Atlanticare Regional Medical Center - City Campus — 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
215 Other heart assist system implant — 23 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC — 23 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $7,028 – $1,254,968 · median $93,632 23 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $7,893 – $1,019,091 · median $86,262 23 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC — 23 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $42,090 – $811,905 · median $94,327 23 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $7,893 – $664,719 · median $75,056 23 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $7,893 – $892,408 · median $81,696 23 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $7,893 – $370,967 · median $50,053 23 plans
231 CORONARY BYPASS WITH PTCA WITH MCC — 23 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $7,893 – $339,989 · median $49,184 23 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $7,893 – $154,658 · median $37,790 23 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $14,266 – $107,639 · median $33,898 23 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $17,226 – $159,699 · median $36,766 23 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $11,796 – $72,172 · median $25,247 23 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $7,893 – $275,771 · median $40,678 23 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $7,893 – $255,057 · median $27,902 23 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $10,898 – $82,406 · median $22,951 23 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,469 – $68,039 · median $21,195 23 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $8,458 – $39,670 · median $13,784 23 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $13,755 – $151,094 · median $23,875 23 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,319 – $36,114 · median $15,805 23 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,971 – $31,551 · median $14,421 23 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,219 – $36,851 · median $16,455 23 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $4,989 – $30,178 · median $14,332 23 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,169 – $66,044 · median $13,784 23 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,049 – $32,098 · median $12,329 23 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $8,518 – $34,786 · median $13,784 23 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,874 – $24,138 · median $11,580 23 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $3,508 – $21,841 · median $11,999 23 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $7,893 – $1,041,413 · median $85,736 22 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC — 22 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC $43,115 – $816,070 · median $89,793 22 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $46,319 – $990,929 · median $90,426 22 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $33,061 – $484,271 · median $69,299 22 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $7,893 – $120,837 · median $22,934 22 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $7,893 – $345,305 · median $40,772 22 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $7,893 – $105,698 · median $23,149 22 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $7,893 – $78,459 · median $17,893 22 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $14,452 – $773,675 · median $73,382 22 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $28,069 – $362,054 · median $49,644 22 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $20,150 – $190,560 · median $40,990 22 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $7,893 – $139,522 · median $31,636 22 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,893 – $44,286 · median $13,386 22 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC — 22 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $7,893 – $1,114,459 · median $69,059 22 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $7,893 – $561,994 · median $48,692 22 plans
461 Bilateral or multiple major joint procs of lower extremity w MCC $7,893 – $852,416 · median $64,052 22 plans
462 Bilateral or multiple major joint procs of lower extremity w/o MCC $9,920 – $239,389 · median $45,704 22 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $6,230 – $761,621 · median $60,440 22 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $9,920 – $355,397 · median $49,246 22 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $9,920 – $221,737 · median $39,222 22 plans
469 Major joint replacement or reattachment of lower extremity w MCC $7,028 – $273,280 · median $44,797 22 plans
470 Major joint replacement or reattachment of lower extremity w/o MCC $9,920 – $108,947 · median $27,831 22 plans
471 CERVICAL SPINAL FUSION WITH MCC $7,893 – $691,998 · median $56,155 22 plans
472 CERVICAL SPINAL FUSION WITH CC $7,893 – $257,114 · median $34,740 22 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $7,893 – $175,995 · median $34,287 22 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $9,920 – $80,347 · median $26,975 22 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $7,893 – $108,849 · median $25,680 22 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $7,893 – $67,719 · median $17,437 22 plans
510 Shoulder,elbow or forearm proc,exc major joint proc w MCC $7,893 – $241,637 · median $41,736 22 plans
511 Shoulder,elbow or forearm proc,exc major joint proc w CC $7,893 – $112,423 · median $27,910 22 plans
512 Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC $7,893 – $71,906 · median $20,106 22 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $13,019 – $81,149 · median $18,200 22 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $5,967 – $32,098 · median $13,057 22 plans
100 SEIZURES WITH MCC $7,893 – $101,157 · median $27,472 21 plans
101 SEIZURES WITHOUT MCC $5,785 – $31,185 · median $13,363 21 plans
102 HEADACHES WITH MCC $7,893 – $39,777 · median $16,510 21 plans
103 HEADACHES WITHOUT MCC $4,818 – $28,798 · median $12,328 21 plans
113 ORBITAL PROCEDURES WITH CC/MCC $7,187 – $143,837 · median $32,721 21 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $7,893 – $46,230 · median $17,140 21 plans
115 Extraocular procedures except orbit $4,277 – $65,447 · median $15,413 21 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $7,893 – $98,108 · median $24,193 21 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,893 – $34,343 · median $15,640 21 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $7,525 – $42,386 · median $11,842 21 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,089 – $23,896 · median $8,325 21 plans
123 Neurological eye disorders $4,433 – $27,459 · median $9,756 21 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $4,461 – $52,749 · median $13,330 21 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,586 – $29,822 · median $8,158 21 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $7,893 – $142,253 · median $30,605 21 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,893 – $58,865 · median $14,184 21 plans
137 MOUTH PROCEDURES WITH CC/MCC $7,893 – $109,747 · median $15,160 21 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,522 – $62,587 · median $11,796 21 plans
139 Salivary gland procedures $7,893 – $43,765 · median $13,435 21 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $7,893 – $117,175 · median $29,898 21 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $7,893 – $45,274 · median $12,850 21 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $4,253 – $28,282 · median $8,431 21 plans
149 Dysequilibrium $3,941 – $28,018 · median $10,839 21 plans
150 EPISTAXIS WITH MCC $7,893 – $49,343 · median $16,826 21 plans
151 EPISTAXIS WITHOUT MCC $3,809 – $26,670 · median $10,548 21 plans
152 OTITIS MEDIA AND URI WITH MCC $7,893 – $41,431 · median $12,018 21 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $3,874 – $23,886 · median $10,320 21 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $7,361 – $64,468 · median $16,673 21 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,968 – $31,800 · median $9,543 21 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,362 – $23,581 · median $7,893 21 plans
