Altru Hospital — Pricing

770 procedures published in this hospital's Machine-Readable File (MRF) — 378 with a comparable price, 392 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 $702
Average published price $19,155
Highest published price $204,954

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

Published charges

Showing all 378 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above. Cash-pay prices not published for this hospital.

Across 72 procedures, this hospital's negotiated rates average ≈180% of what Medicare pays.

DRG Description Published price vs. National median vs Medicare
573 Skin Graft For Skin Ulcer Or Cellulitis With Mcc $204,954 $98,912 +107% —
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major $185,960 $371,366 −50% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc $170,885 $188,171 −9% —
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. $166,972 $248,521 −33% —
957 Other O.R. Procedures For Multiple Significant Trauma With Mcc $138,707 $120,573 +15% —
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc $134,910 $101,576 +33% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc $129,837 $76,001 +71% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $123,543 $90,775 +36% —
597 Malignant Breast Disorders With Mcc $91,768 $33,386 +175% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc $81,632 $131,961 −38% —
791 Prematurity With Major Problems $81,409 $42,679 +91% —
231 Coronary Bypass With Ptca With Mcc $78,772 $147,227 −46% —
260 Cardiac Pacemaker Revision Except Device Replacement With Mcc $76,577 $70,371 +9% —
232 Coronary Bypass With Ptca Without Mcc $73,796 $115,839 −36% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc $71,636 $33,653 +113% —
397 Appendix Procedures With Mcc $70,268 $53,257 +32% —
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc $65,742 $143,242 −54% ≈163% of Medicare
471 Cervical Spinal Fusion With Mcc $62,770 $92,515 −32% —
359 Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc $58,532 $111,760 −48% —
100 Seizures With Mcc $54,781 $35,481 +54% ≈165% of Medicare
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $51,405 $73,120 −30% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc $50,486 $49,423 +2% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc $47,509 $58,745 −19% —
974 Hiv With Major Related Condition With Mcc $47,112 $46,402 +2% —
025 Craniotomy And Endovascular Intracranial Procedures With Mcc $46,622 $88,307 −47% ≈159% of Medicare
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc $46,166 $102,573 −55% —
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $45,957 $111,320 −59% —
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc $45,770 $70,564 −35% —
235 Coronary Bypass Without Cardiac Catheterization With Mcc $45,054 $112,062 −60% —
270 Other Major Cardiovascular Procedures With Mcc $44,539 $99,423 −55% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $42,638 $148,832 −71% —
236 Coronary Bypass Without Cardiac Catheterization Without Mcc $42,369 $82,247 −48% —
654 Major Bladder Procedures With Cc $39,661 $58,274 −32% —
035 Carotid Artery Stent Procedures With Cc $39,291 $49,066 −20% —
435 Malignancy Of Hepatobiliary System Or Pancreas With Mcc $39,013 $37,950 +3% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $38,835 $58,228 −33% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal $37,250 $81,706 −54% ≈160% of Medicare
163 Major Chest Procedures With Mcc $35,991 $90,195 −60% —
800 Splenic Procedures With Cc $35,191 $49,184 −28% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $34,891 $46,090 −24% —
229 Other Cardiothoracic Procedures Without Mcc $34,619 $65,325 −47% —
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $34,583 $80,018 −57% —
480 Hip And Femur Procedures Except Major Joint With Mcc $34,507 $65,653 −47% ≈159% of Medicare
141 Major Head And Neck Procedures With Cc $34,404 $37,267 −8% —
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc $34,355 $38,878 −12% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc $34,185 $59,629 −43% —
360 Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc $33,908 $98,737 −66% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $33,607 $67,268 −50% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $33,217 $47,583 −30% —
335 Peritoneal Adhesiolysis With Mcc $32,204 $71,755 −55% —
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc $31,881 $66,685 −52% —
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $31,483 $18,956 +66% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $30,777 $64,523 −52% —
243 Permanent Cardiac Pacemaker Implant With Cc $30,651 $50,011 −39% —
406 Pancreas, Liver And Shunt Procedures With Cc $29,594 $58,043 −49% —
417 Laparoscopic Cholecystectomy Without C.D.E. With Mcc $29,480 $53,451 −45% ≈174% of Medicare
242 Permanent Cardiac Pacemaker Implant With Mcc $29,431 $70,132 −58% ≈154% of Medicare
658 Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc $29,212 $36,253 −19% —
196 Interstitial Lung Disease With Mcc $29,110 $32,637 −11% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $29,104 $43,913 −34% —
274 Percutaneous And Other Intracardiac Procedures Without Mcc $29,010 $65,573 −56% ≈178% of Medicare
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla $29,008 $106,778 −73% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $28,906 $59,651 −52% —
388 Gastrointestinal Obstruction With Mcc $28,003 $30,571 −8% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc $27,852 $84,692 −67% —
853 Infectious And Parasitic Diseases With O.R. Procedures With Mcc $27,698 $93,172 −70% ≈145% of Medicare
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $27,565 $32,944 −16% —
659 Kidney And Ureter Procedures For Non-Neoplasm With Mcc $27,502 $52,178 −47% ≈200% of Medicare
500 Soft Tissue Procedures With Mcc $27,380 $61,872 −56% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc $27,351 $69,743 −61% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc $26,932 $71,464 −62% —
644 Endocrine Disorders With Cc $26,917 $23,198 +16% —
272 Other Major Cardiovascular Procedures Without Cc/Mcc $26,794 $55,162 −51% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $26,759 $50,498 −47% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc $26,678 $144,569 −82% ≈154% of Medicare
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $25,973 $34,607 −25% —
539 Osteomyelitis With Mcc $25,811 $37,609 −31% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $25,671 $59,790 −57% —
353 Hernia Procedures Except Inguinal And Femoral With Mcc $25,448 $60,170 −58% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc $25,371 $70,467 −64% ≈168% of Medicare
625 Thyroid, Parathyroid And Thyroglossal Procedures With Mcc $25,286 $59,031 −57% —
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $24,833 $61,217 −59% —
907 Other O.R. Procedures For Injuries With Mcc $24,814 $77,817 −68% —
277 Cardiac Defibrillator Implant Without Mcc $24,314 $91,329 −73% —
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $24,313 $33,454 −27% —
082 Traumatic Stupor And Coma >1 Hour With Mcc $24,223 $36,489 −34% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/Mcc $24,163 $19,924 +21% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $23,771 $42,901 −45% —
348 Anal And Stomal Procedures With Cc $23,548 $27,947 −16% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $23,286 $52,405 −56% ≈183% of Medicare
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $23,107 $47,945 −52% —
814 Reticuloendothelial And Immunity Disorders With Mcc $23,044 $33,851 −32% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With Mcc $22,499 $33,555 −33% ≈141% of Medicare
817 Other Antepartum Diagnoses With O.R. Procedures With Mcc $22,427 $39,173 −43% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $22,285 $44,139 −50% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc $22,174 $18,126 +22% —
038 Extracranial Procedures With Cc $22,059 $35,770 −38% —
