Albany Medical Center Hospital — Pricing

771 procedures published in this hospital's Machine-Readable File (MRF) — 119 with a comparable price, 652 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 771
Lowest published price $2,144
Average published price $46,483
Highest published price $359,937

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 771 procedures

Published charges

Showing all 119 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above. Cash-pay prices not published for this hospital.

Across 48 procedures, this hospital's negotiated rates average ≈115% of what Medicare pays.

DRG Description Published price vs. NY median vs. National median vs Medicare
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $359,937 $374,499 −4% $371,366 −3% ≈109% of Medicare
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $335,033 $227,105 +48% $248,521 +35% ≈97% of Medicare
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $209,565 $157,998 +33% $131,961 +59% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $199,999 $48,570 +312% $46,340 +332% ≈121% of Medicare
652 Kidney transplant $170,016 $54,720 +211% $54,720 +211% ≈190% of Medicare
231 CORONARY BYPASS WITH PTCA WITH MCC $147,238 $170,222 −14% $147,227 +0% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC $144,291 $168,806 −15% $144,569 −0% ≈114% of Medicare
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $140,167 $140,167 +0% $148,686 −6% ≈96% of Medicare
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $102,801 $168,544 −39% $143,242 −28% ≈117% of Medicare
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $96,629 $16,665 +480% $17,674 +447% ≈115% of Medicare
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $95,972 $109,137 −12% $82,247 +17% ≈125% of Medicare
951 Other factors influencing health status $90,390 $11,914 +659% $10,160 +790% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $87,721 $122,419 −28% $106,778 −18% ≈104% of Medicare
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $84,944 $26,769 +217% $31,264 +172% ≈111% of Medicare
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $82,661 $41,640 +99% $40,642 +103% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $81,515 $56,242 +45% $56,242 +45% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $79,739 $52,533 +52% $32,031 +149% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $69,408 $37,349 +86% $40,060 +73% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $69,392 $111,594 −38% $99,423 −30% ≈130% of Medicare
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $68,986 $102,713 −33% $85,159 −19% ≈112% of Medicare
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $67,380 $41,205 +64% $59,629 +13% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $62,173 $94,677 −34% $88,307 −30% ≈134% of Medicare
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $59,578 $73,716 −19% $74,755 −20% ≈120% of Medicare
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $59,126 $62,451 −5% $25,073 +136% —
950 AFTERCARE WITHOUT CC/MCC $58,713 $10,801 +444% $13,527 +334% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $57,141 $38,166 +50% $44,546 +28% —
263 VEIN LIGATION AND STRIPPING $55,862 $38,005 +47% $51,253 +9% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $55,549 $118,645 −53% $106,057 −48% —
303 ATHEROSCLEROSIS WITHOUT MCC $55,290 $19,063 +190% $14,927 +270% —
322 Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC $53,127 $53,246 −0% $58,809 −10% ≈108% of Medicare
906 Hand procedures for injuries $50,309 $31,520 +60% $32,065 +57% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $50,196 $41,622 +21% $59,421 −16% ≈138% of Medicare
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $46,633 $58,978 −21% $74,257 −37% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $46,302 $44,619 +4% $46,283 +0% ≈113% of Medicare
312 SYNCOPE AND COLLAPSE $45,680 $17,340 +163% $19,342 +136% ≈117% of Medicare
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $45,563 $49,015 −7% $66,848 −32% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $45,228 $12,411 +264% $14,689 +208% —
305 HYPERTENSION WITHOUT MCC $44,769 $19,959 +124% $18,086 +148% ≈122% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $42,869 $17,796 +141% $19,305 +122% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $42,258 $20,236 +109% $21,363 +98% ≈107% of Medicare
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC $42,241 $57,726 −27% $65,573 −36% ≈100% of Medicare
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $41,528 $32,503 +28% $49,418 −16% ≈129% of Medicare
181 RESPIRATORY NEOPLASMS WITH CC $41,398 $30,260 +37% $23,573 +76% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $40,782 $16,076 +154% $14,368 +184% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $39,220 $54,475 −28% $59,790 −34% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $38,737 $14,554 +166% $18,150 +113% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $38,604 $22,682 +70% $30,502 +27% ≈110% of Medicare
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $38,207 $68,473 −44% $93,390 −59% ≈98% of Medicare
204 RESPIRATORY SIGNS AND SYMPTOMS $38,153 $22,720 +68% $18,004 +112% —
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC $38,017 $104,086 −63% $78,852 −52% ≈104% of Medicare
252 OTHER VASCULAR PROCEDURES WITH MCC $37,451 $72,690 −48% $68,508 −45% ≈102% of Medicare
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $36,930 $33,308 +11% $36,489 +1% ≈107% of Medicare
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $35,537 $71,258 −50% $54,583 −35% ≈169% of Medicare
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $35,313 $36,535 −3% $32,451 +9% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $34,780 $69,008 −50% $80,793 −57% —
253 OTHER VASCULAR PROCEDURES WITH CC $34,470 $40,302 −14% $57,454 −40% ≈123% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $33,694 $35,924 −6% $35,770 −6% ≈118% of Medicare
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $33,610 $28,465 +18% $35,419 −5% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $32,488 $27,854 +17% $32,021 +1% ≈186% of Medicare
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $31,420 $80,478 −61% $96,507 −67% ≈100% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $30,970 $22,681 +37% $26,436 +17% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $30,821 $40,745 −24% $35,453 −13% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $30,385 $122,421 −75% $88,566 −66% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $29,078 $21,770 +34% $15,600 +86% —
469 Major joint replacement or reattachment of lower extremity w MCC $28,953 $45,618 −37% $65,788 −56% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $28,922 $18,651 +55% $19,227 +50% ≈123% of Medicare
032 VENTRICULAR SHUNT PROCEDURES WITH CC $28,905 $37,711 −23% $46,724 −38% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $28,543 $63,310 −55% $64,523 −56% ≈140% of Medicare
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $28,525 $28,985 −2% $36,505 −22% —
197 INTERSTITIAL LUNG DISEASE WITH CC $27,182 $17,431 +56% $21,941 +24% —
313 Chest pain $27,068 $15,639 +73% $16,440 +65% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $26,638 $124,145 −79% $111,320 −76% ≈152% of Medicare
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $25,660 $100,943 −75% $90,331 −72% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $24,729 $24,376 +1% $23,571 +5% —
100 SEIZURES WITH MCC $23,767 $30,087 −21% $35,481 −33% ≈110% of Medicare
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $23,043 $27,152 −15% $30,243 −24% —
264 Other circulatory system O.R. procedures $22,807 $48,557 −53% $51,953 −56% —
137 MOUTH PROCEDURES WITH CC/MCC $22,224 $21,600 +3% $27,861 −20% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $22,036 $14,081 +56% $19,412 +14% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $21,025 $24,743 −15% $26,770 −21% ≈107% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $20,420 $12,015 +70% $13,384 +53% ≈137% of Medicare
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $20,407 $30,500 −33% $30,828 −34% ≈105% of Medicare
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $20,123 $12,453 +62% $15,837 +27% —
663 MINOR BLADDER PROCEDURES WITH CC $19,996 $23,673 −16% $33,103 −40% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $19,932 $43,831 −55% $38,836 −49% ≈118% of Medicare
512 Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC $19,906 $34,657 −43% $35,692 −44% —