157 DENTAL AND ORAL DISEASES WITH MCC $7,893 – $76,991 · median $21,175 21 plans
158 DENTAL AND ORAL DISEASES WITH CC $5,972 – $32,139 · median $9,480 21 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,543 – $25,941 · median $7,893 21 plans
163 MAJOR CHEST PROCEDURES WITH MCC $7,683 – $626,762 · median $61,664 21 plans
164 MAJOR CHEST PROCEDURES WITH CC $7,893 – $183,348 · median $35,361 21 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $7,893 – $101,569 · median $26,142 21 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $7,893 – $400,116 · median $51,667 21 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $7,893 – $99,064 · median $25,679 21 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,893 – $52,017 · median $19,630 21 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $7,081 – $56,930 · median $14,835 21 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,336 – $39,385 · median $11,810 21 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $5,574 – $84,802 · median $21,207 21 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,703 – $37,602 · median $12,361 21 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,129 – $27,169 · median $8,038 21 plans
180 RESPIRATORY NEOPLASMS WITH MCC $7,893 – $87,407 · median $22,082 21 plans
181 RESPIRATORY NEOPLASMS WITH CC $7,893 – $39,217 · median $10,982 21 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $4,419 – $30,700 · median $8,027 21 plans
183 MAJOR CHEST TRAUMA WITH MCC $7,893 – $66,252 · median $21,375 21 plans
184 MAJOR CHEST TRAUMA WITH CC $7,880 – $36,156 · median $13,356 21 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,246 – $26,117 · median $9,974 21 plans
186 PLEURAL EFFUSION WITH MCC $7,893 – $68,998 · median $17,918 21 plans
187 PLEURAL EFFUSION WITH CC $7,686 – $36,180 · median $10,228 21 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,056 – $25,045 · median $10,420 21 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $7,893 – $43,095 · median $15,631 21 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,893 – $37,550 · median $11,324 21 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,680 – $29,894 · median $8,858 21 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $3,427 – $22,557 · median $8,996 21 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $7,893 – $50,293 · median $13,249 21 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,349 – $29,064 · median $8,946 21 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,182 – $22,201 · median $7,893 21 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $7,893 – $90,725 · median $22,792 21 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,009 – $34,025 · median $9,846 21 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,005 – $24,591 · median $7,893 21 plans
199 PNEUMOTHORAX WITH MCC $7,893 – $90,816 · median $23,187 21 plans
200 PNEUMOTHORAX WITH CC $7,893 – $37,083 · median $11,246 21 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $3,685 – $25,180 · median $9,477 21 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $6,731 – $32,025 · median $13,334 21 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,443 – $23,076 · median $8,236 21 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $4,569 – $27,999 · median $8,527 21 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $7,893 – $85,859 · median $20,491 21 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,991 – $30,904 · median $9,772 21 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $7,756 – $1,059,006 · median $87,901 21 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $7,893 – $195,924 · median $38,379 21 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $7,893 – $225,747 · median $42,224 21 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $7,893 – $60,233 · median $20,050 21 plans
245 AICD generator procedures $7,893 – $681,771 · median $70,854 21 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $7,893 – $328,346 · median $49,738 21 plans
253 OTHER VASCULAR PROCEDURES WITH CC $7,893 – $194,135 · median $37,017 21 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $7,893 – $93,051 · median $23,775 21 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $7,893 – $205,077 · median $37,936 21 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $7,893 – $83,627 · median $24,262 21 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,893 – $36,277 · median $12,933 21 plans
263 VEIN LIGATION AND STRIPPING $7,893 – $206,962 · median $38,888 21 plans
264 Other circulatory system O.R. procedures $7,893 – $310,379 · median $46,332 21 plans
265 AICD lead procedures $7,893 – $324,055 · median $51,044 21 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC — 21 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC $7,893 – $775,323 · median $65,412 21 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC — 21 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $22,468 – $517,004 · median $58,190 21 plans
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC $29,823 – $439,215 · median $56,695 21 plans
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC $24,342 – $298,450 · median $45,583 21 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $4,535 – $75,067 · median $19,597 21 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,638 – $31,776 · median $13,366 21 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,993 – $24,792 · median $7,893 21 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $5,347 – $102,290 · median $26,355 21 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $3,912 – $25,439 · median $7,893 21 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $2,633 – $29,244 · median $8,139 21 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $7,893 – $206,352 · median $39,604 21 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $7,893 – $81,489 · median $22,861 21 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,933 – $68,693 · median $13,941 21 plans
291 HEART FAILURE AND SHOCK WITH MCC $7,893 – $49,576 · median $18,698 21 plans
292 HEART FAILURE AND SHOCK WITH CC $5,757 – $29,846 · median $12,489 21 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $2,777 – $19,382 · median $7,961 21 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $7,893 – $70,381 · median $17,681 21 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $3,050 – $22,011 · median $9,968 21 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $1,619 – $33,409 · median $6,571 21 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $7,893 – $67,917 · median $17,458 21 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,893 – $35,668 · median $10,949 21 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $3,853 – $24,992 · median $10,343 21 plans
302 ATHEROSCLEROSIS WITH MCC $7,893 – $41,711 · median $14,168 21 plans
303 ATHEROSCLEROSIS WITHOUT MCC $3,303 – $35,810 · median $9,750 21 plans
304 HYPERTENSION WITH MCC $7,893 – $38,003 · median $17,035 21 plans
305 HYPERTENSION WITHOUT MCC $4,007 – $25,792 · median $10,885 21 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $7,893 – $63,958 · median $16,366 21 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,763 – $31,527 · median $9,512 21 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $4,311 – $41,032 · median $12,221 21 plans
311 Angina pectoris $3,556 – $23,111 · median $10,128 21 plans
312 SYNCOPE AND COLLAPSE $5,150 – $29,497 · median $9,125 21 plans
313 Chest pain $3,755 – $25,024 · median $7,893 21 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $7,893 – $121,431 · median $29,465 21 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,788 – $33,502 · median $10,241 21 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,778 – $23,592 · median $7,893 21 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $6,927 – $754,253 · median $68,457 21 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $7,893 – $180,447 · median $34,288 21 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $7,858 – $72,413 · median $18,217 21 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $7,893 – $647,220 · median $63,205 21 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $7,893 – $173,807 · median $33,657 21 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $7,258 – $81,570 · median $21,026 21 plans
332 RECTAL RESECTION WITH MCC $7,893 – $362,782 · median $50,293 21 plans