080 Nontraumatic Stupor And Coma With Mcc $21,749 $36,249 −40% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $21,668 $58,707 −63% —
698 Other Kidney And Urinary Tract Diagnoses With Mcc $21,655 $32,496 −33% ≈167% of Medicare
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $21,154 $45,333 −53% —
595 Major Skin Disorders With Mcc $21,094 $34,598 −39% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $20,936 $116,058 −82% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $20,579 $39,181 −47% ≈162% of Medicare
330 Major Small And Large Bowel Procedures With Cc $20,513 $59,500 −66% ≈182% of Medicare
254 Other Vascular Procedures Without Cc/Mcc $20,419 $38,836 −47% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $20,418 $45,877 −55% —
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc $19,740 $47,711 −59% —
302 Atherosclerosis With Mcc $19,645 $22,446 −12% —
835 Acute Leukemia With Cc $19,588 $35,569 −45% —
349 Anal And Stomal Procedures Without Cc/Mcc $19,058 $19,854 −4% —
056 Degenerative Nervous System Disorders With Mcc $19,031 $39,973 −52% —
329 Major Small And Large Bowel Procedures With Mcc $18,869 $88,050 −79% ≈152% of Medicare
618 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $18,799 $19,354 −3% —
380 Complicated Peptic Ulcer With Mcc $18,778 $39,627 −53% —
085 Traumatic Stupor And Coma <1 Hour With Mcc $18,686 $41,892 −55% —
345 Minor Small And Large Bowel Procedures With Cc $18,623 $33,048 −44% —
783 Cesarean Section With Sterilization With Mcc $18,469 $29,221 −37% —
165 Major Chest Procedures Without Cc/Mcc $18,247 $46,340 −61% —
055 Nervous System Neoplasms Without Mcc $18,180 $20,926 −13% —
481 Hip And Femur Procedures Except Major Joint With Cc $18,008 $52,751 −66% ≈188% of Medicare
073 Cranial And Peripheral Nerve Disorders With Mcc $17,853 $30,010 −41% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc $17,761 $23,443 −24% —
337 Peritoneal Adhesiolysis Without Cc/Mcc $17,684 $39,211 −55% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc $17,636 $32,841 −46% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $17,465 $38,094 −54% —
502 Soft Tissue Procedures Without Cc/Mcc $17,372 $31,017 −44% —
559 Aftercare, Musculoskeletal System And Connective Tissue With Mcc $17,149 $33,047 −48% —
689 Kidney And Urinary Tract Infections With Mcc $17,066 $23,617 −28% ≈189% of Medicare
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $17,064 $23,940 −29% ≈185% of Medicare
368 Major Esophageal Disorders With Mcc $16,746 $33,876 −51% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc $16,634 $92,217 −82% ≈162% of Medicare
149 Dysequilibrium $16,590 $18,096 −8% —
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $16,558 $34,459 −52% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc $16,224 $50,607 −68% —
546 Connective Tissue Disorders With Cc $15,958 $25,700 −38% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc $15,944 $22,148 −28% —
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $15,939 $49,418 −68% —
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $15,865 $14,501 +9% —
167 Other Respiratory System O.R. Procedures With Cc $15,854 $40,642 −61% —
386 Inflammatory Bowel Disease With Cc $15,758 $22,033 −28% —
902 Wound Debridements For Injuries With Cc $15,732 $40,562 −61% —
244 Permanent Cardiac Pacemaker Implant Without Cc/Mcc $15,658 $41,591 −62% —
057 Degenerative Nervous System Disorders Without Mcc $15,616 $27,543 −43% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $15,576 $23,498 −34% —
728 Inflammation Of The Male Reproductive System Without Mcc $15,362 $17,118 −10% —
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc $15,351 $39,018 −61% —
331 Major Small And Large Bowel Procedures Without Cc/Mcc $15,299 $44,117 −65% —
180 Respiratory Neoplasms With Mcc $15,215 $36,658 −58% —
282 Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc $15,186 $19,227 −21% —
867 Other Infectious And Parasitic Diseases Diagnoses With Mcc $15,155 $38,070 −60% —
074 Cranial And Peripheral Nerve Disorders Without Mcc $15,109 $23,141 −35% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc $15,022 $85,159 −82% —
271 Other Major Cardiovascular Procedures With Cc $15,022 $71,014 −79% —
398 Appendix Procedures With Cc $14,917 $40,162 −63% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc $14,872 $35,465 −58% —
551 Medical Back Problems With Mcc $14,810 $34,017 −56% ≈153% of Medicare
157 Dental And Oral Diseases With Mcc $14,789 $31,300 −53% —
253 Other Vascular Procedures With Cc $14,710 $57,454 −74% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $14,626 $38,101 −62% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $14,597 $21,847 −33% —
375 Digestive Malignancy With Cc $14,522 $27,277 −47% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $14,336 $43,477 −67% —
607 Minor Skin Disorders Without Mcc $14,309 $15,889 −10% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc $14,307 $30,784 −54% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc $14,078 $36,670 −62% —
598 Malignant Breast Disorders With Cc $13,988 $19,073 −27% —
841 Lymphoma And Non-Acute Leukemia With Cc $13,784 $33,633 −59% —
432 Cirrhosis And Alcoholic Hepatitis With Mcc $13,696 $40,213 −66% ≈147% of Medicare
964 Other Multiple Significant Trauma With Cc $13,695 $27,394 −50% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $13,489 $52,075 −74% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc $13,430 $35,074 −62% —
784 Cesarean Section With Sterilization With Cc $13,224 $23,283 −43% —
054 Nervous System Neoplasms With Mcc $13,008 $30,502 −57% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc $13,005 $14,797 −12% —
316 Other Circulatory System Diagnoses Without Cc/Mcc $13,000 $13,651 −5% —
670 Transurethral Procedures Without Cc/Mcc $12,890 $20,911 −38% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc $12,876 $24,127 −47% —
675 Other Kidney And Urinary Tract Procedures Without Cc/Mcc $12,861 $34,749 −63% —
602 Cellulitis With Mcc $12,751 $30,598 −58% ≈177% of Medicare
792 Prematurity Without Major Problems $12,695 $12,229 +4% —
252 Other Vascular Procedures With Mcc $12,616 $68,508 −82% —
862 Postoperative And Post-Traumatic Infections With Mcc $12,603 $32,859 −62% ≈166% of Medicare
300 Peripheral Vascular Disorders With Cc $12,442 $20,422 −39% ≈193% of Medicare
615 Adrenal And Pituitary Procedures Without Cc/Mcc $12,433 $32,833 −62% —
326 Stomach, Esophageal And Duodenal Procedures With Mcc $12,430 $80,793 −85% —
299 Peripheral Vascular Disorders With Mcc $12,351 $27,316 −55% ≈193% of Medicare
921 Complications Of Treatment Without Cc/Mcc $12,257 $14,415 −15% —
200 Pneumothorax With Cc $12,167 $21,368 −43% —
393 Other Digestive System Diagnoses With Mcc $12,111 $34,192 −65% —
313 Chest Pain $12,102 $16,440 −26% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $12,078 $22,763 −47% —
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc $12,006 $25,463 −53% ≈169% of Medicare
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $12,003 $22,850 −47% —
176 Pulmonary Embolism Without Mcc $11,910 $18,081 −34% —
682 Renal Failure With Mcc $11,903 $29,064 −59% ≈176% of Medicare
758 Infections, Female Reproductive System With Cc $11,873 $20,901 −43% —
385 Inflammatory Bowel Disease With Mcc $11,857 $27,617 −57% —
083 Traumatic Stupor And Coma >1 Hour With Cc $11,825 $27,285 −57% —
919 Complications Of Treatment With Mcc $11,599 $31,105 −63% —
557 Tendonitis, Myositis And Bursitis With Mcc $11,569 $32,877 −65% —
643 Endocrine Disorders With Mcc $11,410 $33,563 −66% —
086 Traumatic Stupor And Coma <1 Hour With Cc $11,383 $27,043 −58% ≈182% of Medicare
446 Disorders Of The Biliary Tract Without Cc/Mcc $11,338 $17,700 −36% —
550 Septic Arthritis Without Cc/Mcc $11,184 $19,138 −42% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc $11,143 $27,119 −59% —
184 Major Chest Trauma With Cc $11,141 $22,432 −50% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc $10,999 $31,159 −65% ≈174% of Medicare
301 Peripheral Vascular Disorders Without Cc/Mcc $10,965 $15,837 −31% —
