Marymount Hospital — Pricing

770 procedures published in this hospital's Machine-Readable File (MRF) — 287 with a comparable price, 483 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 770
Lowest published price $1,500
Average published price $17,958
Highest published price $296,458

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 770 procedures

Published charges

Showing all 287 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above. Cash-pay prices not published for this hospital.

Across 32 procedures, this hospital's negotiated rates average ≈197% of what Medicare pays.

DRG Description Published price vs. OH median vs. National median vs Medicare
163 MAJOR CHEST PROCEDURES WITH MCC $296,458 $63,017 +370% $90,195 +229% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $169,142 $127,148 +33% $188,171 −10% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $137,470 $65,149 +111% $90,724 +52% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $115,181 $112,119 +3% $153,282 −25% —
028 SPINAL PROCEDURES WITH MCC $82,681 $81,731 +1% $113,077 −27% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $79,120 $72,075 +10% $102,573 −23% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $74,855 $74,634 +0% $105,899 −29% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $70,214 $96,607 −27% $144,569 −51% —
215 Other heart assist system implant $67,343 $139,148 −52% $208,939 −68% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $66,603 $137,630 −52% $142,326 −53% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $61,660 $45,498 +36% $58,745 +5% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $60,514 $22,435 +170% $36,988 +64% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $55,788 $13,806 +304% $18,150 +207% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $53,075 $110,483 −52% $144,774 −63% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $46,243 $56,535 −18% $73,120 −37% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $45,269 $94,742 −52% $132,794 −66% —
038 EXTRACRANIAL PROCEDURES WITH CC $44,929 $24,107 +86% $35,770 +26% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $42,524 $89,209 −52% $125,242 −66% —
500 SOFT TISSUE PROCEDURES WITH MCC $39,863 $42,092 −5% $61,872 −36% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $39,541 $83,192 −52% $117,280 −66% —
164 MAJOR CHEST PROCEDURES WITH CC $39,204 $35,862 +9% $56,755 −31% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $39,065 $89,681 −56% $126,098 −69% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC $38,242 $80,603 −53% $113,855 −66% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $36,610 $77,406 −53% $107,355 −66% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $35,279 $22,265 +58% $26,463 +33% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $34,523 $44,609 −23% $89,207 −61% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $34,494 $47,403 −27% $70,371 −51% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $34,484 $69,695 −51% $99,423 −65% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $33,598 $40,991 −18% $59,790 −44% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $32,196 $33,920 −5% $50,624 −36% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $32,146 $69,206 −54% $96,507 −67% —
278 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC $31,988 $68,045 −53% $93,238 −66% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $31,342 $38,454 −18% $43,491 −28% —
471 CERVICAL SPINAL FUSION WITH MCC $31,094 $66,189 −53% $92,515 −66% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $30,922 $36,798 −16% $59,533 −48% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $30,711 $32,503 −6% $49,418 −38% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC $30,156 $64,248 −53% $92,217 −67% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $29,421 $62,792 −53% $88,050 −67% —
075 VIRAL MENINGITIS WITH CC/MCC $29,366 $25,549 +15% $30,447 −4% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $28,844 $30,721 −6% $49,351 −42% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $28,324 $61,750 −54% $76,001 −63% —
653 MAJOR BLADDER PROCEDURES WITH MCC $28,304 $64,273 −56% $104,583 −73% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $28,097 $60,208 −53% $86,970 −68% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $27,357 $58,558 −53% $82,561 −67% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $26,673 $57,196 −53% $85,159 −69% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $26,446 $61,240 −57% $88,307 −70% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $26,351 $56,565 −53% $82,247 −68% —
470 Major joint replacement or reattachment of lower extremity w/o MCC $26,202 $27,666 −5% $50,607 −48% ≈138% of Medicare
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $26,189 $56,194 −53% $81,998 −68% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $25,333 $54,405 −53% $71,795 −65% —
906 Hand procedures for injuries $25,179 $31,520 −20% $32,065 −21% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $25,129 $53,970 −53% $79,116 −68% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $24,888 $31,193 −20% $45,877 −46% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $24,645 $68,020 −64% $93,172 −74% ≈115% of Medicare
279 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC $24,086 $40,662 −41% $63,928 −62% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $23,168 $28,381 −18% $43,080 −46% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $22,821 $28,868 −21% $43,913 −48% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $22,557 $48,655 −54% $66,068 −66% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $22,189 $47,899 −54% $71,014 −69% —
252 OTHER VASCULAR PROCEDURES WITH MCC $22,106 $39,129 −44% $68,508 −68% ≈178% of Medicare
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $21,893 $46,494 −53% $70,847 −69% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $21,851 $47,218 −54% $70,132 −69% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $21,406 $24,341 −12% $36,670 −42% —
037 EXTRACRANIAL PROCEDURES WITH MCC $21,373 $35,207 −39% $66,666 −68% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $20,751 $44,977 −54% $72,424 −71% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $20,577 $29,520 −30% $49,710 −59% —
511 Shoulder,elbow or forearm proc,exc major joint proc w CC $20,363 $28,648 −29% $43,538 −53% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $19,894 $46,361 −57% $65,216 −69% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $19,797 $43,021 −54% $60,407 −67% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $19,742 $42,891 −54% $64,523 −69% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $19,280 $34,285 −44% $46,402 −58% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $19,118 $16,999 +12% $18,459 +4% —
668 TRANSURETHRAL PROCEDURES WITH MCC $18,845 $41,045 −54% $51,608 −63% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $18,831 $41,024 −54% $70,467 −73% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $18,737 $38,281 −51% $62,264 −70% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $18,560 $41,365 −55% $65,653 −72% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $17,370 $22,735 −24% $33,424 −48% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $17,160 $23,143 −26% $37,950 −55% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $16,939 $37,242 −55% $54,929 −69% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $16,754 $36,735 −54% $52,178 −68% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $16,604 $16,604 +0% $26,932 −38% —
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $16,529 $36,267 −54% $58,707 −72% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $16,368 $35,990 −55% $40,362 −59% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $16,204 $35,670 −55% $55,162 −71% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $16,126 $21,795 −26% $35,465 −55% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,904 $34,970 −55% $51,985 −69% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $15,440 $23,677 −35% $53,451 −71% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $15,241 $34,357 −56% $59,651 −74% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,200 $21,645 −30% $50,139 −70% —