333 RECTAL RESECTION WITH CC $7,893 – $152,103 · median $32,918 21 plans
334 RECTAL RESECTION WITHOUT CC/MCC $7,893 – $72,391 · median $23,456 21 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $7,893 – $414,475 · median $49,426 21 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $7,893 – $137,121 · median $30,630 21 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $7,893 – $72,221 · median $22,073 21 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $7,893 – $221,969 · median $39,069 21 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $7,893 – $70,519 · median $21,593 21 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $7,893 – $43,659 · median $17,387 21 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $7,893 – $173,660 · median $34,316 21 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $7,893 – $52,926 · median $18,253 21 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,096 – $38,660 · median $12,773 21 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $7,893 – $174,416 · median $35,087 21 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $7,893 – $65,305 · median $21,818 21 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $7,893 – $39,295 · median $15,986 21 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $7,893 – $247,054 · median $40,439 21 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $7,893 – $83,134 · median $24,028 21 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $7,893 – $52,966 · median $16,479 21 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $7,893 – $513,919 · median $41,925 21 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $7,893 – $150,164 · median $24,304 21 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,893 – $55,021 · median $17,126 21 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $7,893 – $86,953 · median $22,838 21 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,893 – $35,632 · median $14,755 21 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,840 – $25,899 · median $10,120 21 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $7,893 – $87,789 · median $25,272 21 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,817 – $35,215 · median $14,925 21 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,063 – $25,114 · median $10,517 21 plans
374 DIGESTIVE MALIGNANCY WITH MCC $7,893 – $122,582 · median $30,184 21 plans
375 DIGESTIVE MALIGNANCY WITH CC $7,893 – $41,903 · median $17,702 21 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,240 – $30,365 · median $12,802 21 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $7,893 – $92,836 · median $26,010 21 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,160 – $34,073 · median $14,296 21 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,036 – $47,116 · median $9,231 21 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $7,893 – $106,278 · median $27,813 21 plans
381 COMPLICATED PEPTIC ULCER WITH CC $7,893 – $91,689 · median $15,792 21 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,532 – $61,868 · median $10,865 21 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $7,893 – $52,545 · median $18,331 21 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,390 – $39,012 · median $12,609 21 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $7,893 – $73,112 · median $22,709 21 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,055 – $154,547 · median $14,390 21 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,499 – $87,202 · median $9,719 21 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $7,893 – $66,862 · median $21,291 21 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,909 – $27,919 · median $11,625 21 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $2,370 – $71,850 · median $7,933 21 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $7,893 – $44,945 · median $12,820 21 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,342 – $32,599 · median $11,314 21 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $7,893 – $113,947 · median $19,249 21 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,271 – $157,424 · median $9,722 21 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,237 – $81,438 · median $9,228 21 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $7,893 – $851,910 · median $51,812 21 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $7,893 – $232,254 · median $40,415 21 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $7,893 – $132,875 · median $30,966 21 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $7,516 – $364,597 · median $39,253 21 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $7,893 – $149,554 · median $30,396 21 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $7,244 – $75,625 · median $19,345 21 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $5,393 – $363,064 · median $32,353 21 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $7,893 – $143,402 · median $29,698 21 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $7,820 – $77,058 · median $20,642 21 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $7,893 – $349,242 · median $34,191 21 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $7,893 – $121,670 · median $28,681 21 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $7,585 – $52,822 · median $14,002 21 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $7,893 – $165,074 · median $34,459 21 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $7,893 – $117,946 · median $24,048 21 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $7,893 – $66,210 · median $19,105 21 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $7,893 – $335,797 · median $36,497 21 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $7,893 – $303,966 · median $22,789 21 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $7,893 – $205,862 · median $20,253 21 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $7,893 – $505,050 · median $57,246 21 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $7,893 – $241,860 · median $33,105 21 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $7,893 – $158,633 · median $21,607 21 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $7,893 – $102,977 · median $27,893 21 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,893 – $35,969 · median $15,511 21 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,420 – $29,463 · median $10,098 21 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $7,893 – $89,441 · median $26,127 21 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $7,893 – $38,065 · median $16,350 21 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,447 – $29,261 · median $11,384 21 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $7,893 – $76,635 · median $23,352 21 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,348 – $30,088 · median $12,473 21 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $2,847 – $20,977 · median $8,919 21 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $7,893 – $95,295 · median $25,562 21 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,682 – $32,724 · median $14,010 21 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,589 – $22,551 · median $10,188 21 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $7,893 – $133,916 · median $23,899 21 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,893 – $38,037 · median $15,724 21 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,849 – $28,078 · median $11,559 21 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $7,893 – $854,962 · median $78,024 21 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $7,893 – $263,892 · median $42,755 21 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,893 – $100,221 · median $24,704 21 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $7,893 – $477,312 · median $59,126 21 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $7,893 – $137,193 · median $32,025 21 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,893 – $56,721 · median $16,864 21 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $7,893 – $322,686 · median $47,863 21 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,893 – $163,504 · median $33,907 21 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $7,893 – $252,243 · median $40,577 21 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $9,920 – $125,476 · median $31,845 21 plans