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $10,929 $21,449 −49% —
357 Other Digestive System O.R. Procedures With Cc $10,800 $48,682 −78% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl $10,789 $65,788 −84% —
468 Revision Of Hip Or Knee Replacement Without Cc/Mcc $10,780 $54,929 −80% —
369 Major Esophageal Disorders With Cc $10,778 $25,303 −57% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc $10,703 $18,126 −41% —
696 Kidney And Urinary Tract Signs And Symptoms Without Mcc $10,617 $14,689 −28% —
914 Traumatic Injury Without Mcc $10,492 $15,855 −34% —
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc $10,418 $25,712 −59% —
036 Carotid Artery Stent Procedures Without Cc/Mcc $10,395 $40,694 −74% —
315 Other Circulatory System Diagnoses With Cc $10,281 $21,363 −52% —
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc $10,277 $39,887 −74% —
865 Viral Illness With Mcc $9,710 $26,910 −64% —
558 Tendonitis, Myositis And Bursitis Without Mcc $9,633 $18,602 −48% —
264 Other Circulatory System O.R. Procedures $9,482 $51,953 −82% —
572 Skin Debridement Without Cc/Mcc $9,433 $24,944 −62% —
472 Cervical Spinal Fusion With Cc $9,413 $59,537 −84% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $9,382 $22,506 −58% —
836 Acute Leukemia Without Cc/Mcc $9,364 $19,686 −52% —
308 Cardiac Arrhythmia And Conduction Disorders With Mcc $9,340 $26,770 −65% ≈188% of Medicare
866 Viral Illness Without Mcc $9,306 $17,081 −46% —
445 Disorders Of The Biliary Tract With Cc $9,288 $23,319 −60% ≈190% of Medicare
917 Poisoning And Toxic Effects Of Drugs With Mcc $9,285 $30,235 −69% ≈167% of Medicare
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc $9,239 $93,238 −90% —
694 Urinary Stones Without Mcc $9,145 $17,345 −47% —
547 Connective Tissue Disorders Without Cc/Mcc $9,063 $16,565 −45% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc $9,050 $93,390 −90% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $8,981 $51,985 −83% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc $8,953 $26,932 −67% —
540 Osteomyelitis With Cc $8,944 $26,676 −66% —
064 Intracranial Hemorrhage Or Cerebral Infarction With Mcc $8,943 $39,106 −77% ≈179% of Medicare
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc $8,870 $58,809 −85% ≈194% of Medicare
166 Other Respiratory System O.R. Procedures With Mcc $8,858 $75,573 −88% —
303 Atherosclerosis Without Mcc $8,855 $14,927 −41% —
197 Interstitial Lung Disease With Cc $8,757 $21,941 −60% —
069 Transient Ischemia Without Thrombolytic $8,743 $21,056 −58% —
831 Other Antepartum Diagnoses Without O.R. Procedures With Mcc $8,646 $18,133 −52% —
204 Respiratory Signs And Symptoms $8,611 $18,004 −52% —
382 Complicated Peptic Ulcer Without Cc/Mcc $8,575 $16,634 −48% —
137 Mouth Procedures With Cc/Mcc $8,500 $27,861 −69% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $8,105 $22,458 −64% —
793 Full Term Neonate With Major Problems $8,104 $18,649 −57% —
639 Diabetes Without Cc/Mcc $8,088 $13,910 −42% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $7,986 $66,068 −88% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc $7,918 $20,506 −61% —
482 Hip And Femur Procedures Except Major Joint Without Cc/Mcc $7,903 $41,955 −81% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc $7,895 $32,021 −75% ≈185% of Medicare
125 Other Disorders Of The Eye Without Mcc $7,857 $17,298 −55% —
379 Gastrointestinal Hemorrhage Without Cc/Mcc $7,845 $15,038 −48% —
314 Other Circulatory System Diagnoses With Mcc $7,564 $38,666 −80% ≈189% of Medicare
370 Major Esophageal Disorders Without Cc/Mcc $7,552 $15,495 −51% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $7,491 $23,749 −68% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/Mcc $7,330 $16,520 −56% —
070 Other Cerebrovascular Disorders With Mcc $7,217 $31,951 −77% ≈188% of Medicare
102 Headaches With Mcc $7,217 $25,740 −72% —
673 Other Kidney And Urinary Tract Procedures With Mcc $7,079 $77,990 −91% ≈171% of Medicare
501 Soft Tissue Procedures With Cc $6,979 $39,619 −82% —
789 Neonates, Died Or Transferred To Another Acute Care Facility $6,942 $16,351 −58% —
909 Other O.R. Procedures For Injuries Without Cc/Mcc $6,880 $28,156 −76% —
179 Respiratory Infections And Inflammations Without Cc/Mcc $6,844 $14,648 −53% —
336 Peritoneal Adhesiolysis With Cc $6,806 $50,463 −87% —
395 Other Digestive System Diagnoses Without Cc/Mcc $6,602 $14,128 −53% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $6,505 $17,303 −62% ≈195% of Medicare
886 Behavioral And Developmental Disorders $6,388 $26,510 −76% —
190 Chronic Obstructive Pulmonary Disease With Mcc $6,311 $24,386 −74% ≈195% of Medicare
438 Disorders Of Pancreas Except Malignancy With Mcc $6,131 $32,628 −81% —
779 Abortion Without D&C $6,112 $15,327 −60% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc $6,109 $25,748 −76% —
908 Other O.R. Procedures For Injuries With Cc $6,089 $42,914 −86% —
199 Pneumothorax With Mcc $6,068 $33,787 −82% —
071 Other Cerebrovascular Disorders With Cc $6,012 $23,488 −74% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc $5,611 $35,628 −84% ≈164% of Medicare
091 Other Disorders Of Nervous System With Mcc $5,566 $37,387 −85% —
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $5,542 $44,606 −88% ≈185% of Medicare
439 Disorders Of Pancreas Except Malignancy With Cc $5,533 $19,096 −71% —
786 Cesarean Section Without Sterilization With Mcc $5,519 $27,152 −80% —
164 Major Chest Procedures With Cc $5,486 $56,755 −90% —
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $5,477 $30,553 −82% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc $5,473 $17,601 −69% —
674 Other Kidney And Urinary Tract Procedures With Cc $5,426 $50,394 −89% —
683 Renal Failure With Cc $5,426 $19,130 −72% ≈186% of Medicare
444 Disorders Of The Biliary Tract With Mcc $5,418 $34,273 −84% —
292 Heart Failure And Shock With Cc $5,404 $16,371 −67% —
093 Other Disorders Of Nervous System Without Cc/Mcc $5,376 $17,620 −69% —
549 Septic Arthritis With Cc $5,248 $24,056 −78% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $5,124 $42,881 −88% —
642 Inborn And Other Disorders Of Metabolism $5,083 $20,727 −75% —
637 Diabetes With Mcc $5,062 $30,100 −83% —
552 Medical Back Problems Without Mcc $5,052 $21,396 −76% ≈194% of Medicare
947 Signs And Symptoms With Mcc $5,014 $27,401 −82% —
948 Signs And Symptoms Without Mcc $5,014 $17,921 −72% —
811 Red Blood Cell Disorders With Mcc $4,967 $28,226 −82% ≈164% of Medicare
304 Hypertension With Mcc $4,717 $26,080 −82% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc $4,687 $19,842 −76% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc $4,655 $36,937 −87% —
151 Epistaxis Without Mcc $4,641 $13,032 −64% —
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc $4,565 $46,283 −90% ≈172% of Medicare
092 Other Disorders Of Nervous System With Cc $4,550 $24,914 −82% —
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc $4,529 $28,050 −84% ≈162% of Medicare
399 Appendix Procedures Without Cc/Mcc $4,520 $31,321 −86% —
177 Respiratory Infections And Inflammations With Mcc $4,450 $33,707 −87% ≈151% of Medicare
178 Respiratory Infections And Inflammations With Cc $4,450 $22,024 −80% ≈182% of Medicare
312 Syncope And Collapse $4,441 $19,342 −77% ≈214% of Medicare
688 Kidney And Urinary Tract Neoplasms Without Cc/Mcc $4,439 $12,593 −65% —
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $4,285 $18,316 −77% —
291 Heart Failure And Shock With Mcc $4,103 $26,776 −85% ≈179% of Medicare
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $4,088 $25,034 −84% —
394 Other Digestive System Diagnoses With Cc $4,065 $20,181 −80% —
193 Simple Pneumonia And Pleurisy With Mcc $3,934 $27,275 −86% ≈191% of Medicare
699 Other Kidney And Urinary Tract Diagnoses With Cc $3,836 $21,275 −82% ≈207% of Medicare
536 Fractures Of Hip And Pelvis Without Mcc $3,825 $18,002 −79% —
378 Gastrointestinal Hemorrhage With Cc $3,823 $22,098 −83% ≈206% of Medicare
603 Cellulitis Without Mcc $3,674 $18,530 −80% ≈192% of Medicare