916 ALLERGIC REACTIONS WITHOUT MCC $15,171 $11,813 +28% $13,942 +9% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $15,142 $19,655 −23% $28,156 −46% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $15,062 $33,308 −55% $36,489 −59% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $15,015 $32,279 −53% $59,629 −75% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $14,991 $33,155 −55% $50,394 −70% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $14,825 $20,295 −27% $36,937 −60% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $14,674 $23,776 −38% $50,011 −71% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $14,650 $25,347 −42% $48,682 −70% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $14,329 $21,240 −33% $27,285 −47% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $14,022 $31,144 −55% $38,666 −64% ≈125% of Medicare
549 SEPTIC ARTHRITIS WITH CC $13,903 $18,835 −26% $24,056 −42% —
374 DIGESTIVE MALIGNANCY WITH MCC $13,748 $23,726 −42% $39,958 −66% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $13,739 $30,555 −55% $58,280 −76% —
813 Coagulation disorders $13,710 $23,285 −41% $33,296 −59% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $13,611 $25,294 −46% $33,851 −60% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $13,508 $30,124 −55% $52,751 −74% ≈158% of Medicare
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,153 $29,374 −55% $42,914 −69% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $13,137 $29,304 −55% $46,090 −71% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $13,052 $32,890 −60% $43,943 −70% —
100 SEIZURES WITH MCC $12,973 $28,961 −55% $35,481 −63% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $12,951 $11,694 +11% $18,133 −29% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $12,877 $28,621 −55% $40,213 −68% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $12,862 $32,604 −61% $41,892 −69% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,821 $28,703 −55% $43,631 −71% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $12,805 $28,660 −55% $35,628 −64% ≈128% of Medicare
445 DISORDERS OF THE BILIARY TRACT WITH CC $12,780 $16,211 −21% $23,319 −45% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $12,709 $22,361 −43% $39,955 −68% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,636 $27,955 −55% $42,881 −71% —
380 COMPLICATED PEPTIC ULCER WITH MCC $12,575 $28,169 −55% $39,627 −68% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,517 $22,047 −43% $34,459 −64% —
570 SKIN DEBRIDEMENT WITH MCC $12,456 $40,626 −69% $52,435 −76% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,383 $23,838 −48% $33,985 −64% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $12,338 $22,469 −45% $33,255 −63% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $12,324 $27,664 −55% $47,711 −74% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $12,239 $27,093 −55% $32,637 −62% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $12,204 $17,596 −31% $36,792 −67% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $12,029 $27,058 −56% $32,859 −63% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $12,025 $26,921 −55% $43,298 −72% —
919 COMPLICATIONS OF TREATMENT WITH MCC $11,942 $17,347 −31% $31,105 −62% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $11,917 $26,853 −56% $37,387 −68% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $11,887 $32,385 −63% $47,737 −75% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $11,849 $26,676 −56% $58,809 −80% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $11,655 $26,308 −56% $52,075 −78% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $11,610 $26,206 −56% $38,101 −70% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $11,572 $13,481 −14% $17,934 −35% —
199 PNEUMOTHORAX WITH MCC $11,556 $26,106 −56% $33,787 −66% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $11,467 $64,874 −82% $90,775 −87% —
180 RESPIRATORY NEOPLASMS WITH MCC $11,443 $25,879 −56% $36,658 −69% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $11,419 $17,053 −33% $31,951 −64% —
915 ALLERGIC REACTIONS WITH MCC $11,411 $25,750 −56% $32,645 −65% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $11,233 $15,418 −27% $23,571 −52% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,230 $18,646 −40% $38,094 −71% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $11,156 $25,272 −56% $43,477 −74% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $11,104 $25,121 −56% $31,563 −65% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,057 $22,529 −51% $34,273 −68% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,051 $25,010 −56% $32,496 −66% ≈145% of Medicare
571 SKIN DEBRIDEMENT WITH CC $10,989 $24,925 −56% $37,169 −70% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $10,979 $22,671 −52% $26,682 −59% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $10,915 $24,787 −56% $32,628 −67% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $10,890 $24,718 −56% $44,606 −76% —
643 ENDOCRINE DISORDERS WITH MCC $10,888 $24,704 −56% $33,563 −68% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $10,871 $11,423 −5% $33,653 −68% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $10,849 $24,622 −56% $44,117 −75% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $10,796 $21,187 −49% $30,828 −65% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,760 $24,475 −56% $30,235 −64% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $10,752 $22,841 −53% $33,661 −68% —
157 DENTAL AND ORAL DISEASES WITH MCC $10,751 $24,447 −56% $31,300 −66% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $10,716 $15,028 −29% $27,633 −61% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,624 $24,174 −56% $33,707 −68% ≈134% of Medicare
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $10,615 $31,353 −66% $45,333 −77% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $10,585 $9,691 +9% $13,275 −20% —
183 MAJOR CHEST TRAUMA WITH MCC $10,460 $14,367 −27% $29,933 −65% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $10,436 $23,784 −56% $41,955 −75% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $10,369 $22,628 −54% $24,586 −58% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $10,331 $17,198 −40% $33,633 −69% —
563 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC $10,311 $14,795 −30% $19,842 −48% ≈211% of Medicare
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $10,295 $14,776 −30% $22,148 −54% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $10,273 $9,054 +13% $18,649 −45% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $10,205 $14,675 −30% $15,452 −34% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $10,104 $23,118 −56% $39,211 −74% —
697 Urethral stricture $10,056 $16,196 −38% $18,428 −45% —
398 APPENDIX PROCEDURES WITH CC $9,972 $22,834 −56% $40,162 −75% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $9,938 $22,721 −56% $36,505 −73% —
682 RENAL FAILURE WITH MCC $9,890 $19,763 −50% $29,064 −66% ≈152% of Medicare
103 HEADACHES WITHOUT MCC $9,808 $14,229 −31% $21,280 −54% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $9,808 $22,477 −56% $28,140 −65% —
811 RED BLOOD CELL DISORDERS WITH MCC $9,779 $18,473 −47% $28,226 −65% —
602 CELLULITIS WITH MCC $9,712 $22,262 −56% $30,598 −68% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $9,707 $22,272 −56% $30,571 −68% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,637 $17,867 −46% $33,047 −71% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $9,631 $22,077 −56% $24,941 −61% —
637 DIABETES WITH MCC $9,622 $22,095 −56% $30,100 −68% ≈175% of Medicare
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $9,550 $33,872 −72% $59,500 −84% —
204 RESPIRATORY SIGNS AND SYMPTOMS $9,356 $9,672 −3% $18,004 −48% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $9,341 $21,483 −57% $30,959 −70% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,333 $20,619 −55% $29,805 −69% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $9,030 $22,379 −60% $34,192 −74% —
694 URINARY STONES WITHOUT MCC $9,015 $13,336 −32% $17,345 −48% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,941 $17,388 −49% $24,127 −63% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $8,886 $20,586 −57% $31,264 −72% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,809 $20,430 −57% $25,463 −65% ≈142% of Medicare
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $8,773 $29,012 −70% $39,106 −78% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $8,740 $20,296 −57% $27,275 −68% ≈152% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $8,689 $12,397 −30% $27,043 −68% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $8,682 $19,931 −56% $26,051 −67% —
