Good Samaritan University Hospital — Pricing

777 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 777 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 777
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 777 procedures

Procedures with negotiated rates only

These 777 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
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $209,917 – $685,116 · median $504,714 27 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $19,123 – $507,492 · median $332,762 27 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $54,602 – $190,311 · median $152,303 27 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $30,233 – $63,289 · median $49,720 27 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $13,833 – $49,750 · median $44,673 27 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $14,166 – $49,750 · median $45,770 27 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $4,667 – $20,052 · median $13,456 27 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $10,735 – $33,694 · median $17,496 27 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,457 – $23,353 · median $17,496 27 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,187 – $23,353 · median $17,186 27 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $10,735 – $23,353 · median $17,496 27 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $8,066 – $23,353 · median $17,186 27 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $11,473 – $23,350 · median $13,456 27 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $8,726 – $17,709 · median $13,456 27 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $4,691 – $18,254 · median $13,456 27 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $3,898 – $15,709 · median $13,456 27 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $3,410 – $15,709 · median $13,456 27 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $19,123 – $147,324 · median $122,244 26 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $35,568 – $112,043 · median $92,969 26 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $19,123 – $72,353 · median $60,036 26 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $19,123 – $220,092 · median $182,624 26 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $44,205 – $150,912 · median $125,221 26 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $19,123 – $96,391 · median $79,981 26 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $51,390 – $155,766 · median $129,249 26 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $19,123 – $103,798 · median $86,128 26 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $34,688 – $122,107 · median $101,320 26 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $19,123 – $83,509 · median $69,293 26 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $23,022 – $67,378 · median $55,908 26 plans
028 SPINAL PROCEDURES WITH MCC $19,123 – $165,989 · median $137,731 26 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $22,498 – $91,648 · median $76,046 26 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $15,154 – $60,760 · median $50,416 26 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $20,080 – $114,416 · median $94,938 26 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $14,677 – $58,308 · median $48,382 26 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $14,471 – $43,562 · median $36,146 26 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $19,123 – $106,173 · median $88,099 26 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $22,320 – $62,109 · median $51,536 26 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $18,274 – $50,049 · median $41,529 26 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $37,000 – $90,671 · median $75,235 26 plans
038 EXTRACRANIAL PROCEDURES WITH CC $16,268 – $43,993 · median $36,504 26 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $13,293 – $31,076 · median $25,786 26 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $19,123 – $102,990 · median $85,457 26 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $20,266 – $61,656 · median $51,160 26 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $13,769 – $47,988 · median $39,818 26 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $12,728 – $54,947 · median $45,593 26 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $8,662 – $25,157 · median $20,874 26 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $11,723 – $40,930 · median $33,962 26 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,862 – $29,788 · median $24,717 26 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $19,645 – $68,369 · median $56,730 26 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $13,119 – $36,433 · median $30,231 26 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $18,753 – $50,399 · median $41,819 26 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $10,785 – $33,408 · median $27,721 26 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $8,904 – $24,365 · median $20,217 26 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $19,123 – $73,811 · median $61,246 26 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $14,282 – $48,624 · median $40,346 26 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $11,045 – $38,355 · median $31,826 26 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $17,432 – $54,311 · median $45,065 26 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,768 – $27,764 · median $23,038 26 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $7,409 – $18,793 · median $15,593 26 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $13,112 – $39,723 · median $32,961 26 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $8,271 – $24,068 · median $19,970 26 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $7,013 – $21,845 · median $18,842 26 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $17,791 – $47,474 · median $39,393 26 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $7,554 – $28,775 · median $23,876 26 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $7,289 – $20,483 · median $16,996 26 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $12,218 – $42,200 · median $35,016 26 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,608 – $28,461 · median $23,616 26 plans
075 VIRAL MENINGITIS WITH CC/MCC $9,036 – $47,027 · median $39,021 26 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $3,484 – $25,034 · median $20,772 26 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $13,936 – $42,219 · median $35,031 26 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $8,994 – $27,246 · median $22,607 26 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $6,008 – $19,123 · median $15,701 26 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $13,778 – $54,273 · median $45,034 26 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,680 – $24,704 · median $20,498 26 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $14,708 – $63,348 · median $52,564 26 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,541 – $37,962 · median $31,500 26 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,560 – $26,104 · median $21,660 26 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $19,123 – $61,869 · median $51,336 26 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,614 – $35,811 · median $29,714 26 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,324 – $24,136 · median $20,027 26 plans
088 CONCUSSION WITH MCC $12,714 – $38,516 · median $31,959 26 plans
089 CONCUSSION WITH CC $12,351 – $29,272 · median $24,288 26 plans
090 CONCUSSION WITHOUT CC/MCC $10,118 – $23,407 · median $19,422 26 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $16,451 – $49,771 · median $41,298 26 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,692 – $28,906 · median $23,985 26 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $7,533 – $21,550 · median $18,588 26 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $26,792 – $99,620 · median $82,661 26 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $19,123 – $65,451 · median $54,309 26 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $15,814 – $65,451 · median $54,309 26 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $19,123 – $97,870 · median $81,209 26 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $11,984 – $59,228 · median $49,145 26 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $9,320 – $38,041 · median $31,565 26 plans
100 SEIZURES WITH MCC $12,923 – $54,205 · median $44,977 26 plans