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc $3,674 $25,970 −86% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $3,674 $43,943 −92% ≈172% of Medicare
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc $3,674 $22,888 −84% ≈188% of Medicare
788 Cesarean Section Without Sterilization Without Cc/Mcc $3,657 $20,084 −82% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc $3,645 $18,452 −80% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc $3,607 $14,549 −75% —
158 Dental And Oral Diseases With Cc $3,607 $18,466 −80% —
191 Chronic Obstructive Pulmonary Disease With Cc $3,504 $18,807 −81% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc $3,482 $17,038 −80% ≈212% of Medicare
281 Acute Myocardial Infarction, Discharged Alive With Cc $3,480 $20,463 −83% ≈197% of Medicare
785 Cesarean Section With Sterilization Without Cc/Mcc $3,473 $19,846 −83% —
381 Complicated Peptic Ulcer With Cc $3,468 $24,177 −86% —
884 Organic Disturbances And Intellectual Disability $3,453 $26,682 −87% —
377 Gastrointestinal Hemorrhage With Mcc $3,447 $37,842 −91% ≈165% of Medicare
571 Skin Debridement With Cc $3,418 $37,169 −91% —
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $3,328 $31,264 −89% ≈197% of Medicare
189 Pulmonary Edema And Respiratory Failure $3,298 $26,580 −88% ≈190% of Medicare
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc $3,286 $33,985 −90% ≈171% of Medicare
194 Simple Pneumonia And Pleurisy With Cc $3,243 $18,204 −82% ≈231% of Medicare
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc $3,221 $11,909 −73% —
882 Neuroses Except Depressive $3,163 $15,680 −80% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $3,145 $16,846 −81% —
863 Postoperative And Post-Traumatic Infections Without Mcc $3,113 $20,957 −85% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $3,110 $12,895 −76% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc $3,110 $9,940 −69% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc $3,096 $13,384 −77% —
202 Bronchitis And Asthma With Cc/Mcc $3,040 $17,724 −83% —
638 Diabetes With Cc $2,993 $19,661 −85% —
387 Inflammatory Bowel Disease Without Cc/Mcc $2,927 $16,288 −82% —
101 Seizures Without Mcc $2,920 $20,461 −86% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $2,917 $17,733 −84% —
885 Psychoses $2,914 $21,729 −87% ≈164% of Medicare
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc $2,853 $16,699 −83% ≈184% of Medicare
881 Depressive Neuroses $2,807 $15,058 −81% —
920 Complications Of Treatment With Cc $2,768 $22,468 −88% —
805 Vaginal Delivery Without Sterilization Or D&C With Mcc $2,762 $15,370 −82% —
389 Gastrointestinal Obstruction With Cc $2,743 $17,578 −84% ≈194% of Medicare
206 Other Respiratory System Diagnoses Without Mcc $2,723 $18,488 −85% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $2,713 $13,275 −80% —
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc $2,662 $17,322 −85% ≈220% of Medicare
123 Neurological Eye Disorders $2,620 $19,745 −87% —
918 Poisoning And Toxic Effects Of Drugs Without Mcc $2,582 $15,452 −83% —
152 Otitis Media And Uri With Mcc $2,571 $20,247 −87% —
684 Renal Failure Without Cc/Mcc $2,517 $13,642 −82% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $2,429 $25,094 −90% —
390 Gastrointestinal Obstruction Without Cc/Mcc $2,337 $13,361 −83% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc $2,327 $12,078 −81% —
894 Alcohol, Drug Abuse Or Dependence, Left Ama $2,293 $12,324 −81% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/Mcc $2,209 $20,895 −89% —
794 Neonate With Other Significant Problems $2,101 $8,445 −75% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $1,959 $12,454 −84% —
203 Bronchitis And Asthma Without Cc/Mcc $1,838 $12,252 −85% —
280 Acute Myocardial Infarction, Discharged Alive With Mcc $1,740 $30,828 −94% ≈181% of Medicare
153 Otitis Media And Uri Without Mcc $1,542 $14,583 −89% —
195 Simple Pneumonia And Pleurisy Without Cc/Mcc $1,542 $13,824 −89% —
795 Normal Newborn $702 $4,720 −85% —

Procedures with negotiated rates only

These 392 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
001 Heart Transplant Or Implant Of Heart Assist System With Mcc $139,671 – $442,225 · median $363,036 12 plans
002 Heart Transplant Or Implant Of Heart Assist System Without Mcc $56,478 – $178,819 · median $146,798 12 plans
005 Liver Transplant With Mcc Or Intestinal Transplant $51,388 – $162,703 · median $133,567 12 plans
006 Liver Transplant Without Mcc $23,111 – $73,173 · median $60,070 12 plans
007 Lung Transplant $64,544 – $204,358 · median $167,763 12 plans
008 Simultaneous Pancreas And Kidney Transplant $27,933 – $88,442 · median $72,605 12 plans
010 Pancreas Transplant $35,764 – $113,235 · median $92,958 12 plans
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $21,013 – $66,530 · median $54,616 12 plans
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc $14,363 – $45,476 · median $37,332 12 plans
014 Allogeneic Bone Marrow Transplant $59,897 – $189,646 · median $155,686 12 plans
016 Autologous Bone Marrow Transplant With Cc/Mcc $29,554 – $93,572 · median $76,816 12 plans
017 Autologous Bone Marrow Transplant Without Cc/Mcc $27,075 – $85,723 · median $70,373 12 plans
018 Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies $215,223 – $681,437 · median $559,412 12 plans
019 Simultaneous Pancreas And Kidney Transplant With Hemodialysis $35,559 – $112,586 · median $92,425 12 plans
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc $39,218 – $124,172 · median $101,936 12 plans
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $26,384 – $83,538 · median $68,579 12 plans
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc $15,836 – $50,140 · median $41,162 12 plans
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc $19,497 – $61,731 · median $50,677 12 plans
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc $12,574 – $39,812 · median $32,683 12 plans
028 Spinal Procedures With Mcc $29,945 – $94,813 · median $77,835 12 plans
030 Spinal Procedures Without Cc/Mcc $10,941 – $34,641 · median $28,438 12 plans
031 Ventricular Shunt Procedures With Mcc $22,331 – $70,704 · median $58,043 12 plans
032 Ventricular Shunt Procedures With Cc $10,621 – $33,628 · median $27,606 12 plans
033 Ventricular Shunt Procedures Without Cc/Mcc $8,288 – $26,241 · median $21,542 12 plans
034 Carotid Artery Stent Procedures With Mcc $19,292 – $61,081 · median $50,143 12 plans
037 Extracranial Procedures With Mcc $16,408 – $51,950 · median $42,648 12 plans
039 Extracranial Procedures Without Cc/Mcc $5,859 – $18,550 · median $15,228 12 plans
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc $19,244 – $60,931 · median $50,020 12 plans
052 Spinal Disorders And Injuries With Cc/Mcc $9,028 – $28,583 · median $23,464 12 plans
053 Spinal Disorders And Injuries Without Cc/Mcc $4,880 – $15,452 · median $12,685 12 plans
058 Multiple Sclerosis And Cerebellar Ataxia With Mcc $8,520 – $26,976 · median $22,146 12 plans
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $6,185 – $19,582 · median $16,075 12 plans
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc $13,741 – $43,508 · median $35,717 12 plans
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc $3,411 – $10,800 · median $8,866 12 plans
067 Precerebral Occlusion Without Infarction With Mcc $7,320 – $23,177 · median $19,026 12 plans
068 Precerebral Occlusion Without Infarction Without Mcc $4,308 – $13,640 · median $11,198 12 plans
072 Other Cerebrovascular Disorders Without Cc/Mcc $3,769 – $11,933 · median $9,796 12 plans
075 Viral Meningitis With Cc/Mcc $9,557 – $30,259 · median $24,840 12 plans
076 Viral Meningitis Without Cc/Mcc $4,113 – $13,022 · median $10,690 12 plans
081 Nontraumatic Stupor And Coma Without Mcc $4,464 – $14,133 · median $11,602 12 plans
088 Concussion With Mcc $6,737 – $21,332 · median $17,512 12 plans
089 Concussion With Cc $5,475 – $17,336 · median $14,232 12 plans
090 Concussion Without Cc/Mcc $4,103 – $12,990 · median $10,664 12 plans
