Jamaica Hospital Medical Center (Acute Care) — Pricing

783 procedures published in this hospital's Machine-Readable File (MRF) — 37 with a comparable price, 746 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 783
Lowest published price $2,231
Average published price $28,776
Highest published price $144,260

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 783 procedures

Published charges

Showing all 37 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.

DRG Description Published price vs. NY median vs. National median vs Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $144,260 $30,970 +366% $23,814 +506% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMORBITY $82,292 $112,518 −27% $134,914 −39% —
174 PERCUTANEOUS CARDIAC INTERVENTION WITH AMI $59,655 $59,655 — $74,377 −20% —
199 PNEUMOTHORAX WITH COMORBITY $52,185 $29,170 +79% $31,491 +66% —
344 MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY $43,858 $38,706 +13% $44,839 −2% —
563 FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY $41,541 $18,854 +120% $18,803 +121% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $40,495 $49,015 −17% $62,404 −35% —
711 TESTES PROCEDURES WITH CC/MCC $39,501 $46,485 −15% $34,852 +13% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $38,959 $22,597 +72% $15,890 +145% —
720 SEPTICEMIA AND DISSEMINATED INFECTIONS $37,403 $50,070 −25% $47,150 −21% —
194 SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION $33,158 $17,292 +92% $18,204 +82% —
263 VEIN LIGATION & STRIPPING $30,481 $38,005 −20% $44,938 −32% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION $30,396 $27,612 +10% $24,136 +26% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY $29,463 $25,044 +18% $27,118 +9% —
663 MINOR BLADDER PROCEDURES WITH COMPLICATION $29,153 $29,153 +0% $29,924 −3% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY $27,153 $19,164 +42% $14,368 +89% —
540 OSTEOMYELITIS WITH COMPLICATION $24,953 $19,990 +25% $23,494 +6% —
053 SPINAL DISORDERS & INJURIES WITHOUT COMPLICATION/COMORBITY $22,794 $15,286 +49% $20,309 +12% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $20,631 $29,979 −31% $40,065 −49% —
181 RESPIRATORY NEOPLASMS WITH COMPLICATION $19,466 $27,871 −30% $22,431 −13% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $18,831 $43,431 −57% $39,657 −53% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY $18,680 $49,003 −62% $50,919 −63% —
281 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION $18,655 $24,971 −25% $20,463 −9% ≈152% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS $18,541 $28,079 −34% $23,469 −21% ≈146% of Medicare
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $17,146 $46,130 −63% $43,586 −61% —
897 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY $16,841 $15,819 +6% $16,049 +5% —
753 BIPOLAR DISORDERS $16,005 $16,005 — $34,651 −54% —
560 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION $14,844 $27,156 −45% $24,452 −39% —
638 DIABETES WITH COMPLICATION $13,168 $20,074 −34% $18,821 −30% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY $13,122 $19,930 −34% $23,920 −45% —
639 DIABETES WITHOUT COMPLICATION/COMORBITY $11,425 $16,811 −32% $13,910 −18% —
566 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY $10,020 $16,445 −39% $14,337 −30% —
373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY $9,952 $16,767 −41% $16,104 −38% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $8,981 $26,477 −66% $25,484 −65% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,969 $13,752 −57% $17,383 −66% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $2,505 $24,888 −90% $27,279 −91% —
640 MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY $2,231 $24,142 −91% $24,480 −91% ≈129% of Medicare

Procedures with negotiated rates only

These 746 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
052 SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY $1,912 – $47,712 · median $28,959 29 plans
054 NERVOUS SYSTEM NEOPLASMS WITH COMORBITY $1,912 – $35,541 · median $24,039 29 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY $1,620 – $25,865 · median $17,242 29 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY $1,912 – $31,636 · median $21,052 29 plans
058 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMORBITY $1,912 – $43,763 · median $27,147 29 plans
073 CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY $1,912 – $36,643 · median $25,078 29 plans
082 TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY $1,912 – $55,007 · median $35,163 29 plans
097 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY $1,912 – $84,984 · median $53,614 29 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $1,912 – $51,430 · median $34,480 29 plans
113 ORBITAL PROCEDURES WITH CC/MCC $1,912 – $53,499 · median $35,553 29 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $1,755 – $28,025 · median $20,961 29 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $1,912 – $36,297 · median $24,241 29 plans
139 SALIVARY GLAND PROCEDURES $1,912 – $32,551 · median $20,555 29 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $1,912 – $100,266 · median $62,707 29 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $1,912 – $50,937 · median $33,537 29 plans
143 OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC $1,912 – $78,281 · median $53,877 29 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $1,912 – $41,648 · median $27,377 29 plans
175 PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE $1,912 – $33,407 · median $22,175 29 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY $1,668 – $26,624 · median $18,276 29 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION $1,276 – $20,368 · median $14,499 29 plans
197 INTERSTITIAL LUNG DISEASE WITH COMPLICATION $1,470 – $23,471 · median $16,120 29 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION/COMORBITY $1,040 – $16,605 · median $12,620 29 plans
201 PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY $1,005 – $16,053 · median $12,324 29 plans
203 BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY $1,034 – $16,515 · median $12,187 29 plans
204 RESPIRATORY SIGNS & SYMPTOMS $1,204 – $19,227 · median $13,943 29 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY $1,345 – $21,475 · median $15,646 29 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $1,912 – $153,324 · median $93,621 29 plans
241 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY $1,912 – $35,797 · median $22,624 29 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION $1,912 – $53,409 · median $33,010 29 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY $1,912 – $42,786 · median $28,267 29 plans
245 AICD GENERATOR PROCEDURES $1,912 – $115,856 · median $68,538 29 plans
251 PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY $1,912 – $37,046 · median $24,156 29 plans
252 OTHER VASCULAR PROCEDURES WITH COMORBITY $1,912 – $81,328 · median $51,896 29 plans
253 OTHER VASCULAR PROCEDURES WITH COMPLICATION $1,912 – $60,527 · median $39,476 29 plans
254 OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY $1,912 – $41,475 · median $27,654 29 plans
280 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY $1,912 – $38,914 · median $25,586 29 plans
282 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY $1,077 – $17,191 · median $12,832 29 plans
283 ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY $1,912 – $46,359 · median $30,642 29 plans
284 ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMPLICATION $1,100 – $17,568 · median $12,693 29 plans
313 CHEST PAIN $1,059 – $16,913 · median $12,707 29 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION $1,429 – $22,814 · median $16,107 29 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,849 – $29,524 · median $19,600 29 plans
347 ANAL & STOMAL PROCEDURES WITH COMORBITY $1,912 – $56,112 · median $35,302 29 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $1,912 – $35,669 · median $24,006 29 plans
380 COMPLICATED PEPTIC ULCER WITH COMORBITY $1,912 – $45,621 · median $30,269 29 plans
383 UNCOMPLICATED PEPTIC ULCER WITH COMORBITY $1,877 – $29,972 · median $21,649 29 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY $1,291 – $20,616 · median $14,657 29 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $1,912 – $38,521 · median $25,306 29 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $1,912 – $34,837 · median $22,828 29 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION $1,912 – $54,132 · median $33,803 29 plans
463 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY $1,912 – $128,047 · median $82,661 29 plans
465 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY $1,912 – $41,159 · median $28,073 29 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY $1,912 – $120,783 · median $75,786 29 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY $1,912 – $62,193 · median $41,164 29 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT $1,912 – $77,494 · median $46,615 29 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY $1,912 – $44,701 · median $29,502 29 plans
