147 – $29,582 · median $19,064 6 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $31,766 – $71,473 · median $46,060 6 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $23,225 – $52,255 · median $33,676 6 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $23,656 – $53,226 · median $34,301 6 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $36,557 – $82,254 · median $53,008 6 plans
327 STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION $18,093 – $40,709 · median $26,235 6 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,981 – $26,956 · median $17,372 6 plans
329 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY $33,719 – $75,869 · median $48,893 6 plans
330 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION $17,752 – $39,942 · median $25,740 6 plans
331 MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY $12,566 – $28,273 · median $18,220 6 plans
332 RECTAL RESECTION WITH MCC $26,635 – $59,928 · median $38,620 6 plans
333 RECTAL RESECTION WITH CC $17,353 – $39,043 · median $25,161 6 plans
334 RECTAL RESECTION WITHOUT COMPLICATION/COMORBITY $12,239 – $27,538 · median $17,747 6 plans
335 PERITONEAL ADHESIOLYSIS WITH COMORBITY $26,273 – $59,115 · median $38,096 6 plans
336 PERITONEAL ADHESIOLYSIS WITH COMPLICATION $15,657 – $35,229 · median $22,703 6 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $11,492 – $25,857 · median $16,663 6 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $19,099 – $42,974 · median $27,694 6 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,272 – $25,362 · median $16,344 6 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,960 – $20,159 · median $12,991 6 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $17,014 – $38,282 · median $24,671 6 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $9,850 – $22,162 · median $14,282 6 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,668 – $15,004 · median $9,669 6 plans
350 INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMORBITY $18,439 – $41,489 · median $26,737 6 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $11,416 – $25,686 · median $16,553 6 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,826 – $19,859 · median $12,798 6 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY $21,417 – $48,188 · median $31,054 6 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,562 – $28,265 · median $18,215 6 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,113 – $22,753 · median $14,663 6 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY $32,240 – $72,541 · median $46,749 6 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $17,231 – $38,770 · median $24,985 6 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,497 – $23,617 · median $15,220 6 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $25,313 – $56,954 · median $36,703 6 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $17,876 – $40,221 · median $25,920 6 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,905 – $26,787 · median $17,262 6 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,609 – $17,121 · median $11,033 6 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,435 – $12,230 · median $7,881 6 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $13,221 – $29,747 · median $19,170 6 plans
372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION $7,760 – $17,461 · median $11,252 6 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,629 – $12,664 · median $8,162 6 plans
374 DIGESTIVE MALIGNANCY WITH COMORBITY $15,875 – $35,719 · median $23,019 6 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,130 – $20,541 · median $13,238 6 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $7,058 – $15,881 · median $10,234 6 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $13,619 – $30,643 · median $19,748 6 plans
378 G.I. HEMORRHAGE WITH COMPLICATION $7,468 – $16,802 · median $10,828 6 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,924 – $11,080 · median $7,140 6 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $14,594 – $32,836 · median $21,161 6 plans
381 COMPLICATED PEPTIC ULCER WITH CC $8,214 – $18,482 · median $11,910 6 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,160 – $13,860 · median $8,932 6 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $10,372 – $23,336 · median $15,039 6 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,554 – $14,746 · median $9,503 6 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,835 – $26,630 · median $17,161 6 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,436 – $16,730 · median $10,782 6 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,294 – $11,911 · median $7,676 6 plans
388 G.I. OBSTRUCTION WITH COMORBITY $11,069 – $24,906 · median $16,051 6 plans
389 G.I. OBSTRUCTION WITH COMPLICATION $6,082 – $13,684 · median $8,818 6 plans
390 G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY $4,297 – $9,668 · median $6,231 6 plans
391 ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY $9,556 – $21,500 · median $13,856 6 plans
392 ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY $6,008 – $13,517 · median $8,711 6 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,959 – $26,907 · median $17,340 6 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION $7,141 – $16,067 · median $10,354 6 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,059 – $11,384 · median $7,336 6 plans
397 APPENDIX PROCEDURES WITH MCC $17,735 – $39,904 · median $25,716 6 plans
398 APPENDIX PROCEDURES WITH CC $11,337 – $25,507 · median $16,438 6 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,658 – $19,481 · median $12,555 6 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $29,537 – $66,459 · median $42,829 6 plans