094 Bacterial And Tuberculous Infections Of Nervous System With Mcc $17,541 – $55,537 · median $45,592 12 plans
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc $12,855 – $40,701 · median $33,412 12 plans
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc $18,001 – $56,995 · median $46,789 12 plans
103 Headaches Without Mcc $4,168 – $13,197 · median $10,834 12 plans
113 Orbital Procedures With Cc/Mcc $11,718 – $37,101 · median $30,457 12 plans
114 Orbital Procedures Without Cc/Mcc $6,743 – $21,351 · median $17,527 12 plans
115 Extraocular Procedures Except Orbit $7,650 – $24,221 · median $19,884 12 plans
116 Intraocular Procedures With Cc/Mcc $9,012 – $28,532 · median $23,423 12 plans
117 Intraocular Procedures Without Cc/Mcc $5,407 – $17,120 · median $14,054 12 plans
121 Acute Major Eye Infections With Cc/Mcc $5,798 – $18,357 · median $15,070 12 plans
122 Acute Major Eye Infections Without Cc/Mcc $3,916 – $12,400 · median $10,180 12 plans
124 Other Disorders Of The Eye With Mcc Or Thrombolytic Agent $6,594 – $20,879 · median $17,140 12 plans
135 Sinus And Mastoid Procedures With Cc/Mcc $10,815 – $34,243 · median $28,111 12 plans
136 Sinus And Mastoid Procedures Without Cc/Mcc $5,060 – $16,022 · median $13,153 12 plans
138 Mouth Procedures Without Cc/Mcc $4,417 – $13,985 · median $11,480 12 plans
139 Salivary Gland Procedures $6,159 – $19,500 · median $16,008 12 plans
140 Major Head And Neck Procedures With Mcc $21,258 – $67,308 · median $55,255 12 plans
142 Major Head And Neck Procedures Without Cc/Mcc $7,956 – $25,192 · median $20,681 12 plans
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc $18,673 – $59,122 · median $48,535 12 plans
146 Ear, Nose, Mouth And Throat Malignancy With Mcc $10,553 – $33,413 · median $27,430 12 plans
147 Ear, Nose, Mouth And Throat Malignancy With Cc $6,337 – $20,065 · median $16,472 12 plans
148 Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc $3,973 – $12,578 · median $10,326 12 plans
150 Epistaxis With Mcc $6,636 – $21,011 · median $17,249 12 plans
154 Other Ear, Nose, Mouth And Throat Diagnoses With Mcc $7,792 – $24,672 · median $20,254 12 plans
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $4,568 – $14,463 · median $11,873 12 plans
159 Dental And Oral Diseases Without Cc/Mcc $3,531 – $11,180 · median $9,178 12 plans
168 Other Respiratory System O.R. Procedures Without Cc/Mcc $6,810 – $21,562 · median $17,701 12 plans
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $14,834 – $46,968 · median $38,558 12 plans
175 Pulmonary Embolism With Mcc Or Acute Cor Pulmonale $6,846 – $21,676 · median $17,794 12 plans
181 Respiratory Neoplasms With Cc $5,338 – $16,901 · median $13,874 12 plans
182 Respiratory Neoplasms Without Cc/Mcc $3,757 – $11,895 · median $9,765 12 plans
183 Major Chest Trauma With Mcc $7,625 – $24,142 · median $19,819 12 plans
185 Major Chest Trauma Without Cc/Mcc $3,920 – $12,411 · median $10,189 12 plans
186 Pleural Effusion With Mcc $7,768 – $24,594 · median $20,190 12 plans
187 Pleural Effusion With Cc $4,930 – $15,608 · median $12,813 12 plans
188 Pleural Effusion Without Cc/Mcc $3,575 – $11,318 · median $9,291 12 plans
192 Chronic Obstructive Pulmonary Disease Without Cc/Mcc $3,200 – $10,131 · median $8,317 12 plans
198 Interstitial Lung Disease Without Cc/Mcc $3,570 – $11,302 · median $9,278 12 plans
201 Pneumothorax Without Cc/Mcc $3,564 – $11,284 · median $9,264 12 plans
205 Other Respiratory System Diagnoses With Mcc $9,126 – $28,894 · median $23,720 12 plans
209 Complex Aortic Arch Procedures $56,413 – $178,614 · median $146,629 12 plans
212 Concomitant Aortic And Mitral Valve Procedures $54,197 – $171,596 · median $140,869 12 plans
213 Endovascular Abdominal Aorta With Iliac Branch Procedures $28,443 – $90,057 · median $73,930 12 plans
215 Other Heart Assist System Implant $49,626 – $157,124 · median $128,988 12 plans
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $32,771 – $103,760 · median $85,180 12 plans
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc $32,771 – $103,760 · median $85,180 12 plans
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M $25,120 – $79,536 · median $65,293 12 plans
228 Other Cardiothoracic Procedures With Mcc $24,658 – $78,071 · median $64,091 12 plans
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc $6,900 – $21,846 · median $17,934 12 plans
245 Aicd Generator Procedures $22,739 – $71,996 · median $59,104 12 plans
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc $7,449 – $23,584 · median $19,361 12 plans
255 Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc $13,444 – $42,566 · median $34,943 12 plans
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc $5,444 – $17,235 · median $14,149 12 plans
258 Cardiac Pacemaker Device Replacement With Mcc $15,660 – $49,583 · median $40,704 12 plans
259 Cardiac Pacemaker Device Replacement Without Mcc $10,078 – $31,909 · median $26,195 12 plans
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $9,422 – $29,833 · median $24,490 12 plans
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc $8,123 – $25,720 · median $21,115 12 plans
263 Vein Ligation And Stripping $15,238 – $48,247 · median $39,607 12 plans
265 Aicd Lead Procedures $18,033 – $57,096 · median $46,872 12 plans
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc $30,544 – $96,708 · median $79,390 12 plans
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc $34,279 – $108,535 · median $89,100 12 plans
273 Percutaneous And Other Intracardiac Procedures With Mcc $20,561 – $65,102 · median $53,444 12 plans
276 Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator $29,937 – $94,786 · median $77,813 12 plans
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc $17,974 – $56,910 · median $46,719 12 plans
283 Acute Myocardial Infarction, Expired With Mcc $9,872 – $31,258 · median $25,660 12 plans
284 Acute Myocardial Infarction, Expired With Cc $3,450 – $10,923 · median $8,967 12 plans
285 Acute Myocardial Infarction, Expired Without Cc/Mcc $2,985 – $9,451 · median $7,758 12 plans
288 Acute And Subacute Endocarditis With Mcc $13,488 – $42,705 · median $35,057 12 plans
289 Acute And Subacute Endocarditis With Cc $8,507 – $26,935 · median $22,112 12 plans
290 Acute And Subacute Endocarditis Without Cc/Mcc $4,634 – $14,671 · median $12,044 12 plans
293 Heart Failure And Shock Without Cc/Mcc $2,821 – $8,932 · median $7,332 12 plans
296 Cardiac Arrest, Unexplained With Mcc $7,785 – $24,647 · median $20,234 12 plans
297 Cardiac Arrest, Unexplained With Cc $3,160 – $10,005 · median $8,213 12 plans
298 Cardiac Arrest, Unexplained Without Cc/Mcc $2,268 – $7,182 · median $5,896 12 plans
305 Hypertension Without Mcc $3,763 – $11,916 · median $9,782 12 plans
306 Cardiac Congenital And Valvular Disorders With Mcc $7,854 – $24,867 · median $20,414 12 plans
307 Cardiac Congenital And Valvular Disorders Without Mcc $4,551 – $14,411 · median $11,830 12 plans
311 Angina Pectoris $3,498 – $11,076 · median $9,093 12 plans
317 Concomitant Left Atrial Appendage Closure And Cardiac Ablation $33,326 – $105,515 · median $86,620 12 plans
318 Percutaneous Coronary Atherectomy Without Intraluminal Device $12,072 – $38,223 · median $31,378 12 plans
319 Other Endovascular Cardiac Valve Procedures With Mcc $22,243 – $70,426 · median $57,815 12 plans
320 Other Endovascular Cardiac Valve Procedures Without Mcc $11,988 – $37,956 · median $31,159 12 plans
323 Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc $21,568 – $68,288 · median $56,059 12 plans
327 Stomach, Esophageal And Duodenal Procedures With Cc $12,182 – $38,570 · median $31,663 12 plans
328 Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc $7,986 – $25,285 · median $20,757 12 plans
332 Rectal Resection With Mcc $18,046 – $57,136 · median $46,904 12 plans
333 Rectal Resection With Cc $11,674 – $36,961 · median $30,342 12 plans
334 Rectal Resection Without Cc/Mcc $8,163 – $25,847 · median $21,218 12 plans
344 Minor Small And Large Bowel Procedures With Mcc $12,873 – $40,757 · median $33,459 12 plans