501 SOFT TISSUE PROCEDURES WITH CC $1,912 – $42,312 · median $27,684 29 plans
513 HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY $1,912 – $35,695 · median $24,549 29 plans
519 BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION $1,912 – $46,750 · median $30,905 29 plans
662 MINOR BLADDER PROCEDURES WITH MCC $1,912 – $73,959 · median $45,958 29 plans
722 MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMORBITY $1,912 – $40,989 · median $27,882 29 plans
723 MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMPLICATION $1,668 – $26,622 · median $18,512 29 plans
811 RED BLOOD CELL DISORDERS WITH COMORBITY $1,912 – $33,355 · median $22,372 29 plans
812 RED BLOOD CELL DISORDERS WITHOUT COMORBITY $1,371 – $21,880 · median $15,504 29 plans
813 COAGULATION DISORDERS $1,912 – $36,700 · median $24,310 29 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $979 – $15,633 · median $11,645 29 plans
894 ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA $927 – $14,796 · median $11,298 29 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $842 – $13,699 · median $10,320 29 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $1,912 – $667,814 · median $412,337 28 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 28 plans
003 ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R. $1,912 – $508,100 · median $308,356 28 plans
004 TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R. $1,912 – $334,994 · median $205,589 28 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $1,912 – $252,476 · median $154,431 28 plans
006 LIVER TRANSPLANT WITHOUT MCC — 28 plans
007 LUNG TRANSPLANT — 28 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 28 plans
010 PANCREAS TRANSPLANT $1,912 – $189,024 · median $112,051 28 plans
011 TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMORBITY $1,912 – $127,926 · median $83,090 28 plans
012 TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMPLICATION $1,912 – $97,291 · median $64,469 28 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $1,912 – $62,826 · median $43,721 28 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 28 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 28 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $1,912 – $143,099 · median $85,262 28 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 28 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 28 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMPLICATION — 28 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH COMORBITY OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR — 28 plans
024 CRANIO WITH MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX WITHOUT COMORBITY — 28 plans
025 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMORBITY — 28 plans
026 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION $1,912 – $72,513 · median $48,255 28 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $1,912 – $58,507 · median $39,441 28 plans
028 SPINAL PROCEDURES WITH MCC — 28 plans
029 SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS $1,912 – $79,581 · median $52,784 28 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $1,912 – $52,760 · median $35,102 28 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC — 28 plans
032 VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION $1,912 – $50,631 · median $33,931 28 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $1,912 – $37,826 · median $26,499 28 plans
034 CAROTID ARTERY STENT PROCEDURE WITH COMORBITY — 28 plans
035 CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION $1,912 – $53,931 · median $37,184 28 plans
036 CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION/COMORBITY $1,912 – $43,459 · median $30,412 28 plans
037 EXTRACRANIAL PROCEDURES WITH COMORBITY $1,912 – $78,732 · median $51,551 28 plans
038 EXTRACRANIAL PROCEDURES WITH COMPLICATION $1,912 – $38,201 · median $26,338 28 plans
039 EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $1,690 – $26,984 · median $19,522 28 plans
040 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY — 28 plans
041 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMPLICATION OR PERIPH NEUROSTIM $1,912 – $53,537 · median $35,386 28 plans
042 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITHOUT COMPLICATION/COMORBITY $1,912 – $41,669 · median $28,097 28 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY $1,912 – $59,367 · median $37,415 28 plans
059 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION $1,817 – $29,009 · median $20,628 28 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $1,325 – $21,157 · median $15,770 28 plans
061 ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY $1,912 – $64,092 · median $42,918 28 plans
062 ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION $1,912 – $42,222 · median $28,518 28 plans
063 ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT COMPLICATION/COMORBITY $1,912 – $33,305 · median $23,104 28 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY $1,912 – $47,160 · median $31,622 28 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY $1,022 – $16,318 · median $12,379 28 plans
067 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITH COMORBITY $1,912 – $34,493 · median $23,972 28 plans
068 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY $1,309 – $20,899 · median $15,178 28 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $1,188 – $18,969 · median $14,134 28 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY $1,912 – $41,223 · median $27,444 28 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION $1,565 – $24,986 · median $17,638 28 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY $1,114 – $17,786 · median $13,402 28 plans
074 CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY $1,548 – $24,713 · median $17,705 28 plans
075 VIRAL MENINGITIS WITH CC/MCC $1,912 – $40,835 · median $29,642 28 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $1,362 – $21,738 · median $15,030 28 plans
080 NONTRAUMATIC STUPOR & COMA WITH COMORBITY $1,912 – $47,127 · median $29,930 28 plans
081 NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY $1,344 – $21,451 · median $15,592 28 plans
083 TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION $1,912 – $32,964 · median $22,930 28 plans
084 TRAUMATIC STUPOR & COMA; COMA >1 HR WITHOUT COMPLICATION/COMORBITY $1,420 – $22,667 · median $16,447 28 plans
085 TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMORBITY $1,912 – $53,722 · median $35,974 28 plans
086 TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMPLICATION $1,912 – $31,095 · median $21,629 28 plans
087 TRAUMATIC STUPOR & COMA; COMA <1 HR WITHOUT COMPLICATION/COMORBITY $1,313 – $20,958 · median $15,661 28 plans
088 CONCUSSION WITH MCC $1,912 – $33,445 · median $22,734 28 plans
089 CONCUSSION WITH CC $1,592 – $25,417 · median $18,425 28 plans
090 CONCUSSION WITHOUT CC/MCC $1,273 – $20,325 · median $14,687 28 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY $1,912 – $43,217 · median $28,765 28 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY $1,172 – $18,713 · median $14,021 28 plans
094 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMORBITY $1,912 – $86,503 · median $54,867 28 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $1,912 – $56,833 · median $39,518 28 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,912 – $56,833 · median $39,518 28 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $1,912 – $33,032 · median $22,718 28 plans
100 SEIZURES WITH COMORBITY $1,912 – $47,067 · median $31,347 28 plans
101 SEIZURES WITHOUT COMORBITY $1,369 – $21,852 · median $15,786 28 plans
102 HEADACHES WITH MCC $1,722 – $27,489 · median $19,101 28 plans
103 HEADACHES WITHOUT COMORBITY $1,263 – $20,157 · median $14,715 28 plans
116 INTRAOCULAR PROCEDURES WITH COMPLICATION/COMORBITY $1,912 – $39,559 · median $28,429 28 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $1,602 – $25,571 · median $18,388 28 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $1,727 – $27,577 · median $19,548 28 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT COMPLICATION/COMORBITY $1,007 – $16,081 · median $12,846 28 plans
123 NEUROLOGICAL EYE DISORDERS $1,193 – $19,042 · median $14,140 28 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $1,912 – $30,913 · median $21,771 28 plans
125 OTHER DISORDERS OF THE EYE WITHOUT COMORBITY $1,226 – $19,576 · median $14,035 28 plans
137 MOUTH PROCEDURES WITH CC/MCC $1,912 – $33,158 · median $23,944 28 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $1,912 – $37,278 · median $25,835 28 plans
