Englewood Hospital and Medical Center — 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
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $2,873 – $132,110 · median $50,271 37 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $2,873 – $145,870 · median $53,630 37 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $2,873 – $156,709 · median $56,432 37 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $2,873 – $111,854 · median $41,584 37 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,873 – $50,826 · median $10,967 37 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $2,873 – $81,873 · median $18,049 37 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $2,873 – $47,935 · median $11,708 37 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $2,873 – $40,127 · median $9,634 37 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $2,873 – $69,856 · median $15,901 37 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $2,873 – $46,726 · median $11,490 37 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $2,873 – $39,055 · median $9,879 37 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $2,873 – $261,230 · median $97,009 36 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $2,873 – $175,580 · median $65,554 36 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $2,873 – $175,580 · median $60,758 36 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $2,873 – $205,034 · median $75,632 36 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $2,873 – $142,402 · median $52,124 36 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $2,873 – $134,588 · median $47,038 36 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $2,873 – $144,533 · median $43,853 36 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $2,873 – $225,104 · median $81,023 36 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $2,873 – $161,890 · median $62,370 36 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $2,873 – $204,150 · median $74,779 36 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $2,873 – $131,424 · median $48,386 36 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $2,873 – $85,257 · median $33,894 36 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $2,873 – $56,901 · median $23,804 36 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $2,873 – $78,223 · median $19,263 36 plans
245 AICD GENERATOR PROCEDURES $2,873 – $121,830 · median $46,961 36 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $2,873 – $58,279 · median $23,079 36 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $2,873 – $59,808 · median $15,960 36 plans
253 OTHER VASCULAR PROCEDURES WITH CC $2,873 – $69,310 · median $24,799 36 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $2,873 – $83,904 · median $27,197 36 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $2,873 – $55,770 · median $18,106 36 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $2,873 – $86,860 · median $32,901 36 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $2,873 – $50,482 · median $19,040 36 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $2,873 – $52,420 · median $15,962 36 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $2,873 – $112,406 · median $31,577 36 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $2,873 – $64,776 · median $17,367 36 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $2,873 – $58,818 · median $15,382 36 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $2,873 – $60,626 · median $15,594 36 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $2,425 – $48,045 · median $12,508 36 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $2,873 – $57,622 · median $14,060 36 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,873 – $47,538 · median $12,679 36 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,873 – $41,012 · median $9,906 36 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,873 – $36,932 · median $9,750 36 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $2,873 – $265,882 · median $117,632 35 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $2,873 – $76,117 · median $28,210 35 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $2,873 – $54,741 · median $15,756 35 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $2,873 – $93,148 · median $33,131 35 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $2,873 – $47,577 · median $18,027 35 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $2,873 – $72,029 · median $25,402 35 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $2,873 – $45,339 · median $16,640 35 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $2,873 – $53,872 · median $10,251 35 plans
263 VEIN LIGATION AND STRIPPING $2,873 – $81,642 · median $27,326 35 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $2,873 – $89,204 · median $35,433 35 plans
265 AICD LEAD PROCEDURES $2,873 – $105,073 · median $36,151 35 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $1,814 – $33,961 · median $7,951 35 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $4,417 – $59,088 · median $21,574 35 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $4,417 – $46,398 · median $11,776 35 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $4,417 – $72,264 · median $26,494 35 plans
291 HEART FAILURE AND SHOCK WITH MCC $3,332 – $34,281 · median $13,429 35 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $4,417 – $28,505 · median $10,723 35 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $3,771 – $20,403 · median $7,697 35 plans
302 ATHEROSCLEROSIS WITH MCC $4,417 – $46,980 · median $11,603 35 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,417 – $15,117 · median $6,163 35 plans
653 MAJOR BLADDER PROCEDURES WITH MCC — 35 plans
654 MAJOR BLADDER PROCEDURES WITH CC $2,873 – $110,950 · median $28,155 35 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $2,873 – $79,704 · median $21,289 35 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $2,873 – $125,944 · median $32,023 35 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $2,873 – $74,344 · median $18,406 35 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $2,873 – $60,794 · median $15,608 35 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $2,873 – $102,760 · median $30,018 35 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $2,873 – $55,748 · median $15,756 35 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $2,873 – $41,177 · median $12,463 35 plans
662 MINOR BLADDER PROCEDURES WITH MCC $2,873 – $113,517 · median $30,793 35 plans
663 MINOR BLADDER PROCEDURES WITH CC $2,873 – $61,892 · median $15,756 35 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $2,873 – $46,032 · median $11,351 35 plans
665 PROSTATECTOMY WITH MCC $2,873 – $118,222 · median $33,161 35 plans
666 PROSTATECTOMY WITH CC $2,873 – $67,621 · median $17,009 35 plans
667 PROSTATECTOMY WITHOUT CC/MCC $2,873 – $38,853 · median $11,126 35 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $2,873 – $77,952 · median $19,933 35 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $2,873 – $93,086 · median $24,399 35 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $2,873 – $59,284 · median $13,050 35 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $2,873 – $178,845 · median $40,983 35 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $2,873 – $86,570 · median $20,510 35 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $2,873 – $62,200 · median $15,709 35 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $2,873 – $161,218 · median $38,358 35 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $2,873 – $76,045 · median $18,201 35 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $2,873 – $54,135 · median $14,344 35 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $2,873 – $72,747 · median $18,454 35 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $4,417 – $46,279 · median $10,033 35 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,417 – $33,126 · median $7,584 35 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,417 – $28,976 · median $6,939 35 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $2,873 – $36,129 · median $13,426 34 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $2,873 – $28,970 · median $11,069 34 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $2,873 – $57,946 · median $23,452 34 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $2,873 – $37,395 · median $9,707 34 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $2,873 – $58,242 · median $21,482 34 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $2,873 – $127,128 · median $52,547 34 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $2,873 – $110,163 · median $38,630 34 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $4,417 – $42,834 · median $16,143 34 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $4,417 – $24,543 · median $9,915 34 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $4,417 – $52,893 · median $19,125 34 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,417 – $18,484 · median $7,804 34 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,417 – $37,939 · median $6,270 34 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $4,417 – $45,579 · median $15,661 34 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $4,417 – $24,826 · median $11,707 34 plans