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $7,893 – $190,260 · median $38,691 21 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $7,893 – $303,630 · median $46,742 21 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $7,893 – $99,950 · median $27,549 21 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $7,893 – $45,990 · median $16,455 21 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $7,893 – $362,972 · median $51,490 21 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $7,893 – $167,518 · median $35,523 21 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $7,893 – $104,290 · median $26,827 21 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $7,893 – $357,113 · median $51,044 21 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $7,893 – $105,619 · median $26,079 21 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $7,893 – $52,639 · median $17,684 21 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $7,893 – $211,917 · median $40,860 21 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $7,893 – $66,537 · median $19,773 21 plans
500 SOFT TISSUE PROCEDURES WITH MCC $7,893 – $273,813 · median $43,970 21 plans
501 SOFT TISSUE PROCEDURES WITH CC $7,893 – $84,168 · median $24,936 21 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $7,893 – $51,004 · median $19,533 21 plans
503 FOOT PROCEDURES WITH MCC $7,893 – $217,567 · median $38,949 21 plans
504 FOOT PROCEDURES WITH CC $7,893 – $93,137 · median $24,323 21 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $7,893 – $86,501 · median $20,881 21 plans
506 Major thumb or joint procedures $7,893 – $51,822 · median $19,577 21 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $7,893 – $71,242 · median $21,830 21 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,535 – $42,703 · median $14,784 21 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $7,893 – $288,417 · median $44,267 21 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $7,893 – $115,627 · median $28,886 21 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $7,893 – $62,406 · median $16,792 21 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $7,893 – $365,532 · median $51,661 21 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $7,893 – $109,547 · median $28,323 21 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $7,893 – $57,355 · median $20,780 21 plans
533 FRACTURES OF FEMUR WITH MCC $7,893 – $65,649 · median $22,110 21 plans
534 FRACTURES OF FEMUR WITHOUT MCC $4,608 – $27,532 · median $11,802 21 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $7,893 – $45,140 · median $18,674 21 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $4,507 – $26,881 · median $11,758 21 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,406 – $34,364 · median $13,324 21 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $3,861 – $36,933 · median $9,737 21 plans
539 OSTEOMYELITIS WITH MCC $7,893 – $106,549 · median $27,914 21 plans
540 OSTEOMYELITIS WITH CC $7,893 – $48,355 · median $17,984 21 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,124 – $28,296 · median $12,029 21 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $7,893 – $92,495 · median $23,903 21 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,893 – $37,671 · median $15,262 21 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $7,893 – $180,019 · median $36,637 21 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $7,893 – $41,704 · median $16,787 21 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,287 – $31,645 · median $10,820 21 plans
548 SEPTIC ARTHRITIS WITH MCC $7,893 – $109,885 · median $27,392 21 plans
549 SEPTIC ARTHRITIS WITH CC $7,893 – $41,915 · median $12,934 21 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,954 – $38,901 · median $12,500 21 plans
551 MEDICAL BACK PROBLEMS WITH MCC $7,893 – $76,441 · median $23,969 21 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,386 – $33,226 · median $13,975 21 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $7,893 – $47,815 · median $18,866 21 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,632 – $28,372 · median $12,102 21 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $7,893 – $49,886 · median $19,209 21 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $4,701 – $37,980 · median $11,839 21 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $7,893 – $62,214 · median $21,427 21 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $5,686 – $38,974 · median $12,525 21 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $7,893 – $96,417 · median $26,506 21 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,893 – $37,899 · median $16,513 21 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,481 – $27,335 · median $8,494 21 plans
562 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC $7,893 – $55,074 · median $16,964 21 plans
563 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC $5,533 – $29,791 · median $9,347 21 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $7,893 – $66,970 · median $17,892 21 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,010 – $34,156 · median $10,082 21 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $4,211 – $25,691 · median $10,846 21 plans
570 SKIN DEBRIDEMENT WITH MCC $7,893 – $242,475 · median $40,964 21 plans
571 SKIN DEBRIDEMENT WITH CC $7,893 – $81,071 · median $21,212 21 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $7,893 – $41,635 · median $16,565 21 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $7,893 – $999,201 · median $89,288 21 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $6,700 – $310,957 · median $48,089 21 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $7,893 – $90,596 · median $25,593 21 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $7,893 – $681,967 · median $67,298 21 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $7,893 – $183,729 · median $37,063 21 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $7,893 – $75,013 · median $23,033 21 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $7,893 – $277,485 · median $44,960 21 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $7,302 – $79,765 · median $20,254 21 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $7,893 – $51,959 · median $14,448 21 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $7,893 – $87,273 · median $22,293 21 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $7,893 – $72,310 · median $17,520 21 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $7,445 – $112,310 · median $29,535 21 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $7,893 – $93,952 · median $22,268 21 plans
592 SKIN ULCERS WITH MCC $7,893 – $99,085 · median $24,373 21 plans
593 SKIN ULCERS WITH CC $7,893 – $39,847 · median $13,037 21 plans
594 SKIN ULCERS WITHOUT CC/MCC $5,177 – $26,771 · median $9,080 21 plans
595 MAJOR SKIN DISORDERS WITH MCC $7,893 – $123,686 · median $29,942 21 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,893 – $37,768 · median $15,675 21 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $7,893 – $80,981 · median $21,141 21 plans
598 MALIGNANT BREAST DISORDERS WITH CC $7,893 – $36,948 · median $15,644 21 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,064 – $25,861 · median $8,321 21 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,341 – $36,014 · median $13,879 21 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,762 – $24,349 · median $8,693 21 plans
602 CELLULITIS WITH MCC $7,893 – $58,311 · median $15,131 21 plans
603 CELLULITIS WITHOUT MCC $5,443 – $31,323 · median $12,773 21 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $7,893 – $61,861 · median $17,791 21 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,811 – $31,493 · median $13,394 21 plans