346 Minor Small And Large Bowel Procedures Without Cc/Mcc $5,912 – $18,719 · median $15,367 12 plans
347 Anal And Stomal Procedures With Mcc $11,441 – $36,225 · median $29,738 12 plans
350 Inguinal And Femoral Hernia Procedures With Mcc $12,420 – $39,323 · median $32,281 12 plans
351 Inguinal And Femoral Hernia Procedures With Cc $7,598 – $24,057 · median $19,749 12 plans
352 Inguinal And Femoral Hernia Procedures Without Cc/Mcc $5,820 – $18,428 · median $15,128 12 plans
356 Other Digestive System O.R. Procedures With Mcc $21,894 – $69,320 · median $56,907 12 plans
358 Other Digestive System O.R. Procedures Without Cc/Mcc $6,967 – $22,059 · median $18,109 12 plans
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc $3,625 – $11,479 · median $9,423 12 plans
374 Digestive Malignancy With Mcc $10,659 – $33,749 · median $27,706 12 plans
376 Digestive Malignancy Without Cc/Mcc $4,607 – $14,586 · median $11,974 12 plans
383 Uncomplicated Peptic Ulcer With Mcc $6,881 – $21,788 · median $17,886 12 plans
384 Uncomplicated Peptic Ulcer Without Mcc $4,260 – $13,489 · median $11,074 12 plans
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $20,038 – $63,445 · median $52,084 12 plans
405 Pancreas, Liver And Shunt Procedures With Mcc $27,265 – $86,326 · median $70,868 12 plans
407 Pancreas, Liver And Shunt Procedures Without Cc/Mcc $11,062 – $35,026 · median $28,754 12 plans
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc $17,771 – $56,266 · median $46,191 12 plans
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $10,852 – $34,358 · median $28,206 12 plans
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc $7,913 – $25,054 · median $20,568 12 plans
411 Cholecystectomy With C.D.E. With Mcc $16,464 – $52,127 · median $42,793 12 plans
412 Cholecystectomy With C.D.E. With Cc $10,479 – $33,178 · median $27,237 12 plans
413 Cholecystectomy With C.D.E. Without Cc/Mcc $8,276 – $26,203 · median $21,511 12 plans
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc $6,795 – $21,513 · median $17,661 12 plans
420 Hepatobiliary Diagnostic Procedures With Mcc $16,981 – $53,765 · median $44,137 12 plans
421 Hepatobiliary Diagnostic Procedures With Cc $8,660 – $27,418 · median $22,508 12 plans
422 Hepatobiliary Diagnostic Procedures Without Cc/Mcc $6,975 – $22,085 · median $18,130 12 plans
423 Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc $20,699 – $65,536 · median $53,800 12 plans
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $10,904 – $34,526 · median $28,343 12 plans
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc $7,478 – $23,675 · median $19,436 12 plans
426 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made $54,930 – $173,918 · median $142,774 12 plans
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $35,978 – $113,912 · median $93,513 12 plans
428 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc $28,020 – $88,717 · median $72,830 12 plans
429 Combined Anterior And Posterior Cervical Spinal Fusion With Mcc $44,904 – $142,174 · median $116,715 12 plans
430 Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc $28,743 – $91,007 · median $74,710 12 plans
434 Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc $3,551 – $11,243 · median $9,230 12 plans
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc $4,253 – $13,465 · median $11,054 12 plans
440 Disorders Of Pancreas Except Malignancy Without Cc/Mcc $3,097 – $9,806 · median $8,050 12 plans
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc $3,487 – $11,041 · median $9,064 12 plans
447 Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody $33,301 – $105,438 · median $86,557 12 plans
448 Multiple Level Spinal Fusion Except Cervical Without Mcc $21,136 – $66,921 · median $54,937 12 plans
450 Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F $26,563 – $84,103 · median $69,042 12 plans
451 Single Level Spinal Fusion Except Cervical Without Mcc $16,100 – $50,977 · median $41,848 12 plans
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $41,883 – $132,608 · median $108,862 12 plans
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $29,720 – $94,099 · median $77,249 12 plans
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $20,796 – $65,845 · median $54,054 12 plans
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc $27,527 – $87,155 · median $71,548 12 plans
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc $13,257 – $41,976 · median $34,459 12 plans
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $28,406 – $89,940 · median $73,834 12 plans
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $9,089 – $28,779 · median $23,625 12 plans
466 Revision Of Hip Or Knee Replacement With Mcc $25,944 – $82,143 · median $67,433 12 plans
467 Revision Of Hip Or Knee Replacement With Cc $17,577 – $55,651 · median $45,685 12 plans
473 Cervical Spinal Fusion Without Cc/Mcc $12,167 – $38,524 · median $31,626 12 plans
477 Biopsies Of Musculoskeletal System And Connective Tissue With Mcc $17,218 – $54,515 · median $44,753 12 plans
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $12,257 – $38,807 · median $31,858 12 plans
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc $9,265 – $29,334 · median $24,081 12 plans
485 Knee Procedures With Principal Diagnosis Of Infection With Mcc $16,084 – $50,925 · median $41,805 12 plans
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $10,422 – $32,998 · median $27,089 12 plans
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc $8,816 – $27,914 · median $22,915 12 plans
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc $5,566 – $17,623 · median $14,468 12 plans
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc $18,070 – $57,215 · median $46,969 12 plans
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $8,991 – $28,466 · median $23,369 12 plans
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc $6,022 – $19,067 · median $15,653 12 plans
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc $10,042 – $31,794 · median $26,101 12 plans
503 Foot Procedures With Mcc $13,911 – $44,044 · median $36,157 12 plans
504 Foot Procedures With Cc $9,316 – $29,497 · median $24,215 12 plans
505 Foot Procedures Without Cc/Mcc $8,935 – $28,291 · median $23,225 12 plans
506 Major Thumb Or Joint Procedures $6,724 – $21,291 · median $17,478 12 plans
507 Major Shoulder Or Elbow Joint Procedures With Cc/Mcc $9,003 – $28,506 · median $23,401 12 plans
508 Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc $7,548 – $23,898 · median $19,618 12 plans
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc $15,054 – $47,664 · median $39,129 12 plans
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $10,364 – $32,814 · median $26,938 12 plans
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc $8,251 – $26,123 · median $21,445 12 plans
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc $7,846 – $24,843 · median $20,394 12 plans
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc $5,095 – $16,132 · median $13,243 12 plans
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc $15,884 – $50,290 · median $41,285 12 plans
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc $7,659 – $24,250 · median $19,907 12 plans
518 Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator $18,627 – $58,976 · median $48,415 12 plans
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc $10,555 – $33,418 · median $27,434 12 plans
533 Fractures Of Femur With Mcc $7,813 – $24,739 · median $20,309 12 plans
534 Fractures Of Femur Without Mcc $4,018 – $12,721 · median $10,443 12 plans
535 Fractures Of Hip And Pelvis With Mcc $6,389 – $20,230 · median $16,608 12 plans
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc $4,756 – $15,059 · median $12,362 12 plans
541 Osteomyelitis Without Cc/Mcc $3,924 – $12,425 · median $10,200 12 plans
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc $8,804 – $27,876 · median $22,884 12 plans
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $5,124 – $16,222 · median $13,317 12 plans