103 HEADACHES WITHOUT MCC $19,816 $23,367 −15% $21,280 −7% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $19,196 $42,404 −55% $55,162 −65% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $19,187 $18,849 +2% $20,926 −8% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $17,740 $19,263 −8% $27,297 −35% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $17,292 $16,173 +7% $18,204 −5% ≈122% of Medicare
115 Extraocular procedures except orbit $17,073 $23,065 −26% $25,703 −34% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $16,244 $28,352 −43% $24,566 −34% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $15,899 $17,768 −11% $19,815 −20% —
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $15,881 $47,785 −67% $58,707 −73% —
540 OSTEOMYELITIS WITH CC $14,995 $19,990 −25% $26,676 −44% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $14,335 $23,785 −40% $25,279 −43% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $14,282 $74,690 −81% $89,207 −84% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $13,954 $15,153 −8% $20,455 −32% —
811 RED BLOOD CELL DISORDERS WITH MCC $13,655 $24,954 −45% $28,226 −52% ≈108% of Medicare
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,732 $64,566 −80% $36,354 −65% —
470 Major joint replacement or reattachment of lower extremity w/o MCC $12,703 $43,106 −71% $50,607 −75% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $11,821 $49,003 −76% $50,919 −77% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $11,226 $34,886 −68% $36,792 −69% —
101 SEIZURES WITHOUT MCC $10,886 $15,777 −31% $20,461 −47% ≈180% of Medicare
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,297 $25,727 −60% $32,443 −68% —
381 COMPLICATED PEPTIC ULCER WITH CC $9,513 $23,283 −59% $24,177 −61% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $8,995 $13,752 −35% $19,119 −53% —
199 PNEUMOTHORAX WITH MCC $8,766 $33,787 −74% $33,787 −74% ≈101% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $8,593 $16,909 −49% $20,488 −58% ≈87% of Medicare
791 PREMATURITY WITH MAJOR PROBLEMS $6,477 $39,563 −84% $42,679 −85% —
113 ORBITAL PROCEDURES WITH CC/MCC $6,443 $45,171 −86% $36,167 −82% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $6,236 $40,005 −84% $52,908 −88% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $5,966 $44,198 −87% $41,591 −86% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $4,225 $15,792 −73% $14,716 −71% —
640 Nutritional & misc metabolic disorders w MCC $4,068 $23,010 −82% $25,463 −84% ≈115% of Medicare
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,825 $19,930 −81% $27,989 −86% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $2,263 $38,653 −94% $37,267 −94% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $2,144 $29,561 −93% $27,543 −92% ≈130% of Medicare

Procedures with negotiated rates only

These 652 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $172,107 – $1,274,869 · median $277,307 14 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $83,904 – $1,038,855 · median $134,939 14 plans
008 Simultaneous pancreas/kidney transplant $41,429 – $604,661 · median $75,388 14 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $35,080 – $333,815 · median $51,405 14 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $81,085 – $481,981 · median $106,442 13 plans
006 LIVER TRANSPLANT WITHOUT MCC $36,922 – $219,470 · median $47,957 13 plans
007 Lung transplant $99,506 – $591,481 · median $130,564 13 plans
010 Pancreas transplant $60,706 – $360,850 · median $79,758 13 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $99,757 – $592,974 · median $130,893 13 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $45,957 – $583,246 · median $60,445 13 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $45,957 – $583,246 · median $60,445 13 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $60,358 – $358,782 · median $79,303 13 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $13,382 – $55,521 · median $21,797 13 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $19,066 – $85,175 · median $28,075 13 plans
102 HEADACHES WITH MCC $8,828 – $34,109 · median $14,491 13 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $32,201 – $221,918 · median $42,432 13 plans
215 Other heart assist system implant $80,669 – $479,510 · median $129,748 13 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $73,483 – $436,799 · median $107,355 13 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $49,170 – $292,278 · median $64,653 13 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $45,298 – $269,259 · median $66,291 13 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $37,943 – $255,500 · median $55,576 13 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $23,651 – $255,500 · median $34,755 13 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $46,512 – $276,474 · median $68,060 13 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC $40,508 – $240,787 · median $59,313 13 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $44,802 – $266,313 · median $72,206 13 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $25,827 – $153,519 · median $37,924 13 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $17,153 – $85,233 · median $27,846 13 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $11,898 – $76,676 · median $15,846 13 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $50,767 – $301,769 · median $66,743 13 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $26,226 – $155,890 · median $38,505 13 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $20,798 – $86,285 · median $29,171 13 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,133 – $56,572 · median $22,340 13 plans
011 Tracheostomy for face,mouth & neck diagnoses w MCC $41,084 – $244,213 · median $53,334 12 plans
012 Tracheostomy for face,mouth & neck diagnoses w CC $31,246 – $185,729 · median $40,625 12 plans
013 Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC $20,177 – $83,711 · median $26,688 12 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $287,145 – $1,706,844 · median $366,096 12 plans
028 SPINAL PROCEDURES WITH MCC $46,289 – $275,152 · median $60,057 12 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $25,558 – $151,921 · median $32,822 12 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $16,944 – $70,298 · median $22,454 12 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $31,907 – $189,662 · median $40,911 12 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $29,609 – $175,999 · median $37,982 12 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $17,320 – $71,859 · median $22,947 12 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $13,957 – $57,906 · median $18,543 12 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $25,285 – $150,301 · median $32,926 12 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,666 – $67,062 · median $12,923 12 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,316 – $38,652 · median $12,298 12 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,795 – $28,190 · median $9,164 12 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $20,584 – $85,398 · median $27,220 12 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $13,560 – $56,257 · median $18,023 12 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,696 – $44,376 · median $14,080 12 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $15,146 – $62,837 · median $19,828 12 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,743 – $32,123 · median $10,406 12 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,241 – $21,743 · median $7,129 12 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $11,078 – $45,959 · median $14,573 12 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,712 – $27,846 · median $8,933 12 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,092 – $25,274 · median $8,244 12 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $13,239 – $54,927 · median $17,603 12 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $8,024 – $33,292 · median $10,629 12 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,712 – $23,698 · median $7,642 12 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,768 – $48,824 · median $15,465 12 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,937 – $32,928 · median $10,660 12 plans