291 HEART FAILURE AND SHOCK WITH MCC $8,659 $20,129 −57% $26,776 −68% ≈146% of Medicare
149 Dysequilibrium $8,623 $12,896 −33% $18,096 −52% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $8,622 $13,306 −35% $20,084 −57% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $8,525 $19,865 −57% $28,050 −70% —
375 DIGESTIVE MALIGNANCY WITH CC $8,470 $13,647 −38% $27,277 −69% —
313 Chest pain $8,407 $12,453 −32% $16,440 −49% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,271 $18,202 −55% $27,297 −70% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,240 $16,000 −48% $22,458 −63% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,233 $19,267 −57% $28,320 −71% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,220 $18,497 −56% $26,580 −69% ≈180% of Medicare
153 OTITIS MEDIA AND URI WITHOUT MCC $8,210 $12,431 −34% $14,583 −44% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $8,165 $19,075 −57% $27,163 −70% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,046 $18,845 −57% $26,770 −70% ≈216% of Medicare
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $8,007 $18,752 −57% $30,784 −74% —
304 HYPERTENSION WITH MCC $7,856 $18,442 −57% $26,080 −70% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $7,807 $18,383 −58% $23,617 −67% ≈175% of Medicare
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,790 $12,825 −39% $17,226 −55% —
302 ATHEROSCLEROSIS WITH MCC $7,786 $17,761 −56% $22,446 −65% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $7,773 $17,780 −56% $31,321 −75% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $7,738 $18,220 −58% $25,700 −70% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $7,733 $8,566 −10% $16,288 −53% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,612 $15,985 −52% $25,279 −70% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $7,596 $17,967 −58% $26,618 −71% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $7,564 $11,266 −33% $25,034 −70% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $7,536 $22,651 −67% $30,502 −75% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,512 $17,654 −57% $24,386 −69% ≈203% of Medicare
200 PNEUMOTHORAX WITH CC $7,411 $14,483 −49% $21,368 −65% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,291 $15,235 −52% $32,021 −77% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $7,272 $11,225 −35% $13,824 −47% —
639 DIABETES WITHOUT CC/MCC $7,229 $11,327 −36% $13,910 −48% —
184 MAJOR CHEST TRAUMA WITH CC $7,185 $15,014 −52% $22,432 −68% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,179 $17,079 −58% $23,749 −70% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,147 $16,963 −58% $23,551 −70% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,128 $16,935 −58% $24,914 −71% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,095 $9,635 −26% $20,232 −65% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $7,045 $16,872 −58% $23,488 −70% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,017 $16,723 −58% $23,141 −70% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $6,994 $15,986 −56% $20,895 −67% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $6,924 $15,715 −56% $22,888 −70% ≈198% of Medicare
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $6,895 $14,665 −53% $25,970 −73% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,873 $16,429 −58% $22,506 −69% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $6,829 $15,215 −55% $23,940 −71% ≈205% of Medicare
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $6,751 $16,171 −58% $20,957 −68% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,705 $12,567 −47% $22,033 −70% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,679 $16,070 −58% $22,024 −70% ≈196% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,535 $15,734 −58% $21,449 −70% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $6,516 $10,530 −38% $17,724 −63% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,496 $15,347 −58% $21,396 −70% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,471 $10,110 −36% $20,506 −68% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $6,452 $16,973 −62% $21,275 −70% ≈204% of Medicare
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,374 $13,612 −53% $20,181 −68% ≈203% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,262 $15,172 −59% $20,488 −69% —
101 SEIZURES WITHOUT MCC $6,254 $15,157 −59% $20,461 −69% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,238 $13,699 −54% $20,463 −70% —
638 DIABETES WITH CC $6,225 $15,098 −59% $19,661 −68% ≈218% of Medicare
914 TRAUMATIC INJURY WITHOUT MCC $6,223 $12,958 −52% $15,855 −61% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,153 $14,950 −59% $18,488 −67% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,992 $14,668 −59% $16,520 −64% —
603 CELLULITIS WITHOUT MCC $5,987 $14,626 −59% $18,530 −68% ≈206% of Medicare
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,972 $12,389 −52% $16,699 −64% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,929 $14,480 −59% $19,305 −69% —
312 SYNCOPE AND COLLAPSE $5,925 $14,502 −59% $19,342 −69% ≈199% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,852 $14,344 −59% $18,807 −69% ≈213% of Medicare
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $5,848 $5,116 +14% $9,940 −41% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,838 $11,282 −48% $19,096 −69% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,696 $14,026 −59% $18,528 −69% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,594 $13,799 −59% $17,118 −67% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,579 $13,791 −60% $18,126 −69% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,555 $13,719 −60% $18,002 −69% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,497 $13,598 −60% $17,578 −69% ≈227% of Medicare
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,490 $13,579 −60% $21,056 −74% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,483 $13,611 −60% $17,674 −69% ≈233% of Medicare
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,455 $13,506 −60% $17,921 −70% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,427 $13,438 −60% $17,620 −69% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,353 $13,321 −60% $17,322 −69% ≈258% of Medicare
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,322 $13,288 −60% $17,124 −69% —
305 HYPERTENSION WITHOUT MCC $5,184 $12,937 −60% $18,086 −71% —
551 MEDICAL BACK PROBLEMS WITH MCC $5,085 $25,341 −80% $34,017 −85% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,077 $12,789 −60% $17,303 −71% ≈251% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,987 $12,605 −60% $19,227 −74% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $4,938 $15,990 −69% $22,098 −78% ≈199% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $4,895 $12,227 −60% $20,422 −76% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,835 $10,551 −54% $12,252 −61% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,768 $12,127 −61% $20,781 −77% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,459 $9,058 −51% $12,078 −63% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,440 $8,218 −46% $15,038 −70% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,158 $8,316 −50% $15,183 −73% —
951 Other factors influencing health status $4,141 $9,653 −57% $10,160 −59% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,933 $10,456 −62% $13,384 −71% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,888 $10,316 −62% $12,999 −70% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,883 $10,296 −62% $13,361 −71% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,000 $4,964 −60% $8,445 −76% —
795 NORMAL NEWBORN $1,500 $3,472 −57% $4,720 −68% —

Procedures with negotiated rates only

These 483 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
008 Simultaneous pancreas/kidney transplant $26,000 – $308,400 · median $59,263 15 plans
010 Pancreas transplant $10,700 – $240,800 · median $75,876 15 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $12,900 – $481,200 · median $130,707 15 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $36,400 – $477,808 · median $283,798 14 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $10,479 – $444,900 · median $158,484 14 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $27,200 – $563,700 · median $117,086 14 plans