405 PANCREAS; LIVER & SHUNT PROCEDURES WITH COMORBITY $40,065 – $90,146 · median $58,094 6 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $21,404 – $48,158 · median $31,035 6 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $16,462 – $37,040 · median $23,871 6 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $26,235 – $59,028 · median $38,040 6 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $16,155 – $36,349 · median $23,425 6 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,875 – $26,718 · median $17,218 6 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $24,330 – $54,743 · median $35,279 6 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $15,612 – $35,128 · median $22,638 6 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,403 – $27,907 · median $17,985 6 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $26,213 – $58,979 · median $38,009 6 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $15,352 – $34,543 · median $22,261 6 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,245 – $23,052 · median $14,856 6 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY $17,673 – $39,765 · median $25,626 6 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION $12,629 – $28,415 · median $18,312 6 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $10,264 – $23,093 · median $14,882 6 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $25,084 – $56,439 · median $36,372 6 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,962 – $29,165 · median $18,795 6 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,508 – $23,644 · median $15,237 6 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $30,499 – $68,624 · median $44,224 6 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $16,232 – $36,523 · median $23,537 6 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,240 – $25,290 · median $16,298 6 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $80,365 – $180,820 · median $116,529 6 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $52,757 – $118,702 · median $76,497 6 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $41,165 – $92,621 · median $59,689 6 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $65,760 – $147,959 · median $95,352 6 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $42,218 – $94,991 · median $61,217 6 plans
432 CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY $14,637 – $32,934 · median $21,224 6 plans
433 CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION $8,016 – $18,036 · median $11,623 6 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,520 – $12,421 · median $8,005 6 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $13,682 – $30,786 · median $19,840 6 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,560 – $19,259 · median $12,411 6 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,543 – $14,721 · median $9,487 6 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY $12,183 – $27,412 · median $17,666 6 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION $6,455 – $14,523 · median $9,360 6 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY $4,859 – $10,933 · median $7,046 6 plans
441 DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY $13,378 – $30,099 · median $19,397 6 plans
442 DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION $7,356 – $16,551 · median $10,666 6 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,428 – $12,212 · median $7,870 6 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $12,479 – $28,077 · median $18,094 6 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,293 – $18,660 · median $12,025 6 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,354 – $14,296 · median $9,213 6 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $48,858 – $109,930 · median $70,844 6 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $31,137 – $70,058 · median $45,149 6 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $39,042 – $87,844 · median $56,611 6 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $23,801 – $53,553 · median $34,512 6 plans
456 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMORBITY $61,359 – $138,057 · median $88,970 6 plans
457 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMPLICATION $43,641 – $98,193 · median $63,280 6 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $30,642 – $68,944 · median $44,431 6 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $40,446 – $91,004 · median $58,647 6 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $19,660 – $44,235 · median $28,507 6 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $41,727 – $93,887 · median $60,505 6 plans
464 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION $22,961 – $51,662 · median $33,294 6 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $13,588 – $30,573 · median $19,703 6 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY $38,140 – $85,815 · median $55,303 6 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION $25,952 – $58,391 · median $37,630 6 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY $20,299 – $45,672 · median $29,433 6 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $22,369 – $50,331 · median $32,436 6 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY $14,352 – $32,292 · median $20,810 6 plans
471 CERVICAL SPINAL FUSION WITH COMORBITY $35,405 – $79,662 · median $51,338 6 plans
472 CERVICAL SPINAL FUSION WITH COMPLICATION $21,737 – $48,908 · median $31,519 6 plans