075 VIRAL MENINGITIS WITH CC/MCC $13,114 – $54,409 · median $17,204 12 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,981 – $28,964 · median $9,409 12 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $11,774 – $48,846 · median $15,684 12 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,598 – $31,523 · median $10,216 12 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,076 – $21,060 · median $6,914 12 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $15,135 – $62,793 · median $20,086 12 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,889 – $28,582 · median $9,162 12 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,587 – $43,921 · median $13,938 12 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,280 – $30,202 · median $9,667 12 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $17,253 – $71,581 · median $22,859 12 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,987 – $41,432 · median $13,344 12 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,731 – $27,925 · median $9,081 12 plans
088 CONCUSSION WITH MCC $10,741 – $44,563 · median $14,332 12 plans
089 CONCUSSION WITH CC $8,163 – $33,867 · median $10,956 12 plans
090 CONCUSSION WITHOUT CC/MCC $6,527 – $27,081 · median $8,814 12 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $13,880 – $57,584 · median $18,192 12 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,061 – $33,443 · median $10,822 12 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,010 – $24,933 · median $8,026 12 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $27,781 – $115,259 · median $36,645 12 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $18,252 – $75,725 · median $24,167 12 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $18,252 – $75,725 · median $24,167 12 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $27,293 – $162,235 · median $35,033 12 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $16,517 – $68,526 · median $21,599 12 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,609 – $44,013 · median $14,158 12 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $9,001 – $37,341 · median $12,053 12 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,705 – $52,709 · median $16,903 12 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,212 – $34,072 · median $11,021 12 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,165 – $21,427 · median $7,030 12 plans
123 Neurological eye disorders $6,116 – $25,372 · median $8,163 12 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,928 – $41,189 · median $13,267 12 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,287 – $26,083 · median $8,499 12 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $18,358 – $76,164 · median $24,306 12 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,448 – $30,900 · median $9,884 12 plans
139 Salivary gland procedures $10,454 – $43,372 · median $13,767 12 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,972 – $49,671 · median $15,944 12 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $13,376 – $55,492 · median $17,541 12 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $9,021 – $37,427 · median $12,080 12 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $17,467 – $72,468 · median $23,139 12 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,478 – $39,322 · median $12,678 12 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,097 – $25,293 · median $8,250 12 plans
149 Dysequilibrium $5,691 – $23,613 · median $7,615 12 plans
150 EPISTAXIS WITH MCC $10,524 – $43,662 · median $14,048 12 plans
151 EPISTAXIS WITHOUT MCC $5,771 – $23,944 · median $7,719 12 plans
152 OTITIS MEDIA AND URI WITH MCC $8,640 – $35,847 · median $11,581 12 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,419 – $22,482 · median $7,363 12 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $12,383 – $51,373 · median $16,481 12 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,108 – $29,491 · median $9,575 12 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,120 – $21,240 · median $6,877 12 plans
157 DENTAL AND ORAL DISEASES WITH MCC $12,468 – $51,727 · median $16,593 12 plans
158 DENTAL AND ORAL DISEASES WITH CC $7,162 – $29,713 · median $9,645 12 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,022 – $20,836 · median $6,751 12 plans
163 MAJOR CHEST PROCEDURES WITH MCC $35,094 – $208,608 · median $45,596 12 plans
164 MAJOR CHEST PROCEDURES WITH CC $19,164 – $79,510 · median $25,019 12 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $29,316 – $174,261 · median $37,610 12 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,309 – $42,768 · median $13,766 12 plans
173 Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism $23,364 – $96,934 · median $29,610 12 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,729 – $44,512 · median $14,122 12 plans
176 PULMONARY EMBOLISM WITHOUT MCC $6,202 – $25,729 · median $8,388 12 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $12,308 – $51,064 · median $16,384 12 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,554 – $31,339 · median $10,021 12 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,861 – $24,314 · median $7,834 12 plans
180 RESPIRATORY NEOPLASMS WITH MCC $13,308 – $55,211 · median $17,454 12 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,377 – $26,456 · median $8,501 12 plans
183 MAJOR CHEST TRAUMA WITH MCC $12,086 – $50,141 · median $15,875 12 plans
184 MAJOR CHEST TRAUMA WITH CC $8,133 – $33,740 · median $10,916 12 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,921 – $24,567 · median $8,021 12 plans
186 PLEURAL EFFUSION WITH MCC $12,030 – $49,911 · median $15,803 12 plans
187 PLEURAL EFFUSION WITH CC $7,644 – $31,715 · median $10,277 12 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,590 – $23,193 · median $7,485 12 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,422 – $39,088 · median $12,434 12 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,551 – $35,474 · median $11,463 12 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,541 – $27,138 · median $8,832 12 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $10,033 – $41,625 · median $13,405 12 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,741 – $19,670 · median $6,475 12 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $14,346 – $59,517 · median $18,794 12 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,333 – $22,125 · median $7,250 12 plans
200 PNEUMOTHORAX WITH CC $8,433 – $34,985 · median $11,309 12 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,155 – $21,389 · median $7,018 12 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,360 – $30,537 · median $9,771 12 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,304 – $22,005 · median $7,212 12 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $14,374 – $59,634 · median $19,089 12 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,897 – $28,613 · median $9,298 12 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $49,241 – $292,699 · median $62,995 12 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $20,434 – $84,779 · median $26,659 12 plans
212 Concomitant Aortic and Mitral Valve Procedures $82,946 – $344,127 · median $105,937 12 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $11,496 – $96,661 · median $15,321 12 plans
245 AICD generator procedures $37,208 – $221,172 · median $48,327 12 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $19,922 – $82,653 · median $25,998 12 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,896 – $53,502 · median $17,153 12 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $6,791 – $28,174 · median $9,159 12 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $21,361 – $126,974 · median $27,475 12 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $13,383 – $79,552 · median $17,551 12 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $25,935 – $154,161 · median $33,302 12 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $14,448 – $59,943 · median $18,927 12 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $11,557 – $47,946 · median $15,400 12 plans
265 AICD lead procedures $27,161 – $161,448 · median $35,348 12 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC $45,614 – $271,138 · median $58,374 12 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC $35,822 – $212,930 · median $46,536 12 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $47,164 – $225,486 · median $60,349 12 plans
277 Cardiac Defibrillator Implant without MCC $35,420 – $225,486 · median $46,016 12 plans
278 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC $38,095 – $158,049 · median $48,795 12 plans