007 Lung transplant $26,000 – $433,900 · median $136,935 14 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $30,471 – $185,100 · median $53,389 14 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $24,122 – $185,100 · median $42,083 14 plans
652 Kidney transplant $21,084 – $185,100 · median $36,674 14 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $72,753 – $444,900 · median $123,245 13 plans
006 LIVER TRANSPLANT WITHOUT MCC $30,060 – $561,500 · median $52,658 13 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $38,304 – $240,500 · median $62,701 13 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $35,132 – $240,500 · median $57,441 13 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $45,987 – $292,000 · median $75,441 13 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $11,938 – $48,200 · median $15,026 13 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $11,507 – $52,200 · median $13,809 13 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $13,385 – $47,608 · median $21,992 13 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $12,546 – $46,841 · median $20,561 13 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,783 – $39,400 · median $7,322 13 plans
334 RECTAL RESECTION WITHOUT CC/MCC $10,935 – $51,500 · median $17,814 13 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $9,067 – $30,400 · median $13,816 13 plans
501 SOFT TISSUE PROCEDURES WITH CC $11,637 – $51,600 · median $19,012 13 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $9,073 – $38,100 · median $14,638 13 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $20,813 – $97,000 · median $34,661 13 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $10,289 – $49,400 · median $16,600 13 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $10,479 – $236,166 · median $102,637 12 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $11,938 – $289,300 · median $58,551 12 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $11,938 – $160,500 · median $39,576 12 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $11,938 – $139,200 · median $42,793 12 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $11,938 – $94,700 · median $29,393 12 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $12,198 – $77,400 · median $19,618 12 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $11,938 – $70,100 · median $25,706 12 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $11,938 – $59,300 · median $17,145 12 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $11,938 – $79,700 · median $33,583 12 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $11,938 – $46,900 · median $16,660 12 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $11,094 – $50,400 · median $13,436 12 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $11,938 – $75,400 · median $29,089 12 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $11,938 – $59,600 · median $18,619 12 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $11,938 – $71,900 · median $29,019 12 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $6,992 – $25,700 · median $10,781 12 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $15,304 – $41,200 · median $24,564 12 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $8,752 – $22,090 · median $13,700 12 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,002 – $25,600 · median $9,140 12 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,312 – $25,700 · median $7,996 12 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $10,720 – $52,600 · median $16,964 12 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,752 – $14,070 · median $8,726 12 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,201 – $18,000 · median $9,470 12 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $22,933 – $82,500 · median $37,214 12 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $16,937 – $57,400 · median $27,272 12 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $16,937 – $63,500 · median $27,272 12 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $15,124 – $50,100 · median $24,266 12 plans
102 HEADACHES WITH MCC $7,638 – $22,600 · median $11,852 12 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $8,927 – $22,559 · median $13,591 12 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,386 – $13,091 · median $7,887 12 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,141 – $15,110 · median $9,152 12 plans
139 Salivary gland procedures $5,700 – $21,069 · median $12,604 12 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $13,993 – $36,102 · median $22,389 12 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,598 – $22,600 · median $13,445 12 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,573 – $34,800 · median $8,429 12 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,292 – $15,512 · median $9,280 12 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $12,697 – $57,400 · median $20,241 12 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $10,251 – $78,400 · median $28,785 12 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $11,990 – $50,100 · median $19,069 12 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,203 – $34,500 · median $14,448 12 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,623 – $25,000 · median $10,074 12 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,304 – $18,500 · median $7,983 12 plans
181 RESPIRATORY NEOPLASMS WITH CC $7,320 – $25,400 · median $11,325 12 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,297 – $31,800 · median $7,971 12 plans
186 PLEURAL EFFUSION WITH MCC $10,428 – $36,600 · median $16,480 12 plans
187 PLEURAL EFFUSION WITH CC $6,797 – $20,900 · median $10,459 12 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,584 – $17,300 · median $6,789 12 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,629 – $21,000 · median $10,325 12 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $6,542 – $21,600 · median $10,036 12 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,057 – $17,400 · median $7,573 12 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,050 – $12,192 · median $7,561 12 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $41,524 – $148,400 · median $65,631 12 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $18,018 – $59,600 · median $29,065 12 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $11,938 – $223,200 · median $49,491 12 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $11,938 – $203,974 · median $57,697 12 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $11,938 – $146,600 · median $40,247 12 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $11,938 – $133,893 · median $38,070 12 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $11,938 – $185,200 · median $37,379 12 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $11,938 – $143,800 · median $24,003 12 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $12,198 – $168,400 · median $44,233 12 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $31,876 – $159,900 · median $52,042 12 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $9,318 – $53,900 · median $14,639 12 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $11,938 – $48,730 · median $14,333 12 plans
245 AICD GENERATOR PROCEDURES $11,938 – $114,194 · median $34,186 12 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $10,020 – $58,200 · median $12,738 12 plans
253 OTHER VASCULAR PROCEDURES WITH CC $11,938 – $63,240 · median $20,166 12 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $11,852 – $49,600 · median $14,234 12 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $11,317 – $28,949 · median $17,954 12 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,455 – $35,400 · median $11,549 12 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $20,527 – $53,573 · median $33,225 12 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $10,884 – $41,900 · median $17,235 12 plans
264 Other circulatory system O.R. procedures $21,793 – $56,957 · median $35,324 12 plans
265 AICD lead procedures $11,938 – $76,800 · median $27,229 12 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $10,479 – $73,600 · median $17,278 12 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $17,747 – $78,100 · median $28,615 12 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,419 – $15,851 · median $9,831 12 plans