606 MINOR SKIN DISORDERS WITH MCC $7,893 – $86,692 · median $21,780 21 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,352 – $45,936 · median $12,532 21 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $7,893 – $153,034 · median $30,897 21 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $7,893 – $59,589 · median $20,250 21 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $7,893 – $400,350 · median $48,304 21 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $7,893 – $110,086 · median $28,017 21 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,893 – $51,054 · median $18,053 21 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $7,893 – $385,583 · median $49,269 21 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $5,034 – $100,508 · median $25,436 21 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,893 – $39,586 · median $14,545 21 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $7,893 – $253,485 · median $41,570 21 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $7,893 – $72,400 · median $17,804 21 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $5,379 – $44,136 · median $13,379 21 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $4,345 – $394,522 · median $51,520 21 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $7,893 – $145,218 · median $30,723 21 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $7,080 – $60,674 · median $16,511 21 plans
637 DIABETES WITH MCC $3,623 – $57,125 · median $14,631 21 plans
638 DIABETES WITH CC $3,092 – $30,303 · median $9,354 21 plans
639 DIABETES WITHOUT CC/MCC — 21 plans
640 Nutritional & misc metabolic disorders w MCC $7,893 – $62,900 · median $19,257 21 plans
641 Nutritional & misc metabolic disorders w/o MCC $4,314 – $27,993 · median $11,332 21 plans
642 Inborn errors of metabolism $7,893 – $49,612 · median $17,996 21 plans
643 ENDOCRINE DISORDERS WITH MCC $7,893 – $76,778 · median $23,566 21 plans
644 ENDOCRINE DISORDERS WITH CC $7,652 – $35,253 · median $14,986 21 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $4,208 – $25,688 · median $11,296 21 plans
652 Kidney transplant $7,893 – $313,669 · median $44,532 21 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $7,893 – $825,523 · median $71,265 21 plans
654 MAJOR BLADDER PROCEDURES WITH CC $7,893 – $225,885 · median $39,059 21 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $7,893 – $125,257 · median $30,119 21 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $7,893 – $297,875 · median $44,225 21 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $7,893 – $101,565 · median $26,037 21 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC — 21 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $7,893 – $195,380 · median $37,471 21 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC — 21 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,893 – $138,148 · median $14,886 21 plans
662 MINOR BLADDER PROCEDURES WITH MCC $7,893 – $278,008 · median $45,231 21 plans
663 MINOR BLADDER PROCEDURES WITH CC $7,893 – $200,385 · median $21,874 21 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,893 – $38,975 · median $13,185 21 plans
665 PROSTATECTOMY WITH MCC $7,346 – $265,858 · median $43,384 21 plans
666 PROSTATECTOMY WITH CC $5,341 – $88,799 · median $22,944 21 plans
667 PROSTATECTOMY WITHOUT CC/MCC $7,893 – $34,035 · median $13,821 21 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $7,116 – $233,622 · median $40,681 21 plans
669 TRANSURETHRAL PROCEDURES WITH CC $7,893 – $68,835 · median $18,107 21 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $6,942 – $34,160 · median $13,856 21 plans
671 URETHRAL PROCEDURES WITH CC/MCC $7,893 – $94,132 · median $22,280 21 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $6,282 – $36,034 · median $11,061 21 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $7,893 – $430,956 · median $57,899 21 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $7,893 – $164,015 · median $33,470 21 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $7,893 – $76,864 · median $22,695 21 plans
682 RENAL FAILURE WITH MCC $7,893 – $62,809 · median $21,348 21 plans
683 RENAL FAILURE WITH CC $5,934 – $52,733 · median $12,889 21 plans
684 RENAL FAILURE WITHOUT CC/MCC $2,743 – $28,575 · median $8,809 21 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $7,893 – $90,888 · median $22,840 21 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,893 – $35,969 · median $15,263 21 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,608 – $29,971 · median $10,501 21 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $7,893 – $39,680 · median $14,055 21 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $4,739 – $40,512 · median $11,638 21 plans
693 URINARY STONES WITH MCC $7,893 – $52,209 · median $19,514 21 plans
694 URINARY STONES WITHOUT MCC $4,046 – $27,573 · median $11,330 21 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $7,893 – $39,722 · median $14,638 21 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $3,498 – $38,639 · median $10,030 21 plans
697 Urethral stricture $7,629 – $34,329 · median $14,526 21 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $7,893 – $76,837 · median $19,699 21 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,692 – $35,011 · median $14,787 21 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $3,864 – $25,626 · median $10,064 21 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $7,893 – $107,326 · median $28,137 21 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $7,893 – $63,920 · median $21,495 21 plans
709 PENIS PROCEDURES WITH CC/MCC $7,893 – $160,631 · median $32,582 21 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $7,893 – $61,748 · median $20,276 21 plans
711 TESTES PROCEDURES WITH CC/MCC $7,893 – $128,147 · median $29,446 21 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $7,893 – $42,949 · median $15,509 21 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $7,893 – $63,069 · median $16,220 21 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,098 – $33,146 · median $10,855 21 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $7,893 – $138,881 · median $32,744 21 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $7,893 – $61,857 · median $15,866 21 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $7,893 – $95,706 · median $26,849 21 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $5,232 – $46,994 · median $13,517 21 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $7,893 – $93,724 · median $25,068 21 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $7,893 – $39,864 · median $12,880 21 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,332 – $26,466 · median $10,260 21 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $7,893 – $43,216 · median $12,729 21 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,069 – $26,691 · median $7,893 21 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $7,893 – $61,110 · median $21,305 21 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,733 – $41,720 · median $11,848 21 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,893 – $37,283 · median $15,674 21 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,816 – $22,685 · median $7,893 21 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $7,893 – $133,965 · median $30,067 21 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $5,674 – $53,055 · median $13,540 21 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $7,893 – $443,180 · median $49,474 21 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $7,893 – $117,491 · median $28,975 21 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $7,893 – $58,103 · median $15,074 21 plans
739 Uterine,adnexa proc for non-ovarian/adnexal malig w MCC $7,893 – $384,953 · median $49,586 21 plans
740 Uterine,adnexa proc for non-ovarian/adnexal malig w CC $7,893 – $92,680 · median $25,763 21 plans
741 Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC $7,893 – $54,404 · median $19,916 21 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $7,893 – $88,948 · median $26,101 21 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $7,893 – $40,887 · median $17,380 21 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $7,893 – $102,336 · median $27,574 21 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $7,893 – $39,808 · median $13,196 21 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $7,893 – $81,296 · median $21,486 21 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,073 – $33,852 · median $13,001 21 plans
