Mercy Health - Springfield Regional Medical Center — Pricing

572 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 572 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 572
Lowest published price —
Average published price —
Highest published price —

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

Showing all 572 procedures

Procedures with negotiated rates only

These 572 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
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $4,434 – $48,706 · median $17,073 48 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $4,763 – $50,631 · median $17,718 48 plans
166 CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,MODERATE $19,713 – $82,798 · median $28,499 48 plans
175 PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,MODERATE $9,437 – $30,428 · median $11,269 48 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,230 – $31,528 · median $10,373 48 plans
180 RESPIRATORY NEOPLASMS WITH MCC $12,491 – $39,120 · median $13,861 48 plans
181 RESPIRATORY NEOPLASMS WITH CC $8,530 – $23,725 · median $9,294 48 plans
183 MAJOR CHEST TRAUMA WITH MCC $11,870 – $39,579 · median $19,764 48 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $4,487 – $24,538 · median $8,973 48 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,407 – $14,222 · median $6,525 48 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $3,326 – $17,852 · median $6,732 48 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $3,466 – $21,024 · median $8,025 48 plans
199 HYPERTENSION,MINOR $2,865 – $39,078 · median $13,846 48 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $2,914 – $15,841 · median $6,058 48 plans
204 SYNCOPE AND COLLAPSE,MODERATE $3,929 – $17,886 · median $6,744 48 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $3,202 – $142,541 · median $48,523 48 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $7,959 – $63,144 · median $21,912 48 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $4,248 – $70,727 · median $24,454 48 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $4,984 – $47,204 · median $16,570 48 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $3,201 – $40,040 · median $14,169 48 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $5,470 – $77,273 · median $26,648 48 plans
254 OTHER DIGESTIVE SYSTEM DIAGNOSES,MAJOR $4,067 – $39,468 · median $14,183 48 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $3,135 – $35,534 · median $12,659 48 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,424 – $20,360 · median $9,958 48 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,199 – $16,018 · median $6,118 48 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $2,853 – $43,879 · median $15,455 48 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $3,527 – $15,334 · median $5,888 48 plans
299 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,MODERATE $12,618 – $36,168 · median $21,010 48 plans
304 HYPERTENSION WITH MCC $9,396 – $26,361 · median $15,645 48 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $7,412 – $46,191 · median $16,230 48 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $14,734 – $60,271 · median $20,949 48 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $16,815 – $95,861 · median $32,877 48 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $5,723 – $26,277 · median $9,556 48 plans
351 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,MAJOR $7,076 – $33,771 · median $12,068 48 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $4,390 – $43,467 · median $15,317 48 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $4,422 – $35,051 · median $12,497 48 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $3,167 – $126,255 · median $43,064 48 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $4,751 – $34,041 · median $12,158 48 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $5,330 – $44,308 · median $15,599 48 plans
539 OSTEOMYELITIS WITH MCC $5,013 – $43,633 · median $15,373 48 plans
542 VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,MODERATE $4,099 – $39,132 · median $13,864 48 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $2,186 – $34,194 · median $12,209 48 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $2,191 – $16,598 · median $6,498 48 plans
621 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,MINOR $4,980 – $31,059 · median $11,948 48 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $21,493 – $78,843 · median $27,174 48 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $13,416 – $66,901 · median $23,171 48 plans
639 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,MODERATE $5,206 – $13,761 · median $5,802 48 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $1,404 – $29,586 · median $10,665 48 plans
662 MINOR BLADDER PROCEDURES WITH MCC $6,460 – $67,818 · median $23,479 48 plans
710 INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,MODERATE $5,070 – $31,039 · median $11,480 48 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,157 – $31,719 · median $14,014 48 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $2,040 – $43,106 · median $18,562 48 plans
813 COAGULATION DISORDERS $3,979 – $33,788 · median $12,073 48 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,335 – $14,000 · median $8,210 48 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $14,009 – $40,399 · median $23,325 48 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,781 – $14,930 · median $7,811 48 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $17,404 – $70,386 · median $24,339 47 plans
052 ALTERATION IN CONSCIOUSNESS,MODERATE $4,237 – $40,124 · median $14,197 47 plans