292 HEART FAILURE AND SHOCK WITH CC $5,904 – $26,700 · median $10,571 12 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $10,251 – $36,100 · median $12,900 12 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,079 – $18,100 · median $7,610 12 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,313 – $19,477 · median $9,656 12 plans
311 Angina pectoris $4,966 – $14,200 · median $7,422 12 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,633 – $27,400 · median $10,669 12 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,840 – $18,000 · median $7,213 12 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $32,295 – $144,100 · median $52,737 12 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $16,077 – $74,300 · median $25,845 12 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $10,708 – $46,000 · median $16,943 12 plans
333 RECTAL RESECTION WITH CC $15,426 – $61,900 · median $24,766 12 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $23,262 – $89,400 · median $37,759 12 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $13,937 – $35,953 · median $22,297 12 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $16,960 – $48,600 · median $27,311 12 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,085 – $28,400 · median $15,911 12 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $8,836 – $25,400 · median $13,839 12 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,042 – $19,500 · median $9,206 12 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $7,937 – $24,600 · median $12,348 12 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,404 – $37,100 · median $14,781 12 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $11,797 – $46,500 · median $18,749 12 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,001 – $20,900 · median $10,705 12 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,128 – $17,500 · median $7,692 12 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,384 – $15,759 · median $9,774 12 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $10,251 – $40,800 · median $14,374 12 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,595 – $14,800 · median $8,466 12 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,580 – $34,400 · median $16,731 12 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,628 – $14,800 · median $6,863 12 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $35,375 – $128,400 · median $57,845 12 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $18,984 – $73,800 · median $30,667 12 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $14,644 – $47,500 · median $23,470 12 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $14,375 – $70,100 · median $23,023 12 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $26,974 – $111,300 · median $43,914 12 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $37,267 – $228,300 · median $60,981 12 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,033 – $12,148 · median $7,509 12 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,931 – $14,549 · median $9,023 12 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,952 – $12,000 · median $7,399 12 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,766 – $15,600 · median $8,748 12 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $11,938 – $145,800 · median $31,314 12 plans
461 Bilateral or multiple major joint procs of lower extremity w MCC $11,938 – $116,800 · median $41,265 12 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $12,931 – $85,200 · median $20,452 12 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $20,352 – $105,500 · median $32,935 12 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,120 – $67,300 · median $19,284 12 plans
469 Major joint replacement or reattachment of lower extremity w MCC $11,938 – $95,100 · median $22,918 12 plans
472 CERVICAL SPINAL FUSION WITH CC $11,938 – $102,300 · median $22,276 12 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,344 – $42,700 · median $19,656 12 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $23,611 – $98,000 · median $38,338 12 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $11,993 – $64,200 · median $19,074 12 plans
503 FOOT PROCEDURES WITH MCC $18,289 – $47,588 · median $29,335 12 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $11,923 – $34,400 · median $18,957 12 plans
512 Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC $11,046 – $34,500 · median $17,504 12 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,009 – $81,100 · median $10,810 12 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $15,600 – $63,721 · median $38,119 12 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $13,245 – $37,400 · median $21,150 12 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,630 – $15,300 · median $8,524 12 plans
539 OSTEOMYELITIS WITH MCC $13,051 – $63,600 · median $20,828 12 plans
540 OSTEOMYELITIS WITH CC $8,756 – $22,102 · median $13,707 12 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,302 – $23,800 · median $7,979 12 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,822 – $19,700 · median $8,842 12 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $9,972 – $30,400 · median $15,722 12 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,186 – $15,229 · median $9,445 12 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,268 – $12,776 · median $7,923 12 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $18,903 – $97,600 · median $30,531 12 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $10,695 – $68,400 · median $16,922 12 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $9,363 – $56,100 · median $11,681 12 plans
654 MAJOR BLADDER PROCEDURES WITH CC $18,341 – $115,500 · median $29,600 12 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $13,987 – $92,000 · median $22,381 12 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $20,793 – $103,500 · median $33,666 12 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $10,386 – $59,500 · median $16,409 12 plans
663 MINOR BLADDER PROCEDURES WITH CC $10,184 – $50,900 · median $16,075 12 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,166 – $38,900 · median $11,070 12 plans
669 TRANSURETHRAL PROCEDURES WITH CC $10,387 – $37,800 · median $16,411 12 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $6,722 – $29,500 · median $10,334 12 plans
671 URETHRAL PROCEDURES WITH CC/MCC $11,937 – $45,200 · median $18,980 12 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,374 – $46,000 · median $11,415 12 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $27,284 – $71,637 · median $44,428 12 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $10,957 – $27,986 · median $17,356 12 plans
683 RENAL FAILURE WITH CC $6,075 – $20,400 · median $10,705 12 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,318 – $14,000 · median $6,348 12 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $11,992 – $39,300 · median $19,072 12 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,530 – $19,400 · median $8,357 12 plans
693 URINARY STONES WITH MCC $9,064 – $22,924 · median $14,217 12 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,884 – $15,100 · median $7,285 12 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,889 – $14,500 · median $7,295 12 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $37,890 – $207,900 · median $62,014 12 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $14,765 – $62,300 · median $23,671 12 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,168 – $53,000 · median $12,731 12 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $29,727 – $112,000 · median $48,480 12 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $14,938 – $72,800 · median $23,956 12 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,095 – $45,700 · median $14,269 12 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $15,228 – $98,600 · median $24,439 12 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $20,641 – $104,500 · median $33,414 12 plans
834 ACUTE LEUKEMIA WITH MCC $35,499 – $152,300 · median $58,050 12 plans