473 CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $18,072 – $40,662 · median $26,204 6 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $31,515 – $70,909 · median $45,697 6 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION $16,870 – $37,957 · median $24,461 6 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,916 – $20,061 · median $12,928 6 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $25,429 – $57,215 · median $36,872 6 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $18,202 – $40,954 · median $26,393 6 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,844 – $31,148 · median $20,073 6 plans
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY $21,492 – $48,356 · median $31,163 6 plans
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION $15,554 – $34,997 · median $22,554 6 plans
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY $12,189 – $27,425 · median $17,674 6 plans
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $20,472 – $46,063 · median $29,685 6 plans
485 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY $23,777 – $53,499 · median $34,477 6 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $15,529 – $34,941 · median $22,518 6 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,719 – $26,367 · median $16,992 6 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $13,190 – $29,678 · median $19,126 6 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,456 – $19,025 · median $12,261 6 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $27,004 – $60,760 · median $39,156 6 plans
493 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION $18,760 – $42,211 · median $27,202 6 plans
494 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY $14,915 – $33,559 · median $21,627 6 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $26,671 – $60,010 · median $38,673 6 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $13,444 – $30,250 · median $19,494 6 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,120 – $20,520 · median $13,224 6 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $22,250 – $50,063 · median $32,263 6 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $14,976 – $33,695 · median $21,714 6 plans
500 SOFT TISSUE PROCEDURES WITH MCC $23,325 – $52,481 · median $33,821 6 plans
501 SOFT TISSUE PROCEDURES WITH CC $13,039 – $29,338 · median $18,907 6 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,119 – $22,768 · median $14,673 6 plans
503 FOOT PROCEDURES WITH MCC $20,612 – $46,376 · median $29,887 6 plans
504 FOOT PROCEDURES WITH CC $13,918 – $31,316 · median $20,182 6 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $13,364 – $30,068 · median $19,377 6 plans
506 MAJOR THUMB OR JOINT PROCEDURES $10,143 – $22,822 · median $14,707 6 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $13,462 – $30,291 · median $19,521 6 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $11,342 – $25,521 · median $16,447 6 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $22,277 – $50,124 · median $32,302 6 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $15,445 – $34,750 · median $22,395 6 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $12,366 – $27,824 · median $17,931 6 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,777 – $26,499 · median $17,077 6 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,770 – $17,482 · median $11,266 6 plans
515 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY $23,485 – $52,842 · median $34,054 6 plans
516 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION $15,435 – $34,729 · median $22,381 6 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $11,504 – $25,885 · median $16,681 6 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $27,481 – $61,833 · median $39,848 6 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $14,870 – $33,456 · median $21,561 6 plans
520 BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $11,194 – $25,186 · median $16,231 6 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $21,186 – $47,668 · median $30,720 6 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $15,723 – $35,376 · median $22,798 6 plans
533 FRACTURES OF FEMUR WITH MCC $11,729 – $26,391 · median $17,008 6 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,200 – $13,950 · median $8,990 6 plans
535 FRACTURES OF HIP & PELVIS WITH COMORBITY $9,655 – $21,724 · median $14,000 6 plans
536 FRACTURES OF HIP & PELVIS WITHOUT COMORBITY $6,211 – $13,974 · median $9,006 6 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,276 – $16,371 · median $10,550 6 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,577 – $12,548 · median $8,087 6 plans
539 OSTEOMYELITIS WITH MCC $14,648 – $32,958 · median $21,240 6 plans
540 OSTEOMYELITIS WITH COMPLICATION $9,759 – $21,958 · median $14,151 6 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,064 – $13,645 · median $8,793 6 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $13,173 – $29,639 · median $19,101 6 plans
543 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION $7,811 – $17,575 · median $11,326 6 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,826 – $13,109 · median $8,448 6 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $18,365 – $41,322 · median $26,630 6 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,721 – $19,623 · median $12,646 6 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,419 – $14,442 · median $9,307 6 plans
548 SEPTIC ARTHRITIS WITH MCC $14,366 – $32,324 · median $20,831 6 plans
549 SEPTIC ARTHRITIS WITH CC $9,112 – $20,502 · median $13,213 6 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,694 – $15,061 · median $9,706 6 plans
551 MEDICAL BACK PROBLEMS WITH COMORBITY $12,516 – $28,162 · median $18,149 6 plans
552 MEDICAL BACK PROBLEMS WITHOUT COMORBITY $7,327 – $16,485 · median $10,624 6 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,759 – $21,958 · median $14,151 6 plans