145 OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $1,759 – $28,089 · median $20,091 28 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $1,912 – $54,389 · median $34,414 28 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $1,849 – $29,512 · median $21,053 28 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $1,189 – $18,983 · median $14,119 28 plans
149 DYSEQUILIBRIUM $1,110 – $17,722 · median $13,347 28 plans
150 EPISTAXIS WITH MCC $1,912 – $32,769 · median $22,409 28 plans
151 EPISTAXIS WITHOUT MCC $1,126 – $17,971 · median $13,262 28 plans
152 OTITIS MEDIA & URI WITH COMORBITY $1,685 – $26,904 · median $19,539 28 plans
153 OTITIS MEDIA & URI WITHOUT COMORBITY $1,057 – $16,873 · median $12,952 28 plans
154 OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMORBITY $1,912 – $38,556 · median $25,827 28 plans
155 OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION $1,386 – $22,134 · median $15,984 28 plans
156 OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITHOUT COMPLICATION/COMORBITY $999 – $15,941 · median $12,244 28 plans
157 DENTAL & ORAL DISEASES WITH COMORBITY $1,912 – $38,822 · median $27,249 28 plans
158 DENTAL & ORAL DISEASES WITH COMPLICATION $1,397 – $22,300 · median $15,998 28 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $980 – $15,638 · median $12,279 28 plans
163 MAJOR CHEST PROCEDURES WITH COMORBITY $1,912 – $109,275 · median $68,906 28 plans
164 MAJOR CHEST PROCEDURES WITH COMPLICATION $1,912 – $59,673 · median $39,769 28 plans
165 MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY $1,912 – $44,192 · median $30,463 28 plans
166 OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY $1,912 – $91,283 · median $58,051 28 plans
167 OTHER RESP SYSTEM O.R. PROCEDURES WITH COMPLICATION $1,912 – $43,319 · median $29,177 28 plans
168 OTHER RESP SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY $1,912 – $32,098 · median $22,424 28 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $1,912 – $72,750 · median $46,945 28 plans
176 PULMONARY EMBOLISM WITHOUT COMORBITY $1,210 – $19,310 · median $14,227 28 plans
177 RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY $1,912 – $38,324 · median $25,512 28 plans
178 RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION $1,473 – $23,521 · median $16,896 28 plans
179 RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY $1,143 – $18,248 · median $13,547 28 plans
180 RESPIRATORY NEOPLASMS WITH COMORBITY $1,912 – $41,437 · median $28,466 28 plans
182 RESPIRATORY NEOPLASMS WITHOUT COMPLICATION/COMORBITY $1,244 – $19,855 · median $13,877 28 plans
183 MAJOR CHEST TRAUMA WITH COMORBITY $1,912 – $37,632 · median $25,277 28 plans
184 MAJOR CHEST TRAUMA WITH COMPLICATION $1,586 – $25,323 · median $18,155 28 plans
185 MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY $1,155 – $18,438 · median $13,851 28 plans
186 PLEURAL EFFUSION WITH COMORBITY $1,912 – $37,459 · median $25,629 28 plans
187 PLEURAL EFFUSION WITH COMPLICATION $1,491 – $23,803 · median $17,088 28 plans
188 PLEURAL EFFUSION WITHOUT COMPLICATION/COMORBITY $1,090 – $17,406 · median $12,997 28 plans
189 PULMONARY EDEMA & RESPIRATORY FAILURE $1,838 – $29,336 · median $20,551 28 plans
193 SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY $1,912 – $31,240 · median $21,761 28 plans
195 SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY $925 – $14,763 · median $11,381 28 plans
196 INTERSTITIAL LUNG DISEASE WITH COMORBITY $1,912 – $44,668 · median $30,372 28 plans
200 PNEUMOTHORAX WITH COMPLICATION $1,645 – $26,257 · median $18,658 28 plans
202 BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY $1,436 – $22,919 · median $16,644 28 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $1,912 – $44,756 · median $29,816 28 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $1,912 – $63,628 · median $42,703 28 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $1,912 – $258,273 · median $162,157 28 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $1,912 – $251,182 · median $151,427 28 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $1,912 – $228,808 · median $146,237 28 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $1,912 – $153,104 · median $99,446 28 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $1,912 – $141,046 · median $96,775 28 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $1,912 – $183,441 · median $115,536 28 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $1,912 – $125,574 · median $81,320 28 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC — 28 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $1,912 – $118,144 · median $75,698 28 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY $1,912 – $73,644 · median $48,922 28 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $1,912 – $200,899 · median $126,501 28 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $1,912 – $144,825 · median $91,967 28 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $1,912 – $185,311 · median $115,054 28 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $1,912 – $126,131 · median $83,042 28 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $1,912 – $139,503 · median $89,137 28 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC — 28 plans
239 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY $1,912 – $119,415 · median $75,323 28 plans
240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION $1,912 – $69,042 · median $45,109 28 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY $1,912 – $80,418 · median $50,102 28 plans
250 PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY $1,912 – $54,827 · median $35,364 28 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $1,912 – $62,032 · median $41,931 28 plans
256 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION $1,912 – $40,154 · median $27,543 28 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $1,324 – $21,145 · median $16,892 28 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $1,912 – $66,513 · median $47,079 28 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT COMORBITY $1,912 – $41,672 · median $30,769 28 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMORBITY $1,912 – $80,754 · median $50,978 28 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION $1,912 – $44,988 · median $30,419 28 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $1,912 – $35,984 · median $25,908 28 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $1,912 – $82,862 · median $52,258 28 plans
265 AICD LEAD PROCEDURES — 28 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 28 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $1,912 – $111,539 · median $72,976 28 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $1,912 – $158,075 · median $103,860 28 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY $1,912 – $98,642 · median $64,971 28 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY $1,912 – $121,693 · median $80,223 28 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION $1,912 – $81,660 · median $54,518 28 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY $1,912 – $59,322 · median $39,871 28 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC — 28 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $1,912 – $73,993 · median $50,410 28 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $1,912 – $167,544 · median $107,544 28 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR — 28 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC — 28 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC — 28 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC — 28 plans
285 ACUTE MYOCARDIAL INFARCTION; EXPIRED WITHOUT COMPLICATION/COMORBITY $834 – $13,310 · median $10,632 28 plans
286 CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY $1,912 – $52,473 · median $35,133 28 plans
287 CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY $1,618 – $25,835 · median $18,251 28 plans
288 ACUTE & SUBACUTE ENDOCARDITIS WITH COMORBITY $1,912 – $64,758 · median $42,773 28 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $1,912 – $37,380 · median $26,943 28 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $1,454 – $23,210 · median $16,298 28 plans
291 HEART FAILURE & SHOCK WITH COMORBITY $1,912 – $30,934 · median $21,096 28 plans
292 HEART FAILURE & SHOCK WITH COMPLICATION $1,279 – $20,417 · median $14,897 28 plans
293 HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY $815 – $13,009 · median $10,326 28 plans
296 CARDIAC ARREST; UNEXPLAINED WITH COMORBITY $1,912 – $38,843 · median $25,911 28 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $1,046 – $16,700 · median $12,072 28 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $656 – $10,472 · median $8,365 28 plans
299 PERIPHERAL VASCULAR DISORDERS WITH COMORBITY $1,912 – $38,350 · median $26,460 28 plans
300 PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION $1,590 – $25,382 · median $18,200 28 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY $1,059 – $16,913 · median $12,845 28 plans