835 ACUTE LEUKEMIA WITH CC $13,791 – $106,100 · median $22,055 12 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,267 – $28,500 · median $12,895 12 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $31,127 – $171,600 · median $50,801 12 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $13,801 – $71,900 · median $22,072 12 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,698 – $24,619 · median $15,268 12 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $6,933 – $28,400 · median $10,684 12 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $8,253 – $28,600 · median $12,873 12 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $17,022 – $44,202 · median $26,442 12 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $8,832 – $22,305 · median $13,833 12 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,906 – $14,482 · median $8,982 12 plans
849 Radiotherapy $17,768 – $46,197 · median $28,650 12 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,372 – $38,300 · median $14,729 12 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,151 – $17,600 · median $9,387 12 plans
866 VIRAL ILLNESS WITHOUT MCC $6,035 – $14,827 · median $9,195 12 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $13,838 – $50,700 · median $22,133 12 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,065 – $37,600 · median $10,903 12 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $44,567 – $194,500 · median $73,085 12 plans
011 Tracheostomy for face,mouth & neck diagnoses w MCC $35,271 – $92,992 · median $56,025 11 plans
012 Tracheostomy for face,mouth & neck diagnoses w CC $27,375 – $71,883 · median $43,307 11 plans
013 Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC $18,867 – $49,135 · median $29,602 11 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $275,868 – $736,267 · median $443,574 11 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $11,938 – $54,175 · median $23,750 11 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $12,041 – $30,883 · median $18,606 11 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $6,734 – $16,695 · median $10,058 11 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $11,391 – $29,147 · median $17,560 11 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $9,442 – $30,075 · median $14,420 11 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $12,032 – $30,861 · median $18,592 11 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,585 – $17,671 · median $9,818 11 plans
088 CONCUSSION WITH MCC $9,110 – $23,048 · median $13,886 11 plans
089 CONCUSSION WITH CC $7,496 – $18,731 · median $11,285 11 plans
090 CONCUSSION WITHOUT CC/MCC $5,739 – $14,036 · median $8,456 11 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $9,178 – $23,229 · median $13,995 11 plans
113 ORBITAL PROCEDURES WITH CC/MCC $15,483 – $40,086 · median $24,151 11 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $9,118 – $23,069 · median $13,898 11 plans
115 Extraocular procedures except orbit $10,278 – $26,170 · median $15,766 11 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,020 – $30,828 · median $18,573 11 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,408 – $18,498 · median $11,144 11 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $7,908 – $19,834 · median $11,949 11 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,501 – $13,398 · median $8,072 11 plans
123 Neurological eye disorders $5,582 – $13,616 · median $8,203 11 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $14,328 – $36,999 · median $22,290 11 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $6,964 – $17,311 · median $10,429 11 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,012 – $25,459 · median $15,338 11 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $27,690 – $72,723 · median $43,813 11 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $14,399 – $37,188 · median $22,404 11 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $10,670 – $27,219 · median $16,398 11 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $24,382 – $63,880 · median $38,485 11 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $11,541 – $29,546 · median $17,800 11 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,157 – $20,499 · median $12,350 11 plans
150 EPISTAXIS WITH MCC $8,981 – $22,702 · median $13,677 11 plans
151 EPISTAXIS WITHOUT MCC $5,171 – $12,515 · median $7,540 11 plans
152 OTITIS MEDIA AND URI WITH MCC $8,029 – $20,157 · median $12,144 11 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,334 – $15,626 · median $9,414 11 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,897 – $11,783 · median $7,099 11 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,008 – $12,080 · median $7,278 11 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,063 – $12,228 · median $7,367 11 plans
209 COMPLEX AORTIC ARCH PROCEDURES $72,670 – $192,986 · median $88,819 11 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $11,938 – $185,403 · median $81,473 11 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $36,883 – $97,303 · median $45,079 11 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $11,938 – $174,673 · median $49,020 11 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $11,938 – $223,940 · median $62,686 11 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $11,938 – $161,053 · median $45,241 11 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $17,691 – $45,991 · median $27,708 11 plans
263 VEIN LIGATION AND STRIPPING $19,987 – $52,129 · median $31,406 11 plans
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC $11,938 – $86,209 · median $30,669 11 plans
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC $11,938 – $60,519 · median $24,584 11 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $11,938 – $121,573 · median $52,599 11 plans
277 Cardiac Defibrillator Implant without MCC $11,938 – $109,092 · median $34,267 11 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,904 – $18,044 · median $7,110 11 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,309 – $12,414 · median $6,152 11 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,375 – $29,103 · median $17,533 11 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,533 – $10,810 · median $6,512 11 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,392 – $7,759 · median $4,675 11 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $43,130 – $114,005 · median $53,874 11 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $15,936 – $41,299 · median $19,478 11 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $15,828 – $41,010 · median $24,707 11 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $11,938 – $46,390 · median $20,542 11 plans
323 Coronary Intravascular Lithotripsy with Intraluminal Device with MCC $11,938 – $73,782 · median $32,767 11 plans
324 Coronary Intravascular Lithotripsy with Intraluminal Device without MCC $11,938 – $53,725 · median $24,014 11 plans
325 Coronary Intravascular Lithotripsy without Intraluminal Device $11,938 – $54,737 · median $24,456 11 plans
332 RECTAL RESECTION WITH MCC $23,579 – $61,733 · median $37,192 11 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $15,129 – $39,140 · median $23,580 11 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $16,381 – $42,487 · median $25,597 11 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $18,996 – $49,479 · median $29,809 11 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $22,418 – $58,628 · median $27,400 11 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $15,886 – $41,164 · median $19,416 11 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $10,641 – $27,298 · median $16,352 11 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $6,868 – $17,053 · median $10,274 11 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,959 – $11,949 · median $7,199 11 plans
381 COMPLICATED PEPTIC ULCER WITH CC $7,399 – $18,474 · median $11,130 11 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,295 – $23,541 · median $14,183 11 plans