101 SEIZURES WITHOUT MCC $5,416 – $25,165 · median $20,881 26 plans
102 HEADACHES WITH MCC $9,154 – $31,658 · median $26,268 26 plans
103 HEADACHES WITHOUT MCC $7,125 – $23,213 · median $19,261 26 plans
113 ORBITAL PROCEDURES WITH CC/MCC $12,750 – $61,612 · median $51,123 26 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $10,653 – $32,275 · median $26,780 26 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $18,906 – $41,801 · median $34,685 26 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $15,038 – $45,558 · median $37,802 26 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $9,720 – $29,449 · median $24,436 26 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $3,920 – $31,759 · median $26,352 26 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $2,514 – $18,520 · median $15,367 26 plans
123 NEUROLOGICAL EYE DISORDERS $7,246 – $21,930 · median $18,915 26 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $11,751 – $35,600 · median $29,540 26 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,207 – $22,544 · median $19,123 26 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $21,729 – $65,830 · median $54,623 26 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,816 – $26,708 · median $22,161 26 plans
137 MOUTH PROCEDURES WITH CC/MCC $8,986 – $38,186 · median $31,685 26 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,634 – $22,211 · median $19,123 26 plans
139 SALIVARY GLAND PROCEDURES $12,374 – $37,487 · median $31,105 26 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $4,233 – $115,470 · median $95,813 26 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $3,231 – $58,661 · median $48,674 26 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $14,481 – $42,931 · median $35,623 26 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $20,535 – $90,152 · median $74,805 26 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $7,893 – $47,963 · median $39,798 26 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $4,025 – $32,349 · median $26,842 26 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $11,573 – $62,636 · median $51,973 26 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,875 – $33,987 · median $28,201 26 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $7,216 – $21,862 · median $18,856 26 plans
149 DYSEQUILIBRIUM $6,236 – $20,409 · median $16,935 26 plans
150 EPISTAXIS WITH MCC $12,456 – $37,738 · median $31,314 26 plans
151 EPISTAXIS WITHOUT MCC $4,043 – $20,696 · median $17,172 26 plans
152 OTITIS MEDIA AND URI WITH MCC $8,122 – $30,983 · median $25,709 26 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $3,872 – $19,432 · median $16,124 26 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $10,734 – $44,403 · median $36,844 26 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,819 – $25,490 · median $21,151 26 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,648 – $19,123 · median $15,835 26 plans
157 DENTAL AND ORAL DISEASES WITH MCC $13,123 – $44,709 · median $37,098 26 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,663 – $25,681 · median $21,309 26 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,732 – $18,009 · median $14,943 26 plans
163 MAJOR CHEST PROCEDURES WITH MCC $19,123 – $125,845 · median $104,421 26 plans
164 MAJOR CHEST PROCEDURES WITH CC $21,809 – $68,722 · median $57,023 26 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $15,001 – $50,893 · median $42,229 26 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $28,203 – $105,125 · median $87,229 26 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $13,819 – $49,888 · median $41,395 26 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,299 – $36,966 · median $30,673 26 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $19,123 – $83,782 · median $69,519 26 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $8,718 – $38,473 · median $31,923 26 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,269 – $22,238 · median $19,123 26 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,343 – $44,135 · median $36,622 26 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,795 – $27,087 · median $22,476 26 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,482 – $21,015 · median $17,438 26 plans
180 RESPIRATORY NEOPLASMS WITH MCC $19,066 – $47,720 · median $39,596 26 plans
181 RESPIRATORY NEOPLASMS WITH CC $8,322 – $30,315 · median $25,154 26 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $7,548 – $22,866 · median $19,123 26 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,548 – $43,338 · median $35,960 26 plans
184 MAJOR CHEST TRAUMA WITH CC $7,369 – $29,162 · median $24,198 26 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,240 – $21,234 · median $17,619 26 plans
186 PLEURAL EFFUSION WITH MCC $9,640 – $43,139 · median $35,795 26 plans
187 PLEURAL EFFUSION WITH CC $7,228 – $27,412 · median $22,746 26 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $6,617 – $20,046 · median $17,290 26 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $6,352 – $33,785 · median $28,033 26 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,332 – $30,661 · median $25,442 26 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,523 – $23,456 · median $19,463 26 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,065 – $19,123 · median $15,242 26 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $7,993 – $35,977 · median $29,852 26 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,700 – $22,388 · median $19,123 26 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,540 – $19,123 · median $14,665 26 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $14,023 – $51,442 · median $42,684 26 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,570 – $27,030 · median $22,428 26 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,312 – $19,123 · median $16,494 26 plans
199 PNEUMOTHORAX WITH MCC $6,789 – $48,198 · median $39,993 26 plans
200 PNEUMOTHORAX WITH CC $6,417 – $30,238 · median $25,090 26 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $3,615 – $18,487 · median $15,340 26 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,939 – $26,394 · median $21,901 26 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,839 – $19,019 · median $15,781 26 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $4,643 – $22,143 · median $19,099 26 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $10,119 – $51,543 · median $42,768 26 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,333 – $24,731 · median $20,521 26 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $18,338 – $73,276 · median $60,801 26 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $98,179 – $297,436 · median $246,801 26 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $19,123 – $289,270 · median $240,025 26 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $93,187 – $332,940 · median $229,473 26 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $42,643 – $220,523 · median $167,502 26 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $53,617 – $179,074 · median $146,297 26 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $61,762 – $259,924 · median $196,140 26 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $42,557 – $175,908 · median $137,383 26 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $35,427 – $152,379 · median $119,121 26 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $19,123 – $136,059 · median $112,897 26 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $19,123 – $84,811 · median $70,373 26 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $48,101 – $272,239 · median $199,560 26 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $55,054 – $198,473 · median $161,544 26 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $63,715 – $257,565 · median $191,228 26 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $52,259 – $191,228 · median $120,529 26 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $49,100 – $195,094 · median $151,516 26 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $39,683 – $133,578 · median $92,882 26 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $19,123 – $137,522 · median $114,111 26 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $16,920 – $79,512 · median $65,976 26 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $13,608 – $41,225 · median $34,207 26 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $19,123 – $92,612 · median $76,846 26 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $18,487 – $83,858 · median $53,053 26 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $14,295 – $49,274 · median $40,885 26 plans