292 HEART FAILURE AND SHOCK WITH CC $4,417 – $22,671 · median $8,953 34 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,417 – $26,779 · median $6,717 34 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $4,417 – $41,707 · median $16,671 34 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,417 – $18,303 · median $7,549 34 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,989 – $12,339 · median $5,254 34 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $4,417 – $43,598 · median $15,917 34 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,417 – $27,017 · median $7,393 34 plans
304 HYPERTENSION WITH MCC $4,417 – $31,777 · median $11,802 34 plans
305 HYPERTENSION WITHOUT MCC $4,417 – $20,643 · median $8,185 34 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $4,417 – $42,079 · median $14,776 34 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $4,417 – $24,385 · median $9,353 34 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $4,417 – $32,150 · median $12,008 34 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,417 – $19,645 · median $8,082 34 plans
311 ANGINA PECTORIS $4,417 – $35,751 · median $7,655 34 plans
312 SYNCOPE AND COLLAPSE $4,417 – $23,274 · median $9,404 34 plans
313 CHEST PAIN $4,417 – $19,226 · median $7,514 34 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $4,417 – $114,642 · median $22,371 34 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $4,417 – $41,529 · median $10,324 34 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,417 – $76,517 · median $7,497 34 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $2,873 – $64,012 · median $24,497 34 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $2,873 – $44,938 · median $17,289 34 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $2,873 – $40,989 · median $15,823 34 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $2,873 – $68,969 · median $26,143 34 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $2,873 – $40,180 · median $15,812 34 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $2,873 – $66,541 · median $23,524 34 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $2,873 – $49,755 · median $15,893 34 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $2,873 – $75,316 · median $18,228 34 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $2,873 – $77,444 · median $29,286 34 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $2,873 – $98,312 · median $35,679 34 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $2,873 – $42,396 · median $16,009 34 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $2,873 – $99,081 · median $30,499 34 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $2,873 – $60,228 · median $21,684 34 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $2,873 – $96,394 · median $35,676 34 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $2,873 – $45,299 · median $17,067 34 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $2,873 – $113,422 · median $41,455 34 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $2,873 – $62,064 · median $23,684 34 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,873 – $53,435 · median $18,374 34 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $2,873 – $155,243 · median $51,868 34 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $2,873 – $81,786 · median $27,572 34 plans
472 CERVICAL SPINAL FUSION WITH CC $2,873 – $89,803 · median $29,552 34 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,873 – $34,399 · median $13,236 34 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $2,873 – $298,164 · median $21,576 34 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $2,873 – $58,083 · median $16,637 34 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,417 – $29,090 · median $10,006 34 plans
570 SKIN DEBRIDEMENT WITH MCC $2,873 – $97,704 · median $31,035 34 plans
571 SKIN DEBRIDEMENT WITH CC $2,873 – $56,346 · median $17,525 34 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $2,873 – $191,771 · median $64,825 34 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $2,873 – $91,397 · median $20,785 34 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $2,873 – $86,910 · median $22,752 34 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $2,873 – $43,977 · median $13,477 34 plans
100 SEIZURES WITH MCC $4,417 – $51,718 · median $19,409 33 plans
113 ORBITAL PROCEDURES WITH CC/MCC $2,873 – $62,781 · median $23,084 33 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $2,873 – $40,986 · median $15,756 33 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $2,873 – $48,282 · median $16,401 33 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $4,417 – $35,331 · median $13,221 33 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $2,873 – $27,112 · median $11,995 33 plans
137 MOUTH PROCEDURES WITH CC/MCC $2,873 – $73,130 · median $15,756 33 plans
139 SALIVARY GLAND PROCEDURES $2,873 – $32,997 · median $14,682 33 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $2,873 – $113,896 · median $42,752 33 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $2,873 – $42,629 · median $15,756 33 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $2,873 – $100,045 · median $31,911 33 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $2,873 – $46,274 · median $17,238 33 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $2,873 – $32,105 · median $11,950 33 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $4,417 – $21,285 · median $8,813 33 plans
152 OTITIS MEDIA AND URI WITH MCC $4,417 – $31,568 · median $11,935 33 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $4,417 – $19,712 · median $7,680 33 plans
163 MAJOR CHEST PROCEDURES WITH MCC $2,873 – $119,678 · median $46,541 33 plans
164 MAJOR CHEST PROCEDURES WITH CC $2,873 – $67,398 · median $24,457 33 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $2,873 – $51,115 · median $18,257 33 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $2,873 – $99,808 · median $38,759 33 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $2,873 – $48,156 · median $17,907 33 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,873 – $36,487 · median $13,413 33 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $4,417 – $41,729 · median $17,179 33 plans
183 MAJOR CHEST TRAUMA WITH MCC $4,417 – $40,853 · median $16,411 33 plans
186 PLEURAL EFFUSION WITH MCC $4,417 – $41,617 · median $16,087 33 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,417 – $19,151 · median $8,131 33 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,417 – $17,891 · median $7,745 33 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 33 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $2,873 – $183,661 · median $63,871 33 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $2,873 – $112,772 · median $43,271 33 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $2,873 – $140,893 · median $49,298 33 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $2,873 – $94,964 · median $33,264 33 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $2,873 – $70,733 · median $26,262 33 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $2,873 – $122,252 · median $32,608 33 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $2,873 – $119,173 · median $42,270 33 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $2,873 – $64,229 · median $22,958 33 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $2,873 – $133,179 · median $48,786 33 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $2,873 – $78,808 · median $25,502 33 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $2,873 – $42,786 · median $16,943 33 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $2,873 – $122,740 · median $44,160 33 plans