302 ATHEROSCLEROSIS WITH COMORBITY $1,728 – $27,580 · median $19,883 28 plans
303 ATHEROSCLEROSIS WITHOUT COMORBITY $999 – $15,941 · median $12,164 28 plans
304 HYPERTENSION WITH COMORBITY $1,745 – $27,852 · median $19,919 28 plans
305 HYPERTENSION WITHOUT COMORBITY $1,115 – $17,798 · median $13,399 28 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $1,912 – $35,500 · median $25,287 28 plans
307 CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY $1,376 – $21,963 · median $15,899 28 plans
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY $1,791 – $28,589 · median $20,114 28 plans
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION $1,098 – $17,527 · median $13,167 28 plans
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY $831 – $13,265 · median $10,428 28 plans
311 ANGINA PECTORIS $1,037 – $16,555 · median $12,590 28 plans
312 SYNCOPE & COLLAPSE $1,294 – $20,657 · median $15,139 28 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY $1,912 – $51,055 · median $33,742 28 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $1,014 – $16,185 · median $12,317 28 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION — 28 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 28 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $1,912 – $54,879 · median $37,616 28 plans
321 CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION $1,912 – $67,492 · median $43,217 28 plans
322 SHOULDER AND ELBOW JOINT REPLACEMENT $1,912 – $42,893 · median $28,706 28 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC — 28 plans
324 NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT $1,912 – $75,749 · median $49,493 28 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $1,912 – $67,855 · median $48,030 28 plans
326 STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY $1,912 – $120,413 · median $76,282 28 plans
327 STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION $1,912 – $57,565 · median $38,493 28 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $1,912 – $37,779 · median $26,049 28 plans
329 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY $1,912 – $108,865 · median $70,579 28 plans
330 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION $1,912 – $56,039 · median $37,648 28 plans
331 MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY $1,912 – $39,142 · median $27,088 28 plans
332 RECTAL RESECTION WITH MCC $1,912 – $82,236 · median $55,173 28 plans
333 RECTAL RESECTION WITH CC $1,912 – $50,387 · median $35,950 28 plans
334 RECTAL RESECTION WITHOUT COMPLICATION/COMORBITY $1,912 – $39,322 · median $26,816 28 plans
335 PERITONEAL ADHESIOLYSIS WITH COMORBITY $1,912 – $85,904 · median $55,618 28 plans
336 PERITONEAL ADHESIOLYSIS WITH COMPLICATION $1,912 – $50,078 · median $33,586 28 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY $1,912 – $36,394 · median $25,096 28 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $1,912 – $35,294 · median $24,503 28 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $1,869 – $29,846 · median $21,476 28 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $1,308 – $20,884 · median $15,215 28 plans
350 INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMORBITY $1,912 – $57,343 · median $38,999 28 plans
352 INGUINAL & FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION/COMORBITY $1,637 – $26,140 · median $19,162 28 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY $1,912 – $69,536 · median $45,773 28 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION $1,912 – $40,330 · median $27,450 28 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY $1,912 – $31,608 · median $22,104 28 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY $1,912 – $101,131 · median $67,020 28 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION $1,912 – $53,390 · median $36,539 28 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY $1,912 – $32,127 · median $22,812 28 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY $1,912 – $39,592 · median $26,376 28 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION $1,511 – $24,125 · median $17,279 28 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT COMPLICATION/COMORBITY $1,037 – $16,548 · median $12,580 28 plans
371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY $1,912 – $41,442 · median $28,518 28 plans
372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION $1,529 – $24,403 · median $17,525 28 plans
374 DIGESTIVE MALIGNANCY WITH COMORBITY $1,912 – $50,057 · median $33,960 28 plans
375 DIGESTIVE MALIGNANCY WITH COMPLICATION $1,825 – $29,130 · median $20,293 28 plans
376 DIGESTIVE MALIGNANCY WITHOUT COMPLICATION/COMORBITY $1,311 – $20,934 · median $15,717 28 plans
377 G.I. HEMORRHAGE WITH COMORBITY $1,912 – $43,106 · median $29,479 28 plans
378 G.I. HEMORRHAGE WITH COMPLICATION $1,464 – $23,374 · median $16,615 28 plans
379 G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY $946 – $15,095 · median $11,557 28 plans
381 COMPLICATED PEPTIC ULCER WITH COMPLICATION $1,617 – $25,820 · median $18,438 28 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $1,113 – $17,764 · median $13,663 28 plans
386 INFLAMMATORY BOWEL DISEASE WITH COMPLICATION $1,474 – $23,530 · median $16,901 28 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $995 – $15,891 · median $12,199 28 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $1,912 – $34,848 · median $24,152 28 plans
389 G.I. OBSTRUCTION WITH COMPLICATION $1,190 – $19,004 · median $14,020 28 plans
390 G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY $813 – $12,973 · median $10,170 28 plans
391 ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY $1,907 – $30,453 · median $21,164 28 plans
392 ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY $1,159 – $18,499 · median $13,828 28 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY $1,912 – $39,260 · median $26,319 28 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION $1,398 – $22,316 · median $16,182 28 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY $945 – $15,088 · median $11,640 28 plans
397 APPENDIX PROCEDURES WITH MCC $1,912 – $58,744 · median $38,463 28 plans
398 APPENDIX PROCEDURES WITH CC $1,912 – $35,875 · median $24,766 28 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $1,669 – $26,643 · median $19,187 28 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL — 28 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $1,912 – $128,704 · median $83,329 28 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $1,912 – $66,582 · median $44,824 28 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $1,912 – $50,636 · median $34,841 28 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $1,912 – $83,009 · median $55,034 28 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $1,912 – $49,704 · median $34,221 28 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $1,912 – $36,773 · median $25,599 28 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $1,912 – $64,875 · median $48,183 28 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $1,912 – $50,536 · median $33,694 28 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $1,912 – $39,415 · median $27,024 28 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMORBITY $1,912 – $83,068 · median $55,032 28 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION $1,912 – $46,897 · median $32,472 28 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $1,912 – $32,485 · median $22,536 28 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY $1,912 – $56,342 · median $37,670 28 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION $1,912 – $39,317 · median $27,210 28 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY $1,912 – $31,238 · median $22,365 28 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $1,912 – $38,824 · median $27,537 28 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $1,912 – $96,430 · median $63,729 28 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $1,912 – $248,351 · median $163,732 28 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC — 28 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC — 28 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC — 28 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC — 28 plans
432 CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY $1,912 – $46,446 · median $31,528 28 plans
433 CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION $1,589 – $25,363 · median $18,058 28 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,034 – $16,513 · median $12,643 28 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY $1,912 – $43,258 · median $29,593 28 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION $1,675 – $26,736 · median $19,100 28 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION/COMORBITY $1,166 – $18,616 · median $14,336 28 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY $1,912 – $39,443 · median $26,706 28 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION $1,277 – $20,394 · median $14,835 28 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY $913 – $14,583 · median $11,265 28 plans