245 AICD GENERATOR PROCEDURES $44,041 – $133,424 · median $110,710 26 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $17,750 – $63,141 · median $52,392 26 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $14,272 – $42,664 · median $35,401 26 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $19,123 – $93,660 · median $77,716 26 plans
253 OTHER VASCULAR PROCEDURES WITH CC $24,018 – $69,705 · median $57,838 26 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $18,899 – $47,764 · median $39,633 26 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $23,581 – $71,438 · median $59,277 26 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $15,264 – $46,243 · median $38,371 26 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,038 – $24,352 · median $20,206 26 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $19,123 – $76,599 · median $63,559 26 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $15,841 – $47,990 · median $39,821 26 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $19,123 – $92,999 · median $77,167 26 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $22,523 – $51,810 · median $42,990 26 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $13,679 – $41,440 · median $34,386 26 plans
263 VEIN LIGATION AND STRIPPING $24,172 – $73,229 · median $60,763 26 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $18,660 – $95,427 · median $79,181 26 plans
265 AICD LEAD PROCEDURES $32,149 – $97,395 · median $80,815 26 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $19,123 – $163,567 · median $135,722 26 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $3,286 – $128,452 · median $106,585 26 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $12,251 – $182,045 · median $151,054 26 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $5,569 – $113,600 · median $94,261 26 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $2,965 – $140,146 · median $116,288 26 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $3,719 – $94,042 · median $78,033 26 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $19,123 – $68,318 · median $56,687 26 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $40,623 – $106,763 · median $88,588 26 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $19,123 – $85,213 · median $70,706 26 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $52,872 – $258,360 · median $166,428 26 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $19,123 – $221,719 · median $145,878 26 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $43,499 – $187,724 · median $109,552 26 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $19,123 – $136,605 · median $113,350 26 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $25,053 – $87,490 · median $72,596 26 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $12,369 – $44,815 · median $37,186 26 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $8,338 – $25,168 · median $20,883 26 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $7,479 – $19,797 · median $17,076 26 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $22,959 – $53,388 · median $44,300 26 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $6,678 – $20,232 · median $17,451 26 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,060 – $15,328 · median $12,719 26 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $16,550 – $60,430 · median $50,142 26 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $9,841 – $29,752 · median $24,687 26 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $19,123 – $74,578 · median $61,882 26 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $6,253 – $43,049 · median $35,720 26 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $8,823 – $26,730 · median $22,179 26 plans
291 HEART FAILURE AND SHOCK WITH MCC $8,761 – $35,625 · median $29,560 26 plans
292 HEART FAILURE AND SHOCK WITH CC $6,797 – $23,513 · median $19,510 26 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,250 – $14,981 · median $12,431 26 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $11,067 – $33,528 · median $27,820 26 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $7,118 – $21,564 · median $17,893 26 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $18,718 – $44,733 · median $37,118 26 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $6,348 – $19,232 · median $15,958 26 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,981 – $19,123 · median $10,402 26 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $7,704 – $44,165 · median $36,647 26 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,729 – $29,231 · median $24,254 26 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,567 – $19,478 · median $16,162 26 plans
302 ATHEROSCLEROSIS WITH MCC $10,484 – $31,762 · median $26,355 26 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,230 – $18,359 · median $15,233 26 plans
304 HYPERTENSION WITH MCC $8,960 – $32,076 · median $26,615 26 plans
305 HYPERTENSION WITHOUT MCC $5,061 – $20,496 · median $17,007 26 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $13,495 – $40,884 · median $33,924 26 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,196 – $25,294 · median $20,988 26 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $7,787 – $32,925 · median $27,320 26 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,310 – $20,185 · median $16,749 26 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,662 – $19,123 · median $13,176 26 plans
311 ANGINA PECTORIS $5,360 – $19,066 · median $15,820 26 plans
312 SYNCOPE AND COLLAPSE $5,833 – $23,789 · median $19,739 26 plans
313 CHEST PAIN $5,321 – $19,478 · median $16,162 26 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $16,001 – $58,797 · median $48,788 26 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,458 – $26,274 · median $21,801 26 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,219 – $19,123 · median $16,078 26 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $58,107 – $168,907 · median $140,153 26 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $19,123 – $119,937 · median $99,519 26 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $20,861 – $63,201 · median $52,442 26 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $19,123 – $77,726 · median $64,494 26 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $19,905 – $49,397 · median $40,987 26 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $19,123 – $116,294 · median $96,497 26 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $32,370 – $87,236 · median $72,385 26 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $19,123 – $78,144 · median $64,841 26 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $39,232 – $138,672 · median $115,065 26 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $19,123 – $66,294 · median $55,009 26 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $15,480 – $43,507 · median $36,101 26 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $19,123 – $125,373 · median $104,029 26 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $18,815 – $64,536 · median $53,550 26 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $15,713 – $45,077 · median $37,403 26 plans
332 RECTAL RESECTION WITH MCC $31,261 – $94,706 · median $78,583 26 plans
333 RECTAL RESECTION WITH CC $19,123 – $58,027 · median $48,149 26 plans
334 RECTAL RESECTION WITHOUT CC/MCC $19,817 – $45,285 · median $37,576 26 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $19,123 – $98,930 · median $82,088 26 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $15,406 – $57,672 · median $47,854 26 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,753 – $41,913 · median $34,778 26 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $13,711 – $73,568 · median $61,044 26 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,159 – $40,646 · median $33,727 26 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,075 – $34,000 · median $28,212 26 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $19,123 – $64,621 · median $53,620 26 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $10,911 – $34,372 · median $28,520 26 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $5,992 – $24,051 · median $19,957 26 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $21,798 – $66,038 · median $54,796 26 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $13,559 – $41,077 · median $34,084 26 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $10,199 – $30,104 · median $24,979 26 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $19,123 – $80,080 · median $66,447 26 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $13,569 – $46,445 · median $38,538 26 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $11,586 – $36,400 · median $30,204 26 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $26,414 – $116,466 · median $96,639 26 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $15,827 – $61,486 · median $51,019 26 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,927 – $36,998 · median $30,700 26 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $8,294 – $45,596 · median $37,834 26 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $6,086 – $27,784 · median $23,054 26 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,521 – $19,123 · median $16,438 26 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $12,949 – $47,726 · median $39,601 26 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $6,627 – $28,103 · median $23,319 26 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,567 – $19,806 · median $16,434 26 plans