554 BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY $6,374 – $14,342 · median $9,243 6 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,944 – $22,374 · median $14,419 6 plans
556 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY $6,378 – $14,350 · median $9,248 6 plans
557 TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY $11,143 – $25,071 · median $16,157 6 plans
558 TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY $6,832 – $15,373 · median $9,907 6 plans
559 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY $13,887 – $31,246 · median $20,136 6 plans
560 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION $8,523 – $19,177 · median $12,359 6 plans
561 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY $6,184 – $13,914 · median $8,967 6 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,692 – $24,057 · median $15,503 6 plans
563 FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY $6,849 – $15,410 · median $9,931 6 plans
564 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY $11,554 – $25,998 · median $16,754 6 plans
565 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION $7,422 – $16,699 · median $10,762 6 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,788 – $13,022 · median $8,392 6 plans
570 SKIN DEBRIDEMENT WITH COMORBITY $21,701 – $48,827 · median $31,466 6 plans
571 SKIN DEBRIDEMENT WITH CC $12,614 – $28,381 · median $18,290 6 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,670 – $19,507 · median $12,571 6 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $47,913 – $107,803 · median $69,473 6 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $25,551 – $57,489 · median $37,049 6 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,394 – $30,137 · median $19,422 6 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $35,932 – $80,846 · median $52,101 6 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $19,592 – $44,083 · median $28,409 6 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,010 – $27,023 · median $17,415 6 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $23,860 – $53,685 · median $34,597 6 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,893 – $29,010 · median $18,695 6 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $10,825 – $24,356 · median $15,696 6 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $14,335 – $32,254 · median $20,786 6 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,867 – $28,951 · median $18,657 6 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $15,890 – $35,752 · median $23,040 6 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $14,353 – $32,295 · median $20,812 6 plans
592 SKIN ULCERS WITH COMORBITY $14,398 – $32,396 · median $20,878 6 plans
593 SKIN ULCERS WITH CC $8,960 – $20,161 · median $12,993 6 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,641 – $14,942 · median $9,629 6 plans
595 MAJOR SKIN DISORDERS WITH MCC $15,744 – $35,425 · median $22,829 6 plans
596 MAJOR SKIN DISORDERS WITHOUT COMORBITY $8,207 – $18,465 · median $11,900 6 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $12,451 – $28,015 · median $18,054 6 plans
598 MALIGNANT BREAST DISORDERS WITH COMPLICATION $8,561 – $19,262 · median $12,414 6 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,934 – $13,350 · median $8,604 6 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,910 – $17,797 · median $11,469 6 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,740 – $10,665 · median $6,873 6 plans
602 CELLULITIS WITH COMORBITY $10,667 – $24,000 · median $15,466 6 plans
603 CELLULITIS WITHOUT COMORBITY $6,670 – $15,009 · median $9,672 6 plans
604 TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY $11,035 – $24,830 · median $16,001 6 plans
605 TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY $6,998 – $15,745 · median $10,147 6 plans
606 MINOR SKIN DISORDERS WITH MCC $11,334 – $25,501 · median $16,434 6 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $6,928 – $15,588 · median $10,046 6 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $16,261 – $36,586 · median $23,578 6 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,507 – $23,640 · median $15,235 6 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $25,667 – $57,751 · median $37,217 6 plans
617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION $13,926 – $31,334 · median $20,193 6 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,645 – $23,951 · median $15,435 6 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $21,311 – $47,949 · median $30,901 6 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,966 – $26,924 · median $17,351 6 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,299 – $25,423 · median $16,383 6 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $26,188 – $58,924 · median $37,973 6 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,372 – $30,086 · median $19,389 6 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,437 – $21,232 · median $13,683 6 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $22,274 – $50,117 · median $32,298 6 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,234 – $25,275 · median $16,289 6 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,991 – $22,480 · median $14,487 6 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $27,405 – $61,662 · median $39,737 6 plans
629 OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION $16,166 – $36,374 · median $23,441 6 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,944 – $24,624 · median $15,869 6 plans
637 DIABETES WITH COMORBITY $10,778 – $24,251 · median $15,629 6 plans
638 DIABETES WITH COMPLICATION $6,854 – $15,422 · median $9,939 6 plans
639 DIABETES WITHOUT COMPLICATION/COMORBITY $4,858 – $10,930 · median $7,043 6 plans