441 DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY $1,912 – $44,818 · median $29,575 28 plans
442 DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION $1,435 – $22,907 · median $16,599 28 plans
443 DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY $1,044 – $16,660 · median $12,599 28 plans
444 DISORDERS OF THE BILIARY TRACT WITH COMORBITY $1,912 – $39,934 · median $27,276 28 plans
445 DISORDERS OF THE BILIARY TRACT WITH COMPLICATION $1,610 – $25,711 · median $18,504 28 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY $1,184 – $18,902 · median $14,301 28 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE — 28 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC — 28 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE — 28 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC — 28 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $1,912 – $200,788 · median $126,114 28 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC — 28 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC — 28 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITH COMORBITY $1,912 – $145,489 · median $86,656 28 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $1,912 – $67,895 · median $42,330 28 plans
464 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION $1,912 – $69,905 · median $47,806 28 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION — 28 plans
471 CERVICAL SPINAL FUSION WITH COMORBITY — 28 plans
472 CERVICAL SPINAL FUSION WITH COMPLICATION $1,912 – $68,687 · median $45,808 28 plans
473 CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $1,912 – $56,126 · median $38,277 28 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $1,912 – $106,323 · median $66,150 28 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION $1,912 – $51,145 · median $35,413 28 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,727 – $27,575 · median $19,769 28 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY $1,912 – $81,532 · median $53,743 28 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,912 – $55,444 · median $38,191 28 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,912 – $42,101 · median $29,351 28 plans
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY $1,912 – $69,725 · median $45,910 28 plans
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION $1,912 – $49,192 · median $33,330 28 plans
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY $1,912 – $37,610 · median $26,194 28 plans
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $1,912 – $60,413 · median $42,113 28 plans
485 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY $1,912 – $76,323 · median $50,372 28 plans
486 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION $1,912 – $50,282 · median $33,528 28 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $1,912 – $37,463 · median $25,685 28 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $1,912 – $46,596 · median $29,331 28 plans
489 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY $1,839 – $29,360 · median $19,551 28 plans
492 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY — 28 plans
493 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION $1,912 – $56,923 · median $39,244 28 plans
494 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY $1,912 – $44,699 · median $31,290 28 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — 28 plans
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION $1,912 – $46,776 · median $29,841 28 plans
497 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITHOUT COMPLICATION/COMORBITY $1,912 – $31,830 · median $21,032 28 plans
498 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY $1,912 – $59,860 · median $44,289 28 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $1,724 – $33,353 · median $21,984 28 plans
500 SOFT TISSUE PROCEDURES WITH MCC $1,912 – $75,124 · median $49,524 28 plans
502 SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY $1,912 – $33,125 · median $22,633 28 plans
503 FOOT PROCEDURES WITH COMORBITY $1,912 – $62,746 · median $43,052 28 plans
504 FOOT PROCEDURES WITH CC $1,912 – $41,608 · median $29,369 28 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $1,912 – $41,608 · median $28,714 28 plans
506 MAJOR THUMB OR JOINT PROCEDURES $1,912 – $35,541 · median $23,208 28 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $1,912 – $45,951 · median $29,878 28 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $1,912 – $30,598 · median $23,348 28 plans
510 SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMORBITY $1,912 – $67,760 · median $46,401 28 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $1,912 – $46,496 · median $32,424 28 plans
512 SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITHOUT COMPLICATION/COMORBITY $1,912 – $38,118 · median $26,541 28 plans
514 HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITHOUT COMPLICATION/COMORBITY $1,514 – $24,173 · median $17,450 28 plans
515 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY $1,912 – $73,315 · median $49,081 28 plans
516 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION $1,912 – $47,693 · median $32,827 28 plans
517 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY $1,912 – $35,389 · median $24,762 28 plans
518 BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM $1,912 – $84,969 · median $56,922 28 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $1,912 – $33,978 · median $24,148 28 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $1,912 – $69,102 · median $45,396 28 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $1,912 – $49,979 · median $33,661 28 plans
533 FRACTURES OF FEMUR WITH COMORBITY $1,912 – $36,152 · median $25,244 28 plans
534 FRACTURES OF FEMUR WITHOUT MCC $1,209 – $19,298 · median $14,242 28 plans
535 FRACTURES OF HIP & PELVIS WITH COMORBITY $1,912 – $31,529 · median $21,632 28 plans
536 FRACTURES OF HIP & PELVIS WITHOUT COMORBITY $1,204 – $19,225 · median $14,262 28 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $1,365 – $21,788 · median $16,240 28 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $997 – $15,920 · median $12,467 28 plans
539 OSTEOMYELITIS WITH COMORBITY $1,912 – $47,947 · median $31,876 28 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $1,299 – $20,742 · median $14,420 28 plans
542 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY $1,912 – $44,218 · median $29,173 28 plans
543 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION $1,575 – $25,152 · median $17,666 28 plans
544 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITHOUT COMPLICATION/COMORBITY $1,122 – $17,916 · median $13,441 28 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $1,719 – $27,447 · median $19,410 28 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION/COMORBITY $1,108 – $17,691 · median $13,911 28 plans
548 SEPTIC ARTHRITIS WITH MCC $1,912 – $47,762 · median $31,536 28 plans
549 SEPTIC ARTHRITIS WITH CC $1,790 – $28,571 · median $20,159 28 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $1,280 – $20,439 · median $15,166 28 plans
551 MEDICAL BACK PROBLEMS WITH COMORBITY $1,912 – $40,455 · median $27,361 28 plans
552 MEDICAL BACK PROBLEMS WITHOUT COMORBITY $1,431 – $22,850 · median $16,551 28 plans
553 BONE DISEASES & ARTHROPATHIES WITH COMORBITY $1,912 – $30,963 · median $21,538 28 plans
554 BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY $1,239 – $19,787 · median $14,568 28 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,912 – $31,925 · median $22,049 28 plans
556 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY $1,213 – $19,358 · median $14,494 28 plans
557 TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY $1,912 – $36,740 · median $24,671 28 plans
558 TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY $1,283 – $20,479 · median $15,337 28 plans
559 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY $1,912 – $44,009 · median $30,051 28 plans
561 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY $1,214 – $19,384 · median $14,212 28 plans
562 FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY $1,912 – $34,697 · median $23,732 28 plans
564 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY $1,912 – $37,203 · median $25,435 28 plans
565 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION $1,514 – $24,175 · median $16,924 28 plans
570 SKIN DEBRIDEMENT WITH COMORBITY $1,912 – $71,366 · median $46,431 28 plans