374 DIGESTIVE MALIGNANCY WITH MCC $17,641 – $57,648 · median $47,834 26 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,318 – $33,547 · median $27,836 26 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $7,212 – $24,109 · median $20,004 26 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $13,755 – $49,642 · median $41,191 26 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,101 – $26,918 · median $22,336 26 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,540 – $17,384 · median $14,424 26 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $12,154 – $52,539 · median $43,595 26 plans
381 COMPLICATED PEPTIC ULCER WITH CC $8,152 – $29,736 · median $24,674 26 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,814 – $20,458 · median $17,646 26 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $11,394 – $34,516 · median $28,640 26 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,482 – $23,743 · median $19,701 26 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $9,897 – $44,362 · median $36,810 26 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,754 – $27,098 · median $22,485 26 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,498 – $18,301 · median $15,186 26 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,160 – $40,133 · median $33,301 26 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,689 – $21,886 · median $18,160 26 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,475 – $19,123 · median $12,887 26 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $8,409 – $35,071 · median $29,100 26 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,236 – $21,305 · median $18,376 26 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,347 – $45,214 · median $37,517 26 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,459 – $25,700 · median $21,325 26 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,970 – $17,376 · median $14,418 26 plans
397 APPENDIX PROCEDURES WITH MCC $19,123 – $67,651 · median $56,135 26 plans
398 APPENDIX PROCEDURES WITH CC $21,234 – $41,315 · median $34,282 26 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $13,658 – $30,683 · median $25,460 26 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $10,015 – $106,815 · median $88,631 26 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $19,123 – $148,220 · median $122,987 26 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $26,593 – $76,678 · median $63,624 26 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $19,123 – $58,314 · median $48,387 26 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $47,354 – $95,596 · median $79,322 26 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $19,123 – $57,241 · median $47,496 26 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $16,830 – $42,350 · median $35,140 26 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $19,123 – $74,712 · median $61,993 26 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $19,211 – $58,199 · median $48,291 26 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $14,983 – $45,391 · median $37,664 26 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $31,577 – $95,664 · median $79,379 26 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $18,229 – $54,008 · median $44,814 26 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $18,447 – $37,411 · median $31,042 26 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $17,048 – $64,886 · median $53,840 26 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $15,045 – $45,279 · median $37,571 26 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $12,702 – $35,974 · median $29,850 26 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $19,123 – $96,366 · median $79,961 26 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $13,460 – $44,711 · median $37,100 26 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $13,242 – $40,119 · median $33,289 26 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $19,123 – $111,052 · median $92,147 26 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $19,123 – $62,341 · median $51,728 26 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $13,931 – $42,205 · median $35,020 26 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $16,488 – $286,010 · median $237,320 26 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $12,360 – $193,925 · median $160,912 26 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $9,391 – $150,278 · median $124,695 26 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $19,123 – $227,723 · median $188,956 26 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $19,123 – $149,361 · median $123,934 26 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $16,084 – $53,489 · median $44,383 26 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,195 – $29,209 · median $24,236 26 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,398 – $19,123 · median $16,403 26 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $13,307 – $49,817 · median $41,336 26 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $7,006 – $30,790 · median $25,548 26 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,966 – $21,438 · median $17,789 26 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $13,255 – $45,424 · median $37,691 26 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,188 – $23,486 · median $19,488 26 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,651 – $19,123 · median $14,486 26 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $14,684 – $51,614 · median $42,827 26 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,572 – $26,380 · median $21,889 26 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,876 – $19,186 · median $15,920 26 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $10,872 – $45,989 · median $38,160 26 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,133 – $29,610 · median $24,569 26 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,438 – $21,769 · median $18,776 26 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $87,000 – $183,058 · median $151,895 26 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $19,123 – $111,492 · median $92,512 26 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $49,491 – $140,613 · median $116,676 26 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $19,123 – $84,257 · median $69,913 26 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $57,589 – $231,235 · median $191,870 26 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $19,123 – $156,703 · median $130,026 26 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $39,683 – $117,894 · median $97,824 26 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $19,123 – $167,550 · median $139,027 26 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $19,294 – $78,190 · median $64,879 26 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $19,123 – $147,464 · median $122,360 26 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $22,790 – $80,506 · median $66,801 26 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $14,921 – $47,401 · median $39,331 26 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $38,288 – $139,098 · median $115,418 26 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $19,123 – $93,518 · median $77,598 26 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $22,720 – $71,624 · median $59,431 26 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $19,123 – $89,245 · median $74,052 26 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $17,613 – $51,480 · median $42,716 26 plans