332 RECTAL RESECTION WITH MCC $2,873 – $96,684 · median $33,495 33 plans
333 RECTAL RESECTION WITH CC $2,873 – $62,544 · median $22,605 33 plans
334 RECTAL RESECTION WITHOUT CC/MCC $2,873 – $43,737 · median $17,611 33 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $2,873 – $95,354 · median $34,964 33 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $2,873 – $56,309 · median $22,264 33 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $2,873 – $31,675 · median $13,372 33 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $2,873 – $61,299 · median $23,031 33 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $2,873 – $42,724 · median $15,462 33 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $2,873 – $26,138 · median $10,285 33 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $2,873 – $31,184 · median $13,796 33 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $2,873 – $77,492 · median $28,408 33 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $2,873 – $39,871 · median $15,756 33 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $2,873 – $117,301 · median $41,063 33 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $2,873 – $62,098 · median $23,696 33 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,873 – $41,394 · median $15,756 33 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $4,417 – $47,347 · median $18,013 33 plans
374 DIGESTIVE MALIGNANCY WITH MCC $4,417 – $57,110 · median $21,636 33 plans
375 DIGESTIVE MALIGNANCY WITH CC $4,417 – $32,300 · median $12,835 33 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $4,417 – $48,813 · median $18,713 33 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $4,417 – $24,986 · median $9,970 33 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $2,873 – $149,197 · median $55,022 33 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $2,873 – $59,270 · median $22,325 33 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $2,873 – $58,140 · median $21,899 33 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $2,873 – $45,930 · median $17,160 33 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $2,873 – $55,187 · median $20,787 33 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $2,873 – $37,989 · median $14,653 33 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $2,873 – $64,886 · median $24,279 33 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $2,873 – $36,471 · median $14,114 33 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $2,873 – $94,727 · median $35,776 33 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $2,873 – $51,577 · median $17,395 33 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $2,873 – $39,302 · median $15,670 33 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $2,873 – $42,078 · median $15,997 33 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $4,417 – $26,026 · median $10,429 33 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,417 – $18,684 · median $7,591 33 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC — 33 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $2,873 – $185,257 · median $59,977 33 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $2,873 – $143,262 · median $44,884 33 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $2,873 – $174,615 · median $61,771 33 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $2,873 – $90,550 · median $29,767 33 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $2,873 – $154,846 · median $55,991 33 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $2,873 – $86,028 · median $30,840 33 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $2,873 – $104,090 · median $35,471 33 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $2,873 – $90,154 · median $33,175 33 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $2,873 – $55,647 · median $19,401 33 plans
471 CERVICAL SPINAL FUSION WITH MCC — 33 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $2,873 – $74,870 · median $24,555 33 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $2,873 – $120,293 · median $45,299 33 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $2,873 – $64,925 · median $22,725 33 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,873 – $99,767 · median $34,873 33 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $2,873 – $70,194 · median $24,584 33 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $2,873 – $53,995 · median $18,697 33 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $2,873 – $90,446 · median $29,908 33 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $2,873 – $74,018 · median $26,734 33 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $2,873 – $102,737 · median $32,683 33 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $2,873 – $64,905 · median $21,731 33 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $2,873 – $49,655 · median $16,340 33 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $2,873 – $59,898 · median $20,181 33 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $2,873 – $39,461 · median $13,194 33 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $2,873 – $105,628 · median $36,929 33 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $2,873 – $70,962 · median $25,224 33 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $2,873 – $56,633 · median $19,937 33 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $2,873 – $111,357 · median $36,467 33 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $2,873 – $60,965 · median $20,256 33 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $2,873 – $44,875 · median $14,275 33 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $2,873 – $80,558 · median $26,495 33 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $2,873 – $53,801 · median $15,756 33 plans
500 SOFT TISSUE PROCEDURES WITH MCC $2,873 – $97,610 · median $32,178 33 plans
501 SOFT TISSUE PROCEDURES WITH CC $2,873 – $54,111 · median $18,379 33 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $2,873 – $41,350 · median $14,930 33 plans
503 FOOT PROCEDURES WITH MCC $2,873 – $81,840 · median $27,743 33 plans
504 FOOT PROCEDURES WITH CC $2,873 – $55,336 · median $18,599 33 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $2,873 – $55,445 · median $18,083 33 plans
506 MAJOR THUMB OR JOINT PROCEDURES $2,873 – $46,216 · median $15,756 33 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $2,873 – $63,456 · median $19,909 33 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $2,873 – $44,457 · median $15,293 33 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $2,873 – $86,188 · median $29,912 33 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $2,873 – $62,253 · median $20,714 33 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $2,873 – $49,309 · median $16,650 33 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $2,873 – $49,492 · median $15,834 33 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $2,873 – $31,624 · median $11,058 33 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $2,873 – $99,975 · median $32,054 33 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $2,873 – $62,618 · median $20,902 33 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $2,873 – $44,681 · median $15,909 33 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $2,873 – $114,887 · median $37,357 33 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $2,873 – $62,870 · median $20,245 33 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $2,873 – $45,609 · median $15,299 33 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $2,873 – $98,758 · median $29,646 33 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $2,873 – $70,705 · median $21,603 33 plans
533 FRACTURES OF FEMUR WITH MCC $4,417 – $45,712 · median $16,240 33 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $4,417 – $59,416 · median $19,181 33 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $4,417 – $52,105 · median $12,474 33 plans