571 SKIN DEBRIDEMENT WITH COMPLICATION $1,912 – $39,694 · median $27,325 28 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $1,696 – $27,084 · median $19,311 28 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,912 – $145,999 · median $97,491 28 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $1,912 – $82,146 · median $54,069 28 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $1,912 – $47,338 · median $29,740 28 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,912 – $127,912 · median $76,738 28 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $1,912 – $63,130 · median $41,832 28 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $1,912 – $40,076 · median $26,642 28 plans
579 OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY $1,912 – $77,274 · median $50,769 28 plans
580 OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION $1,912 – $42,034 · median $28,169 28 plans
581 OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY $1,912 – $34,121 · median $23,663 28 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $1,912 – $41,517 · median $29,953 28 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT COMPLICATION/COMORBITY $1,912 – $38,945 · median $27,355 28 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $1,912 – $48,540 · median $33,561 28 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $1,912 – $47,063 · median $31,290 28 plans
592 SKIN ULCERS WITH MCC $1,912 – $48,751 · median $31,758 28 plans
593 SKIN ULCERS WITH COMPLICATION $1,816 – $28,988 · median $20,080 28 plans
594 SKIN ULCERS WITHOUT CC/MCC $1,260 – $20,121 · median $15,024 28 plans
595 MAJOR SKIN DISORDERS WITH MCC $1,912 – $50,145 · median $33,703 28 plans
596 MAJOR SKIN DISORDERS WITHOUT COMORBITY $1,605 – $25,631 · median $18,393 28 plans
597 MALIGNANT BREAST DISORDERS WITH COMORBITY $1,912 – $41,648 · median $27,602 28 plans
598 MALIGNANT BREAST DISORDERS WITH COMPLICATION $1,602 – $25,579 · median $18,708 28 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,270 – $20,268 · median $14,129 28 plans
600 NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION/COMORBITY $1,421 – $22,679 · median $17,163 28 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $890 – $14,213 · median $11,015 28 plans
602 CELLULITIS WITH COMORBITY $1,912 – $34,832 · median $23,725 28 plans
603 CELLULITIS WITHOUT COMORBITY $1,308 – $20,882 · median $15,216 28 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $1,912 – $35,223 · median $24,248 28 plans
605 TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY $1,372 – $21,899 · median $15,895 28 plans
606 MINOR SKIN DISORDERS WITH COMORBITY $1,912 – $38,177 · median $25,339 28 plans
607 MINOR SKIN DISORDERS WITHOUT COMORBITY $1,283 – $20,488 · median $15,429 28 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $1,912 – $33,974 · median $23,303 28 plans
616 AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY $1,912 – $91,631 · median $55,304 28 plans
617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION $1,912 – $45,794 · median $30,445 28 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,849 – $29,519 · median $22,270 28 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $1,912 – $64,640 · median $44,386 28 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $1,912 – $37,862 · median $26,063 28 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $1,912 – $34,656 · median $24,349 28 plans
622 SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY $1,912 – $88,715 · median $55,447 28 plans
623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION $1,912 – $45,349 · median $29,695 28 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,490 – $23,781 · median $18,986 28 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $1,912 – $67,973 · median $46,472 28 plans
627 THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $1,881 – $30,036 · median $21,679 28 plans
628 OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMORBITY $1,912 – $93,545 · median $57,892 28 plans
629 OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION $1,912 – $53,322 · median $35,171 28 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $1,912 – $33,222 · median $23,669 28 plans
637 DIABETES WITH COMORBITY $1,912 – $34,526 · median $23,758 28 plans
641 MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY $1,160 – $18,525 · median $13,828 28 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $1,843 – $29,424 · median $22,260 28 plans
643 ENDOCRINE DISORDERS WITH COMORBITY $1,912 – $39,291 · median $26,879 28 plans
644 ENDOCRINE DISORDERS WITH COMPLICATION $1,535 – $24,500 · median $17,588 28 plans
645 ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY $1,156 – $18,461 · median $13,728 28 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 28 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 28 plans
652 KIDNEY TRANSPLANT — 28 plans
653 MAJOR BLADDER PROCEDURES WITH COMORBITY — 28 plans
654 MAJOR BLADDER PROCEDURES WITH COMPLICATION $1,912 – $66,906 · median $44,158 28 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $1,912 – $49,249 · median $33,635 28 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $1,912 – $77,241 · median $49,971 28 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $1,912 – $43,341 · median $29,556 28 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $1,912 – $35,657 · median $24,961 28 plans
659 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY $1,912 – $61,269 · median $40,422 28 plans
660 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION $1,912 – $31,769 · median $21,995 28 plans
661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY $1,525 – $24,339 · median $17,600 28 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $1,604 – $25,600 · median $17,929 28 plans
665 PROSTATECTOMY WITH MCC $1,912 – $81,404 · median $49,501 28 plans
666 PROSTATECTOMY WITH CC $1,912 – $39,054 · median $27,701 28 plans
667 PROSTATECTOMY WITHOUT CC/MCC $1,526 – $24,367 · median $18,232 28 plans
668 TRANSURETHRAL PROCEDURES WITH COMORBITY $1,912 – $69,140 · median $45,771 28 plans
669 TRANSURETHRAL PROCEDURES WITH COMPLICATION $1,912 – $36,688 · median $25,317 28 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $1,419 – $22,658 · median $16,591 28 plans
671 URETHRAL PROCEDURES WITH CC/MCC $1,912 – $40,865 · median $28,474 28 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $1,625 – $25,946 · median $18,382 28 plans
673 OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY $1,912 – $99,327 · median $64,819 28 plans
674 OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION $1,912 – $54,728 · median $36,812 28 plans
675 OTHER KIDNEY & URINARY TRACT PROCEDURES WITHOUT COMPLICATION/COMORBITY $1,912 – $37,110 · median $26,200 28 plans
682 RENAL FAILURE WITH COMORBITY $1,912 – $35,607 · median $24,443 28 plans
683 RENAL FAILURE WITH COMPLICATION $1,320 – $21,074 · median $15,320 28 plans
684 RENAL FAILURE WITHOUT COMPLICATION/COMORBITY $902 – $14,400 · median $11,057 28 plans
686 KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY $1,912 – $44,706 · median $29,603 28 plans
687 KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION $1,563 – $24,957 · median $17,910 28 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $1,075 – $17,169 · median $13,397 28 plans
689 KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY $1,738 – $27,745 · median $19,506 28 plans
690 KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY $1,192 – $19,028 · median $14,228 28 plans
693 URINARY STONES WITH COMORBITY $1,912 – $34,860 · median $23,020 28 plans
694 URINARY STONES WITHOUT COMORBITY $1,160 – $18,525 · median $13,852 28 plans
695 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITH COMORBITY $1,675 – $26,738 · median $19,215 28 plans
696 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY $1,027 – $16,401 · median $12,441 28 plans
697 URETHRAL STRICTURE $1,488 – $23,751 · median $17,809 28 plans
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY $1,912 – $39,851 · median $27,051 28 plans
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION $1,515 – $24,180 · median $17,403 28 plans
700 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY $1,031 – $16,458 · median $12,457 28 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $1,912 – $46,008 · median $31,697 28 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $1,912 – $35,147 · median $24,708 28 plans
709 PENIS PROCEDURES WITH CC/MCC $1,912 – $53,274 · median $36,510 28 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $1,588 – $25,358 · median $18,411 28 plans