471 CERVICAL SPINAL FUSION WITH MCC $19,123 – $132,619 · median $110,042 26 plans
472 CERVICAL SPINAL FUSION WITH CC $22,388 – $79,102 · median $65,636 26 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $19,123 – $64,637 · median $53,633 26 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $46,835 – $122,446 · median $101,601 26 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $16,976 – $58,901 · median $48,874 26 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,986 – $31,756 · median $26,350 26 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $19,123 – $93,895 · median $77,911 26 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $16,183 – $63,851 · median $52,981 26 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,598 – $48,485 · median $40,231 26 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $34,368 – $80,298 · median $66,628 26 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $19,123 – $56,651 · median $47,007 26 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $15,707 – $43,313 · median $35,940 26 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $19,123 – $69,574 · median $57,729 26 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $29,013 – $87,897 · median $72,933 26 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $14,182 – $57,907 · median $48,049 26 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $13,610 – $43,144 · median $35,799 26 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $18,590 – $53,661 · median $44,526 26 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,387 – $33,812 · median $28,056 26 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $19,123 – $96,958 · median $80,452 26 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $23,128 – $65,555 · median $54,395 26 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $16,234 – $51,477 · median $42,714 26 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $18,161 – $96,123 · median $79,759 26 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $19,123 – $53,869 · median $44,698 26 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $12,062 – $36,657 · median $30,417 26 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $18,215 – $68,937 · median $57,202 26 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $12,106 – $31,693 · median $26,298 26 plans
500 SOFT TISSUE PROCEDURES WITH MCC $19,123 – $86,515 · median $71,787 26 plans
501 SOFT TISSUE PROCEDURES WITH CC $14,291 – $48,728 · median $40,432 26 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,410 – $38,148 · median $31,654 26 plans
503 FOOT PROCEDURES WITH MCC $23,852 – $72,260 · median $59,959 26 plans
504 FOOT PROCEDURES WITH CC $15,454 – $47,917 · median $39,760 26 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $11,641 – $47,917 · median $39,760 26 plans
506 MAJOR THUMB OR JOINT PROCEDURES $13,510 – $40,930 · median $33,962 26 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $17,468 – $52,919 · median $43,910 26 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $11,632 – $35,237 · median $29,239 26 plans
509 ARTHROSCOPY $15,832 – $47,963 · median $39,798 26 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $19,123 – $78,035 · median $64,750 26 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $18,495 – $53,547 · median $44,431 26 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $13,144 – $43,898 · median $36,425 26 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $12,617 – $41,107 · median $34,109 26 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,907 – $27,838 · median $23,099 26 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $33,317 – $84,432 · median $70,058 26 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $19,123 – $54,925 · median $45,575 26 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $14,416 – $40,755 · median $33,817 26 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $19,123 – $97,854 · median $81,196 26 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $18,094 – $53,839 · median $44,673 26 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $14,175 – $39,131 · median $32,469 26 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $26,268 – $79,580 · median $66,033 26 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $18,817 – $57,557 · median $47,759 26 plans
533 FRACTURES OF FEMUR WITH MCC $13,743 – $41,634 · median $34,547 26 plans
534 FRACTURES OF FEMUR WITHOUT MCC $4,215 – $22,225 · median $19,123 26 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $11,986 – $36,310 · median $30,129 26 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,174 – $22,140 · median $19,097 26 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $8,282 – $25,091 · median $20,820 26 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $6,052 – $19,123 · median $15,814 26 plans
539 OSTEOMYELITIS WITH MCC $21,786 – $55,218 · median $45,817 26 plans
540 OSTEOMYELITIS WITH CC $7,347 – $35,333 · median $29,318 26 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $4,474 – $23,887 · median $19,821 26 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $19,123 – $50,923 · median $42,254 26 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $9,572 – $28,966 · median $24,035 26 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $7,309 – $20,633 · median $17,797 26 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $19,680 – $68,992 · median $57,247 26 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $10,204 – $31,609 · median $26,228 26 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,561 – $20,374 · median $16,905 26 plans
548 SEPTIC ARTHRITIS WITH MCC $18,156 – $55,005 · median $45,641 26 plans
549 SEPTIC ARTHRITIS WITH CC $8,247 – $32,903 · median $27,302 26 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,059 – $23,538 · median $19,531 26 plans
551 MEDICAL BACK PROBLEMS WITH MCC $9,313 – $46,590 · median $38,658 26 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,207 – $26,315 · median $21,835 26 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $11,770 – $35,658 · median $29,587 26 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,516 – $22,787 · median $19,123 26 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,136 – $36,766 · median $30,507 26 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,213 – $22,293 · median $19,123 26 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $8,454 – $42,311 · median $35,108 26 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,084 – $23,584 · median $19,569 26 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $16,730 – $50,683 · median $42,054 26 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $12,664 – $31,090 · median $25,797 26 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $8,112 – $22,323 · median $18,523 26 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,566 – $39,958 · median $33,156 26 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $5,972 – $24,403 · median $20,249 26 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $14,644 – $42,844 · median $35,550 26 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,578 – $27,841 · median $23,101 26 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $9,121 – $20,425 · median $17,618 26 plans
570 SKIN DEBRIDEMENT WITH MCC $27,129 – $82,187 · median $68,196 26 plans
571 SKIN DEBRIDEMENT WITH CC $14,501 – $45,713 · median $37,931 26 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $9,579 – $31,191 · median $25,881 26 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $19,123 – $168,137 · median $139,514 26 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $18,401 – $94,602 · median $78,497 26 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $17,995 – $54,516 · median $45,235 26 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $48,624 – $147,308 · median $122,231 26 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $19,123 – $72,702 · median $60,326 26 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $20,697 – $46,153 · median $38,296 26 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $19,123 – $88,991 · median $73,842 26 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $18,010 – $48,408 · median $40,167 26 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $17,579 – $39,294 · median $32,605 26 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $23,635 – $47,813 · median $39,673 26 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $19,123 – $44,851 · median $37,215 26 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $25,964 – $55,900 · median $46,384 26 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $19,123 – $54,199 · median $44,972 26 plans