551 MEDICAL BACK PROBLEMS WITH MCC $4,417 – $54,320 · median $17,598 33 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,417 – $45,940 · median $14,011 33 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $4,417 – $27,231 · median $8,975 33 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $4,417 – $47,160 · median $16,036 33 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $4,417 – $34,541 · median $11,059 33 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $2,873 – $38,121 · median $12,317 33 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $2,873 – $112,633 · median $35,131 33 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $2,873 – $176,178 · median $54,379 33 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $2,873 – $88,847 · median $27,134 33 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $2,873 – $55,716 · median $17,439 33 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $2,873 – $102,475 · median $33,082 33 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $2,873 – $56,209 · median $18,262 33 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $2,873 – $44,250 · median $15,361 33 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $2,873 – $57,758 · median $18,560 33 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $2,873 – $54,335 · median $17,344 33 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $2,873 – $64,624 · median $21,531 33 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $2,873 – $61,626 · median $20,377 33 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $2,873 – $57,416 · median $15,297 33 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $2,873 – $145,733 · median $39,121 33 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $2,873 – $74,440 · median $19,844 33 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $2,873 – $47,766 · median $14,265 33 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $2,873 – $133,326 · median $37,894 33 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $2,873 – $69,236 · median $19,656 33 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $2,873 – $40,522 · median $12,592 33 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $2,873 – $105,374 · median $30,004 33 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $2,873 – $61,383 · median $15,756 33 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $2,873 – $137,838 · median $39,925 33 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $2,873 – $87,619 · median $23,009 33 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $2,873 – $52,612 · median $14,972 33 plans
639 DIABETES WITHOUT CC/MCC $876 – $22,895 · median $6,832 33 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 33 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $2,873 – $140,622 · median $36,213 33 plans
652 KIDNEY TRANSPLANT $2,873 – $121,331 · median $32,100 33 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $2,873 – $107,768 · median $29,662 33 plans
669 TRANSURETHRAL PROCEDURES WITH CC $2,873 – $60,017 · median $16,014 33 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $2,873 – $38,314 · median $10,402 33 plans
671 URETHRAL PROCEDURES WITH CC/MCC $2,873 – $69,824 · median $18,054 33 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $2,873 – $45,299 · median $11,825 33 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $2,873 – $136,521 · median $42,357 33 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $2,873 – $93,987 · median $23,600 33 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $2,873 – $69,282 · median $16,509 33 plans
709 PENIS PROCEDURES WITH CC/MCC $2,873 – $94,119 · median $23,406 33 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $2,873 – $65,231 · median $15,756 33 plans
711 TESTES PROCEDURES WITH CC/MCC $2,873 – $86,989 · median $20,195 33 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $2,873 – $43,250 · median $11,570 33 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $2,873 – $61,091 · median $15,430 33 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $2,873 – $38,083 · median $10,635 33 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $2,873 – $82,936 · median $23,101 33 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $2,873 – $52,515 · median $15,157 33 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $2,873 – $74,105 · median $19,085 33 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $2,873 – $51,012 · median $13,509 33 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $2,873 – $76,231 · median $20,610 33 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $2,873 – $49,806 · median $11,441 33 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $2,873 – $68,588 · median $17,472 33 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $2,873 – $40,032 · median $10,157 33 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $2,873 – $115,876 · median $26,394 33 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,873 – $62,827 · median $14,844 33 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $4,417 – $78,162 · median $18,624 33 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,417 – $41,744 · median $10,747 33 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $2,873 – $70,446 · median $16,996 33 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $2,873 – $38,662 · median $11,636 33 plans
799 SPLENIC PROCEDURES WITH MCC $2,873 – $229,946 · median $47,992 33 plans
800 SPLENIC PROCEDURES WITH CC $2,873 – $132,117 · median $29,637 33 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $2,873 – $75,467 · median $17,437 33 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $2,873 – $166,471 · median $37,365 33 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $2,873 – $84,722 · median $18,697 33 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $2,873 – $105,440 · median $25,861 33 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $2,873 – $60,387 · median $13,695 33 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,873 – $45,837 · median $10,159 33 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $2,873 – $261,573 · median $58,988 33 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $2,873 – $99,248 · median $22,843 33 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,873 – $57,714 · median $12,330 33 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $2,873 – $207,657 · median $47,242 33 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $2,873 – $109,245 · median $22,787 33 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $2,873 – $64,852 · median $13,572 33 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $2,873 – $233,506 · median $48,199 33 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $2,873 – $115,948 · median $24,114 33 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,873 – $77,986 · median $17,040 33 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $2,873 – $149,212 · median $31,783 33 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $2,873 – $68,811 · median $15,600 33 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $2,873 – $236,520 · median $50,450 33 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $2,873 – $100,316 · median $21,093 33 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,873 – $71,696 · median $16,793 33 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $2,873 – $218,280 · median $45,751 33 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $2,873 – $97,828 · median $22,309 33 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $2,873 – $64,915 · median $14,010 33 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $2,873 – $159,407 · median $39,765 33 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $2,873 – $211,731 · median $44,759 33 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $2,873 – $97,605 · median $19,505 33 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $2,873 – $56,494 · median $13,104 33 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $2,873 – $185,550 · median $39,082 33 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $2,873 – $82,202 · median $17,018 33 plans