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc $3,761 – $11,908 · median $9,775 12 plans
545 Connective Tissue Disorders With Mcc $12,369 – $39,162 · median $32,149 12 plans
548 Septic Arthritis With Mcc $9,624 – $30,470 · median $25,014 12 plans
553 Bone Diseases And Arthropathies With Mcc $6,461 – $20,456 · median $16,793 12 plans
554 Bone Diseases And Arthropathies Without Mcc $4,137 – $13,099 · median $10,754 12 plans
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $5,612 – $17,770 · median $14,588 12 plans
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc $4,007 – $12,686 · median $10,414 12 plans
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc $7,101 – $22,484 · median $18,458 12 plans
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc $3,735 – $11,824 · median $9,707 12 plans
570 Skin Debridement With Mcc $14,658 – $46,411 · median $38,100 12 plans
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $17,301 – $54,780 · median $44,970 12 plans
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc $8,956 – $28,357 · median $23,279 12 plans
576 Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc $24,428 – $77,342 · median $63,493 12 plans
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc $8,006 – $25,349 · median $20,810 12 plans
582 Mastectomy For Malignancy With Cc/Mcc $9,602 – $30,402 · median $24,958 12 plans
583 Mastectomy For Malignancy Without Cc/Mcc $8,594 – $27,212 · median $22,339 12 plans
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc $10,669 – $33,781 · median $27,732 12 plans
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc $9,615 – $30,442 · median $24,991 12 plans
592 Skin Ulcers With Mcc $9,646 – $30,540 · median $25,071 12 plans
593 Skin Ulcers With Cc $5,913 – $18,720 · median $15,368 12 plans
594 Skin Ulcers Without Cc/Mcc $4,320 – $13,678 · median $11,229 12 plans
596 Major Skin Disorders Without Mcc $5,395 – $17,082 · median $14,023 12 plans
599 Malignant Breast Disorders Without Cc/Mcc $3,835 – $12,141 · median $9,967 12 plans
600 Non-Malignant Breast Disorders With Cc/Mcc $5,191 – $16,437 · median $13,493 12 plans
601 Non-Malignant Breast Disorders Without Cc/Mcc $3,015 – $9,547 · median $7,837 12 plans
604 Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc $7,337 – $23,230 · median $19,070 12 plans
606 Minor Skin Disorders With Mcc $7,542 – $23,879 · median $19,603 12 plans
614 Adrenal And Pituitary Procedures With Cc/Mcc $10,924 – $34,587 · median $28,394 12 plans
619 O.R. Procedures For Obesity With Mcc $14,391 – $45,564 · median $37,405 12 plans
620 O.R. Procedures For Obesity With Cc $7,976 – $25,253 · median $20,731 12 plans
621 O.R. Procedures For Obesity Without Cc/Mcc $7,518 – $23,803 · median $19,541 12 plans
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc $17,739 – $56,165 · median $46,108 12 plans
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $6,239 – $19,755 · median $16,218 12 plans
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc $6,620 – $20,961 · median $17,207 12 plans
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc $18,574 – $58,810 · median $48,279 12 plans
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $10,859 – $34,382 · median $28,225 12 plans
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc $7,274 – $23,031 · median $18,907 12 plans
645 Endocrine Disorders Without Cc/Mcc $3,829 – $12,124 · median $9,953 12 plans
650 Kidney Transplant With Hemodialysis With Mcc $23,432 – $74,189 · median $60,904 12 plans
651 Kidney Transplant With Hemodialysis Without Mcc $18,470 – $58,479 · median $48,007 12 plans
652 Kidney Transplant $16,096 – $50,962 · median $41,837 12 plans
653 Major Bladder Procedures With Mcc $25,899 – $82,001 · median $67,317 12 plans
655 Major Bladder Procedures Without Cc/Mcc $10,549 – $33,401 · median $27,419 12 plans
656 Kidney And Ureter Procedures For Neoplasm With Mcc $15,868 – $50,241 · median $41,245 12 plans
657 Kidney And Ureter Procedures For Neoplasm With Cc $9,121 – $28,878 · median $23,707 12 plans
662 Minor Bladder Procedures With Mcc $15,259 – $48,311 · median $39,660 12 plans
663 Minor Bladder Procedures With Cc $7,577 – $23,989 · median $19,693 12 plans
664 Minor Bladder Procedures Without Cc/Mcc $5,218 – $16,520 · median $13,562 12 plans
665 Prostatectomy With Mcc $15,556 – $49,253 · median $40,434 12 plans
666 Prostatectomy With Cc $8,719 – $27,604 · median $22,661 12 plans
667 Prostatectomy Without Cc/Mcc $5,513 – $17,456 · median $14,330 12 plans
668 Transurethral Procedures With Mcc $14,553 – $46,078 · median $37,827 12 plans
669 Transurethral Procedures With Cc $7,735 – $24,491 · median $20,105 12 plans
671 Urethral Procedures With Cc/Mcc $8,946 – $28,326 · median $23,253 12 plans
672 Urethral Procedures Without Cc/Mcc $5,380 – $17,035 · median $13,984 12 plans
686 Kidney And Urinary Tract Neoplasms With Mcc $8,990 – $28,463 · median $23,366 12 plans
687 Kidney And Urinary Tract Neoplasms With Cc $5,222 – $16,535 · median $13,574 12 plans
690 Kidney And Urinary Tract Infections Without Mcc $4,035 – $12,774 · median $10,487 12 plans
693 Urinary Stones With Mcc $6,701 – $21,217 · median $17,417 12 plans
695 Kidney And Urinary Tract Signs And Symptoms With Mcc $5,701 – $18,050 · median $14,817 12 plans
697 Urethral Stricture $5,372 – $17,008 · median $13,962 12 plans
707 Major Male Pelvic Procedures With Cc/Mcc $9,970 – $31,565 · median $25,913 12 plans
708 Major Male Pelvic Procedures Without Cc/Mcc $7,646 – $24,210 · median $19,875 12 plans
709 Penis Procedures With Cc/Mcc $11,598 – $36,722 · median $30,146 12 plans
710 Penis Procedures Without Cc/Mcc $6,984 – $22,111 · median $18,152 12 plans
711 Testes Procedures With Cc/Mcc $10,386 – $32,883 · median $26,995 12 plans
712 Testes Procedures Without Cc/Mcc $5,481 – $17,354 · median $14,246 12 plans
713 Transurethral Prostatectomy With Cc/Mcc $7,493 – $23,724 · median $19,476 12 plans
714 Transurethral Prostatectomy Without Cc/Mcc $5,270 – $16,686 · median $13,698 12 plans
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc $11,151 – $35,305 · median $28,983 12 plans
716 Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc $7,331 – $23,213 · median $19,056 12 plans
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc $6,694 – $21,195 · median $17,399 12 plans
722 Malignancy, Male Reproductive System With Mcc $9,020 – $28,558 · median $23,444 12 plans
723 Malignancy, Male Reproductive System With Cc $5,695 – $18,032 · median $14,803 12 plans
724 Malignancy, Male Reproductive System Without Cc/Mcc $3,268 – $10,347 · median $8,494 12 plans
725 Benign Prostatic Hypertrophy With Mcc $5,832 – $18,466 · median $15,159 12 plans
726 Benign Prostatic Hypertrophy Without Mcc $3,598 – $11,393 · median $9,353 12 plans
727 Inflammation Of The Male Reproductive System With Mcc $7,391 – $23,401 · median $19,210 12 plans
729 Other Male Reproductive System Diagnoses With Cc/Mcc $5,277 – $16,707 · median $13,715 12 plans
730 Other Male Reproductive System Diagnoses Without Cc/Mcc $3,349 – $10,604 · median $8,705 12 plans
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc $10,616 – $33,612 · median $27,593 12 plans
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc $6,706 – $21,232 · median $17,430 12 plans
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc $17,815 – $56,407 · median $46,306 12 plans
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $10,270 – $32,517 · median $26,694 12 plans
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc $7,319 – $23,173 · median $19,024 12 plans
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc $17,857 – $56,538 · median $46,413 12 plans
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $9,019 – $28,556 · median $23,442 12 plans
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc $7,108 – $22,504 · median $18,474 12 plans
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc $9,145 – $28,954 · median $23,769 12 plans
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc $10,213 – $32,335 · median $26,545 12 plans
