North Carolina Specialty 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
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY $19,221 – $39,761 · median $20,510 6 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $21,216 – $41,000 · median $25,248 6 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $148,462 – $241,213 · median $149,504 5 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $92,721 – $159,033 · median $96,885 5 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $38,149 – $60,731 · median $39,294 5 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $25,828 – $46,187 · median $29,489 5 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $16,090 – $29,826 · median $20,157 5 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $55,039 – $90,728 · median $56,690 5 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $37,028 – $62,210 · median $38,139 5 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $22,225 – $39,735 · median $22,891 5 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $40,081 – $64,211 · median $41,284 5 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $27,362 – $42,788 · median $28,183 5 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $31,802 – $50,336 · median $32,757 5 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $21,748 – $34,425 · median $22,400 5 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $17,576 – $27,775 · median $17,647 5 plans
028 SPINAL PROCEDURES WITH MCC $42,026 – $68,425 · median $43,287 5 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $23,708 – $37,780 · median $23,863 5 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $13,556 – $25,047 · median $15,355 5 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $31,339 – $47,165 · median $32,280 5 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $14,906 – $24,036 · median $15,353 5 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $11,240 – $17,957 · median $11,631 5 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $27,074 – $43,767 · median $27,886 5 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $16,721 – $25,603 · median $17,222 5 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $13,520 – $20,632 · median $13,589 5 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $23,027 – $37,377 · median $23,718 5 plans
038 EXTRACRANIAL PROCEDURES WITH CC $11,349 – $18,135 · median $11,690 5 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,222 – $12,810 · median $8,402 5 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $27,008 – $42,455 · median $27,818 5 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $15,379 – $25,416 · median $15,840 5 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $12,085 – $19,782 · median $12,447 5 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $12,669 – $22,651 · median $13,049 5 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $6,849 – $10,370 · median $6,963 5 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,680 – $16,872 · median $11,000 5 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,132 – $12,279 · median $7,346 5 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $13,815 – $28,184 · median $16,249 5 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $7,713 – $15,019 · median $9,062 5 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $11,957 – $20,776 · median $12,316 5 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $8,093 – $13,772 · median $8,680 5 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,251 – $10,044 · median $6,434 5 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $19,285 – $30,427 · median $19,863 5 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $12,291 – $20,044 · median $12,660 5 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $9,819 – $15,811 · median $10,114 5 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $14,066 – $22,388 · median $14,488 5 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,067 – $11,445 · median $7,279 5 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,787 – $7,747 · median $4,931 5 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,273 – $16,375 · median $10,581 5 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,046 – $9,921 · median $6,228 5 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,587 – $9,005 · median $5,755 5 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $11,645 – $19,570 · median $11,994 5 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $7,176 – $11,862 · median $7,392 5 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,289 – $8,444 · median $5,448 5 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $10,647 – $17,396 · median $11,221 5 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,099 – $11,732 · median $7,210 5 plans
075 VIRAL MENINGITIS WITH CC/MCC $13,412 – $19,386 · median $13,666 5 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,772 – $10,320 · median $5,945 5 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $9,824 – $22,373 · median $12,660 5 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,098 – $10,184 · median $6,264 5 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $15,987 – $26,114 · median $16,467 5 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $9,763 – $15,649 · median $10,056 5 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,685 – $10,761 · median $6,886 5 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $15,891 – $25,504 · median $16,368 5 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,112 – $14,762 · median $9,385 5 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,398 – $9,949 · median $6,541 5 plans
088 CONCUSSION WITH MCC $9,455 – $15,877 · median $9,739 5 plans
089 CONCUSSION WITH CC $7,684 – $12,066 · median $7,915 5 plans
090 CONCUSSION WITHOUT CC/MCC $5,714 – $9,649 · median $5,758 5 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $12,284 – $20,517 · median $12,652 5 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,156 – $11,916 · median $7,370 5 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY $5,570 – $8,884 · median $5,632 5 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $24,617 – $41,066 · median $25,355 5 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $18,041 – $26,980 · median $18,582 5 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $15,877 – $26,980 · median $18,041 5 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $25,263 – $40,345 · median $26,021 5 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $15,761 – $24,415 · median $16,052 5 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $9,529 – $15,682 · median $9,815 5 plans
100 SEIZURES WITH MCC $12,462 – $22,345 · median $13,547 5 plans
101 SEIZURES WITHOUT MCC $6,285 – $10,374 · median $6,313 5 plans
102 HEADACHES WITH MCC $7,840 – $13,050 · median $8,075 5 plans
103 HEADACHES WITHOUT MCC $5,528 – $9,569 · median $5,850 5 plans
113 ORBITAL PROCEDURES WITH CC/MCC $15,105 – $25,398 · median $16,445 5 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $7,415 – $13,305 · median $9,464 5 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $9,968 – $17,231 · median $10,736 5 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $10,456 – $18,780 · median $12,647 5 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $6,026 – $12,140 · median $7,588 5 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $7,510 – $13,092 · median $8,137 5 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,380 – $7,634 · median $5,496 5 plans
123 NEUROLOGICAL EYE DISORDERS $5,586 – $9,040 · median $5,753 5 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,255 – $14,675 · median $9,532 5 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,370 – $9,293 · median $5,532 5 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $15,178 – $27,137 · median $15,634 5 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,102 – $11,010 · median $7,315 5 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,444 – $15,741 · median $10,729 5 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,199 – $9,156 · median $6,385 5 plans
139 SALIVARY GLAND PROCEDURES $7,223 – $15,453 · median $8,643 5 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $14,810 – $25,820 · median $15,255 5 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,894 – $14,010 · median $9,160 5 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,575 – $9,012 · median $5,743 5 plans