906 HAND PROCEDURES FOR INJURIES $2,873 – $89,662 · median $22,345 33 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $2,873 – $198,037 · median $40,304 33 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $2,873 – $102,237 · median $20,696 33 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $2,873 – $68,963 · median $13,608 33 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $2,873 – $1,070,571 · median $237,114 33 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $2,873 – $332,614 · median $69,096 33 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $2,873 – $153,536 · median $32,395 33 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $2,873 – $173,622 · median $33,152 33 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $2,873 – $113,838 · median $22,254 33 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $2,873 – $98,925 · median $20,395 33 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $2,873 – $326,263 · median $68,666 33 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $2,873 – $199,944 · median $38,696 33 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $2,873 – $385,952 · median $76,641 33 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $2,873 – $218,979 · median $42,383 33 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $2,873 – $142,539 · median $27,715 33 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $2,873 – $303,139 · median $63,641 33 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $2,873 – $154,437 · median $27,039 33 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $2,873 – $243,045 · median $47,983 33 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $2,873 – $134,194 · median $24,995 33 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,873 – $87,486 · median $17,239 33 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $2,873 – $172,667 · median $35,508 33 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $2,873 – $89,062 · median $17,694 33 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,873 – $59,201 · median $12,062 33 plans
101 SEIZURES WITHOUT MCC $4,417 – $40,310 · median $10,174 32 plans
102 HEADACHES WITH MCC $4,417 – $29,931 · median $12,867 32 plans
103 HEADACHES WITHOUT MCC $4,417 – $26,316 · median $9,517 32 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $4,417 – $31,064 · median $12,919 32 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,417 – $20,983 · median $7,640 32 plans
123 NEUROLOGICAL EYE DISORDERS $4,417 – $37,205 · median $9,095 32 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,417 – $25,601 · median $9,070 32 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $4,417 – $56,541 · median $22,341 32 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $4,417 – $33,953 · median $13,380 32 plans
149 DYSEQUILIBRIUM $4,417 – $20,269 · median $8,573 32 plans
150 EPISTAXIS WITH MCC $4,417 – $35,555 · median $13,682 32 plans
151 EPISTAXIS WITHOUT MCC $4,417 – $26,807 · median $8,523 32 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $4,417 – $41,750 · median $17,274 32 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,417 – $24,473 · median $10,034 32 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,417 – $18,454 · median $7,393 32 plans
157 DENTAL AND ORAL DISEASES WITH MCC $4,417 – $76,842 · median $18,838 32 plans
158 DENTAL AND ORAL DISEASES WITH CC $4,417 – $43,275 · median $10,498 32 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,417 – $32,819 · median $7,868 32 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $4,417 – $36,679 · median $14,285 32 plans
176 PULMONARY EMBOLISM WITHOUT MCC $4,417 – $21,496 · median $8,830 32 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $4,417 – $26,062 · median $11,153 32 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $4,417 – $20,161 · median $8,479 32 plans
180 RESPIRATORY NEOPLASMS WITH MCC $4,417 – $47,158 · median $18,268 32 plans
181 RESPIRATORY NEOPLASMS WITH CC $4,417 – $28,599 · median $11,821 32 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $4,417 – $20,129 · median $8,920 32 plans
184 MAJOR CHEST TRAUMA WITH CC $4,417 – $28,415 · median $11,394 32 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,417 – $21,002 · median $8,458 32 plans
187 PLEURAL EFFUSION WITH CC $4,417 – $26,412 · median $11,019 32 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $4,417 – $32,989 · median $12,307 32 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $4,417 – $29,579 · median $12,602 32 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $4,417 – $22,511 · median $9,281 32 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,417 – $17,143 · median $7,138 32 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $4,417 – $35,098 · median $14,822 32 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $4,417 – $21,520 · median $9,266 32 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,417 – $16,783 · median $7,095 32 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $4,417 – $50,394 · median $19,647 32 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $4,417 – $25,344 · median $10,905 32 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,417 – $19,125 · median $7,676 32 plans
199 PNEUMOTHORAX WITH MCC $4,417 – $47,107 · median $17,319 32 plans
200 PNEUMOTHORAX WITH CC $4,417 – $29,355 · median $11,073 32 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $4,417 – $19,095 · median $7,833 32 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $4,417 – $31,393 · median $10,994 32 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $4,417 – $110,324 · median $9,228 32 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $4,417 – $48,893 · median $20,796 32 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC — 32 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $4,417 – $186,439 · median $71,472 32 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $4,417 – $97,846 · median $30,299 32 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $4,417 – $47,231 · median $17,481 32 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $4,417 – $26,708 · median $10,884 32 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,417 – $18,713 · median $7,652 32 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $4,417 – $27,264 · median $11,002 32 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,417 – $19,424 · median $7,929 32 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $4,417 – $24,682 · median $9,523 32 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $4,417 – $26,188 · median $10,563 32 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,417 – $16,834 · median $7,032 32 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $4,417 – $52,397 · median $20,053 32 plans
381 COMPLICATED PEPTIC ULCER WITH CC $4,417 – $28,933 · median $11,607 32 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,417 – $21,378 · median $8,170 32 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $4,417 – $36,869 · median $13,727 32 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $4,417 – $22,826 · median $9,387 32 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $4,417 – $42,252 · median $17,024 32 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $4,417 – $26,070 · median $10,630 32 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,417 – $18,193 · median $7,372 32 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $4,417 – $39,435 · median $15,458 32 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,417 – $21,090 · median $8,699 32 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,417 – $14,952 · median $6,185 32 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $4,417 – $33,867 · median $13,583 32 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,417 – $20,818 · median $8,484 32 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $4,417 – $42,748 · median $17,340 32 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,417 – $17,330 · median $7,029 32 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $4,417 – $52,557 · median $20,405 32 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $4,417 – $28,204 · median $11,412 32 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,417 – $19,026 · median $7,636 32 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $4,417 – $49,045 · median $19,045 32 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $4,417 – $30,887 · median $11,997 32 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $4,417 – $24,719 · median $8,618 32 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $4,417 – $44,207 · median $17,418 32 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $4,417 – $23,436 · median $9,292 32 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,417 – $16,856 · median $6,813 32 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $4,417 – $52,514 · median $19,710 32 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $4,417 – $46,829 · median $17,627 32 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $4,417 – $30,283 · median $11,560 32 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,417 – $23,005 · median $8,656 32 plans