163 MAJOR CHEST PROCEDURES WITH MCC $24,588 – $99,281 · median $34,024 47 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $22,584 – $148,119 · median $50,392 47 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $8,826 – $110,481 · median $37,778 47 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $2,865 – $65,180 · median $23,269 47 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $3,013 – $22,586 · median $8,441 46 plans
231 MAJOR LARGE BOWEL PROCEDURES,MINOR $9,311 – $181,150 · median $63,026 46 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $2,966 – $236,835 · median $80,956 46 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $1,865 – $35,645 · median $17,113 46 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,865 – $29,347 · median $16,770 46 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,865 – $33,321 · median $16,595 46 plans
812 POISONING OF MEDICINAL AGENTS,MODERATE $1,865 – $28,068 · median $16,039 46 plans
950 AFTERCARE WITHOUT CC/MCC $1,865 – $48,839 · median $19,911 46 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $11,308 – $85,533 · median $30,281 45 plans
253 OTHER VASCULAR PROCEDURES WITH CC $3,502 – $57,498 · median $20,609 45 plans
811 RED BLOOD CELL DISORDERS WITH MCC $2,625 – $31,108 · median $11,504 45 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $7,997 – $164,288 · median $56,664 44 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $4,621 – $117,388 · median $41,306 44 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $3,352 – $70,156 · median $25,789 43 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $29,208 – $86,656 · median $30,669 41 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $33,829 – $100,719 · median $35,520 41 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $23,366 – $68,875 · median $24,534 41 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $19,098 – $55,887 · median $20,053 41 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $33,347 – $99,252 · median $35,014 41 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $16,246 – $47,206 · median $17,058 41 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $28,908 – $85,744 · median $30,354 41 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $18,134 – $52,954 · median $19,041 41 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $14,876 – $43,037 · median $15,619 41 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $24,697 – $72,927 · median $25,932 41 plans
038 EXTRACRANIAL PROCEDURES WITH CC $12,545 – $35,944 · median $13,172 41 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $9,291 – $26,040 · median $9,755 41 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $17,644 – $51,461 · median $18,526 41 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $10,165 – $28,700 · median $10,673 41 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $7,429 – $20,375 · median $7,801 41 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $20,803 – $61,075 · median $21,843 41 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $13,525 – $38,925 · median $14,201 41 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $15,372 – $44,548 · median $16,141 41 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,088 – $22,380 · median $8,493 41 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,716 – $15,161 · median $6,002 41 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $11,425 – $32,535 · median $11,996 41 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,549 – $17,695 · median $6,876 41 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $12,852 – $36,879 · median $13,495 41 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $12,412 – $35,538 · median $13,032 41 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,237 – $22,834 · median $8,649 41 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $13,909 – $40,095 · median $14,604 41 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,253 – $19,839 · median $7,616 41 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,894 – $30,920 · median $11,439 41 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $17,271 – $50,327 · median $18,135 41 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $10,216 – $28,857 · median $10,727 41 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $7,392 – $20,262 · median $7,762 41 plans
089 CONCUSSION WITH CC $8,731 – $24,336 · median $9,167 41 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $19,508 – $57,134 · median $20,483 41 plans
100 SEIZURES WITH MCC $14,832 – $42,904 · median $15,574 41 plans
102 HEADACHES WITH MCC $8,893 – $24,830 · median $9,338 41 plans
103 HEADACHES WITHOUT MCC $6,822 – $18,526 · median $7,163 41 plans
123 NEUROLOGICAL EYE DISORDERS $6,547 – $17,691 · median $6,875 41 plans
149 DYSEQUILIBRIUM $6,205 – $16,649 · median $6,515 41 plans
150 EPISTAXIS WITH MCC $10,426 – $29,495 · median $10,947 41 plans
151 EPISTAXIS WITHOUT MCC $6,077 – $16,260 · median $6,381 41 plans
152 OTITIS MEDIA AND URI WITH MCC $9,339 – $26,188 · median $9,806 41 plans
164 MAJOR CHEST PROCEDURES WITH CC $19,106 – $55,912 · median $20,061 41 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $14,667 – $42,403 · median $15,401 41 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $22,399 – $65,933 · median $23,519 41 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $12,109 – $34,617 · median $12,714 41 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,838 – $21,620 · median $8,230 41 plans
184 MAJOR CHEST TRAUMA WITH CC $8,480 – $23,572 · median $8,904 41 plans
186 PLEURAL EFFUSION WITH MCC $12,078 – $34,524 · median $12,682 41 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,955 – $15,887 · median $6,252 41 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,727 – $27,367 · median $10,213 41 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $10,302 – $29,117 · median $10,817 41 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,309 – $13,923 · median $5,575 41 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $14,471 – $41,805 · median $15,195 41 plans