397 APPENDIX PROCEDURES WITH MCC $15,762 – $40,833 · median $24,600 11 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $23,228 – $60,793 · median $36,626 11 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $10,615 – $27,070 · median $16,309 11 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $21,555 – $56,321 · median $33,932 11 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $13,898 – $35,848 · median $21,597 11 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $11,079 – $28,312 · median $17,057 11 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $23,209 – $60,742 · median $36,595 11 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $9,184 – $23,244 · median $14,004 11 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $22,217 – $58,091 · median $34,998 11 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $11,570 – $29,624 · median $17,848 11 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $9,414 – $23,861 · median $14,376 11 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $14,442 – $37,304 · median $22,474 11 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $10,057 – $25,580 · median $15,411 11 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $13,118 – $90,870 · median $39,457 11 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $27,866 – $73,194 · median $44,097 11 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,016 – $20,122 · median $12,123 11 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $22,520 – $58,901 · median $35,486 11 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,478 – $27,812 · median $12,806 11 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $11,938 – $62,601 · median $27,356 11 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $19,728 – $51,436 · median $30,989 11 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $13,338 – $34,352 · median $20,404 11 plans
504 FOOT PROCEDURES WITH CC $12,410 – $31,870 · median $19,200 11 plans
506 Major thumb or joint procedures $9,094 – $23,816 · median $13,859 11 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $12,009 – $35,227 · median $18,555 11 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $10,147 – $30,401 · median $15,556 11 plans
510 Shoulder,elbow or forearm proc,exc major joint proc w MCC $19,752 – $51,500 · median $31,027 11 plans
533 FRACTURES OF FEMUR WITH MCC $10,487 – $26,729 · median $16,103 11 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $8,665 – $21,858 · median $13,169 11 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,575 – $16,271 · median $9,803 11 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,083 – $12,281 · median $7,399 11 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,511 – $13,425 · median $8,088 11 plans
548 SEPTIC ARTHRITIS WITH MCC $12,803 – $32,922 · median $19,834 11 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,064 – $14,903 · median $8,979 11 plans
562 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC $9,576 – $24,293 · median $14,636 11 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $7,800 – $19,544 · median $11,775 11 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $42,268 – $111,701 · median $67,296 11 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $22,627 – $59,187 · median $35,658 11 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,949 – $30,639 · median $18,459 11 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $31,745 – $83,565 · median $50,345 11 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $17,393 – $45,194 · median $27,228 11 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $10,734 – $27,389 · median $16,501 11 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $12,776 – $32,849 · median $19,790 11 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $11,486 – $29,401 · median $17,713 11 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $14,141 – $36,499 · median $21,989 11 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $12,792 – $32,891 · median $19,816 11 plans
592 SKIN ULCERS WITH MCC $12,831 – $32,997 · median $19,879 11 plans
593 SKIN ULCERS WITH CC $8,055 – $20,226 · median $12,186 11 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,017 – $14,779 · median $8,904 11 plans
595 MAJOR SKIN DISORDERS WITH MCC $14,014 – $36,158 · median $21,784 11 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $11,121 – $28,424 · median $17,124 11 plans
598 MALIGNANT BREAST DISORDERS WITH CC $7,704 – $19,289 · median $11,621 11 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,396 – $13,118 · median $7,903 11 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,132 – $17,759 · median $10,699 11 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,348 – $10,315 · median $6,215 11 plans
606 MINOR SKIN DISORDERS WITH MCC $10,140 – $25,800 · median $15,544 11 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $6,270 – $15,454 · median $9,311 11 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $14,467 – $37,370 · median $22,514 11 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $9,413 – $23,858 · median $14,374 11 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $22,729 – $59,460 · median $35,823 11 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,534 – $24,182 · median $14,569 11 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $23,187 – $60,684 · median $36,560 11 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,473 – $21,345 · median $12,860 11 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $19,749 – $51,493 · median $31,022 11 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $10,052 – $25,565 · median $15,402 11 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $8,960 – $22,648 · median $13,644 11 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $9,797 – $24,884 · median $14,992 11 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,452 – $13,268 · median $9,630 11 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $9,559 – $24,247 · median $14,608 11 plans
644 ENDOCRINE DISORDERS WITH CC $7,026 – $17,476 · median $10,529 11 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,389 – $13,100 · median $7,892 11 plans
662 MINOR BLADDER PROCEDURES WITH MCC $20,013 – $52,199 · median $31,448 11 plans
665 PROSTATECTOMY WITH MCC $20,394 – $53,216 · median $32,061 11 plans
666 PROSTATECTOMY WITH CC $11,645 – $29,826 · median $17,969 11 plans
667 PROSTATECTOMY WITHOUT CC/MCC $7,544 – $18,861 · median $11,363 11 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $7,784 – $19,502 · median $11,749 11 plans
709 PENIS PROCEDURES WITH CC/MCC $15,330 – $39,677 · median $23,904 11 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $9,425 – $23,890 · median $14,393 11 plans
711 TESTES PROCEDURES WITH CC/MCC $13,778 – $35,529 · median $21,405 11 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $7,503 – $18,750 · median $11,296 11 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,077 – $25,633 · median $15,443 11 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $14,757 – $38,146 · median $22,982 11 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $9,870 – $25,081 · median $15,110 11 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $9,055 – $22,900 · median $13,796 11 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $12,030 – $30,855 · median $18,589 11 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $7,777 – $19,483 · median $11,738 11 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,671 – $11,180 · median $6,735 11 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $7,952 – $19,952 · median $12,020 11 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,094 – $12,310 · median $7,416 11 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,241 – $18,051 · median $10,875 11 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,775 – $11,458 · median $6,903 11 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $14,073 – $36,317 · median $21,879 11 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,070 – $22,941 · median $13,821 11 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $23,285 – $60,945 · median $36,717 11 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $13,630 – $35,133 · median $21,166 11 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,854 – $25,038 · median $15,084 11 plans
739 Uterine,adnexa proc for non-ovarian/adnexal malig w MCC $23,337 – $61,087 · median $36,803 11 plans
740 Uterine,adnexa proc for non-ovarian/adnexal malig w CC $12,030 – $30,854 · median $18,588 11 plans
741 Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC $9,584 – $24,315 · median $14,649 11 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $10,251 – $31,283 · median $14,222 11 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $13,557 – $34,937 · median $21,048 11 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $7,744 – $19,394 · median $11,684 11 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $11,567 – $29,618 · median $17,843 11 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $5,972 – $14,658 · median $8,831 11 plans