149 DYSEQUILIBRIUM $5,257 – $8,413 · median $5,270 5 plans
150 EPISTAXIS WITH MCC $9,313 – $15,557 · median $9,593 5 plans
151 EPISTAXIS WITHOUT MCC $5,134 – $8,531 · median $5,274 5 plans
152 OTITIS MEDIA AND URI WITH MCC $7,906 – $12,772 · median $8,269 5 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,163 – $8,010 · median $5,189 5 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $10,936 – $18,304 · median $11,264 5 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,411 – $10,508 · median $6,603 5 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,834 – $7,568 · median $4,979 5 plans
157 DENTAL AND ORAL DISEASES WITH MCC $12,008 – $18,430 · median $12,369 5 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,364 – $10,586 · median $6,555 5 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,864 – $7,424 · median $4,956 5 plans
163 MAJOR CHEST PROCEDURES WITH MCC $31,349 – $51,877 · median $32,289 5 plans
164 MAJOR CHEST PROCEDURES WITH CC $17,654 – $28,329 · median $18,184 5 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $13,389 – $20,979 · median $13,791 5 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $26,144 – $43,335 · median $26,928 5 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $12,614 – $20,565 · median $12,993 5 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,557 – $15,238 · median $9,844 5 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $9,608 – $15,859 · median $9,896 5 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,631 – $9,167 · median $5,800 5 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,931 – $18,194 · median $11,258 5 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,827 – $12,280 · median $7,032 5 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,281 – $8,663 · median $5,439 5 plans
180 RESPIRATORY NEOPLASMS WITH MCC $12,353 – $19,671 · median $12,723 5 plans
181 RESPIRATORY NEOPLASMS WITH CC $7,491 – $12,496 · median $7,716 5 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,273 – $9,426 · median $5,431 5 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,701 – $17,865 · median $11,022 5 plans
184 MAJOR CHEST TRAUMA WITH CC $7,443 – $12,021 · median $7,666 5 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,501 – $8,753 · median $5,612 5 plans
186 PLEURAL EFFUSION WITH MCC $10,901 – $17,783 · median $11,228 5 plans
187 PLEURAL EFFUSION WITH CC $6,918 – $11,300 · median $7,126 5 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,017 – $8,263 · median $5,167 5 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,641 – $13,927 · median $8,900 5 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,748 – $12,639 · median $7,980 5 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,896 – $9,669 · median $6,073 5 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,491 – $7,284 · median $4,625 5 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,194 – $14,831 · median $9,470 5 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,637 – $9,229 · median $5,806 5 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,396 – $7,008 · median $4,528 5 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $13,200 – $21,206 · median $13,250 5 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $6,639 – $11,142 · median $6,838 5 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,010 – $7,883 · median $5,160 5 plans
199 PNEUMOTHORAX WITH MCC $12,339 – $19,868 · median $12,709 5 plans
200 PNEUMOTHORAX WITH CC $7,689 – $12,465 · median $7,920 5 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,002 – $7,621 · median $5,152 5 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $6,793 – $10,880 · median $6,949 5 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,686 – $7,840 · median $4,827 5 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,538 – $9,128 · median $5,647 5 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $10,701 – $21,247 · median $12,807 5 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,249 – $10,195 · median $6,583 5 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $42,951 – $72,788 · median $45,008 5 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $18,667 – $30,206 · median $19,226 5 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $69,646 – $119,244 · median $71,735 5 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $68,427 – $108,623 · median $70,480 5 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $45,992 – $72,684 · median $47,372 5 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $43,961 – $66,959 · median $45,992 5 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $53,707 – $87,086 · median $55,318 5 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $37,301 – $59,614 · median $38,420 5 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $35,254 – $51,690 · median $36,312 5 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $34,605 – $62,594 · median $35,643 5 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $22,030 – $39,385 · median $22,690 5 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $58,964 – $95,374 · median $60,733 5 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $42,406 – $68,753 · median $43,678 5 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $53,475 – $87,974 · median $55,080 5 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $38,210 – $59,879 · median $39,356 5 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $41,049 – $66,227 · median $42,280 5 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $29,299 – $46,282 · median $30,178 5 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $34,425 – $56,690 · median $35,458 5 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $19,938 – $32,777 · median $20,536 5 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $9,683 – $16,994 · median $9,974 5 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $22,332 – $38,177 · median $23,002 5 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $14,905 – $25,355 · median $15,352 5 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $12,643 – $20,312 · median $13,022 5 plans
245 AICD GENERATOR PROCEDURES $31,912 – $55,001 · median $32,870 5 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $15,266 – $26,028 · median $15,724 5 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $10,453 – $17,587 · median $10,767 5 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $24,399 – $38,609 · median $24,544 5 plans
253 OTHER VASCULAR PROCEDURES WITH CC $18,155 – $28,734 · median $18,700 5 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $12,462 – $19,690 · median $12,836 5 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $18,867 – $29,449 · median $19,433 5 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $11,876 – $19,063 · median $12,232 5 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,640 – $10,038 · median $7,869 5 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $21,978 – $31,576 · median $22,637 5 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $14,144 – $19,783 · median $14,568 5 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $22,752 – $38,337 · median $23,435 5 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $13,223 – $21,357 · median $13,585 5 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $9,277 – $17,083 · median $11,401 5 plans
263 VEIN LIGATION AND STRIPPING $14,489 – $30,187 · median $21,385 5 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $20,874 – $39,337 · median $23,366 5 plans
265 AICD LEAD PROCEDURES $19,102 – $40,149 · median $25,308 5 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,220 – $18,474 · median $11,557 5 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,429 – $10,375 · median $6,622 5 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,058 – $8,161 · median $5,210 5 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $13,855 – $22,008 · median $14,148 5 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,842 – $8,340 · median $4,987 5 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,189 – $6,319 · median $4,315 5 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $15,478 – $24,911 · median $15,942 5 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,485 – $12,265 · median $7,709 5 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $18,929 – $30,743 · median $19,497 5 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,939 – $17,746 · median $12,297 5 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,503 – $11,019 · median $6,698 5 plans