279 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC $24,398 – $101,224 · median $31,344 12 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,019 – $29,119 · median $9,457 12 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $14,888 – $61,769 · median $19,495 12 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,642 – $23,407 · median $7,655 12 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,275 – $17,734 · median $5,864 12 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $12,005 – $49,806 · median $15,771 12 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,454 – $30,926 · median $10,028 12 plans
291 HEART FAILURE AND SHOCK WITH MCC $9,935 – $41,217 · median $13,097 12 plans
292 HEART FAILURE AND SHOCK WITH CC $6,557 – $27,204 · median $8,853 12 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,178 – $17,333 · median $5,738 12 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $9,350 – $38,791 · median $12,341 12 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,014 – $24,949 · median $8,031 12 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $12,475 – $51,755 · median $16,378 12 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,363 – $22,251 · median $7,290 12 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,363 – $13,953 · median $4,608 12 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $12,316 – $51,098 · median $16,395 12 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,152 – $33,819 · median $10,793 12 plans
302 ATHEROSCLEROSIS WITH MCC $8,857 – $36,747 · median $11,705 12 plans
304 HYPERTENSION WITH MCC $8,945 – $37,111 · median $11,980 12 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,401 – $47,301 · median $15,196 12 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,054 – $29,264 · median $9,503 12 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,629 – $23,354 · median $7,638 12 plans
311 Angina pectoris $5,317 – $22,059 · median $7,229 12 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $16,397 – $68,027 · median $21,738 12 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,198 – $21,566 · median $7,074 12 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $33,447 – $198,814 · median $43,468 12 plans
321 Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices $21,676 – $89,928 · median $27,488 12 plans
323 Coronary Intravascular Lithotripsy with Intraluminal Device with MCC $32,431 – $134,550 · median $41,578 12 plans
324 Coronary Intravascular Lithotripsy with Intraluminal Device without MCC $24,327 – $100,930 · median $31,254 12 plans
325 Coronary Intravascular Lithotripsy without Intraluminal Device $21,792 – $90,411 · median $28,024 12 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $34,963 – $207,825 · median $45,426 12 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $17,997 – $74,667 · median $23,833 12 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,571 – $52,153 · median $16,502 12 plans
332 RECTAL RESECTION WITH MCC $26,411 – $156,990 · median $34,379 12 plans
333 RECTAL RESECTION WITH CC $16,182 – $67,136 · median $21,456 12 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,629 – $52,394 · median $16,803 12 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $27,589 – $163,991 · median $35,409 12 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $16,083 – $66,725 · median $21,327 12 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $11,688 – $48,492 · median $15,572 12 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,335 – $47,027 · median $14,905 12 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $18,021 – $74,765 · median $23,542 12 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $9,585 – $39,767 · median $12,818 12 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,707 – $27,827 · median $8,927 12 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $18,416 – $76,404 · median $24,382 12 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,395 – $34,830 · median $11,260 12 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $22,332 – $132,745 · median $28,712 12 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,952 – $53,736 · median $16,994 12 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,151 – $42,114 · median $13,559 12 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $32,479 – $193,061 · median $41,640 12 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $17,147 – $71,138 · median $22,720 12 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,318 – $42,806 · median $13,777 12 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $12,715 – $52,754 · median $16,688 12 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,748 – $32,145 · median $10,413 12 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,315 – $22,049 · median $7,128 12 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $13,309 – $55,218 · median $17,456 12 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,837 – $32,515 · median $10,387 12 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,523 – $22,915 · median $7,499 12 plans
374 DIGESTIVE MALIGNANCY WITH MCC $16,076 – $66,697 · median $21,318 12 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,355 – $38,813 · median $12,517 12 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,723 – $27,893 · median $9,071 12 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $13,844 – $57,435 · median $18,395 12 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,507 – $31,144 · median $10,097 12 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,848 – $20,113 · median $6,526 12 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $14,652 – $60,787 · median $19,452 12 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,705 – $23,670 · median $7,738 12 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,626 – $39,935 · median $12,697 12 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $12,371 – $51,326 · median $16,466 12 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,557 – $31,352 · median $10,162 12 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,104 – $21,174 · median $6,856 12 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,192 – $46,433 · median $14,720 12 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,103 – $25,322 · median $8,259 12 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,166 – $17,286 · median $5,645 12 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,780 – $40,576 · median $13,074 12 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,941 – $24,649 · median $7,938 12 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $12,609 – $52,311 · median $16,551 12 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,167 – $29,735 · median $9,652 12 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,846 – $20,103 · median $6,523 12 plans
397 Appendix Procedures with MCC $18,866 – $78,271 · median $24,296 12 plans
398 Appendix Procedures without MCC/CC $11,522 – $47,800 · median $14,731 12 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,557 – $35,500 · median $11,161 12 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $29,787 – $123,582 · median $37,680 12 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $41,334 – $245,698 · median $53,656 12 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $21,383 – $88,715 · median $27,885 12 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $16,262 – $67,468 · median $21,561 12 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $26,659 – $158,465 · median $34,224 12 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $15,963 – $66,226 · median $20,883 12 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,810 – $48,998 · median $15,519 12 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $20,835 – $123,847 · median $27,177 12 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $16,230 – $67,335 · median $21,228 12 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,658 – $52,517 · median $16,842 12 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $26,678 – $158,578 · median $34,724 12 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $15,061 – $62,486 · median $19,719 12 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,433 – $43,283 · median $13,740 12 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $18,095 – $75,071 · median $23,961 12 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,627 – $52,387 · median $16,574 12 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $10,032 – $41,622 · median $13,222 12 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $30,969 – $184,086 · median $39,716 12 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $17,385 – $72,127 · median $22,720 12 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,770 – $48,830 · median $15,679 12 