592 SKIN ULCERS WITH MCC $18,532 – $56,143 · median $46,585 26 plans
593 SKIN ULCERS WITH CC $5,358 – $33,383 · median $27,700 26 plans
594 SKIN ULCERS WITHOUT CC/MCC $7,649 – $23,172 · median $19,227 26 plans
595 MAJOR SKIN DISORDERS WITH MCC $19,062 – $57,749 · median $47,918 26 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $4,472 – $29,517 · median $24,492 26 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $17,251 – $47,963 · median $39,798 26 plans
598 MALIGNANT BREAST DISORDERS WITH CC $7,521 – $29,457 · median $24,442 26 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,704 – $23,341 · median $19,368 26 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $3,682 – $26,118 · median $21,672 26 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,086 – $19,123 · median $14,118 26 plans
602 CELLULITIS WITH MCC $10,305 – $40,114 · median $33,285 26 plans
603 CELLULITIS WITHOUT MCC $4,638 – $24,048 · median $19,955 26 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $13,389 – $40,564 · median $33,659 26 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,285 – $25,220 · median $20,926 26 plans
606 MINOR SKIN DISORDERS WITH MCC $5,972 – $43,966 · median $36,481 26 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $3,513 – $23,595 · median $19,578 26 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $22,074 – $62,224 · median $51,631 26 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $13,386 – $39,125 · median $32,465 26 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $19,123 – $105,526 · median $87,562 26 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,342 – $52,738 · median $43,760 26 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $11,222 – $33,995 · median $28,208 26 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $33,724 – $102,168 · median $84,775 26 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,498 – $52,225 · median $43,334 26 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,040 – $27,388 · median $22,725 26 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $19,123 – $78,280 · median $64,954 26 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $16,250 – $41,208 · median $34,193 26 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $11,927 – $34,590 · median $28,702 26 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $42,724 – $107,729 · median $89,390 26 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $13,013 – $61,407 · median $50,953 26 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $13,605 – $38,260 · median $31,746 26 plans
637 DIABETES WITH MCC $8,683 – $39,761 · median $32,992 26 plans
638 DIABETES WITH CC $5,142 – $25,042 · median $20,779 26 plans
639 DIABETES WITHOUT CC/MCC $3,723 – $19,123 · median $14,756 26 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $11,196 – $36,258 · median $30,086 26 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,087 – $21,335 · median $18,402 26 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $10,555 – $33,886 · median $28,117 26 plans
643 ENDOCRINE DISORDERS WITH MCC $12,038 – $45,249 · median $37,546 26 plans
644 ENDOCRINE DISORDERS WITH CC $6,665 – $28,215 · median $23,412 26 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $4,181 – $21,261 · median $18,338 26 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $19,123 – $152,203 · median $126,293 26 plans
654 MAJOR BLADDER PROCEDURES WITH CC $21,094 – $77,052 · median $63,935 26 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $19,123 – $56,717 · median $47,061 26 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $24,743 – $88,953 · median $73,810 26 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $17,710 – $49,913 · median $41,416 26 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $16,699 – $41,064 · median $34,073 26 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $19,123 – $70,559 · median $58,547 26 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,951 – $36,586 · median $30,358 26 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $9,676 – $28,029 · median $23,258 26 plans
662 MINOR BLADDER PROCEDURES WITH MCC $28,115 – $85,174 · median $70,675 26 plans
663 MINOR BLADDER PROCEDURES WITH CC $10,693 – $41,703 · median $34,603 26 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $9,732 – $29,482 · median $24,463 26 plans
665 PROSTATECTOMY WITH MCC $19,123 – $93,748 · median $77,788 26 plans
666 PROSTATECTOMY WITH CC $14,846 – $44,976 · median $37,320 26 plans
667 PROSTATECTOMY WITHOUT CC/MCC $9,263 – $28,062 · median $23,285 26 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $26,283 – $79,624 · median $66,069 26 plans
669 TRANSURETHRAL PROCEDURES WITH CC $9,380 – $42,251 · median $35,059 26 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $8,613 – $26,093 · median $21,651 26 plans
671 URETHRAL PROCEDURES WITH CC/MCC $15,534 – $47,062 · median $39,050 26 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $9,863 – $29,880 · median $24,794 26 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $19,123 – $114,389 · median $94,915 26 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $18,392 – $63,026 · median $52,297 26 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $17,870 – $42,737 · median $35,462 26 plans
682 RENAL FAILURE WITH MCC $10,719 – $41,006 · median $34,026 26 plans
683 RENAL FAILURE WITH CC $5,347 – $24,270 · median $20,138 26 plans
684 RENAL FAILURE WITHOUT CC/MCC $3,820 – $16,584 · median $13,761 26 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $16,994 – $51,485 · median $42,721 26 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $9,316 – $28,742 · median $23,849 26 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,527 – $19,773 · median $17,055 26 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $9,053 – $31,953 · median $26,513 26 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,105 – $21,913 · median $18,901 26 plans
693 URINARY STONES WITH MCC $9,405 – $40,146 · median $33,312 26 plans
694 URINARY STONES WITHOUT MCC $4,716 – $21,335 · median $18,402 26 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $10,164 – $30,792 · median $25,550 26 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $3,717 – $19,123 · median $16,292 26 plans
697 URETHRAL STRICTURE $9,029 – $27,352 · median $22,696 26 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,387 – $45,894 · median $38,081 26 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,043 – $27,846 · median $23,106 26 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $7,034 – $19,123 · median $16,348 26 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $20,002 – $52,984 · median $43,964 26 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $18,108 – $40,477 · median $33,586 26 plans
709 PENIS PROCEDURES WITH CC/MCC $20,252 – $61,353 · median $50,908 26 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $12,986 – $40,993 · median $34,014 26 plans
711 TESTES PROCEDURES WITH CC/MCC $16,497 – $52,165 · median $43,285 26 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,450 – $29,203 · median $24,232 26 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,276 – $39,480 · median $32,759 26 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,469 – $25,657 · median $21,289 26 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $20,352 – $61,658 · median $51,162 26 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $12,791 – $38,751 · median $32,154 26 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $15,439 – $50,661 · median $42,036 26 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $11,102 – $33,635 · median $27,909 26 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $15,582 – $47,204 · median $39,168 26 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $10,120 – $30,659 · median $25,439 26 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,566 – $19,893 · median $16,506 26 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $11,379 – $34,473 · median $28,604 26 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,163 – $20,324 · median $16,864 26 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $13,242 – $40,119 · median $33,289 26 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,954 – $22,309 · median $18,511 26 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $9,922 – $30,058 · median $24,941 26 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,861 – $16,570 · median $13,749 26 