291 HEART FAILURE AND SHOCK WITH MCC $8,980 – $14,686 · median $9,249 5 plans
292 HEART FAILURE AND SHOCK WITH CC $5,938 – $9,693 · median $6,117 5 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,959 – $6,176 · median $4,078 5 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $9,645 – $18,440 · median $10,925 5 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,435 – $7,928 · median $4,568 5 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,183 – $4,971 · median $3,279 5 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $11,420 – $18,206 · median $11,608 5 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,467 – $12,050 · median $7,691 5 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,034 – $8,029 · median $5,185 5 plans
302 ATHEROSCLEROSIS WITH MCC $8,047 – $13,093 · median $8,370 5 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,709 – $7,568 · median $4,809 5 plans
304 HYPERTENSION WITH MCC $8,324 – $13,222 · median $8,466 5 plans
305 HYPERTENSION WITHOUT MCC $5,063 – $8,449 · median $5,282 5 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,022 – $16,853 · median $11,353 5 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,387 – $10,427 · median $6,578 5 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,422 – $13,572 · median $8,674 5 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,146 – $8,321 · median $5,300 5 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,960 – $6,297 · median $4,078 5 plans
311 ANGINA PECTORIS $4,182 – $7,859 · median $4,910 5 plans
312 SYNCOPE AND COLLAPSE $5,916 – $9,806 · median $6,097 5 plans
313 CHEST PAIN $4,536 – $8,029 · median $5,036 5 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $14,585 – $24,238 · median $14,968 5 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,738 – $10,831 · median $6,940 5 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,771 – $7,684 · median $4,914 5 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $34,885 – $57,164 · median $35,932 5 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $17,096 – $27,328 · median $17,609 5 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,207 – $17,935 · median $11,544 5 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $32,151 – $51,682 · median $33,115 5 plans
330 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION $16,768 – $26,603 · median $17,271 5 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,771 – $18,582 · median $12,124 5 plans
332 RECTAL RESECTION WITH MCC $25,325 – $40,119 · median $26,085 5 plans
333 RECTAL RESECTION WITH CC $16,383 – $23,920 · median $16,874 5 plans
334 RECTAL RESECTION WITHOUT CC/MCC $11,456 – $18,668 · median $11,800 5 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $24,977 – $40,781 · median $25,726 5 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $14,750 – $23,774 · median $15,192 5 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY $10,737 – $17,278 · median $11,059 5 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $18,066 – $30,327 · median $18,608 5 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,525 – $16,755 · median $10,841 5 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,297 – $14,016 · median $8,546 5 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $16,057 – $26,638 · median $16,539 5 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $9,155 – $14,169 · median $9,429 5 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,090 – $9,915 · median $6,272 5 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $17,430 – $27,222 · median $17,953 5 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,663 – $16,933 · median $10,983 5 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $7,117 – $12,410 · median $8,168 5 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $20,298 – $33,011 · median $20,907 5 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $11,768 – $19,146 · median $12,121 5 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $8,520 – $15,005 · median $9,408 5 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $30,726 – $48,010 · median $31,648 5 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $16,266 – $25,346 · median $16,754 5 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,778 – $15,252 · median $10,071 5 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,135 – $18,796 · median $11,469 5 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $6,996 – $11,453 · median $7,206 5 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,902 – $7,856 · median $5,049 5 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $12,402 – $19,674 · median $12,774 5 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,142 – $11,585 · median $7,356 5 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,088 – $8,164 · median $5,241 5 plans
374 DIGESTIVE MALIGNANCY WITH MCC $14,959 – $23,764 · median $15,408 5 plans
375 DIGESTIVE MALIGNANCY WITH CC $8,461 – $13,829 · median $8,715 5 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,465 – $9,938 · median $6,659 5 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $12,786 – $20,464 · median $13,170 5 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $6,860 – $11,096 · median $7,065 5 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,409 – $7,166 · median $4,542 5 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $13,725 – $21,658 · median $14,137 5 plans
381 COMPLICATED PEPTIC ULCER WITH CC $7,579 – $12,258 · median $7,806 5 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,600 – $8,433 · median $5,768 5 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,657 – $14,229 · median $9,884 5 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,979 – $9,787 · median $6,158 5 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,068 – $18,287 · median $11,400 5 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,829 – $11,171 · median $7,034 5 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,765 – $7,544 · median $4,908 5 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,330 – $16,544 · median $10,640 5 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,524 – $9,022 · median $5,690 5 plans
390 G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY $3,805 – $6,159 · median $3,919 5 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $8,871 – $14,457 · median $9,137 5 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,453 – $8,782 · median $5,617 5 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,187 – $18,638 · median $11,522 5 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,545 – $10,594 · median $6,741 5 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,540 – $7,163 · median $4,676 5 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $38,264 – $61,100 · median $39,412 5 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $20,286 – $31,609 · median $20,894 5 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $15,397 – $24,038 · median $15,525 5 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $24,940 – $39,407 · median $25,688 5 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $15,229 – $23,596 · median $15,686 5 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,105 – $17,458 · median $11,439 5 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $23,105 – $30,798 · median $23,799 5 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $14,706 – $23,991 · median $15,147 5 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $11,615 – $18,711 · median $11,963 5 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $24,919 – $39,435 · median $25,667 5 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $14,456 – $22,264 · median $14,889 5 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $9,536 – $15,422 · median $9,822 5 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY $16,692 – $26,748 · median $17,193 5 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $11,832 – $18,665 · median $12,187 5 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY $9,553 – $14,830 · median $9,650 5 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $23,831 – $39,725 · median $24,546 5 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,153 – $18,431 · median $12,518 5 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $9,789 – $16,538 · median $10,083 5 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $29,049 – $45,779 · median $29,920 5 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $15,304 – $25,699 · median $15,763 5 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $10,494 – $17,398 · median $10,809 5 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $13,767 – $22,050 · median $14,024 5 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,388 – $12,041 · median $7,609 5 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,984 – $7,839 · median $5,075 5 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $12,847 – $20,536 · median $13,232 5 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $7,912 – $12,692 · median $8,149 5 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,969 – $8,837 · median $6,148 5 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $11,403 – $18,725 · median $11,745 5 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,884 – $9,682 · median $6,060 5 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,346 – $6,923 · median $4,477 5 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,553 – $21,276 · median $12,930 5 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,752 – $10,875 · median $6,954 5 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,894 – $7,909 · median $5,041 5 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,687 – $18,958 · median $12,038 5 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,655 – $12,206 · median $7,885 5 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,787 – $8,974 · median $5,960 5 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $58,779 – $95,321 · median $60,542 5 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $41,710 – $64,597 · median $42,961 5 plans
458 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITHOUT COMPLICATION/COMORBITY $29,186 – $48,599 · median $30,061 5 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $38,631 – $69,069 · median $39,790 5 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $18,606 – $32,232 · median $19,164 5 plans
463 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY $39,866 – $60,788 · median $41,062 5 plans
464 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION $21,786 – $33,186 · median $22,440 5 plans
465 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY $12,756 – $19,540 · median $13,139 5 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY $36,410 – $57,340 · median $37,502 5 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION $24,667 – $38,551 · median $25,407 5 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY $13,492 – $22,500 · median $13,897 5 plans
471 CERVICAL SPINAL FUSION WITH COMORBITY $33,775 – $54,669 · median $34,788 5 plans
472 CERVICAL SPINAL FUSION WITH COMPLICATION $20,607 – $32,608 · median $21,225 5 plans
473 CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $17,076 – $26,645 · median $17,588 5 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $28,793 – $50,475 · median $30,027 5 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $15,918 – $24,280 · median $16,163 5 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITHOUT COMPLICATION/COMORBITY $8,183 – $13,091 · median $8,255 5 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,164 – $38,706 · median $24,889 5 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,201 – $26,321 · median $17,717 5 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,002 – $19,987 · median $13,392 5 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $20,370 – $33,101 · median $20,982 5 plans
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION $14,650 – $23,353 · median $15,090 5 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,408 – $17,855 · median $11,750 5 plans
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $19,388 – $28,680 · median $19,813 5 plans
485 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY $22,572 – $36,233 · median $23,250 5 plans
486 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION $14,626 – $23,871 · median $15,065 5 plans
487 KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY $10,955 – $17,785 · median $11,284 5 plans
488 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY $12,373 – $22,121 · median $12,744 5 plans
489 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY $7,812 – $13,938 · median $8,046 5 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $25,300 – $39,969 · median $25,681 5 plans
493 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION $15,276 – $27,023 · median $17,739 5 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $10,839 – $21,220 · median $14,035 5 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $23,661 – $39,624 · median $25,360 5 plans
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION $12,618 – $22,206 · median $12,996 5 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $8,452 – $15,111 · median $8,705 5 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $16,425 – $28,418 · median $21,101 5 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $8,181 – $14,516 · median $14,093 5 plans
500 SOFT TISSUE PROCEDURES WITH MCC $22,137 – $35,664 · median $22,801 5 plans
501 SOFT TISSUE PROCEDURES WITH COMPLICATION $12,227 – $20,087 · median $12,594 5 plans
502 SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY $8,501 – $15,725 · median $9,414 5 plans
503 FOOT PROCEDURES WITH MCC $18,815 – $29,787 · median $19,523 5 plans
504 FOOT PROCEDURES WITH CC $12,939 – $19,753 · median $13,074 5 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $8,884 – $19,753 · median $12,540 5 plans
506 MAJOR THUMB OR JOINT PROCEDURES $9,437 – $16,872 · median $9,720 5 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $12,635 – $21,814 · median $13,014 5 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT COMPLICATION/COMORBITY $10,593 – $14,526 · median $10,910 5 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $17,904 – $32,168 · median $21,127 5 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $12,118 – $22,073 · median $14,545 5 plans
512 SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITHOUT COMPLICATION/COMORBITY $8,629 – $18,096 · median $11,579 5 plans
513 HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY $10,729 – $16,946 · median $11,012 5 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $6,772 – $11,476 · median $7,151 5 plans
515 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY $22,291 – $34,805 · median $22,960 5 plans
516 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION $14,536 – $22,642 · median $14,972 5 plans
517 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY $10,749 – $16,800 · median $11,071 5 plans
533 FRACTURES OF FEMUR WITH MCC $10,965 – $17,163 · median $11,294 5 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,638 – $9,162 · median $5,808 5 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $8,967 – $14,968 · median $9,236 5 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,649 – $9,127 · median $5,818 5 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,675 – $10,343 · median $6,826 5 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,038 – $7,558 · median $5,038 5 plans
539 OSTEOMYELITIS WITH MCC $13,777 – $22,762 · median $14,191 5 plans
540 OSTEOMYELITIS WITH CC $9,067 – $14,565 · median $9,339 5 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,508 – $9,847 · median $5,673 5 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $12,356 – $20,992 · median $12,727 5 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,190 – $11,940 · median $7,406 5 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,278 – $8,505 · median $5,436 5 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $17,359 – $28,440 · median $17,879 5 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,068 – $13,030 · median $8,310 5 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,849 – $8,398 · median $6,024 5 plans
548 SEPTIC ARTHRITIS WITH MCC $13,506 – $22,674 · median $13,911 5 plans
549 SEPTIC ARTHRITIS WITH CC $8,444 – $13,563 · median $8,697 5 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,114 – $9,703 · median $6,297 5 plans