200 PNEUMOTHORAX WITH CC $8,736 – $24,352 · median $9,173 41 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,804 – $21,514 · median $8,194 41 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $14,062 – $40,560 · median $14,765 41 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $20,742 – $60,889 · median $21,779 41 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $36,746 – $109,595 · median $38,583 41 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $23,659 – $69,768 · median $24,842 41 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $36,559 – $109,026 · median $38,386 41 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $16,620 – $48,347 · median $17,451 41 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $20,368 – $59,753 · median $21,387 41 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $24,411 – $72,056 · median $25,631 41 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $25,050 – $74,001 · median $26,302 41 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $39,140 – $116,881 · median $41,097 41 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $26,620 – $78,779 · median $27,951 41 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $19,317 – $56,554 · median $20,283 41 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $30,763 – $91,388 · median $32,301 41 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $24,694 – $72,918 · median $25,929 41 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $44,455 – $133,058 · median $46,678 41 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $16,841 – $49,018 · median $17,683 41 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,523 – $23,705 · median $8,950 41 plans
291 HEART FAILURE AND SHOCK WITH MCC $10,079 – $28,439 · median $10,583 41 plans
292 HEART FAILURE AND SHOCK WITH CC $6,914 – $18,807 · median $7,260 41 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $12,103 – $34,599 · median $12,708 41 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,349 – $14,044 · median $5,617 41 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,505 – $23,647 · median $8,930 41 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,973 – $15,943 · median $6,272 41 plans
302 ATHEROSCLEROSIS WITH MCC $9,444 – $26,507 · median $9,916 41 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,498 – $26,671 · median $9,973 41 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,089 – $16,297 · median $6,394 41 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,746 – $21,339 · median $8,133 41 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $18,365 – $53,657 · median $19,283 41 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $23,670 – $69,801 · median $24,853 41 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $18,525 – $54,144 · median $19,452 41 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $18,183 – $53,103 · median $19,092 41 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,984 – $37,280 · median $13,633 41 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $16,083 – $46,712 · median $16,887 41 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,687 – $33,332 · median $12,271 41 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $18,872 – $55,201 · median $19,816 41 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $9,235 – $25,869 · median $9,696 41 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,980 – $37,269 · median $13,629 41 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,524 – $29,794 · median $11,051 41 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $32,709 – $97,309 · median $34,344 41 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $17,661 – $51,514 · median $18,544 41 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $25,763 – $76,172 · median $27,051 41 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $18,308 – $53,482 · median $19,223 41 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $12,322 – $35,264 · median $12,938 41 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $8,015 – $22,156 · median $8,415 41 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $13,640 – $39,278 · median $14,322 41 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,166 – $22,617 · median $8,574 41 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,029 – $16,113 · median $6,330 41 plans
374 DIGESTIVE MALIGNANCY WITH MCC $16,302 – $47,376 · median $17,117 41 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,539 – $26,795 · median $10,016 41 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $14,040 – $40,494 · median $14,742 41 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,873 – $21,724 · median $8,266 41 plans
381 COMPLICATED PEPTIC ULCER WITH CC $8,621 – $24,002 · median $9,052 41 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,562 – $17,735 · median $6,890 41 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,956 – $18,936 · median $7,304 41 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,841 – $21,627 · median $8,233 41 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,484 – $32,714 · median $12,058 41 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,483 – $17,496 · median $6,807 41 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,694 – $12,051 · median $4,929 41 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $12,375 – $35,428 · median $12,994 41 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,545 – $20,728 · median $7,922 41 plans