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $79,760 – $330,907 · median $100,462 12 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $54,080 – $224,367 · median $69,160 12 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $41,908 – $173,869 · median $52,908 12 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $63,505 – $263,471 · median $81,168 12 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $41,652 – $172,808 · median $53,327 12 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $14,917 – $61,886 · median $19,532 12 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,145 – $33,794 · median $10,933 12 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,303 – $22,002 · median $7,211 12 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $13,893 – $57,637 · median $18,209 12 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,586 – $35,623 · median $11,510 12 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,979 – $24,804 · median $7,986 12 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $12,667 – $52,555 · median $16,854 12 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,550 – $27,173 · median $8,843 12 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,683 – $19,430 · median $6,313 12 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $14,394 – $59,716 · median $19,114 12 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,357 – $30,521 · median $9,900 12 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $12,825 – $53,209 · median $16,830 12 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,257 – $34,258 · median $10,930 12 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,071 – $25,186 · median $8,216 12 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $51,050 – $211,795 · median $64,392 12 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $31,092 – $128,994 · median $39,318 12 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $39,213 – $162,687 · median $49,521 12 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $23,497 – $97,484 · median $30,196 12 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $64,484 – $383,308 · median $82,416 12 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $43,700 – $259,760 · median $55,935 12 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $32,877 – $195,428 · median $42,147 12 plans
461 Bilateral or multiple major joint procs of lower extremity w MCC $46,725 – $277,741 · median $60,620 12 plans
462 Bilateral or multiple major joint procs of lower extremity w/o MCC $21,805 – $129,613 · median $28,040 12 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $22,451 – $93,143 · median $29,665 12 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $26,079 – $155,021 · median $33,951 12 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $19,974 – $82,867 · median $26,421 12 plans
471 CERVICAL SPINAL FUSION WITH MCC $36,983 – $219,837 · median $48,037 12 plans
472 CERVICAL SPINAL FUSION WITH CC $22,059 – $131,124 · median $28,364 12 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $18,025 – $74,784 · median $23,548 12 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $34,147 – $202,973 · median $44,372 12 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $16,426 – $68,147 · median $21,775 12 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,856 – $36,741 · median $11,863 12 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $26,185 – $155,646 · median $33,620 12 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,806 – $73,874 · median $23,583 12 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,521 – $56,096 · median $17,729 12 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $22,393 – $133,107 · median $29,189 12 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $15,798 – $65,544 · median $20,671 12 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $12,079 – $50,113 · median $16,084 12 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $24,512 – $145,702 · median $31,489 12 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $16,149 – $66,997 · median $21,123 12 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,032 – $49,917 · median $16,022 12 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $14,965 – $62,085 · median $19,594 12 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,429 – $39,120 · median $12,443 12 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $27,039 – $160,724 · median $34,709 12 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $18,281 – $75,845 · median $24,205 12 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $14,355 – $59,558 · median $19,065 12 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $26,806 – $159,339 · median $34,412 12 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $15,022 – $62,325 · median $19,669 12 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $10,223 – $42,411 · median $13,468 12 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $19,225 – $79,759 · median $25,440 12 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $8,838 – $36,669 · median $11,840 12 plans
500 SOFT TISSUE PROCEDURES WITH MCC $24,126 – $143,412 · median $30,998 12 plans
501 SOFT TISSUE PROCEDURES WITH CC $13,589 – $56,377 · median $17,817 12 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,638 – $44,136 · median $14,197 12 plans
503 FOOT PROCEDURES WITH MCC $20,151 – $83,603 · median $26,294 12 plans
504 FOOT PROCEDURES WITH CC $13,363 – $55,439 · median $17,524 12 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $13,363 – $55,439 · median $17,524 12 plans
506 Major thumb or joint procedures $11,414 – $47,355 · median $15,213 12 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $14,757 – $61,226 · median $19,591 12 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $9,827 – $40,769 · median $13,134 12 plans
509 Arthroscopy $13,376 – $55,492 · median $17,541 12 plans
510 Shoulder,elbow or forearm proc,exc major joint proc w MCC $21,762 – $90,285 · median $28,762 12 plans
511 Shoulder,elbow or forearm proc,exc major joint proc w CC $14,933 – $61,952 · median $19,820 12 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,464 – $47,560 · median $15,278 12 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,763 – $32,208 · median $10,433 12 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $23,546 – $139,959 · median $30,258 12 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $15,317 – $63,548 · median $20,324 12 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $11,365 – $47,153 · median $14,945 12 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $27,289 – $162,208 · median $35,027 12 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $15,014 – $62,290 · median $19,658 12 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,912 – $45,273 · median $14,359 12 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $22,193 – $131,916 · median $28,930 12 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $16,051 – $66,593 · median $20,997 12 plans
533 FRACTURES OF FEMUR WITH MCC $11,611 – $48,170 · median $15,261 12 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,198 – $25,713 · median $8,383 12 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $10,126 – $42,010 · median $13,526 12 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,174 – $25,616 · median $8,239 12 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,997 – $29,030 · median $9,430 12 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,113 – $21,212 · median $6,962 12 plans
539 OSTEOMYELITIS WITH MCC $15,399 – $63,886 · median $20,430 12 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,661 – $27,637 · median $8,868 12 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,078 – $33,513 · median $10,844 12 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,754 – $23,872 · median $7,696 12 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $19,240 – $79,822 · median $25,116 12 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,815 – $36,571 · median $11,809 12 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,682 – $23,572 · median $7,707 12 plans
548 SEPTIC ARTHRITIS WITH MCC $15,339 – $63,639 · median $20,353 12 plans
549 SEPTIC ARTHRITIS WITH CC $9,176 – $38,068 · median $12,116 12 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,564 – $27,233 · median $8,742 12 plans