534 FRACTURES OF FEMUR WITHOUT MCC $4,417 – $25,566 · median $8,825 32 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $4,417 – $40,077 · median $14,042 32 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $4,417 – $25,111 · median $8,793 32 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $4,417 – $30,426 · median $9,887 32 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,417 – $23,568 · median $7,384 32 plans
539 OSTEOMYELITIS WITH MCC $4,417 – $63,534 · median $21,045 32 plans
540 OSTEOMYELITIS WITH CC $4,417 – $42,474 · median $13,680 32 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $4,417 – $27,617 · median $9,305 32 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $4,417 – $34,400 · median $11,322 32 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $4,417 – $25,641 · median $8,235 32 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $4,417 – $82,726 · median $26,147 32 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,417 – $27,672 · median $8,332 32 plans
548 SEPTIC ARTHRITIS WITH MCC $4,417 – $67,549 · median $20,966 32 plans
549 SEPTIC ARTHRITIS WITH CC $4,417 – $41,578 · median $12,780 32 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $4,417 – $29,485 · median $9,311 32 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $4,417 – $31,581 · median $10,340 32 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $4,417 – $42,600 · median $13,800 32 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,417 – $26,594 · median $9,033 32 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,417 – $63,429 · median $19,366 32 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $4,417 – $36,619 · median $12,108 32 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,417 – $26,962 · median $8,861 32 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $4,417 – $48,072 · median $15,393 32 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $4,417 – $29,783 · median $9,632 32 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $4,417 – $51,866 · median $16,462 32 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $4,417 – $25,844 · median $8,158 32 plans
592 SKIN ULCERS WITH MCC $4,417 – $59,760 · median $21,388 32 plans
593 SKIN ULCERS WITH CC $4,417 – $40,350 · median $12,958 32 plans
594 SKIN ULCERS WITHOUT CC/MCC $4,417 – $29,106 · median $9,176 32 plans
595 MAJOR SKIN DISORDERS WITH MCC $4,417 – $71,659 · median $21,983 32 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $4,417 – $35,290 · median $11,526 32 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $4,417 – $58,491 · median $18,358 32 plans
598 MALIGNANT BREAST DISORDERS WITH CC $4,417 – $39,778 · median $11,522 32 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,417 – $24,072 · median $9,099 32 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $4,417 – $35,767 · median $10,444 32 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,417 – $24,741 · median $6,655 32 plans
602 CELLULITIS WITH MCC $4,417 – $51,779 · median $15,451 32 plans
603 CELLULITIS WITHOUT MCC $4,417 – $30,500 · median $9,500 32 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $4,417 – $53,935 · median $15,618 32 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $4,417 – $32,940 · median $9,934 32 plans
606 MINOR SKIN DISORDERS WITH MCC $4,417 – $54,833 · median $16,878 32 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $4,417 – $30,014 · median $9,332 32 plans
637 DIABETES WITH MCC $4,417 – $51,490 · median $15,320 32 plans
638 DIABETES WITH CC $4,417 – $32,994 · median $9,868 32 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $4,417 – $46,214 · median $14,023 32 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,417 – $28,391 · median $8,495 32 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $4,417 – $48,622 · median $13,816 32 plans
643 ENDOCRINE DISORDERS WITH MCC $4,417 – $62,912 · median $17,353 32 plans
644 ENDOCRINE DISORDERS WITH CC $4,417 – $38,581 · median $11,044 32 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $4,417 – $29,139 · median $8,468 32 plans
682 RENAL FAILURE WITH MCC $4,417 – $58,231 · median $15,781 32 plans
683 RENAL FAILURE WITH CC $4,417 – $34,832 · median $9,582 32 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,417 – $24,133 · median $6,735 32 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $4,417 – $74,533 · median $19,663 32 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $4,417 – $41,757 · median $11,239 32 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,417 – $27,352 · median $7,988 32 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $4,417 – $44,424 · median $12,428 32 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $4,417 – $31,720 · median $8,709 32 plans
693 URINARY STONES WITH MCC $4,417 – $50,875 · median $15,463 32 plans
694 URINARY STONES WITHOUT MCC $4,417 – $29,286 · median $8,495 32 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $4,417 – $45,699 · median $11,998 32 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,417 – $27,782 · median $7,589 32 plans
697 URETHRAL STRICTURE $4,417 – $40,222 · median $10,858 32 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $4,417 – $64,918 · median $17,592 32 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $4,417 – $41,484 · median $10,907 32 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,417 – $30,182 · median $7,613 32 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $4,417 – $70,625 · median $18,267 32 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $4,417 – $45,077 · median $11,949 32 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,417 – $26,919 · median $7,798 32 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $4,417 – $53,215 · median $13,361 32 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,417 – $30,898 · median $8,121 32 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $4,417 – $59,040 · median $15,453 32 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,417 – $33,502 · median $8,856 32 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $4,417 – $41,956 · median $11,726 32 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,417 – $23,658 · median $6,792 32 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,417 – $48,468 · median $11,819 32 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,417 – $39,431 · median $10,251 32 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $4,417 – $65,609 · median $14,906 32 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,417 – $29,533 · median $7,065 32 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $4,417 – $39,938 · median $10,560 32 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,417 – $25,578 · median $6,822 32 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,417 – $33,519 · median $7,717 32 plans
779 ABORTION WITHOUT D&C $4,417 – $45,426 · median $9,922 32 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $4,417 – $75,763 · median $18,822 32 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $4,417 – $250,205 · median $60,713 32 plans
791 PREMATURITY WITH MAJOR PROBLEMS $4,417 – $171,115 · median $41,651 32 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $4,417 – $103,391 · median $25,367 32 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $4,417 – $176,262 · median $42,769 32 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,417 – $62,474 · median $15,522 32 plans
795 NORMAL NEWBORN $1,607 – $8,471 · median $2,626 32 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $2,873 – $61,403 · median $12,789 32 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $4,417 – $98,559 · median $23,755 32 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $4,417 – $55,365 · median $13,118 32 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $4,417 – $43,594 · median $10,444 32 plans
811 RED BLOOD CELL DISORDERS WITH MCC $4,417 – $62,597 · median $14,821 32 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,417 – $40,029 · median $9,926 32 plans