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $19,123 – $57,413 · median $47,639 26 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $10,940 – $33,143 · median $27,501 26 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $19,123 – $107,508 · median $89,206 26 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $16,933 – $54,562 · median $45,274 26 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,551 – $41,416 · median $34,365 26 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $35,877 – $108,691 · median $90,187 26 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $18,548 – $49,645 · median $41,194 26 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $13,519 – $37,503 · median $31,119 26 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $14,672 – $49,874 · median $41,384 26 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $10,715 – $32,728 · median $27,157 26 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $12,377 – $53,350 · median $44,268 26 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $3,532 – $27,980 · median $23,217 26 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $11,469 – $45,722 · median $37,938 26 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $7,950 – $26,080 · median $21,640 26 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $15,656 – $37,195 · median $30,863 26 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $14,302 – $70,677 · median $58,645 26 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $15,578 – $35,207 · median $29,214 26 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,586 – $49,399 · median $40,990 26 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,401 – $30,309 · median $25,149 26 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,607 – $26,074 · median $21,636 26 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $7,953 – $38,642 · median $32,064 26 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,856 – $27,830 · median $23,092 26 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,467 – $19,123 · median $15,072 26 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $4,147 – $26,910 · median $22,329 26 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,395 – $19,123 · median $14,928 26 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $12,708 – $37,938 · median $31,479 26 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $6,931 – $29,378 · median $24,377 26 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,242 – $19,481 · median $16,803 26 plans
779 ABORTION WITHOUT D&C $3,724 – $25,523 · median $21,178 26 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $10,735 – $29,556 · median $17,496 26 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $11,473 – $17,709 · median $13,456 26 plans
799 SPLENIC PROCEDURES WITH MCC $19,123 – $129,820 · median $107,720 26 plans
800 SPLENIC PROCEDURES WITH CC $34,942 – $79,555 · median $66,012 26 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $14,796 – $44,823 · median $37,193 26 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $19,123 – $97,876 · median $81,214 26 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $14,579 – $48,599 · median $40,326 26 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $9,403 – $30,186 · median $25,047 26 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $14,308 – $62,532 · median $51,887 26 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,443 – $33,815 · median $28,058 26 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $6,322 – $25,987 · median $21,563 26 plans
811 RED BLOOD CELL DISORDERS WITH MCC $10,409 – $38,413 · median $31,873 26 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,845 – $25,198 · median $20,908 26 plans
813 COAGULATION DISORDERS $10,158 – $42,265 · median $35,070 26 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $15,639 – $57,077 · median $47,360 26 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $6,620 – $27,743 · median $23,020 26 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,026 – $18,004 · median $14,939 26 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $11,459 – $69,216 · median $57,433 26 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,767 – $35,166 · median $29,180 26 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,742 – $22,293 · median $19,123 26 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $40,064 – $158,966 · median $131,904 26 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $19,123 – $60,951 · median $50,575 26 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $16,864 – $31,226 · median $25,911 26 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $19,123 – $127,764 · median $106,014 26 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $21,409 – $60,050 · median $49,827 26 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $11,575 – $33,605 · median $27,884 26 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $42,464 – $130,385 · median $108,189 26 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $19,123 – $64,432 · median $53,464 26 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $18,861 – $43,764 · median $36,314 26 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $19,123 – $84,197 · median $69,863 26 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $12,348 – $39,931 · median $33,133 26 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $4,452 – $31,426 · median $26,076 26 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,619 – $20,406 · median $16,932 26 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,384 – $19,123 · median $12,241 26 plans
834 ACUTE LEUKEMIA WITH MCC $73,938 – $150,912 · median $125,221 26 plans
835 ACUTE LEUKEMIA WITH CC $16,385 – $58,316 · median $48,389 26 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $11,452 – $34,694 · median $28,788 26 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $19,123 – $136,712 · median $113,438 26 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $12,625 – $55,376 · median $45,949 26 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $8,351 – $37,416 · median $31,046 26 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $31,625 – $87,069 · median $72,247 26 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $12,546 – $42,811 · median $35,523 26 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $6,655 – $28,720 · median $23,831 26 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $11,753 – $51,693 · median $42,893 26 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $9,799 – $32,633 · median $27,077 26 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $7,541 – $22,847 · median $19,123 26 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $12,661 – $69,726 · median $57,856 26 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $7,337 – $34,694 · median $28,788 26 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,917 – $22,358 · median $18,552 26 plans
849 RADIOTHERAPY $19,123 – $72,929 · median $60,514 26 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $77,879 – $251,513 · median $208,696 26 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $19,123 – $136,550 · median $113,304 26 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $12,593 – $54,554 · median $45,267 26 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $19,123 – $44,384 · median $36,828 26 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $29,898 – $123,180 · median $102,210 26 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $14,142 – $59,491 · median $49,363 26 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $10,190 – $35,177 · median $29,189 26 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $10,728 – $50,202 · median $41,656 26 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $5,661 – $27,300 · median $22,653 26 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,128 – $24,518 · median $20,344 26 plans
865 VIRAL ILLNESS WITH MCC $8,930 – $40,297 · median $33,437 26 plans