551 MEDICAL BACK PROBLEMS WITH MCC $12,993 – $53,903 · median $17,280 12 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,338 – $30,445 · median $9,743 12 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,944 – $41,255 · median $13,288 12 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,355 – $26,364 · median $8,588 12 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,253 – $42,538 · median $13,693 12 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,217 – $25,792 · median $8,294 12 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,799 – $48,953 · median $15,718 12 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,577 – $27,287 · median $8,759 12 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $14,134 – $58,639 · median $18,521 12 plans
562 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC $11,143 – $46,231 · median $14,858 12 plans
563 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC $6,805 – $28,234 · median $9,054 12 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $11,948 – $49,569 · median $15,912 12 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,764 – $32,211 · median $10,434 12 plans
570 SKIN DEBRIDEMENT WITH MCC $22,920 – $95,089 · median $29,870 12 plans
571 SKIN DEBRIDEMENT WITH CC $12,748 – $52,889 · median $16,960 12 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,698 – $36,087 · median $11,499 12 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $46,889 – $278,714 · median $59,998 12 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $26,382 – $156,818 · median $34,342 12 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $15,203 – $63,074 · median $20,174 12 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $41,080 – $170,432 · median $53,328 12 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $20,275 – $84,115 · median $26,815 12 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,871 – $53,398 · median $17,120 12 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $24,817 – $147,517 · median $31,878 12 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $13,500 – $56,007 · median $17,701 12 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $10,958 – $45,463 · median $14,418 12 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $13,334 – $55,319 · median $17,487 12 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,508 – $51,891 · median $16,420 12 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $15,589 – $64,675 · median $20,680 12 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $15,115 – $62,707 · median $20,059 12 plans
592 SKIN ULCERS WITH MCC $15,657 – $64,956 · median $20,768 12 plans
593 SKIN ULCERS WITH CC $9,310 – $38,624 · median $12,457 12 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,462 – $26,810 · median $8,611 12 plans
595 MAJOR SKIN DISORDERS WITH MCC $16,104 – $66,814 · median $21,355 12 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,232 – $34,151 · median $10,896 12 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $13,376 – $55,492 · median $17,541 12 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,215 – $34,081 · median $10,875 12 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,509 – $27,005 · median $8,672 12 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,284 – $30,218 · median $9,672 12 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,565 – $18,938 · median $6,160 12 plans
602 CELLULITIS WITH MCC $11,186 – $46,411 · median $14,713 12 plans
603 CELLULITIS WITHOUT MCC $6,706 – $27,824 · median $9,049 12 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,312 – $46,932 · median $15,080 12 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,033 – $29,179 · median $9,348 12 plans
606 MINOR SKIN DISORDERS WITH MCC $12,261 – $50,868 · median $16,322 12 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $6,580 – $27,299 · median $8,763 12 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $17,352 – $71,991 · median $22,678 12 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,911 – $45,267 · median $14,357 12 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $29,428 – $174,926 · median $37,753 12 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,707 – $61,017 · median $19,525 12 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,480 – $39,331 · median $12,509 12 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $20,760 – $123,399 · median $27,079 12 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $28,492 – $169,359 · median $36,559 12 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,564 – $60,423 · median $19,338 12 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,638 – $31,687 · median $10,268 12 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $21,830 – $90,569 · median $28,852 12 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,492 – $47,677 · median $15,108 12 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,646 – $40,020 · median $12,724 12 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $30,043 – $178,578 · median $39,071 12 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $17,125 – $71,047 · median $22,691 12 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,670 – $44,266 · median $14,238 12 plans
637 DIABETES WITH MCC $11,088 – $46,003 · median $14,786 12 plans
638 DIABETES WITH CC $6,984 – $28,973 · median $9,284 12 plans
639 DIABETES WITHOUT CC/MCC $4,771 – $19,794 · median $6,514 12 plans
641 Nutritional & misc metabolic disorders w/o MCC $5,950 – $24,684 · median $7,949 12 plans
642 Inborn errors of metabolism $9,450 – $39,205 · median $12,641 12 plans
643 ENDOCRINE DISORDERS WITH MCC $12,619 – $52,352 · median $16,564 12 plans
644 ENDOCRINE DISORDERS WITH CC $7,868 – $32,644 · median $10,427 12 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,929 – $24,598 · median $7,922 12 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $42,445 – $252,301 · median $55,091 12 plans
654 MAJOR BLADDER PROCEDURES WITH CC $21,487 – $89,147 · median $28,020 12 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $15,817 – $65,620 · median $20,978 12 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $24,806 – $147,454 · median $32,307 12 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $13,919 – $57,748 · median $18,493 12 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $11,451 – $47,510 · median $15,262 12 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $19,677 – $81,635 · median $25,681 12 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,817 – $32,429 · median $10,360 12 plans
662 MINOR BLADDER PROCEDURES WITH MCC $23,753 – $98,545 · median $30,946 12 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,222 – $34,110 · median $11,033 12 plans
665 PROSTATECTOMY WITH MCC $26,143 – $155,401 · median $34,034 12 plans
666 PROSTATECTOMY WITH CC $12,543 – $52,037 · median $16,465 12 plans
667 PROSTATECTOMY WITHOUT CC/MCC $7,826 – $32,467 · median $10,372 12 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $22,205 – $92,123 · median $28,946 12 plans
669 TRANSURETHRAL PROCEDURES WITH CC $11,783 – $48,884 · median $15,696 12 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,277 – $30,190 · median $9,795 12 plans
671 URETHRAL PROCEDURES WITH CC/MCC $13,124 – $54,450 · median $17,452 12 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,333 – $34,571 · median $11,027 12 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $31,900 – $189,617 · median $40,901 12 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $17,576 – $72,920 · median $22,967 12 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $11,918 – $49,446 · median $15,873 12 plans
682 RENAL FAILURE WITH MCC $11,435 – $47,444 · median $15,241 12 plans
683 RENAL FAILURE WITH CC $6,768 – $28,079 · median $9,129 12 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,625 – $19,187 · median $6,237 12 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $14,358 – $59,567 · median $18,810 12 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,015 – $33,254 · median $10,617 12 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,514 – $22,877 · median $7,386 12 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,911 – $36,969 · median $11,935 12 plans
693 URINARY STONES WITH MCC $11,196 – $46,448 · median $14,725 12 plans
694 URINARY STONES WITHOUT MCC $5,950 – $24,684 · median $7,949 12 plans
697 Urethral stricture $7,628 – $31,646 · median $10,255 12 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $12,798 – $53,098 · median $17,026 12 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,766 – $32,218 · median $10,294 12 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,286 – $21,929 · median $7,091 12 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $14,776 – $61,302 · median $19,615 12 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $11,288 – $46,831 · median $14,844 12 plans