813 COAGULATION DISORDERS $4,417 – $70,379 · median $16,972 32 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $4,417 – $86,262 · median $21,734 32 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $4,417 – $45,339 · median $10,869 32 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,417 – $30,232 · median $7,261 32 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $4,417 – $52,318 · median $12,250 32 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,417 – $36,437 · median $8,396 32 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,417 – $25,077 · median $6,167 32 plans
834 ACUTE LEUKEMIA WITH MCC $4,417 – $283,462 · median $56,490 32 plans
835 ACUTE LEUKEMIA WITH CC $4,417 – $99,160 · median $22,193 32 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $4,417 – $54,942 · median $13,443 32 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $4,417 – $268,062 · median $53,234 32 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $4,417 – $106,383 · median $22,607 32 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,417 – $70,095 · median $14,589 32 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $4,417 – $151,847 · median $32,921 32 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $4,417 – $76,638 · median $16,545 32 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $4,417 – $51,857 · median $11,231 32 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $4,417 – $90,208 · median $20,041 32 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $4,417 – $56,035 · median $12,680 32 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $4,417 – $40,271 · median $9,055 32 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $4,417 – $127,061 · median $26,433 32 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $4,417 – $63,624 · median $13,443 32 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,417 – $49,099 · median $8,874 32 plans
849 RADIOTHERAPY $4,417 – $118,832 · median $27,623 32 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $4,417 – $90,565 · median $19,188 32 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $4,417 – $47,176 · median $10,705 32 plans
864 FEVER AND INFLAMMATORY CONDITIONS $4,417 – $42,286 · median $9,674 32 plans
865 VIRAL ILLNESS WITH MCC $4,417 – $71,558 · median $15,519 32 plans
866 VIRAL ILLNESS WITHOUT MCC $4,417 – $40,562 · median $9,541 32 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $4,417 – $108,151 · median $23,307 32 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $4,417 – $51,407 · median $11,212 32 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,417 – $35,307 · median $7,870 32 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $4,417 – $312,846 · median $70,944 32 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $4,417 – $91,088 · median $20,435 32 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $4,417 – $49,870 · median $11,019 32 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $4,417 – $42,265 · median $10,287 32 plans
881 DEPRESSIVE NEUROSES $4,417 – $39,270 · median $9,837 32 plans
882 NEUROSES EXCEPT DEPRESSIVE $4,417 – $40,381 · median $10,634 32 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $4,417 – $77,536 · median $19,695 32 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $4,417 – $71,017 · median $17,484 32 plans
885 PSYCHOSES $4,417 – $60,920 · median $14,848 32 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $4,417 – $60,233 · median $19,949 32 plans
887 OTHER MENTAL DISORDER DIAGNOSES $4,417 – $53,257 · median $12,548 32 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,404 – $27,064 · median $6,904 32 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $4,417 – $78,795 · median $15,235 32 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $4,417 – $88,060 · median $18,602 32 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $4,417 – $40,958 · median $9,514 32 plans
913 TRAUMATIC INJURY WITH MCC $4,417 – $82,193 · median $16,959 32 plans
914 TRAUMATIC INJURY WITHOUT MCC $4,417 – $44,685 · median $9,860 32 plans
915 ALLERGIC REACTIONS WITH MCC $4,417 – $85,477 · median $18,168 32 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,417 – $33,136 · median $7,309 32 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $4,417 – $74,580 · median $17,175 32 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,417 – $39,981 · median $9,539 32 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $4,417 – $92,815 · median $19,035 32 plans
920 COMPLICATIONS OF TREATMENT WITH CC $4,417 – $52,041 · median $10,867 32 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,417 – $35,072 · median $7,547 32 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $4,417 – $80,624 · median $17,761 32 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $4,417 – $47,304 · median $10,907 32 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $4,417 – $115,340 · median $44,351 32 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $4,417 – $99,244 · median $22,421 32 plans
935 NON-EXTENSIVE BURNS $4,417 – $99,004 · median $22,805 32 plans
945 REHABILITATION WITH CC/MCC $4,417 – $76,400 · median $16,030 32 plans
946 REHABILITATION WITHOUT CC/MCC $4,417 – $58,076 · median $11,884 32 plans
947 SIGNS AND SYMPTOMS WITH MCC $4,417 – $61,387 · median $13,600 32 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,417 – $40,570 · median $8,628 32 plans
949 AFTERCARE WITH CC/MCC $4,417 – $57,239 · median $11,816 32 plans
950 AFTERCARE WITHOUT CC/MCC $4,417 – $38,247 · median $6,520 32 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,417 – $28,932 · median $6,492 32 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $4,417 – $142,188 · median $28,067 32 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $4,417 – $77,781 · median $15,763 32 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $4,417 – $47,763 · median $9,822 32 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $4,417 – $141,007 · median $30,792 32 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $4,417 – $67,230 · median $14,967 32 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $4,417 – $49,946 · median $10,625 32 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $4,417 – $69,584 · median $15,146 32 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $10,187 – $62,473 · median $29,695 24 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $10,187 – $218,801 · median $104,003 24 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $10,187 – $142,350 · median $67,663 24 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $10,187 – $124,918 · median $59,377 24 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $10,187 – $95,434 · median $45,848 24 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $10,187 – $101,123 · median $48,067 24 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $10,187 – $65,186 · median $30,985 24 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $10,187 – $124,758 · median $59,301 24 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $10,187 – $74,194 · median $28,279 24 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $10,187 – $54,025 · median $18,180 24 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $10,187 – $86,262 · median $41,003 24 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $10,187 – $85,510 · median $31,669 24 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $10,187 – $58,348 · median $27,734 24 plans
397 APPENDIX PROCEDURES WITH MCC $10,187 – $50,670 · median $24,087 24 plans
398 APPENDIX PROCEDURES WITH CC $10,187 – $31,400 · median $15,075 24 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $10,105 – $23,621 · median $11,371 24 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $10,187 – $79,326 · median $38,649 24 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $10,187 – $210,440 · median $102,529 24 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $10,187 – $143,063 · median $69,702 24 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $10,187 – $111,128 · median $54,143 24 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $10,187 – $167,793 · median $81,751 24 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $10,187 – $110,456 · median $53,816 24 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $10,187 – $135,112 · median $65,713 24 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $10,187 – $82,748 · median $40,316 24 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $10,187 – $104,056 · median $50,697 24 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $10,187 – $62,821 · median $30,607 24 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $10,187 – $185,199 · median $88,031 24 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $177,860 – $563,895 · median $268,037 21 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $94,677 – $221,314 · median $105,197 21 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $118,947 – $429,315 · median $204,066 21 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $75,024 – $283,449 · median $134,732 21 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $65,287 – $213,916 · median $101,681 21 plans