551 MEDICAL BACK PROBLEMS WITH MCC $11,724 – $19,206 · median $12,075 5 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,724 – $10,848 · median $6,767 5 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,067 – $14,699 · median $9,339 5 plans
554 BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY $5,619 – $9,393 · median $5,806 5 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,036 – $15,156 · median $9,246 5 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,418 – $9,190 · median $5,810 5 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $10,400 – $17,442 · median $10,712 5 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,248 – $9,722 · median $6,435 5 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,044 – $20,893 · median $13,436 5 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,877 – $12,816 · median $8,113 5 plans
561 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY $5,123 – $9,202 · median $5,623 5 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $9,966 – $16,472 · median $10,265 5 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $5,901 – $10,060 · median $6,264 5 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $10,797 – $17,661 · median $11,121 5 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,816 – $11,477 · median $7,020 5 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,241 – $8,420 · median $5,398 5 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $26,777 – $69,311 · median $45,825 5 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $15,405 – $38,997 · median $24,281 5 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $8,991 – $22,473 · median $12,569 5 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $32,376 – $60,724 · median $34,282 5 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $14,052 – $29,970 · median $18,541 5 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $8,592 – $19,025 · median $11,236 5 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $22,652 – $36,685 · median $23,332 5 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,087 – $19,955 · median $12,340 5 plans
581 OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY $7,608 – $16,198 · median $10,094 5 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $8,717 – $19,710 · median $13,476 5 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $6,974 – $18,489 · median $12,062 5 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $12,500 – $23,043 · median $14,973 5 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $8,588 – $22,342 · median $13,493 5 plans
592 SKIN ULCERS WITH MCC $13,537 – $23,144 · median $13,943 5 plans
593 SKIN ULCERS WITH CC $8,298 – $13,761 · median $8,547 5 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,063 – $9,552 · median $6,245 5 plans
595 MAJOR SKIN DISORDERS WITH MCC $14,834 – $23,805 · median $15,279 5 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,242 – $12,168 · median $7,572 5 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $11,661 – $19,772 · median $12,011 5 plans
598 MALIGNANT BREAST DISORDERS WITH CC $7,913 – $12,143 · median $8,150 5 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,168 – $9,622 · median $5,382 5 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,286 – $10,767 · median $7,504 5 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,232 – $6,747 · median $4,359 5 plans
602 CELLULITIS WITH MCC $9,941 – $16,536 · median $10,240 5 plans
603 CELLULITIS WITHOUT COMORBITY $6,092 – $9,913 · median $6,274 5 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,197 – $16,722 · median $10,297 5 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,924 – $10,396 · median $6,407 5 plans
606 MINOR SKIN DISORDERS WITH MCC $10,584 – $18,124 · median $10,791 5 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,656 – $9,727 · median $6,340 5 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $15,331 – $25,650 · median $15,791 5 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $9,788 – $16,128 · median $10,081 5 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $24,393 – $43,501 · median $25,125 5 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,082 – $21,740 · median $13,475 5 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,904 – $14,014 · median $9,920 5 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $20,196 – $30,687 · median $20,802 5 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,194 – $17,974 · median $11,529 5 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $10,551 – $16,453 · median $10,867 5 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $24,895 – $42,116 · median $25,642 5 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,548 – $21,529 · median $12,924 5 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,350 – $11,290 · median $8,757 5 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $18,497 – $32,269 · median $21,124 5 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $9,652 – $16,987 · median $10,488 5 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $6,452 – $14,259 · median $9,291 5 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $26,068 – $44,409 · median $26,850 5 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $15,240 – $25,314 · median $15,697 5 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,209 – $15,772 · median $10,515 5 plans
637 DIABETES WITH MCC $10,049 – $16,391 · median $10,351 5 plans
638 DIABETES WITH CC $6,269 – $10,323 · median $6,457 5 plans
639 DIABETES WITHOUT CC/MCC $4,345 – $7,052 · median $4,475 5 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,342 – $14,947 · median $9,404 5 plans
641 MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY $5,443 – $8,795 · median $5,607 5 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $8,488 – $13,969 · median $9,947 5 plans
643 ENDOCRINE DISORDERS WITH MCC $11,514 – $18,653 · median $11,859 5 plans
644 ENDOCRINE DISORDERS WITH CC $7,169 – $11,631 · median $7,385 5 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,374 – $8,764 · median $5,535 5 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $36,347 – $62,742 · median $37,437 5 plans
654 MAJOR BLADDER PROCEDURES WITH CC $19,580 – $31,763 · median $20,167 5 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $14,805 – $23,380 · median $15,249 5 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $22,270 – $36,669 · median $22,938 5 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $12,800 – $20,575 · median $13,184 5 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $10,854 – $16,928 · median $11,180 5 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $17,773 – $29,086 · median $18,306 5 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,245 – $15,698 · median $9,522 5 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,242 – $11,554 · median $7,460 5 plans
662 MINOR BLADDER PROCEDURES WITH MCC $21,414 – $35,111 · median $22,056 5 plans
663 MINOR BLADDER PROCEDURES WITH CC $10,633 – $17,191 · median $10,952 5 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,323 – $12,153 · median $7,542 5 plans
665 PROSTATECTOMY WITH MCC $21,832 – $38,645 · median $22,487 5 plans
666 PROSTATECTOMY WITH CC $12,236 – $18,540 · median $12,603 5 plans
667 PROSTATECTOMY WITHOUT CC/MCC $6,532 – $11,568 · median $7,737 5 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $20,424 – $32,823 · median $20,767 5 plans
669 TRANSURETHRAL PROCEDURES WITH CC $10,391 – $17,417 · median $10,856 5 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $6,409 – $10,756 · median $6,836 5 plans
671 URETHRAL PROCEDURES WITH CC/MCC $11,879 – $19,400 · median $12,555 5 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $6,504 – $12,317 · median $7,551 5 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $24,137 – $47,154 · median $29,389 5 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $16,358 – $25,981 · median $16,848 5 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $11,036 – $17,617 · median $11,481 5 plans
682 RENAL FAILURE WITH MCC $10,359 – $16,904 · median $10,670 5 plans