709 PENIS PROCEDURES WITH CC/MCC $17,109 – $70,984 · median $22,364 12 plans
711 TESTES PROCEDURES WITH CC/MCC $14,547 – $60,354 · median $19,316 12 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,144 – $33,788 · median $10,783 12 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $11,010 – $45,678 · median $14,485 12 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,155 – $29,684 · median $9,636 12 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $17,195 – $71,337 · median $22,475 12 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,807 – $44,834 · median $14,223 12 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $14,128 – $58,613 · median $18,766 12 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $9,380 – $38,914 · median $12,380 12 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $13,164 – $54,614 · median $17,268 12 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,548 – $23,016 · median $7,429 12 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,613 – $39,884 · median $12,855 12 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,668 – $23,515 · median $7,689 12 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,188 – $46,417 · median $14,715 12 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,221 – $25,811 · median $8,300 12 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,382 – $34,776 · median $11,243 12 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,621 – $19,171 · median $6,233 12 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $16,011 – $66,425 · median $21,232 12 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,243 – $38,346 · median $12,370 12 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $29,981 – $178,212 · median $38,457 12 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $15,216 – $63,127 · median $20,191 12 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,550 – $47,917 · median $15,391 12 plans
739 Uterine,adnexa proc for non-ovarian/adnexal malig w MCC $30,311 – $180,172 · median $39,417 12 plans
740 Uterine,adnexa proc for non-ovarian/adnexal malig w CC $13,845 – $57,438 · median $18,396 12 plans
741 Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC $10,459 – $43,391 · median $13,773 12 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $13,908 – $57,704 · median $18,479 12 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,127 – $37,866 · median $12,218 12 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $14,878 – $61,725 · median $19,749 12 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $7,803 – $32,372 · median $10,484 12 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $12,750 – $52,899 · median $16,734 12 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $7,273 – $30,174 · median $9,790 12 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $19,710 – $81,771 · median $25,723 12 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,776 – $57,154 · median $18,306 12 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,452 – $35,067 · median $11,182 12 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,888 – $28,579 · median $9,036 12 plans
789 Neonates, died or transferred to another acute care facility $13,725 – $71,228 · median $17,993 12 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,372 – $30,584 · median $9,518 12 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,372 – $30,584 · median $9,518 12 plans
799 SPLENIC PROCEDURES WITH MCC $36,203 – $215,197 · median $47,028 12 plans
800 SPLENIC PROCEDURES WITH CC $22,186 – $92,044 · median $29,318 12 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $12,500 – $51,860 · median $16,410 12 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $27,295 – $162,244 · median $35,521 12 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $13,553 – $56,228 · median $17,770 12 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,418 – $34,925 · median $11,137 12 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $7,599 – $31,526 · median $9,941 12 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,509 – $22,858 · median $7,178 12 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,852 – $20,132 · median $6,353 12 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $17,438 – $72,348 · median $23,101 12 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,430 – $39,123 · median $12,444 12 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,247 – $30,066 · median $9,757 12 plans
813 Coagulation disorders $11,786 – $48,900 · median $15,701 12 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $15,917 – $66,037 · median $20,824 12 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,737 – $32,098 · median $10,257 12 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,021 – $20,830 · median $6,841 12 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $19,302 – $80,081 · median $24,852 12 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,807 – $40,687 · median $12,577 12 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,217 – $25,792 · median $8,067 12 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $44,331 – $263,511 · median $56,740 12 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $16,997 – $70,519 · median $22,524 12 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,708 – $36,128 · median $11,670 12 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $35,630 – $211,789 · median $45,654 12 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $16,746 – $69,477 · median $21,895 12 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,371 – $38,880 · median $12,369 12 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $36,361 – $216,134 · median $47,232 12 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $17,968 – $74,547 · median $23,795 12 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,204 – $50,634 · median $16,248 12 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $23,480 – $139,570 · median $30,594 12 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $11,135 – $46,199 · median $14,648 12 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $8,764 – $36,359 · median $11,425 12 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,691 – $23,610 · median $7,406 12 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,958 – $16,420 · median $5,302 12 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $42,085 – $250,160 · median $54,626 12 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $16,263 – $67,471 · median $21,271 12 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,675 – $40,140 · median $12,761 12 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $38,125 – $226,621 · median $49,511 12 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $15,443 – $64,069 · median $20,211 12 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,434 – $43,290 · median $13,742 12 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $24,281 – $144,331 · median $31,628 12 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $11,939 – $49,532 · median $15,900 12 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $8,009 – $33,228 · median $10,755 12 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $14,416 – $59,807 · median $19,143 12 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $9,100 – $37,755 · median $12,019 12 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,371 – $26,434 · median $8,610 12 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $19,445 – $80,672 · median $25,729 12 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,675 – $40,140 · median $12,761 12 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,235 – $25,868 · median $8,432 12 plans
849 Radiotherapy $20,338 – $84,377 · median $26,535 12 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $70,139 – $290,995 · median $89,621 12 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $38,080 – $226,354 · median $49,453 12 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $15,214 – $63,118 · median $19,915 12 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,377 – $51,351 · median $16,252 12 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $34,351 – $204,191 · median $44,025 12 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $16,590 – $68,829 · median $21,694 12 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,810 – $40,699 · median $13,112 12 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $14,000 – $58,083 · median $18,599 12 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,613 – $31,586 · median $10,098 12 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,837 – $28,367 · median $9,220 12 plans