748 Female reproductive system reconstructive procedures $9,337 – $23,653 · median $14,250 11 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $16,863 – $43,778 · median $26,374 11 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,901 – $25,162 · median $15,159 11 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $12,234 – $31,401 · median $18,918 11 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,615 – $16,377 · median $9,866 11 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,621 – $24,414 · median $14,708 11 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,733 – $16,692 · median $10,056 11 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,722 – $11,314 · median $6,817 11 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,128 – $9,727 · median $5,860 11 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,203 – $13,559 · median $8,597 11 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $11,266 – $28,811 · median $17,358 11 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $6,884 – $17,096 · median $10,300 11 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,665 – $11,163 · median $6,725 11 plans
779 ABORTION WITHOUT D&C $5,855 – $14,344 · median $8,642 11 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $9,230 – $31,064 · median $16,550 11 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,250 – $16,954 · median $9,501 11 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,598 – $16,954 · median $9,501 11 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $9,230 – $20,871 · median $12,277 11 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $11,982 – $30,728 · median $14,379 11 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $38,392 – $101,337 · median $46,070 11 plans
791 PREMATURITY WITH MAJOR PROBLEMS $26,374 – $69,206 · median $31,649 11 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $16,108 – $41,759 · median $19,330 11 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,203 – $14,766 · median $8,813 11 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $6,869 – $12,658 · median $8,014 11 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,593 – $12,110 · median $7,845 11 plans
799 SPLENIC PROCEDURES WITH MCC $29,371 – $77,218 · median $46,521 11 plans
800 SPLENIC PROCEDURES WITH CC $18,405 – $47,900 · median $28,858 11 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $12,663 – $32,547 · median $19,608 11 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $25,897 – $67,929 · median $40,925 11 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,344 – $31,694 · median $19,095 11 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $9,137 – $23,120 · median $13,929 11 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $7,203 – $13,655 · median $8,601 11 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $14,570 – $37,645 · median $22,680 11 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,164 – $17,845 · median $10,751 11 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $6,956 – $17,289 · median $10,416 11 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,520 – $10,776 · median $6,492 11 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $15,040 – $38,901 · median $23,437 11 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $7,882 – $19,764 · median $11,907 11 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,973 – $14,661 · median $8,833 11 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,355 – $29,050 · median $17,501 11 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $10,087 – $25,660 · median $15,459 11 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,091 – $12,303 · median $7,412 11 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $13,211 – $34,011 · median $20,491 11 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,920 – $14,520 · median $8,748 11 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $55,712 – $147,644 · median $68,092 11 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,037 – $25,527 · median $15,379 11 plans
865 VIRAL ILLNESS WITH MCC $10,045 – $25,546 · median $15,391 11 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,143 – $12,441 · median $7,495 11 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $25,136 – $65,897 · median $30,164 11 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $6,613 – $16,371 · median $7,936 11 plans
881 DEPRESSIVE NEUROSES $6,490 – $16,042 · median $7,788 11 plans
882 NEUROSES EXCEPT DEPRESSIVE $7,337 – $18,308 · median $8,805 11 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $13,029 – $33,525 · median $15,635 11 plans
885 PSYCHOSES $9,397 – $23,815 · median $11,277 11 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $13,724 – $35,384 · median $16,469 11 plans
887 OTHER MENTAL DISORDER DIAGNOSES $7,319 – $18,259 · median $8,783 11 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,424 – $10,518 · median $5,309 11 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $9,517 – $24,136 · median $11,421 11 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $11,618 – $29,754 · median $13,942 11 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $27,252 – $71,552 · median $43,107 11 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,699 – $32,642 · median $19,666 11 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $7,948 – $19,942 · median $12,014 11 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $23,913 – $62,626 · median $37,730 11 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $9,949 – $25,292 · median $15,237 11 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $24,973 – $65,460 · median $39,437 11 plans
913 TRAUMATIC INJURY WITH MCC $10,914 – $27,870 · median $16,791 11 plans
920 COMPLICATIONS OF TREATMENT WITH CC $6,881 – $17,089 · median $10,296 11 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,880 – $11,737 · median $7,071 11 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,980 – $17,352 · median $10,454 11 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $136,643 – $364,026 · median $219,312 11 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $46,230 – $122,295 · median $73,678 11 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $21,029 – $54,915 · median $33,084 11 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $25,323 – $66,396 · median $40,001 11 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $14,587 – $37,691 · median $22,707 11 plans
935 NON-EXTENSIVE BURNS $13,626 – $35,123 · median $21,160 11 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $23,629 – $61,866 · median $37,272 11 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $15,392 – $39,844 · median $24,005 11 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $13,421 – $34,572 · median $20,829 11 plans
945 REHABILITATION WITH CC/MCC $10,365 – $26,404 · median $15,683 11 plans
946 REHABILITATION WITHOUT CC/MCC $7,803 – $19,553 · median $11,614 11 plans
947 SIGNS AND SYMPTOMS WITH MCC $8,585 – $21,643 · median $13,039 11 plans
949 AFTERCARE WITH CC/MCC $8,077 – $20,284 · median $12,221 11 plans
950 AFTERCARE WITHOUT CC/MCC $4,493 – $10,702 · median $6,448 11 plans
955 Craniotomy for multiple significant trauma $43,414 – $114,765 · median $69,142 11 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $24,487 – $64,159 · median $38,654 11 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $49,082 – $129,919 · median $78,272 11 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $19,264 – $50,197 · median $30,242 11 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,263 – $26,131 · median $15,743 11 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,487 – $16,036 · median $9,661 11 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $39,526 – $104,368 · median $62,878 11 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $17,309 – $44,968 · median $27,091 11 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $8,748 – $22,080 · median $13,302 11 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,246 – $15,391 · median $9,273 11 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $8,765 – $22,126 · median $13,330 11 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,420 – $29,224 · median $17,606 11 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,137 – $20,446 · median $12,318 11 plans
← Back to Marymount Hospital profile