866 VIRAL ILLNESS WITHOUT MCC $4,764 – $24,158 · median $20,045 26 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $15,107 – $58,546 · median $48,579 26 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,210 – $28,671 · median $23,790 26 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,105 – $19,647 · median $16,303 26 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $19,123 – $189,933 · median $157,600 26 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $13,295 – $53,571 · median $44,451 26 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $6,109 – $28,149 · median $23,357 26 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $27,399 – $107,290 · median $89,025 26 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,334 – $26,173 · median $21,717 26 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $19,123 – $120,966 · median $100,373 26 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $15,759 – $51,810 · median $42,990 26 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $10,133 – $33,285 · median $27,619 26 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $53,808 – $105,420 · median $87,473 26 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $9,884 – $45,001 · median $37,340 26 plans
906 HAND PROCEDURES FOR INJURIES $15,116 – $59,589 · median $49,445 26 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $19,123 – $108,767 · median $90,251 26 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $16,036 – $55,073 · median $45,697 26 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $10,419 – $34,628 · median $28,733 26 plans
913 TRAUMATIC INJURY WITH MCC $14,585 – $44,184 · median $36,663 26 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,515 – $25,020 · median $20,761 26 plans
915 ALLERGIC REACTIONS WITH MCC $12,502 – $47,450 · median $39,372 26 plans
916 ALLERGIC REACTIONS WITHOUT MCC $3,586 – $19,123 · median $15,640 26 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,788 – $44,769 · median $37,147 26 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,500 – $24,152 · median $20,041 26 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $11,577 – $49,790 · median $41,314 26 plans
920 COMPLICATIONS OF TREATMENT WITH CC $6,706 – $27,737 · median $23,015 26 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,880 – $18,776 · median $15,580 26 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $13,995 – $46,126 · median $38,273 26 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $4,213 – $27,846 · median $23,106 26 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $19,123 – $647,704 · median $537,440 26 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $27,933 – $182,354 · median $151,310 26 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $14,146 – $86,834 · median $72,052 26 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $38,996 – $118,137 · median $98,026 26 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $2,955 – $58,587 · median $48,613 26 plans
935 NON-EXTENSIVE BURNS $8,813 – $59,968 · median $49,759 26 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $19,123 – $86,660 · median $71,907 26 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $20,391 – $57,648 · median $47,834 26 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $12,019 – $53,358 · median $44,275 26 plans
947 SIGNS AND SYMPTOMS WITH MCC $10,215 – $35,117 · median $29,139 26 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,856 – $21,692 · median $18,710 26 plans
949 AFTERCARE WITH CC/MCC $19,264 – $29,460 · median $24,445 26 plans
950 AFTERCARE WITHOUT CC/MCC $10,720 – $19,123 · median $13,803 26 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,252 – $15,481 · median $12,845 26 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $19,123 – $186,433 · median $154,695 26 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $57,694 – $104,363 · median $86,596 26 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $19,123 – $203,795 · median $169,101 26 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $41,978 – $112,210 · median $93,108 26 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $14,084 – $72,186 · median $59,898 26 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $23,892 – $74,174 · median $61,547 26 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $12,514 – $40,957 · median $33,985 26 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,138 – $24,917 · median $20,675 26 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $19,123 – $172,672 · median $143,277 26 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $23,913 – $72,443 · median $60,111 26 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $19,123 – $81,532 · median $67,652 26 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $12,810 – $38,808 · median $32,202 26 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $9,039 – $27,385 · median $22,723 26 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $12,995 – $39,368 · median $32,666 26 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $19,123 – $129,796 · median $107,700 26 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $19,299 – $66,846 · median $55,466 26 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,311 – $45,547 · median $37,793 26 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $26,909 – $95,634 · median $79,354 26 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $19,123 – $46,852 · median $38,876 26 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,726 – $31,549 · median $26,178 26 plans
881 DEPRESSIVE NEUROSES $3,725 – $24,958 · median $20,709 25 plans
882 NEUROSES EXCEPT DEPRESSIVE $3,787 – $26,265 · median $21,794 25 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $9,953 – $50,617 · median $42,000 25 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $10,554 – $45,601 · median $37,838 25 plans
885 PSYCHOSES $4,319 – $38,486 · median $31,934 25 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $9,968 – $49,050 · median $40,700 25 plans
887 OTHER MENTAL DISORDER DIAGNOSES $10,038 – $32,474 · median $26,946 25 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,132 – $19,123 · median $14,698 25 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $5,976 – $39,532 · median $32,802 25 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $9,518 – $48,621 · median $40,344 25 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $312,062 – $769,079 · median $638,153 24 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $19,123 – $300,871 · median $249,651 24 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $110,661 – $290,761 · median $241,262 24 plans
006 LIVER TRANSPLANT WITHOUT MCC $19,123 – $132,398 · median $109,859 24 plans
007 LUNG TRANSPLANT $96,426 – $356,817 · median $296,074 24 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $19,123 – $148,558 · median $123,268 24 plans
010 PANCREAS TRANSPLANT $71,855 – $217,687 · median $180,628 24 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $95,362 – $357,718 · median $296,821 24 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $19,123 – $164,798 · median $136,743 24 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $54,397 – $164,798 · median $136,743 24 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $19,123 – $1,029,673 · median $854,383 24 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $71,443 – $216,439 · median $179,593 24 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $21,484 – $125,793 · median $104,378 24 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $19,123 – $109,879 · median $78,669 24 plans
652 KIDNEY TRANSPLANT $30,734 – $83,858 · median $69,583 24 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $15,751 – $24,087 · median $19,986 24 plans
945 REHABILITATION WITH CC/MCC $27,254 – $41,678 · median $34,583 22 plans
946 REHABILITATION WITHOUT CC/MCC $18,820 – $30,484 · median $25,294 22 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $19,123 – $32,971 · median $19,123 9 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $5,964 – $113,682 · median $113,682 9 plans
791 PREMATURITY WITH MAJOR PROBLEMS $2,355 – $74,260 · median $19,123 9 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $1,840 – $44,807 · median $19,123 9 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $19,123 – $76,283 · median $19,123 9 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $19,123 – $27,001 · median $19,123 9 plans
795 NORMAL NEWBORN $1,048 – $3,655 · median $2,351 2 plans
222 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC $191,540 – $191,540 · median $191,540 1 plans
223 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC $191,540 – $191,540 · median $191,540 1 plans
224 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC $183,667 – $183,667 · median $183,667 1 plans
225 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC $183,667 – $183,667 · median $183,667 1 plans
226 Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC $115,448 – $115,448 · median $115,448 1 plans
227 Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC $115,448 – $115,448 · median $115,448 1 plans
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