865 VIRAL ILLNESS WITH MCC $11,238 – $46,622 · median $14,779 12 plans
866 VIRAL ILLNESS WITHOUT MCC $6,737 – $27,950 · median $8,966 12 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $16,327 – $67,736 · median $21,353 12 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,995 – $33,172 · median $10,592 12 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,479 – $22,731 · median $7,341 12 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $52,967 – $314,844 · median $68,683 12 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $14,939 – $61,981 · median $19,561 12 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,850 – $32,568 · median $10,404 12 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $29,920 – $177,850 · median $38,912 12 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,299 – $30,281 · median $9,824 12 plans
881 Depressive neuroses $6,960 – $28,876 · median $9,381 12 plans
882 Neuroses except depressive $7,325 – $30,389 · median $9,725 12 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $14,116 – $58,563 · median $18,751 12 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $12,717 – $52,760 · median $16,919 12 plans
885 Psychoses $10,733 – $44,528 · median $14,321 12 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $13,679 – $56,750 · median $18,178 12 plans
887 Other mental disorder diagnoses $9,056 – $37,572 · median $12,125 12 plans
894 Alcohol/drug abuse or dependence, left AMA $4,752 – $19,715 · median $6,402 12 plans
895 Alcohol/drug abuse or dependence w rehabilitation therapy $11,024 – $45,738 · median $14,703 12 plans
896 Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC $13,559 – $56,254 · median $17,778 12 plans
897 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC $6,717 – $27,868 · median $8,940 12 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $33,734 – $200,520 · median $43,238 12 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $14,448 – $59,943 · median $18,927 12 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,282 – $38,510 · median $12,254 12 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $29,398 – $174,750 · median $38,239 12 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $12,549 – $52,065 · median $16,700 12 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $30,332 – $180,298 · median $39,444 12 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $15,358 – $63,718 · median $20,102 12 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,657 – $40,064 · median $12,912 12 plans
913 TRAUMATIC INJURY WITH MCC $12,322 – $51,120 · median $16,180 12 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,977 – $28,948 · median $9,404 12 plans
915 ALLERGIC REACTIONS WITH MCC $13,232 – $54,899 · median $17,356 12 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,056 – $20,978 · median $6,795 12 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $12,485 – $51,796 · median $16,615 12 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,735 – $27,944 · median $9,087 12 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $13,885 – $57,606 · median $18,199 12 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,735 – $32,091 · median $10,396 12 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,236 – $21,724 · median $7,123 12 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $12,863 – $53,366 · median $16,879 12 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,766 – $32,218 · median $10,294 12 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $180,625 – $1,073,670 · median $233,585 12 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $50,853 – $302,280 · median $65,952 12 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $24,216 – $143,942 · median $31,112 12 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $32,945 – $136,682 · median $42,820 12 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $16,338 – $67,784 · median $21,661 12 plans
935 Non-extensive burns $16,723 – $69,382 · median $22,165 12 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $24,167 – $143,652 · median $31,481 12 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $16,076 – $66,697 · median $21,318 12 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $14,880 – $61,734 · median $19,485 12 plans
945 REHABILITATION WITH CC/MCC $11,623 – $48,221 · median $15,277 12 plans
946 REHABILITATION WITHOUT CC/MCC $8,501 – $35,269 · median $11,399 12 plans
947 SIGNS AND SYMPTOMS WITH MCC $9,793 – $40,630 · median $12,914 12 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,049 – $25,097 · median $8,188 12 plans
949 AFTERCARE WITH CC/MCC $8,216 – $34,085 · median $10,876 12 plans
955 Craniotomy for multiple significant trauma $51,991 – $309,042 · median $66,498 12 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $29,104 – $172,998 · median $37,858 12 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $56,832 – $337,822 · median $73,676 12 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $31,292 – $186,005 · median $40,685 12 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $20,131 – $83,518 · median $26,627 12 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $20,685 – $85,818 · median $26,983 12 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,422 – $47,387 · median $15,223 12 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,949 – $28,828 · median $9,239 12 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $48,153 – $286,231 · median $62,053 12 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $20,202 – $83,815 · median $26,809 12 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $22,737 – $94,331 · median $30,083 12 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,823 – $44,901 · median $14,693 12 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,637 – $31,684 · median $10,723 12 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,979 – $45,548 · median $15,099 12 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $36,196 – $215,157 · median $47,469 12 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $18,641 – $77,339 · median $25,133 12 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,702 – $52,697 · median $17,355 12 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $26,670 – $158,529 · median $35,163 12 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $13,066 – $54,207 · median $17,832 12 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,798 – $36,501 · median $12,243 12 plans
748 Female reproductive system reconstructive procedures $10,373 – $43,034 · median $15,409 11 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,271 – $30,168 · median $9,788 11 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,776 – $44,708 · median $14,378 11 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,761 – $32,199 · median $10,430 11 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,873 – $20,217 · median $7,397 11 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,504 – $31,134 · median $10,094 11 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,827 – $20,024 · median $7,329 11 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $8,347 – $34,631 · median $11,046 11 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $10,580 – $43,893 · median $13,930 11 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $8,193 – $33,990 · median $10,698 11 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,433 – $22,539 · median $7,181 11 plans
779 ABORTION WITHOUT D&C $7,118 – $29,529 · median $9,328 11 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $14,026 – $58,190 · median $18,381 11 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,246 – $34,211 · median $10,915 11 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,651 – $27,593 · median $8,855 11 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $12,303 – $51,045 · median $16,156 11 plans
790 Extreme immaturity or respiratory distress syndrome, neonate $45,264 – $234,903 · median $57,123 11 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $18,652 – $72,063 · median $23,690 11 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $31,754 – $164,793 · median $40,151 11 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $9,720 – $40,327 · median $12,819 11 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $11,240 – $58,331 · median $14,580 10 plans
795 Normal newborn $1,521 – $5,878 · median $2,137 10 plans
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