748 Female reproductive system reconstructive procedures $7,893 – $52,613 · median $19,752 21 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $7,893 – $190,980 · median $35,946 21 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,893 – $56,372 · median $18,698 21 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $7,893 – $93,109 · median $25,003 21 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,893 – $37,397 · median $16,065 21 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,524 – $34,481 · median $13,846 21 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $7,893 – $58,356 · median $15,211 21 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,365 – $33,053 · median $14,603 21 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,477 – $21,461 · median $7,893 21 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $6,475 – $33,437 · median $14,290 21 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,311 – $19,569 · median $7,893 21 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $7,893 – $69,967 · median $20,148 21 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,893 – $31,201 · median $14,922 21 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,181 – $24,114 · median $10,246 21 plans
779 ABORTION WITHOUT D&C $4,678 – $35,235 · median $12,753 21 plans
789 Neonates, died or transferred to another acute care facility $2,376 – $87,394 · median $25,229 21 plans
790 Extreme immaturity or respiratory distress syndrome, neonate $2,376 – $950,435 · median $81,302 21 plans
791 PREMATURITY WITH MAJOR PROBLEMS $2,376 – $443,304 · median $55,983 21 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $2,376 – $161,392 · median $34,356 21 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $2,376 – $467,766 · median $57,469 21 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,376 – $58,603 · median $15,062 21 plans
795 Normal newborn $272 – $16,289 · median $2,867 21 plans
799 SPLENIC PROCEDURES WITH MCC $7,602 – $642,523 · median $62,297 21 plans
800 SPLENIC PROCEDURES WITH CC $5,059 – $229,102 · median $39,195 21 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $7,893 – $102,603 · median $21,903 21 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $7,893 – $360,382 · median $51,977 21 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $7,893 – $95,029 · median $23,601 21 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $7,118 – $53,017 · median $13,637 21 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $7,893 – $134,918 · median $31,114 21 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $7,893 – $44,166 · median $12,797 21 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $4,368 – $32,475 · median $10,755 21 plans
811 RED BLOOD CELL DISORDERS WITH MCC $4,752 – $54,007 · median $14,087 21 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,978 – $31,064 · median $13,382 21 plans
813 Coagulation disorders $7,893 – $69,379 · median $18,122 21 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $7,893 – $106,736 · median $26,073 21 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,309 – $35,668 · median $13,709 21 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,362 – $25,218 · median $9,561 21 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $7,893 – $164,731 · median $32,104 21 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $7,893 – $55,005 · median $11,804 21 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,671 – $30,735 · median $9,016 21 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — 21 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $7,893 – $143,390 · median $32,367 21 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $7,893 – $43,682 · median $16,582 21 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC — 21 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $7,893 – $151,153 · median $31,889 21 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $7,893 – $52,446 · median $13,575 21 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $7,893 – $673,137 · median $64,297 21 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $7,893 – $153,605 · median $32,502 21 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $7,893 – $80,725 · median $23,241 21 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $7,893 – $284,704 · median $44,712 21 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $7,893 – $59,543 · median $21,205 21 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $7,893 – $41,331 · median $16,688 21 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,824 – $24,232 · median $7,893 21 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,852 – $17,434 · median $7,537 21 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $5,145 – $920,353 · median $75,208 21 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $7,893 – $121,388 · median $30,481 21 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $7,893 – $54,268 · median $12,365 21 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $7,160 – $825,859 · median $65,997 21 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $7,893 – $131,046 · median $29,407 21 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,759 – $52,875 · median $14,456 21 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $7,893 – $296,586 · median $44,912 21 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $7,893 – $75,446 · median $19,663 21 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,893 – $38,179 · median $10,417 21 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $6,359 – $109,200 · median $27,149 21 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $7,893 – $42,198 · median $17,329 21 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,438 – $29,248 · median $12,132 21 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $7,893 – $195,391 · median $36,281 21 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $7,893 – $49,396 · median $18,424 21 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,840 – $32,139 · median $11,874 21 plans
849 Radiotherapy $7,893 – $165,273 · median $37,853 21 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $7,893 – $722,513 · median $67,801 21 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $7,893 – $123,909 · median $28,295 21 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $7,893 – $68,879 · median $21,565 21 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $7,893 – $577,644 · median $62,563 21 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $7,893 – $124,943 · median $30,222 21 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $7,893 – $55,012 · median $18,682 21 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $7,893 – $96,840 · median $25,509 21 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,245 – $34,796 · median $10,301 21 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,328 – $29,341 · median $9,275 21 plans
865 VIRAL ILLNESS WITH MCC $3,630 – $59,901 · median $15,268 21 plans
866 VIRAL ILLNESS WITHOUT MCC $5,259 – $82,492 · median $12,828 21 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $7,893 – $131,248 · median $29,573 21 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,893 – $36,519 · median $15,225 21 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,131 – $38,145 · median $10,433 21 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $7,893 – $1,254,281 · median $94,311 21 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $7,893 – $104,024 · median $26,585 21 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,893 – $47,819 · median $14,950 21 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $7,893 – $403,674 · median $53,376 21 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $7,893 – $521,069 · median $57,832 21 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $7,893 – $108,051 · median $27,105 21 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $7,893 – $42,050 · median $14,011 21 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $7,893 – $372,828 · median $50,799 21 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $7,893 – $70,845 · median $19,348 21 plans
906 Hand procedures for injuries $7,893 – $98,123 · median $26,693 21 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $7,893 – $439,514 · median $53,032 21 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $7,893 – $118,113 · median $28,256 21 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $7,893 – $49,671 · median $13,233 21 plans
913 TRAUMATIC INJURY WITH MCC $6,176 – $69,243 · median $17,739 21 plans
914 TRAUMATIC INJURY WITHOUT MCC $5,470 – $94,262 · median $13,286 21 plans
915 ALLERGIC REACTIONS WITH MCC $7,893 – $81,985 · median $20,790 21 plans