640 MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY $10,044 – $22,600 · median $14,564 6 plans
641 MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY $5,997 – $13,494 · median $8,696 6 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $10,672 – $24,013 · median $15,475 6 plans
643 ENDOCRINE DISORDERS WITH MCC $12,299 – $27,672 · median $17,833 6 plans
644 ENDOCRINE DISORDERS WITH COMPLICATION $7,789 – $17,526 · median $11,294 6 plans
645 ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY $5,926 – $13,332 · median $8,592 6 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $34,481 – $77,582 · median $49,997 6 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $27,253 – $61,318 · median $39,516 6 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $38,075 – $85,668 · median $55,209 6 plans
654 MAJOR BLADDER PROCEDURES WITH CC $20,671 – $46,510 · median $29,973 6 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $15,715 – $35,358 · median $22,786 6 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $23,463 – $52,791 · median $34,021 6 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $13,634 – $30,676 · median $19,769 6 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $11,614 – $26,132 · median $16,840 6 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $18,795 – $42,289 · median $27,253 6 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,943 – $22,373 · median $14,418 6 plans
661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY $7,865 – $17,696 · median $11,404 6 plans
662 MINOR BLADDER PROCEDURES WITH MCC $22,575 – $50,793 · median $32,734 6 plans
663 MINOR BLADDER PROCEDURES WITH CC $11,385 – $25,615 · median $16,508 6 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,948 – $17,884 · median $11,525 6 plans
665 PROSTATECTOMY WITH MCC $23,008 – $51,769 · median $33,362 6 plans
666 PROSTATECTOMY WITH CC $13,048 – $29,358 · median $18,919 6 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,379 – $18,852 · median $12,149 6 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $21,548 – $48,482 · median $31,244 6 plans
669 TRANSURETHRAL PROCEDURES WITH CC $11,615 – $26,135 · median $16,842 6 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,443 – $16,747 · median $10,792 6 plans
671 URETHRAL PROCEDURES WITH CC/MCC $13,380 – $30,104 · median $19,401 6 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,185 – $18,416 · median $11,868 6 plans
673 OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY $30,852 – $69,418 · median $44,736 6 plans
674 OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION $17,326 – $38,984 · median $25,123 6 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $12,265 – $27,595 · median $17,784 6 plans
682 RENAL FAILURE WITH COMORBITY $11,100 – $24,975 · median $16,095 6 plans
683 RENAL FAILURE WITH COMPLICATION $6,706 – $15,089 · median $9,724 6 plans
684 RENAL FAILURE WITHOUT COMPLICATION/COMORBITY $4,706 – $10,588 · median $6,823 6 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $13,443 – $30,246 · median $19,492 6 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,955 – $17,898 · median $11,534 6 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,085 – $13,692 · median $8,824 6 plans
689 KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY $8,772 – $19,736 · median $12,719 6 plans
690 KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY $6,225 – $14,006 · median $9,026 6 plans
693 URINARY STONES WITH MCC $10,109 – $22,745 · median $14,658 6 plans
694 URINARY STONES WITHOUT MCC $6,023 – $13,551 · median $8,733 6 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,652 – $19,467 · median $12,545 6 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,350 – $12,037 · median $7,757 6 plans
697 URETHRAL STRICTURE $8,173 – $18,388 · median $11,850 6 plans
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY $12,359 – $27,808 · median $17,920 6 plans
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION $7,717 – $17,363 · median $11,189 6 plans
700 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY $5,356 – $12,052 · median $7,767 6 plans
707 MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION/COMORBITY $14,870 – $33,458 · median $21,562 6 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $11,486 – $25,844 · median $16,655 6 plans
709 PENIS PROCEDURES WITH CC/MCC $17,243 – $38,797 · median $25,002 6 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,521 – $23,671 · median $15,255 6 plans
711 TESTES PROCEDURES WITH COMPLICATION/COMORBITY $15,476 – $34,822 · median $22,441 6 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,332 – $18,746 · median $12,081 6 plans
713 TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY $11,263 – $25,341 · median $16,331 6 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,025 – $18,055 · median $11,636 6 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $16,591 – $37,330 · median $24,057 6 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $11,027 – $24,812 · median $15,990 6 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $14,073 – $31,664 · median $20,406 6 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $10,099 – $22,722 · median $14,643 6 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $13,486 – $30,344 · median $19,555 6 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,644 – $19,449 · median $12,534 6 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,108 – $11,493 · median $7,407 6 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,843 – $19,898 · median $12,823 6 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY $5,589 – $12,576 · median $8,105 6 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,114 – $25,006 · median $16,115 6 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,237 – $14,033 · median $9,044 6 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH COMPLICATION/COMORBITY $8,034 – $18,076 · median $11,649 6 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,226 – $11,759 · median $7,578 6 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $15,812 – $35,577 · median $22,927 6 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $10,116 – $22,761 · median $14,668 6 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $26,299 – $59,174 · median $38,134 6 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $15,308 – $34,443 · median $22,197 6 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,009 – $24,771 · median $15,963 6 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $26,360 – $59,309 · median $38,221 6 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $13,486 – $30,343 · median $19,554 6 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,701 – $24,078 · median $15,517 6 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $13,669 – $30,754 · median $19,820 6 plans
743 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY $9,355 – $21,049 · median $13,565 6 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $15,225 – $34,255 · median $22,076 6 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,606 – $19,364 · median $12,479 6 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $12,959 – $29,158 · median $18,791 6 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,589 – $14,826 · median $9,554 6 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $10,420 – $23,444 · median $15,109 6 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $18,989 – $42,725 · median $27,534 6 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,062 – $24,890 · median $16,040 6 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,719 – $30,867 · median $19,892 6 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,245 – $18,552 · median $11,956 6 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,321 – $16,472 · median $10,615 6 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,743 – $24,173 · median $15,578 6 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,455 – $16,774 · median $10,810 6 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,165 – $11,622 · median $7,490 6 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,662 – $17,240 · median $11,110 6 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,489 – $10,101 · median $6,510 6 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $8,128 – $18,287 · median $11,785 6 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $12,616 – $28,386 · median $18,293 6 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,627 – $17,162 · median $11,060 6 plans
776 POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE $5,101 – $11,477 · median $7,396 6 plans
779 ABORTION WITHOUT D&C $6,456 – $14,525 · median $9,361 6 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $18,172 – $40,887 · median $26,350 6 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,044 – $18,099 · median $11,664 6 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $7,301 – $16,428 · median $10,587 6 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $12,323 – $27,727 · median $17,869 6 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $8,456 – $19,025 · median $12,261 6 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $7,309 – $16,444 · median $10,598 6 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $13,432 – $30,222 · median $19,476 6 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $43,499 – $97,873 · median $63,074 6 plans
791 PREMATURITY WITH MAJOR PROBLEMS $29,817 – $67,088 · median $43,235 6 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $18,129 – $40,791 · median $26,288 6 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $30,620 – $68,895 · median $44,399 6 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $11,063 – $24,892 · median $16,041 6 plans
795 NORMAL NEWBORN $1,798 – $4,046 · median $2,607 6 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $8,820 – $19,846 · median $12,789 6 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,611 – $17,124 · median $11,035 6 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,296 – $16,417 · median $10,580 6 plans
799 SPLENIC PROCEDURES WITH MCC $33,229 – $74,764 · median $48,181 6 plans
800 SPLENIC PROCEDURES WITH CC $20,745 – $46,675 · median $30,080 6 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $14,207 – $31,965 · median $20,600 6 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $29,273 – $65,865 · median $42,446 6 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $13,844 – $31,148 · median $20,073 6 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $10,192 – $22,933 · median $14,779 6 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $8,183 – $18,411 · median $11,865 6 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,822 – $13,099 · median $8,442 6 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,242 – $11,795 · median $7,601 6 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $16,377 – $36,849 · median $23,747 6 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,538 – $21,461 · median $13,831 6 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,946 – $17,879 · median $11,522 6 plans
811 RED BLOOD CELL DISORDERS WITH MCC $10,543 – $23,722 · median $15,287 6 plans
812 RED BLOOD CELL DISORDERS WITHOUT COMORBITY $7,014 – $15,781 · median $10,170 6 plans
813 COAGULATION DISORDERS $11,422 – $25,699 · median $16,561 6 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $15,788 – $35,523 · median $22,893 6 plans