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc $5,669 – $17,950 · median $14,736 12 plans
746 Vagina, Cervix And Vulva Procedures With Cc/Mcc $8,658 – $27,412 · median $22,503 12 plans
747 Vagina, Cervix And Vulva Procedures Without Cc/Mcc $4,285 – $13,566 · median $11,137 12 plans
748 Female Reproductive System Reconstructive Procedures $6,914 – $21,892 · median $17,972 12 plans
749 Other Female Reproductive System O.R. Procedures With Cc/Mcc $12,797 – $40,517 · median $33,262 12 plans
750 Other Female Reproductive System O.R. Procedures Without Cc/Mcc $7,355 – $23,289 · median $19,118 12 plans
754 Malignancy, Female Reproductive System With Mcc $9,179 – $29,063 · median $23,858 12 plans
755 Malignancy, Female Reproductive System With Cc $5,422 – $17,166 · median $14,092 12 plans
756 Malignancy, Female Reproductive System Without Cc/Mcc $4,787 – $15,157 · median $12,443 12 plans
757 Infections, Female Reproductive System With Mcc $7,137 – $22,596 · median $18,550 12 plans
759 Infections, Female Reproductive System Without Cc/Mcc $3,307 – $10,472 · median $8,597 12 plans
761 Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc $2,843 – $9,003 · median $7,391 12 plans
787 Cesarean Section Without Sterilization With Cc $5,566 – $17,623 · median $14,468 12 plans
796 Vaginal Delivery With Sterilization And/Or D&C With Mcc $5,816 – $18,416 · median $15,118 12 plans
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $4,986 – $15,787 · median $12,960 12 plans
799 Splenic Procedures With Mcc $22,572 – $71,467 · median $58,670 12 plans
801 Splenic Procedures Without Cc/Mcc $9,514 – $30,123 · median $24,729 12 plans
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc $19,857 – $62,870 · median $51,612 12 plans
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $9,265 – $29,334 · median $24,081 12 plans
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc $6,758 – $21,398 · median $17,566 12 plans
812 Red Blood Cell Disorders Without Mcc $4,576 – $14,489 · median $11,895 12 plans
813 Coagulation Disorders $7,602 – $24,070 · median $19,760 12 plans
815 Reticuloendothelial And Immunity Disorders With Cc $5,054 – $16,001 · median $13,136 12 plans
816 Reticuloendothelial And Immunity Disorders Without Cc/Mcc $3,150 – $9,973 · median $8,187 12 plans
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $5,777 – $18,293 · median $15,017 12 plans
820 Lymphoma And Leukemia With Major O.R. Procedures With Mcc $29,230 – $92,548 · median $75,976 12 plans
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $11,157 – $35,326 · median $29,000 12 plans
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc $6,001 – $18,999 · median $15,597 12 plans
823 Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc $22,851 – $72,349 · median $59,394 12 plans
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $11,292 – $35,752 · median $29,350 12 plans
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc $6,725 – $21,294 · median $17,481 12 plans
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc $23,314 – $73,817 · median $60,599 12 plans
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C $8,492 – $26,886 · median $22,072 12 plans
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc $15,749 – $49,866 · median $40,936 12 plans
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc $7,501 – $23,749 · median $19,497 12 plans
834 Acute Leukemia With Mcc $27,362 – $86,632 · median $71,119 12 plans
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc $23,945 – $75,813 · median $62,237 12 plans
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $10,404 – $32,940 · median $27,041 12 plans
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $7,196 – $22,785 · median $18,705 12 plans
840 Lymphoma And Non-Acute Leukemia With Mcc $16,123 – $51,048 · median $41,907 12 plans
842 Lymphoma And Non-Acute Leukemia Without Cc/Mcc $5,036 – $15,944 · median $13,089 12 plans
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc $9,942 – $31,479 · median $25,842 12 plans
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc $4,244 – $13,439 · median $11,032 12 plans
849 Radiotherapy $13,504 – $42,757 · median $35,100 12 plans
850 Acute Leukemia With Other Procedures $43,159 – $136,649 · median $112,179 12 plans
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc $7,462 – $23,626 · median $19,395 12 plans
864 Fever And Inflammatory Conditions $4,424 – $14,008 · median $11,500 12 plans
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc $3,637 – $11,515 · median $9,453 12 plans
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $19,263 – $60,989 · median $50,068 12 plans
883 Disorders Of Personality And Impulse Control $9,800 – $31,029 · median $25,472 12 plans
887 Other Mental Disorder Diagnoses $5,337 – $16,899 · median $13,873 12 plans
895 Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy $7,055 – $22,339 · median $18,338 12 plans
901 Wound Debridements For Injuries With Mcc $20,916 – $66,224 · median $54,365 12 plans
903 Wound Debridements For Injuries Without Cc/Mcc $5,829 – $18,457 · median $15,152 12 plans
904 Skin Grafts For Injuries With Cc/Mcc $18,307 – $57,963 · median $47,583 12 plans
905 Skin Grafts For Injuries Without Cc/Mcc $7,393 – $23,408 · median $19,217 12 plans
906 Hand Procedures For Injuries $9,790 – $30,997 · median $25,447 12 plans
913 Traumatic Injury With Mcc $8,147 – $25,794 · median $21,175 12 plans
915 Allergic Reactions With Mcc $8,381 – $26,536 · median $21,784 12 plans
916 Allergic Reactions Without Mcc $3,321 – $10,514 · median $8,632 12 plans
922 Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc $8,719 – $27,606 · median $22,663 12 plans
927 Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $106,411 – $336,917 · median $276,585 12 plans
928 Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc $35,749 – $113,187 · median $92,919 12 plans
929 Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc $16,052 – $50,825 · median $41,724 12 plans
933 Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft $19,409 – $61,452 · median $50,447 12 plans
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $11,018 – $34,884 · median $28,637 12 plans
935 Non-Extensive Burns $10,267 – $32,507 · median $26,686 12 plans
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc $18,084 – $57,259 · median $47,005 12 plans
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $11,647 – $36,877 · median $30,273 12 plans
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc $10,106 – $31,998 · median $26,268 12 plans
945 Rehabilitation With Cc/Mcc $7,718 – $24,437 · median $20,061 12 plans
946 Rehabilitation Without Cc/Mcc $5,716 – $18,097 · median $14,856 12 plans
949 Aftercare With Cc/Mcc $5,929 – $18,774 · median $15,412 12 plans
950 Aftercare Without Cc/Mcc $3,128 – $9,905 · median $8,132 12 plans
951 Other Factors Influencing Health Status $2,771 – $8,774 · median $7,203 12 plans
955 Craniotomy For Multiple Significant Trauma $33,548 – $106,219 · median $87,198 12 plans
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $18,755 – $59,381 · median $48,748 12 plans
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc $14,673 – $46,459 · median $38,139 12 plans
963 Other Multiple Significant Trauma With Mcc $13,625 – $43,140 · median $35,415 12 plans
965 Other Multiple Significant Trauma Without Cc/Mcc $4,687 – $14,841 · median $12,184 12 plans
969 Hiv With Extensive O.R. Procedures With Mcc $30,509 – $96,596 · median $79,298 12 plans
970 Hiv With Extensive O.R. Procedures Without Mcc $13,145 – $41,619 · median $34,166 12 plans
975 Hiv With Major Related Condition With Cc $6,454 – $20,435 · median $16,776 12 plans
976 Hiv With Major Related Condition Without Cc/Mcc $4,499 – $14,245 · median $11,694 12 plans
977 Hiv With Or Without Other Related Condition $6,468 – $20,478 · median $16,811 12 plans
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $5,977 – $18,924 · median $15,535 12 plans
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