683 RENAL FAILURE WITH CC $6,126 – $10,005 · median $6,310 5 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,199 – $6,836 · median $4,325 5 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $12,616 – $21,224 · median $12,995 5 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,329 – $11,848 · median $7,549 5 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,345 – $8,151 · median $5,528 5 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,116 – $13,172 · median $8,359 5 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,662 – $9,033 · median $5,832 5 plans
693 URINARY STONES WITH MCC $9,404 – $16,549 · median $9,686 5 plans
694 URINARY STONES WITHOUT MCC $5,468 – $8,795 · median $5,632 5 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,000 – $12,693 · median $8,240 5 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,819 – $7,786 · median $4,964 5 plans
697 URETHRAL STRICTURE $6,410 – $11,275 · median $7,539 5 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,572 – $18,919 · median $11,919 5 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,100 – $11,479 · median $7,313 5 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,826 – $7,813 · median $4,970 5 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $13,991 – $21,841 · median $14,411 5 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,378 – $16,686 · median $10,731 5 plans
709 PENIS PROCEDURES WITH CC/MCC $15,368 – $25,291 · median $16,277 5 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $9,801 – $16,898 · median $10,095 5 plans
711 TESTES PROCEDURES WITH CC/MCC $14,550 – $21,504 · median $14,575 5 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $6,668 – $12,038 · median $7,692 5 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $9,735 – $16,275 · median $10,516 5 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $5,398 – $10,576 · median $7,396 5 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $14,380 – $25,417 · median $15,649 5 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $8,228 – $15,974 · median $10,289 5 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $13,223 – $20,884 · median $13,312 5 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $6,636 – $13,865 · median $9,394 5 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $12,658 – $19,459 · median $13,038 5 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $7,993 – $12,638 · median $8,233 5 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,586 – $8,200 · median $4,724 5 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,185 – $14,211 · median $8,431 5 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,050 – $8,378 · median $5,202 5 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,372 – $16,538 · median $10,683 5 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,674 – $9,196 · median $5,844 5 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,405 – $12,391 · median $7,627 5 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,700 – $6,831 · median $4,841 5 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $14,899 – $23,667 · median $15,346 5 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,411 – $13,662 · median $9,638 5 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $25,002 – $44,318 · median $25,752 5 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $14,413 – $22,492 · median $14,846 5 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,166 – $17,073 · median $10,272 5 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $25,060 – $44,805 · median $25,812 5 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $12,604 – $20,465 · median $12,657 5 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,057 – $15,460 · median $9,975 5 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $11,452 – $20,560 · median $12,834 5 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $7,489 – $13,491 · median $8,678 5 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $12,498 – $21,992 · median $14,333 5 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $6,636 – $11,534 · median $7,956 5 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $11,031 – $18,848 · median $12,150 5 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,013 – $10,751 · median $6,194 5 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $7,564 – $15,333 · median $9,704 5 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $17,959 – $29,135 · median $18,498 5 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,728 – $14,513 · median $10,323 5 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $12,882 – $20,364 · median $13,268 5 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,609 – $12,494 · median $7,837 5 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,247 – $10,749 · median $6,718 5 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,016 – $15,929 · median $10,316 5 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,848 – $11,472 · median $7,053 5 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,642 – $7,203 · median $4,781 5 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $6,919 – $11,093 · median $7,047 5 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,990 – $7,135 · median $4,110 5 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $4,777 – $14,941 · median $7,495 5 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $11,820 – $17,019 · median $12,174 5 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $5,788 – $12,110 · median $7,014 5 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,579 – $8,030 · median $4,717 5 plans
779 ABORTION WITHOUT D&C $4,381 – $10,521 · median $5,885 5 plans
799 SPLENIC PROCEDURES WITH MCC $31,678 – $53,515 · median $32,628 5 plans
800 SPLENIC PROCEDURES WITH CC $19,651 – $32,795 · median $20,240 5 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $12,857 – $18,477 · median $13,352 5 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $27,867 – $40,347 · median $28,703 5 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $13,002 – $20,034 · median $13,392 5 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,617 – $12,444 · median $9,485 5 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $15,443 – $25,777 · median $15,907 5 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,855 – $13,939 · median $9,120 5 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,321 – $10,713 · median $7,540 5 plans
811 RED BLOOD CELL DISORDERS WITH MCC $9,823 – $15,835 · median $10,117 5 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,422 – $10,387 · median $6,564 5 plans
813 COAGULATION DISORDERS $10,669 – $17,423 · median $10,989 5 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $13,554 – $23,529 · median $14,875 5 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,093 – $11,436 · median $7,305 5 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,421 – $7,422 · median $4,553 5 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $41,022 – $65,530 · median $42,253 5 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $15,658 – $25,126 · median $16,128 5 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,422 – $12,872 · median $8,674 5 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $32,069 – $52,668 · median $33,031 5 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $15,847 – $24,754 · median $16,322 5 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,439 – $13,853 · median $9,722 5 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $32,719 – $53,748 · median $33,701 5 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $16,166 – $26,561 · median $16,651 5 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,434 – $18,041 · median $11,917 5 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $22,103 – $34,708 · median $22,349 5 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $9,054 – $16,460 · median $10,527 5 plans
834 ACUTE LEUKEMIA WITH MCC $38,400 – $62,210 · median $39,552 5 plans