916 ALLERGIC REACTIONS WITHOUT MCC $3,121 – $22,976 · median $9,220 21 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $7,893 – $65,849 · median $22,522 21 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,921 – $28,286 · median $8,990 21 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $4,723 – $95,888 · median $24,624 21 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,169 – $35,346 · median $10,342 21 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,586 – $25,180 · median $9,970 21 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $7,893 – $80,496 · median $22,738 21 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,527 – $32,627 · median $10,485 21 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC — 21 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $6,607 – $271,846 · median $44,722 21 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $7,428 – $350,886 · median $53,769 21 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $7,893 – $114,797 · median $29,881 21 plans
935 Non-extensive burns $7,893 – $114,218 · median $27,666 21 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $7,893 – $380,482 · median $46,020 21 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $7,893 – $152,336 · median $32,847 21 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $7,893 – $112,334 · median $27,676 21 plans
945 REHABILITATION WITH CC/MCC $7,893 – $64,667 · median $15,584 21 plans
946 REHABILITATION WITHOUT CC/MCC $7,893 – $38,833 · median $16,188 21 plans
947 SIGNS AND SYMPTOMS WITH MCC $7,893 – $43,611 · median $18,505 21 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,604 – $26,899 · median $11,520 21 plans
949 AFTERCARE WITH CC/MCC $7,893 – $45,021 · median $15,644 21 plans
950 AFTERCARE WITHOUT CC/MCC $3,447 – $24,543 · median $8,498 21 plans
951 Other factors influencing health status $3,273 – $19,690 · median $8,220 21 plans
955 Craniotomy for multiple significant trauma $7,893 – $1,174,401 · median $91,883 21 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $7,893 – $423,620 · median $52,007 21 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 21 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $6,036 – $506,737 · median $58,065 21 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,893 – $236,581 · median $38,334 21 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $7,094 – $213,767 · median $38,179 21 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $7,893 – $65,679 · median $17,333 21 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,756 – $31,475 · median $9,766 21 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $5,430 – $1,019,213 · median $83,691 21 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $7,893 – $220,751 · median $36,884 21 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $5,881 – $221,428 · median $40,224 21 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC — 21 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,247 – $48,234 · median $13,578 21 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $7,893 – $48,426 · median $18,885 21 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $7,893 – $604,567 · median $64,485 21 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $7,893 – $171,994 · median $34,481 21 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $7,893 – $80,515 · median $19,828 21 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $7,893 – $327,951 · median $48,014 21 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $7,893 – $81,038 · median $20,906 21 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $7,893 – $39,654 · median $16,753 21 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $7,893 – $659,470 · median $70,302 20 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,141 – $25,515 · median $9,306 20 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $2,347 – $19,067 · median $8,003 20 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $7,893 – $95,061 · median $25,195 20 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $7,893 – $129,040 · median $30,147 20 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $7,893 – $72,228 · median $20,773 20 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $4,442 – $26,916 · median $9,496 20 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $4,075 – $31,347 · median $11,925 20 plans
881 Depressive neuroses $3,734 – $29,593 · median $11,512 20 plans
882 Neuroses except depressive $4,354 – $31,245 · median $11,801 20 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $7,893 – $57,214 · median $18,972 20 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $7,893 – $54,309 · median $19,529 20 plans
885 Psychoses $7,893 – $44,814 · median $13,623 20 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $6,707 – $60,386 · median $19,996 20 plans
887 Other mental disorder diagnoses $5,965 – $44,849 · median $13,410 20 plans
894 Alcohol/drug abuse or dependence, left AMA $1,669 – $104,508 · median $8,471 20 plans
895 Alcohol/drug abuse or dependence w rehabilitation therapy $7,893 – $53,919 · median $17,331 20 plans
896 Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC $7,893 – $60,730 · median $17,920 20 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $7,893 – $2,893,825 · median $245,256 20 plans
897 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC $3,792 – $29,448 · median $9,229 19 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $14,967 – $525,129 · median $62,551 18 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $7,517 – $162,033 · median $33,664 18 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $22,654 – $104,440 · median $40,012 17 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $16,714 – $75,165 · median $30,569 17 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $17,101 – $160,642 · median $64,614 17 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $16,566 – $122,670 · median $50,347 17 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $7,893 – $45,013 · median $11,909 16 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $13,585 – $124,110 · median $49,746 16 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $9,585 – $63,465 · median $26,038 16 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $12,600 – $46,451 · median $19,575 16 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $5,871 – $109,017 · median $41,890 16 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $4,408 – $50,941 · median $20,940 16 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $9,489 – $34,984 · median $17,391 16 plans
173 Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism $4,665 – $88,984 · median $41,439 15 plans
212 Concomitant Aortic and Mitral Valve Procedures $9,245 – $316,409 · median $147,545 15 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $17,372 – $207,477 · median $97,248 15 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $37,633 – $179,626 · median $82,150 15 plans
277 Cardiac Defibrillator Implant without MCC $34,956 – $134,914 · median $63,500 15 plans
278 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC $43,932 – $161,963 · median $72,542 15 plans
279 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC $28,464 – $104,937 · median $48,585 15 plans
321 Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices $16,821 – $82,554 · median $38,005 15 plans
322 Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC $11,107 – $52,464 · median $25,136 15 plans
323 Coronary Intravascular Lithotripsy with Intraluminal Device with MCC $11,628 – $125,917 · median $59,589 15 plans
324 Coronary Intravascular Lithotripsy with Intraluminal Device without MCC $6,410 – $92,655 · median $43,784 15 plans
325 Coronary Intravascular Lithotripsy without Intraluminal Device $5,558 – $93,415 · median $41,499 15 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $14,935 – $194,560 · median $76,513 14 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $22,359 – $194,422 · median $77,251 14 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $18,371 – $123,397 · median $49,467 14 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $42,065 – $155,078 · median $73,862 14 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $25,497 – $93,997 · median $44,798 14 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $62,467 – $267,128 · median $99,904 14 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 13 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES — 13 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 13 plans