815 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION $7,709 – $17,346 · median $11,179 6 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,936 – $11,106 · median $7,157 6 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $16,913 – $38,053 · median $24,523 6 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,764 – $19,718 · median $12,707 6 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,591 – $14,829 · median $9,556 6 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $42,928 – $96,587 · median $62,245 6 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $16,600 – $37,351 · median $24,071 6 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,089 – $20,450 · median $13,179 6 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $33,634 – $75,677 · median $48,770 6 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $16,796 – $37,792 · median $24,355 6 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $10,145 – $22,825 · median $14,710 6 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $34,310 – $77,197 · median $49,749 6 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $17,127 – $38,537 · median $24,835 6 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,718 – $28,615 · median $18,440 6 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $23,290 – $52,402 · median $33,770 6 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $11,274 – $25,367 · median $16,348 6 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $9,078 – $20,425 · median $13,163 6 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,587 – $12,570 · median $8,100 6 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,144 – $9,324 · median $6,009 6 plans
834 ACUTE LEUKEMIA WITH MCC $40,206 – $90,463 · median $58,298 6 plans
835 ACUTE LEUKEMIA WITH CC $15,491 – $34,855 · median $22,462 6 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $9,201 – $20,703 · median $13,342 6 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $35,228 – $79,263 · median $51,081 6 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $15,503 – $34,881 · median $22,479 6 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,831 – $24,369 · median $15,704 6 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $23,834 – $53,626 · median $34,559 6 plans
841 LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION $12,192 – $27,432 · median $17,678 6 plans
842 LYMPHOMA & NON-ACUTE LEUKEMIA WITHOUT COMPLICATION/COMORBITY $7,683 – $17,287 · median $11,141 6 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $14,830 – $33,368 · median $21,504 6 plans
844 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMPLICATION $9,186 – $20,669 · median $13,320 6 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,530 – $14,693 · median $9,469 6 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $19,170 – $43,132 · median $27,796 6 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION $9,845 – $22,152 · median $14,276 6 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,514 – $14,657 · median $9,446 6 plans
849 RADIOTHERAPY $20,019 – $45,043 · median $29,028 6 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $63,218 – $142,240 · median $91,666 6 plans
853 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY $36,203 – $81,457 · median $52,495 6 plans
854 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION $14,854 – $33,422 · median $21,539 6 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,218 – $25,240 · median $16,266 6 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY $33,372 – $75,088 · median $48,390 6 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION $15,895 – $35,765 · median $23,048 6 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITHOUT COMPLICATION/COMORBITY $10,460 – $23,536 · median $15,167 6 plans
862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY $13,588 – $30,573 · median $19,703 6 plans
863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY $7,593 – $17,083 · median $11,009 6 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,792 – $15,283 · median $9,849 6 plans
865 VIRAL ILLNESS WITH COMORBITY $11,226 – $25,258 · median $16,277 6 plans
866 VIRAL ILLNESS WITHOUT COMORBITY $6,661 – $14,987 · median $9,658 6 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $15,545 – $34,976 · median $22,540 6 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,834 – $17,626 · median $11,359 6 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,645 – $12,702 · median $8,186 6 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $50,529 – $113,691 · median $73,267 6 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY $14,451 – $32,514 · median $20,953 6 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY $7,777 – $17,498 · median $11,277 6 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $14,623 – $32,903 · median $21,204 6 plans
887 OTHER MENTAL DISORDER DIAGNOSES $8,123 – $18,276 · median $11,778 6 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,826 – $10,859 · median $6,998 6 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $10,625 – $23,907 · median $15,406 6 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $30,816 – $69,336 · median $44,683 6 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $14,247 – $32,056 · median $20,659 6 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,839 – $19,888 · median $12,817 6 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $27,015 – $60,784 · median $39,172 6 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $11,117 – $25,014 · median $16,120 6 plans
906 HAND PROCEDURES FOR INJURIES $14,609 – $32,870 · median $21,183 6 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $28,222 – $63,499 · median $40,922 6 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $14,833 – $33,375 · median $21,508 6 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY $9,878 – $22,226 · median $14,323 6 plans