713 TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY $1,912 – $34,282 · median $24,280 28 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $1,395 – $22,278 · median $17,103 28 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $1,912 – $53,540 · median $35,664 28 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $1,912 – $33,649 · median $23,829 28 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY $1,912 – $43,990 · median $30,226 28 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $1,829 – $29,206 · median $21,540 28 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,082 – $17,274 · median $12,430 28 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $1,875 – $29,934 · median $20,143 28 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY $1,105 – $17,648 · median $13,098 28 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $1,912 – $34,837 · median $24,191 28 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY $1,213 – $19,372 · median $14,311 28 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $1,635 – $26,100 · median $18,183 28 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY $901 – $14,388 · median $11,494 28 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $1,912 – $49,853 · median $33,836 28 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $1,803 – $28,779 · median $21,501 28 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $1,912 – $93,353 · median $56,469 28 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $1,912 – $47,378 · median $32,595 28 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,912 – $35,963 · median $24,399 28 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC — 28 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $1,912 – $43,108 · median $29,265 28 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,912 – $32,565 · median $23,204 28 plans
742 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY $1,912 – $43,307 · median $29,597 28 plans
743 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY $1,780 – $28,419 · median $20,491 28 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $1,912 – $46,325 · median $32,151 28 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $1,522 – $24,296 · median $18,436 28 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $1,912 – $39,701 · median $27,664 28 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $1,418 – $22,646 · median $15,586 28 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $1,912 – $32,297 · median $22,665 28 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $1,912 – $61,371 · median $40,648 28 plans
754 MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY $1,912 – $42,895 · median $29,503 28 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,649 – $26,318 · median $18,498 28 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,418 – $22,641 · median $16,470 28 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,912 – $33,554 · median $23,389 28 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,514 – $24,166 · median $16,984 28 plans
759 INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY $950 – $15,173 · median $11,769 28 plans
760 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY $1,464 – $23,367 · median $17,055 28 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $941 – $15,029 · median $11,039 28 plans
769 POSTPARTUM & POST ABORTION DIAGNOSES WITH O.R. PROCEDURE $1,912 – $32,942 · median $25,328 28 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $1,598 – $25,510 · median $17,584 28 plans
776 POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE $1,060 – $16,916 · median $12,293 28 plans
779 ABORTION WITHOUT D&C $1,388 – $22,162 · median $15,290 28 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $1,912 – $42,736 · median $29,160 28 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME; NEONATE $1,912 – $140,939 · median $90,229 28 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,912 – $96,252 · median $62,738 28 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $1,912 – $58,077 · median $38,354 28 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $1,912 – $98,874 · median $64,352 28 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,912 – $34,998 · median $24,197 28 plans
795 NORMAL NEWBORN $297 – $6,526 · median $4,421 28 plans
799 SPLENIC PROCEDURES WITH MCC $1,912 – $112,727 · median $69,593 28 plans
800 SPLENIC PROCEDURES WITH CC $1,912 – $69,080 · median $44,509 28 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC — 28 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $1,912 – $84,988 · median $59,148 28 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $1,912 – $42,200 · median $29,386 28 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $1,642 – $26,212 · median $20,615 28 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $1,912 – $54,298 · median $35,705 28 plans
809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION $1,839 – $29,362 · median $20,975 28 plans
810 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITHOUT COMPLICATION/COMORBITY $1,413 – $22,565 · median $17,174 28 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $1,912 – $49,562 · median $33,789 28 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $1,509 – $24,090 · median $17,363 28 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $1,912 – $60,102 · median $36,846 28 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $1,912 – $30,536 · median $20,247 28 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,213 – $19,358 · median $14,709 28 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $1,912 – $138,035 · median $89,081 28 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $1,912 – $52,926 · median $35,469 28 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,698 – $27,115 · median $19,765 28 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC — 28 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $1,912 – $52,143 · median $35,686 28 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $1,828 – $29,180 · median $21,626 28 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — 28 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $1,912 – $55,949 · median $36,998 28 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,912 – $38,002 · median $27,068 28 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $1,912 – $73,111 · median $48,820 28 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $1,912 – $34,673 · median $24,302 28 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMORBITY $1,709 – $27,288 · median $19,817 28 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION $1,110 – $17,719 · median $13,093 28 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY $772 – $12,323 · median $9,778 28 plans
834 ACUTE LEUKEMIA WITH MCC $1,912 – $131,041 · median $83,612 28 plans
835 ACUTE LEUKEMIA WITH CC $1,912 – $50,638 · median $33,608 28 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $1,887 – $30,126 · median $20,706 28 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $1,912 – $118,711 · median $73,611 28 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $1,912 – $48,085 · median $33,028 28 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,912 – $32,489 · median $23,363 28 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $1,912 – $75,605 · median $50,189 28 plans
841 LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION $1,912 – $37,174 · median $26,061 28 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $1,562 – $24,938 · median $17,441 28 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $1,912 – $44,886 · median $31,272 28 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $1,775 – $28,336 · median $20,301 28 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $1,243 – $19,839 · median $14,816 28 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $1,912 – $60,545 · median $40,553 28 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $1,887 – $30,126 · median $21,564 28 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,216 – $19,414 · median $14,642 28 plans
849 RADIOTHERAPY $1,912 – $63,326 · median $42,320 28 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES — 28 plans
853 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY $1,912 – $118,571 · median $73,905 28 plans
854 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION $1,912 – $47,371 · median $31,954 28 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,912 – $38,540 · median $25,344 28 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $1,912 – $106,961 · median $69,882 28 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION $1,912 – $51,657 · median $34,348 28 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $1,912 – $30,545 · median $22,306 28 plans
862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY $1,912 – $43,592 · median $29,466 28 plans
863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY $1,485 – $23,706 · median $17,113 28 plans
864 FEVER AND INFLAMMATORY CONDITIONS $1,334 – $21,290 · median $15,479 28 plans
865 VIRAL ILLNESS WITH COMORBITY $1,912 – $34,991 · median $24,353 28 plans
866 VIRAL ILLNESS WITHOUT COMORBITY $1,314 – $20,977 · median $15,242 28 plans