006 LIVER TRANSPLANT WITHOUT MCC $30,249 – $98,044 · median $46,604 21 plans
007 LUNG TRANSPLANT $75,336 – $262,249 · median $124,655 21 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $35,656 – $109,869 · median $52,224 21 plans
010 PANCREAS TRANSPLANT $23,991 – $160,449 · median $76,266 21 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $33,575 – $108,966 · median $51,795 21 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $25,883 – $83,151 · median $39,524 21 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $18,543 – $54,111 · median $25,720 21 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $87,884 – $262,908 · median $124,968 21 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $46,671 – $121,751 · median $57,872 21 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $33,812 – $121,751 · median $57,872 21 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $263,602 – $754,568 · median $358,669 21 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $47,452 – $159,536 · median $75,832 21 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $69,393 – $162,209 · median $77,103 21 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $47,738 – $111,591 · median $53,043 21 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $30,672 – $71,698 · median $34,080 21 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $41,723 – $115,143 · median $54,731 21 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $29,219 – $77,118 · median $36,657 21 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $33,649 – $90,515 · median $43,025 21 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $23,097 – $62,273 · median $29,600 21 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $19,126 – $50,471 · median $23,990 21 plans
028 SPINAL PROCEDURES WITH MCC $44,673 – $122,622 · median $58,286 21 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $25,494 – $68,228 · median $32,431 21 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $18,382 – $45,628 · median $21,688 21 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $34,317 – $84,887 · median $40,350 21 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $17,523 – $43,834 · median $20,836 21 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $13,736 – $33,045 · median $15,707 21 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $31,972 – $78,856 · median $37,483 21 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $18,943 – $46,615 · median $22,158 21 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $15,118 – $37,791 · median $17,963 21 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $26,945 – $67,513 · median $32,091 21 plans
038 EXTRACRANIAL PROCEDURES WITH CC $13,739 – $33,360 · median $15,857 21 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $9,512 – $23,909 · median $11,365 21 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $32,738 – $76,527 · median $36,376 21 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $19,800 – $46,283 · median $22,000 21 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $15,522 – $36,283 · median $17,246 21 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $15,862 – $41,375 · median $19,667 21 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $8,375 – $19,578 · median $9,306 21 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $11,910 – $31,119 · median $14,792 21 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $9,162 – $22,966 · median $10,916 21 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $19,341 – $51,196 · median $24,335 21 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $11,256 – $27,829 · median $13,228 21 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $15,569 – $38,047 · median $18,085 21 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $10,168 – $25,615 · median $12,176 21 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $8,128 – $18,999 · median $9,031 21 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $23,605 – $55,177 · median $26,227 21 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $15,721 – $36,748 · median $17,468 21 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $12,507 – $29,235 · median $13,896 21 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $17,501 – $40,910 · median $19,446 21 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $9,192 – $21,486 · median $10,213 21 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $6,383 – $14,921 · median $7,093 21 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $12,935 – $30,236 · median $14,372 21 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $8,034 – $18,781 · median $8,927 21 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $7,339 – $17,155 · median $8,154 21 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $15,361 – $35,907 · median $17,068 21 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $9,508 – $22,225 · median $10,564 21 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $6,912 – $16,158 · median $7,680 21 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $13,710 – $32,048 · median $15,233 21 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $9,409 – $21,995 · median $10,455 21 plans
075 VIRAL MENINGITIS WITH CC/MCC $15,221 – $35,580 · median $16,912 21 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $8,300 – $19,488 · median $9,263 21 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $14,039 – $40,882 · median $19,432 21 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $8,011 – $19,246 · median $9,148 21 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $20,330 – $47,522 · median $22,589 21 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $12,384 – $28,947 · median $13,760 21 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $8,672 – $20,271 · median $9,635 21 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $13,596 – $46,439 · median $22,074 21 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $11,050 – $27,373 · median $13,011 21 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $8,056 – $18,831 · median $8,951 21 plans
088 CONCUSSION WITH MCC $12,557 – $30,110 · median $13,952 21 plans
089 CONCUSSION WITH CC $9,663 – $22,589 · median $10,737 21 plans
090 CONCUSSION WITHOUT CC/MCC $7,828 – $18,297 · median $8,697 21 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $16,080 – $60,341 · median $17,866 21 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $9,549 – $44,221 · median $10,610 21 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $7,246 – $44,221 · median $8,052 21 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $31,683 – $74,062 · median $35,204 21 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $20,988 – $49,060 · median $23,320 21 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $13,703 – $49,060 · median $23,320 21 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $19,480 – $72,781 · median $34,595 21 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $9,078 – $44,508 · median $21,156 21 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $11,274 – $29,005 · median $13,787 21 plans
209 COMPLEX AORTIC ARCH PROCEDURES $10,187 – $194,400 · median $186,206 4 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $10,187 – $98,016 · median $93,884 4 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $10,187 – $41,601 · median $39,848 4 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $10,187 – $59,058 · median $56,568 4 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $10,187 – $41,466 · median $39,718 4 plans
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