913 TRAUMATIC INJURY WITH MCC $12,215 – $27,484 · median $17,712 6 plans
914 TRAUMATIC INJURY WITHOUT COMORBITY $6,776 – $15,247 · median $9,826 6 plans
915 ALLERGIC REACTIONS WITH COMORBITY $12,556 – $28,252 · median $18,207 6 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,185 – $11,666 · median $7,518 6 plans
917 POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY $11,735 – $26,403 · median $17,015 6 plans
918 POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY $6,570 – $14,783 · median $9,527 6 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $13,640 – $30,689 · median $19,777 6 plans
920 COMPLICATIONS OF TREATMENT WITH COMPLICATION $7,624 – $17,155 · median $11,055 6 plans
921 COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY $5,345 – $12,027 · median $7,751 6 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $13,049 – $29,359 · median $18,921 6 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,736 – $17,407 · median $11,218 6 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $155,358 – $349,556 · median $225,269 6 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $52,423 – $117,953 · median $76,014 6 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $23,731 – $53,396 · median $34,411 6 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $28,620 – $64,396 · median $41,500 6 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $16,397 – $36,893 · median $23,776 6 plans
935 NON-EXTENSIVE BURNS $15,304 – $34,433 · median $22,190 6 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $26,691 – $60,056 · median $38,703 6 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $17,314 – $38,957 · median $25,105 6 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $15,069 – $33,906 · median $21,850 6 plans
945 REHABILITATION WITH CC/MCC $11,591 – $26,079 · median $16,807 6 plans
946 REHABILITATION WITHOUT CC/MCC $8,674 – $19,516 · median $12,577 6 plans
947 SIGNS & SYMPTOMS WITH COMORBITY $9,564 – $21,518 · median $13,867 6 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,159 – $13,858 · median $8,931 6 plans
949 AFTERCARE WITH CC/MCC $8,985 – $20,216 · median $13,028 6 plans
950 AFTERCARE WITHOUT CC/MCC $4,905 – $11,036 · median $7,112 6 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,384 – $9,864 · median $6,357 6 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $49,217 – $110,739 · median $71,365 6 plans
956 LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA $27,668 – $62,253 · median $40,119 6 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $55,670 – $125,258 · median $80,722 6 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $30,942 – $69,619 · median $44,865 6 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $21,722 – $48,876 · median $31,498 6 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $20,196 – $45,440 · median $29,284 6 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION $11,475 – $25,818 · median $16,638 6 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,176 – $16,145 · median $10,405 6 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $44,790 – $100,777 · median $64,945 6 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $19,496 – $43,865 · median $28,269 6 plans
974 HIV WITH MAJOR RELATED CONDITION WITH COMORBITY $21,301 – $47,927 · median $30,886 6 plans
975 HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION $9,750 – $21,936 · median $14,137 6 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,901 – $15,528 · median $10,007 6 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $9,769 – $21,981 · median $14,165 6 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $34,411 – $77,425 · median $49,896 6 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $18,197 – $40,943 · median $26,385 6 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,792 – $28,781 · median $18,548 6 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $25,239 – $56,787 · median $36,596 6 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,280 – $27,631 · median $17,807 6 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,054 – $20,372 · median $13,128 6 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEMWITHCOMORBITY $203,809 – $458,570 · median $387,237 5 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $82,620 – $185,894 · median $156,977 5 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $75,205 – $169,211 · median $142,889 5 plans
006 LIVER TRANSPLANT WITHOUT MCC $34,013 – $76,530 · median $64,626 5 plans
007 LUNG TRANSPLANT $94,370 – $212,332 · median $179,302 5 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $41,038 – $92,337 · median $77,973 5 plans
010 PANCREAS TRANSPLANT $52,445 – $118,002 · median $99,646 5 plans
652 KIDNEY TRANSPLANT $23,795 – $53,538 · median $45,210 5 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $28,408 – $63,917 · median $53,975 5 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,319 – $16,467 · median $13,906 5 plans
881 DEPRESSIVE NEUROSES $7,179 – $16,152 · median $13,639 5 plans
882 NEUROSES EXCEPT DEPRESSIVE $8,144 – $18,323 · median $15,473 5 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $12,029 – $27,064 · median $22,854 5 plans
885 PSYCHOSES $10,489 – $23,599 · median $19,928 5 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $15,415 – $34,683 · median $29,288 5 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $13,017 – $29,289 · median $24,733 5 plans
897 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY $6,757 – $15,203 · median $12,838 5 plans
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