867 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY $1,912 – $50,837 · median $33,727 28 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $1,559 – $24,896 · median $17,709 28 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $1,069 – $17,060 · median $12,967 28 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $1,912 – $164,925 · median $104,355 28 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY $1,912 – $46,517 · median $30,924 28 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY $1,531 – $24,443 · median $17,194 28 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $1,912 – $34,327 · median $23,540 28 plans
896 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY $1,912 – $42,219 · median $28,353 28 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $1,912 – $105,038 · median $64,746 28 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $1,912 – $44,988 · median $30,739 28 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT COMPLICATION/COMORBITY $1,810 – $28,902 · median $19,932 28 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $1,912 – $91,539 · median $57,109 28 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $1,912 – $39,076 · median $25,166 28 plans
906 HAND PROCEDURES FOR INJURIES $1,912 – $51,743 · median $32,181 28 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY $1,912 – $94,446 · median $59,533 28 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION $1,912 – $47,821 · median $32,018 28 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $1,883 – $30,069 · median $21,584 28 plans
913 TRAUMATIC INJURY WITH MCC $1,912 – $38,367 · median $26,479 28 plans
914 TRAUMATIC INJURY WITHOUT MCC $1,361 – $21,726 · median $15,623 28 plans
915 ALLERGIC REACTIONS WITH COMORBITY $1,912 – $41,202 · median $27,558 28 plans
916 ALLERGIC REACTIONS WITHOUT COMORBITY $986 – $15,744 · median $12,043 28 plans
917 POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY $1,912 – $38,874 · median $25,735 28 plans
918 POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY $1,314 – $20,972 · median $15,154 28 plans
919 COMPLICATIONS OF TREATMENT WITH COMORBITY $1,912 – $43,234 · median $29,543 28 plans
920 COMPLICATIONS OF TREATMENT WITH COMPLICATION $1,509 – $24,085 · median $17,281 28 plans
921 COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY $1,021 – $16,304 · median $12,404 28 plans
922 OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY $1,912 – $40,052 · median $27,872 28 plans
923 OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY $1,515 – $24,180 · median $17,421 28 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $1,912 – $562,420 · median $329,868 28 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $1,912 – $158,343 · median $106,072 28 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $1,912 – $75,401 · median $50,020 28 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $1,912 – $102,582 · median $61,626 28 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $1,912 – $50,873 · median $34,859 28 plans
935 NON-EXTENSIVE BURNS $1,912 – $52,072 · median $33,577 28 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $1,912 – $75,249 · median $53,847 28 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $1,912 – $50,057 · median $35,870 28 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $1,912 – $46,333 · median $32,002 28 plans
945 REHABILITATION WITH COMPLICATION/COMORBITY $1,912 – $36,190 · median $25,122 28 plans
946 REHABILITATION WITHOUT COMPLICATION/COMORBITY $1,658 – $26,470 · median $19,138 28 plans
947 SIGNS & SYMPTOMS WITH COMORBITY $1,910 – $30,493 · median $21,186 28 plans
948 SIGNS & SYMPTOMS WITHOUT COMORBITY $1,180 – $18,836 · median $14,095 28 plans
949 AFTERCARE WITH CC/MCC $1,602 – $25,581 · median $19,250 28 plans
950 AFTERCARE WITHOUT CC/MCC $870 – $13,895 · median $11,072 28 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $1,912 – $161,885 · median $101,719 28 plans
956 LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA — 28 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $1,912 – $176,961 · median $114,685 28 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION — 28 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $1,912 – $62,682 · median $44,325 28 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY $1,912 – $64,408 · median $42,855 28 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION $1,912 – $35,564 · median $24,793 28 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $1,355 – $21,636 · median $16,068 28 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $1,912 – $149,937 · median $92,823 28 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $1,912 – $62,904 · median $41,661 28 plans
974 HIV WITH MAJOR RELATED CONDITION WITH COMORBITY $1,912 – $70,797 · median $45,627 28 plans
975 HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION $1,912 – $33,699 · median $22,277 28 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT COMPLICATION/COMORBITY $1,489 – $23,779 · median $16,281 28 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $1,912 – $34,185 · median $22,457 28 plans
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY $1,912 – $112,705 · median $71,970 28 plans
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION $1,912 – $58,044 · median $38,756 28 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,912 – $39,550 · median $27,448 28 plans
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY $1,912 – $83,042 · median $53,539 28 plans
988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION $1,912 – $40,683 · median $27,111 28 plans
989 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY $1,716 – $27,395 · median $19,834 28 plans
768 VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C $1,628 – $25,991 · median $17,977 27 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $1,912 – $43,673 · median $33,587 27 plans
784 CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION $1,608 – $25,676 · median $17,689 27 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $1,297 – $20,709 · median $15,725 27 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION $1,577 – $25,173 · median $18,334 27 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY $1,343 – $21,449 · median $15,893 27 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $1,896 – $30,266 · median $20,149 27 plans
797 VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMPLICATION $1,438 – $22,954 · median $16,763 27 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $1,438 – $22,954 · median $16,409 27 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $1,482 – $23,661 · median $17,487 27 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION $1,075 – $17,155 · median $13,181 27 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY $946 – $15,109 · median $11,772 27 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,912 – $93,163 · median $59,115 26 plans
880 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION $1,424 – $22,726 · median $16,545 26 plans
881 DEPRESSIVE NEUROSES $1,357 – $21,671 · median $16,188 26 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,429 – $22,807 · median $17,479 26 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $1,912 – $43,952 · median $31,217 26 plans
884 ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY $1,912 – $39,597 · median $26,361 26 plans
885 PSYCHOSES $1,912 – $33,419 · median $23,165 26 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,912 – $42,591 · median $31,716 26 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,766 – $28,198 · median $18,772 26 plans
209 COMPLEX AORTIC ARCH PROCEDURES $1,912 – $170,873 · median $154,528 21 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES — 21 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $1,912 – $39,374 · median $35,608 21 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC — 21 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $1,912 – $39,258 · median $35,503 21 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH COMORBITY $1,912 – $36,660 · median $27,492 12 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH COMPLICATION $1,482 – $23,658 · median $17,742 12 plans
045 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION $1,912 – $13,699 · median $9,801 3 plans
044 INTRACRANIAL HEMORRHAGE $1,912 – $1,912 · median $1,912 1 plans
046 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION $1,912 – $1,912 · median $1,912 1 plans
130 MAJOR HEAD & NECK PROCEDURES WITHOUT COMPLICATION/COMORBITY $1,912 – $1,912 · median $1,912 1 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAG WITHOUT COMPLICATION/COMORBITY $1,912 – $1,912 · median $1,912 1 plans
775 ALCOHOL ABUSE AND DEPENDENCE $1,912 – $1,912 · median $1,912 1 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,912 – $1,912 · median $1,912 1 plans
999 UNGROUPABLE $1,912 – $1,912 · median $1,912 1 plans
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