835 ACUTE LEUKEMIA WITH CC $14,589 – $24,040 · median $15,027 5 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $8,530 – $14,302 · median $8,786 5 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $33,604 – $56,356 · median $34,612 5 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $14,601 – $25,925 · median $15,039 5 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,100 – $15,424 · median $10,403 5 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $22,627 – $35,892 · median $23,306 5 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $11,411 – $17,648 · median $11,753 5 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,067 – $11,839 · median $7,279 5 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $13,953 – $21,309 · median $14,371 5 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $8,515 – $13,452 · median $8,771 5 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,957 – $9,418 · median $6,135 5 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $18,116 – $28,743 · median $18,134 5 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $8,134 – $14,302 · median $9,150 5 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,941 – $9,217 · median $6,119 5 plans
849 RADIOTHERAPY $10,416 – $30,063 · median $18,952 5 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $34,544 – $56,290 · median $35,580 5 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $13,976 – $23,001 · median $14,395 5 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,472 – $18,296 · median $10,787 5 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $31,816 – $50,778 · median $32,771 5 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION $14,979 – $24,524 · median $15,428 5 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITHOUT COMPLICATION/COMORBITY $9,743 – $14,501 · median $10,035 5 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $12,756 – $20,695 · median $13,139 5 plans
863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY $6,980 – $11,254 · median $7,189 5 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,209 – $10,107 · median $6,395 5 plans
865 VIRAL ILLNESS WITH MCC $10,480 – $16,611 · median $10,794 5 plans
866 VIRAL ILLNESS WITHOUT MCC $6,083 – $9,958 · median $6,155 5 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $14,641 – $24,134 · median $15,080 5 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,212 – $11,819 · median $7,429 5 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,104 – $8,099 · median $5,257 5 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $48,096 – $78,295 · median $48,345 5 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $13,587 – $22,083 · median $13,995 5 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,158 – $11,604 · median $7,372 5 plans
876 O.R. PROCEDURE WITH PRINCIPAL DIAGNOSES OF MENTAL ILLNESS $23,215 – $44,228 · median $27,034 5 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,082 – $10,789 · median $6,716 5 plans
881 DEPRESSIVE NEUROSES $5,096 – $10,288 · median $6,581 5 plans
882 NEUROSES EXCEPT DEPRESSIVE $5,177 – $10,827 · median $7,511 5 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $8,821 – $20,866 · median $13,754 5 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $7,678 – $18,798 · median $11,254 5 plans
885 PSYCHOSES $7,458 – $15,865 · median $9,770 5 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $6,519 – $20,220 · median $14,516 5 plans
887 OTHER MENTAL DISORDER DIAGNOSES $6,507 – $13,387 · median $7,491 5 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,361 – $7,024 · median $4,315 5 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $8,476 – $16,296 · median $9,902 5 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $12,015 – $20,043 · median $12,206 5 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,373 – $9,929 · median $6,175 5 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $29,354 – $49,865 · median $30,234 5 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $13,391 – $21,357 · median $13,793 5 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT COMPLICATION/COMORBITY $8,181 – $13,721 · median $8,426 5 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $24,198 – $43,457 · median $25,692 5 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $9,663 – $18,550 · median $10,376 5 plans
906 HAND PROCEDURES FOR INJURIES $8,543 – $24,564 · median $13,740 5 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $26,854 – $44,837 · median $27,660 5 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION $13,956 – $22,702 · median $14,374 5 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY $9,182 – $14,275 · median $9,457 5 plans
913 TRAUMATIC INJURY WITH MCC $11,090 – $18,214 · median $11,433 5 plans
914 TRAUMATIC INJURY WITHOUT MCC $5,769 – $10,314 · median $6,194 5 plans
915 ALLERGIC REACTIONS WITH MCC $11,756 – $19,560 · median $11,762 5 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,015 – $7,474 · median $4,661 5 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,970 – $18,455 · median $11,299 5 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,171 – $9,956 · median $5,995 5 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $12,806 – $20,525 · median $13,118 5 plans
920 COMPLICATIONS OF TREATMENT WITH COMPLICATION $7,011 – $11,434 · median $7,221 5 plans
921 COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY $4,815 – $7,740 · median $4,960 5 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $11,118 – $19,014 · median $12,236 5 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $5,616 – $11,479 · median $7,118 5 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $104,474 – $267,000 · median $149,339 5 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $39,368 – $75,171 · median $50,170 5 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $16,957 – $35,795 · median $22,528 5 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $18,130 – $48,699 · median $27,238 5 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $11,182 – $24,151 · median $15,462 5 plans
935 NON-EXTENSIVE BURNS $10,657 – $24,720 · median $14,409 5 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $23,676 – $35,723 · median $25,380 5 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $13,856 – $23,764 · median $16,346 5 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $9,451 – $21,996 · median $14,183 5 plans
945 REHABILITATION WITH CC/MCC $10,555 – $17,181 · median $10,832 5 plans
946 REHABILITATION WITHOUT CC/MCC $8,021 – $12,566 · median $8,262 5 plans
947 SIGNS AND SYMPTOMS WITH MCC $8,879 – $14,476 · median $9,034 5 plans
948 SIGNS & SYMPTOMS WITHOUT COMORBITY $5,599 – $8,942 · median $5,663 5 plans
949 AFTERCARE WITH CC/MCC $8,254 – $12,144 · median $8,322 5 plans
950 AFTERCARE WITHOUT CC/MCC $4,158 – $6,597 · median $4,391 5 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,889 – $6,382 · median $4,006 5 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $45,647 – $76,853 · median $47,082 5 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $26,321 – $43,021 · median $27,110 5 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $51,572 – $84,010 · median $53,298 5 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $29,475 – $46,256 · median $30,359 5 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $19,144 – $29,757 · median $20,593 5 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $19,122 – $30,576 · median $19,696 5 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,720 – $16,884 · median $11,042 5 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,578 – $10,271 · median $6,776 5 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $42,816 – $71,180 · median $44,101 5 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $18,448 – $29,863 · median $19,001 5 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $20,186 – $33,610 · median $20,792 5 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,058 – $15,998 · median $9,330 5 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,314 – $11,289 · median $6,503 5 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $8,650 – $16,229 · median $9,077 5 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $32,817 – $53,505 · median $33,802 5 plans
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION $17,196 – $27,556 · median $17,712 5 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,989 – $18,776 · median $12,348 5 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $23,980 – $39,423 · median $24,700 5 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,496 – $19,314 · median $11,841 5 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,388 – $13,005 · median $8,640 5 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $196,017 – $217,312 · median $198,957 4 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $79,262 – $112,291 · median $80,451 4 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $72,118 – $83,951 · median $73,200 4 plans