006 LIVER TRANSPLANT WITHOUT MCC $7,893 – $648,226 · median $38,512 13 plans
007 Lung transplant — 13 plans
008 Simultaneous pancreas/kidney transplant $7,893 – $903,172 · median $46,548 13 plans
010 Pancreas transplant $7,893 – $818,677 · median $59,597 13 plans
011 Tracheostomy for face,mouth & neck diagnoses w MCC $7,893 – $773,704 · median $45,298 13 plans
012 Tracheostomy for face,mouth & neck diagnoses w CC $7,893 – $456,555 · median $35,015 13 plans
013 Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC $7,893 – $200,549 · median $23,934 13 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 13 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 13 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $7,893 – $693,236 · median $45,117 13 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC — 13 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC — 13 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $7,893 – $449,644 · median $26,390 13 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $7,893 – $923,593 · median $47,592 13 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $7,893 – $450,844 · median $32,490 13 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $7,893 – $573,320 · median $37,762 13 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $7,893 – $271,732 · median $25,823 13 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $7,893 – $173,502 · median $20,954 13 plans
028 SPINAL PROCEDURES WITH MCC $7,893 – $963,797 · median $49,901 13 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $7,893 – $313,941 · median $28,335 13 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $7,893 – $143,117 · median $18,232 13 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $7,893 – $562,401 · median $37,212 13 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $7,893 – $134,040 · median $17,699 13 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $7,893 – $81,159 · median $13,811 13 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $7,893 – $416,908 · median $32,148 13 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $7,893 – $157,915 · median $19,854 13 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $7,893 – $97,612 · median $16,136 13 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $7,893 – $306,374 · median $27,342 13 plans
038 EXTRACRANIAL PROCEDURES WITH CC $7,893 – $77,995 · median $13,476 13 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $7,893 – $38,159 · median $9,763 13 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $7,893 – $436,570 · median $32,069 13 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $7,893 – $149,617 · median $18,261 13 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $7,893 – $91,629 · median $14,349 13 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $7,893 – $84,660 · median $15,044 13 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $6,599 – $27,145 · median $7,976 13 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $7,893 – $58,714 · median $12,681 13 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,871 – $31,636 · median $8,305 13 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $7,893 – $146,143 · median $19,294 13 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $7,893 – $95,883 · median $14,198 13 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $7,893 – $38,829 · median $10,108 13 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $5,647 – $25,880 · median $7,639 13 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $7,893 – $221,000 · median $22,899 13 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $7,893 – $101,407 · median $14,594 13 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $7,893 – $67,704 · median $11,659 13 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $7,893 – $108,183 · median $16,702 13 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,683 – $29,793 · median $8,230 13 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $3,667 – $19,961 · median $5,684 13 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $7,893 – $61,718 · median $12,198 13 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,728 – $25,566 · median $7,179 13 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $4,508 – $23,206 · median $6,634 13 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $7,893 – $79,914 · median $13,827 13 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $7,457 – $30,560 · median $8,357 13 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $4,136 – $21,753 · median $6,281 13 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $7,893 – $65,165 · median $13,324 13 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,401 – $30,230 · median $8,397 13 plans
075 VIRAL MENINGITIS WITH CC/MCC $7,893 – $88,484 · median $15,926 13 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,018 – $26,590 · median $6,854 13 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $7,893 – $99,525 · median $15,033 13 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,643 – $26,239 · median $7,438 13 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $7,893 – $147,680 · median $18,983 13 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $7,893 – $52,495 · median $11,593 13 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,506 – $27,724 · median $7,893 13 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $7,893 – $146,403 · median $18,869 13 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $7,893 – $46,269 · median $10,819 13 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,700 – $25,636 · median $7,597 13 plans
088 CONCUSSION WITH MCC $7,893 – $53,881 · median $11,227 13 plans
089 CONCUSSION WITH CC $7,893 – $31,091 · median $8,949 13 plans
090 CONCUSSION WITHOUT CC/MCC $4,815 – $24,859 · median $6,837 13 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $7,893 – $78,869 · median $14,586 13 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,114 – $30,705 · median $8,333 13 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,331 – $22,890 · median $6,614 13 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $7,893 – $362,013 · median $29,230 13 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $7,893 – $178,144 · median $21,421 13 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $7,893 – $167,412 · median $21,421 13 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $7,893 – $370,595 · median $29,997 13 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $7,893 – $128,736 · median $19,060 13 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $7,893 – $50,132 · median $11,315 13 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $7,893 – $2,863,216 · median $174,588 12 plans
397 Appendix Procedures with MCC $12,231 – $69,686 · median $22,998 12 plans
398 Appendix Procedures without MCC/CC $11,946 – $44,042 · median $16,204 12 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $9,035 – $33,308 · median $11,255 12 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $12,135 – $116,987 · median $38,268 12 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $63,156 – $320,689 · median $104,026 12 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $37,091 – $210,043 · median $68,308 12 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $28,508 – $163,586 · median $53,311 12 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $30,323 – $262,157 · median $85,131 12 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $35,148 – $167,808 · median $54,674 12 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $7,893 – $816,826 · median $228,273 11 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $340,828 – $1,093,596 · median $358,650 9 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $56,311 – $229,874 · median $59,256 9 plans
209 COMPLEX AORTIC ARCH PROCEDURES $7,917 – $329,349 · median $153,520 7 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $25,274 – $166,057 · median $78,123 7 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $6,831 – $70,480 · median $33,993 7 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $27,140 – $100,055 · median $56,068 6 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $19,055 – $70,250 · median $39,582 6 plans
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