006 LIVER TRANSPLANT WITHOUT MCC $32,434 – $39,886 · median $32,921 4 plans
007 LUNG TRANSPLANT $77,004 – $93,299 · median $90,582 4 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $39,202 – $40,941 · median $39,790 4 plans
010 PANCREAS TRANSPLANT $31,207 – $51,697 · median $50,191 4 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $84,061 – $95,645 · median $85,322 4 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $302,048 – $424,458 · median $306,578 4 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $49,904 – $89,222 · median $50,652 4 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $29,834 – $47,600 · median $30,282 4 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $15,256 – $24,181 · median $15,485 4 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,166 – $17,697 · median $11,334 4 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $26,206 – $37,163 · median $26,599 4 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,121 – $19,772 · median $12,303 4 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,410 – $13,335 · median $8,536 4 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $20,819 – $34,537 · median $21,131 4 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $76,060 – $122,611 · median $77,201 4 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $42,866 – $67,426 · median $43,509 4 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $33,300 – $52,951 · median $33,800 4 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $48,108 – $75,044 · median $48,830 4 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $29,540 – $46,829 · median $29,983 4 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $36,906 – $57,772 · median $37,459 4 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $24,875 – $38,767 · median $25,248 4 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $17,857 – $28,162 · median $18,125 4 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $28,856 – $44,010 · median $29,289 4 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $23,024 – $35,127 · median $23,370 4 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $49,874 – $79,539 · median $50,623 4 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $42,014 – $69,718 · median $42,644 4 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $32,305 – $52,357 · median $32,789 4 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $38,933 – $56,312 · median $39,517 4 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $25,225 – $36,066 · median $25,604 4 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $46,770 – $69,628 · median $47,471 4 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $31,216 – $49,441 · median $31,685 4 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $16,824 – $26,053 · median $17,077 4 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $19,031 – $32,041 · median $19,316 4 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $12,332 – $20,363 · median $12,517 4 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $30,269 – $47,940 · median $30,723 4 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $22,040 – $35,961 · median $22,371 4 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $22,456 – $32,213 · median $22,792 4 plans
397 APPENDIX PROCEDURES WITH MCC $16,751 – $27,888 · median $17,003 4 plans
398 APPENDIX PROCEDURES WITH CC $10,587 – $17,031 · median $10,746 4 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,007 – $12,648 · median $8,127 4 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $28,122 – $44,032 · median $28,544 4 plans
426 NON-HYPOVOLEMIC SODIUM DISORDERS $77,089 – $117,901 · median $78,246 4 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $50,491 – $79,941 · median $51,249 4 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $39,324 – $61,949 · median $39,914 4 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $63,019 – $93,873 · median $63,964 4 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $40,339 – $61,570 · median $40,944 4 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $46,735 – $75,461 · median $47,436 4 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $29,663 – $45,960 · median $30,108 4 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $37,279 – $57,964 · median $37,838 4 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $22,595 – $34,733 · median $22,934 4 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $26,141 – $40,338 · median $26,533 4 plans
519 BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION $13,991 – $22,194 · median $14,201 4 plans
520 BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $10,449 – $16,131 · median $10,606 4 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $20,076 – $32,805 · median $20,377 4 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $14,813 – $23,727 · median $15,035 4 plans
570 SKIN DEBRIDEMENT WITH MCC $20,572 – $33,880 · median $20,880 4 plans
571 SKIN DEBRIDEMENT WITH CC $11,817 – $18,844 · median $11,995 4 plans
572 SKIN DEBRIDEMENT WITHOUT COMPLICATION/COMORBITY $8,018 – $12,858 · median $8,138 4 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $32,885 – $51,855 · median $33,378 4 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $25,921 – $39,083 · median $26,310 4 plans
652 KIDNEY TRANSPLANT $22,589 – $25,112 · median $22,928 4 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $4,777 – $17,688 · median $17,173 4 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $4,777 – $7,637 · median $7,415 4 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $4,777 – $6,900 · median $6,699 4 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $4,777 – $11,884 · median $11,538 4 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $4,777 – $8,046 · median $7,812 4 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $4,777 – $6,908 · median $6,706 4 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $12,272 – $12,984 · median $12,606 4 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $40,468 – $42,820 · median $41,573 4 plans
791 PREMATURITY WITH MAJOR PROBLEMS $27,638 – $29,243 · median $28,391 4 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $16,676 – $17,645 · median $17,131 4 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $28,391 – $30,040 · median $29,165 4 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $10,048 – $10,633 · median $10,323 4 plans
795 NORMAL NEWBORN $1,360 – $1,439 · median $1,398 4 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $4,777 – $8,408 · median $8,163 4 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $4,777 – $7,207 · median $6,997 4 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $4,777 – $6,895 · median $6,695 4 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $4,777 – $7,775 · median $7,549 4 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,777 – $5,432 · median $5,274 4 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,716 – $4,857 · median $4,746 4 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $15,959 – $28,533 · median $16,198 4 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,108 – $14,496 · median $8,230 4 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,015 – $9,190 · median $6,105 4 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $8,411 – $12,955 · median $8,537 4 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,047 – $8,412 · median $5,123 4 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,657 – $5,850 · median $3,712 4 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $60,570 – $103,680 · median $61,479 4 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $41,476 – $42,720 · median $41,476 3 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $37,997 – $39,137 · median $37,997 3 plans
209 COMPLEX AORTIC ARCH PROCEDURES $79,171 – $81,546 · median $79,171 3 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $39,918 – $41,115 · median $39,918 3 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $16,942 – $17,451 · median $16,942 3 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $24,052 – $24,773 · median $24,052 3 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $16,887 – $17,394 · median $16,887 3 plans
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