397 APPENDIX PROCEDURES WITH MCC $18,166 – $53,052 · median $19,075 41 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $29,999 – $89,062 · median $31,499 41 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $18,105 – $52,864 · median $19,010 41 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $13,047 – $37,472 · median $13,700 41 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $10,676 – $30,255 · median $11,210 41 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,422 – $23,397 · median $8,843 41 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,921 – $15,783 · median $6,217 41 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $14,103 – $40,687 · median $14,809 41 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,967 – $25,056 · median $9,416 41 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,945 – $18,902 · median $7,293 41 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $12,600 – $36,112 · median $13,230 41 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,857 – $18,634 · median $7,200 41 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $13,798 – $39,756 · median $14,488 41 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,761 – $21,383 · median $8,149 41 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $12,897 – $37,014 · median $13,541 41 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,700 – $24,243 · median $9,135 41 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $14,774 – $41,450 · median $15,513 41 plans
472 CERVICAL SPINAL FUSION WITH CC $22,179 – $63,309 · median $23,287 41 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $31,982 – $95,096 · median $33,581 41 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $17,299 – $50,411 · median $18,164 41 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $18,634 – $54,476 · median $19,566 41 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $21,932 – $64,513 · median $23,029 41 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $15,980 – $46,397 · median $16,779 41 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $12,606 – $36,130 · median $13,236 41 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $20,911 – $61,403 · median $21,956 41 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $24,224 – $71,487 · median $25,435 41 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $15,955 – $46,322 · median $16,753 41 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,134 – $34,694 · median $12,741 41 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $13,610 – $39,185 · median $14,290 41 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $27,459 – $81,333 · median $28,832 41 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $19,194 – $56,180 · median $20,154 41 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $15,339 – $44,448 · median $16,106 41 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $27,125 – $80,317 · median $28,481 41 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $13,865 – $39,960 · median $14,558 41 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $22,693 – $66,828 · median $23,828 41 plans
500 SOFT TISSUE PROCEDURES WITH MCC $23,770 – $70,107 · median $24,959 41 plans
501 SOFT TISSUE PROCEDURES WITH CC $13,458 – $38,724 · median $14,131 41 plans
503 FOOT PROCEDURES WITH MCC $21,050 – $61,828 · median $22,103 41 plans
504 FOOT PROCEDURES WITH CC $14,340 – $41,407 · median $15,057 41 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $13,784 – $39,714 · median $14,473 41 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $15,870 – $46,063 · median $16,663 41 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $23,931 – $70,596 · median $25,128 41 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $15,860 – $46,034 · median $16,654 41 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $21,626 – $63,581 · median $22,707 41 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $16,149 – $46,911 · median $16,956 41 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $10,066 – $28,399 · median $10,569 41 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,613 – $17,890 · median $6,943 41 plans
540 OSTEOMYELITIS WITH CC $4,634 – $28,716 · median $10,373 41 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $9,130 – $25,550 · median $9,586 41 plans
551 MEDICAL BACK PROBLEMS WITH MCC $12,934 – $37,129 · median $13,581 41 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,732 – $21,295 · median $8,118 41 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,356 – $29,281 · median $10,873 41 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,780 – $18,399 · median $7,119 41 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,557 – $32,938 · median $12,135 41 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,236 – $19,786 · median $7,598 41 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $11,105 – $31,562 · median $11,660 41 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $7,253 – $19,837 · median $7,615 41 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,827 – $21,585 · median $8,218 41 plans
570 SKIN DEBRIDEMENT WITH MCC $22,142 – $65,151 · median $23,249 41 plans
571 SKIN DEBRIDEMENT WITH CC $13,032 – $37,426 · median $13,684 41 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $9,078 – $25,393 · median $9,532 41 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $24,307 – $71,739 · median $25,522 41 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $13,312 – $38,279 · median $13,978 41 plans
592 SKIN ULCERS WITH MCC $14,821 – $42,871 · median $15,562 41 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,614 – $23,980 · median $9,044 41 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,969 – $25,061 · median $9,417 41 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,138 – $13,402 · median $5,395 41 plans
602 CELLULITIS WITH MCC $11,080 – $31,485 · median $11,634 41 plans
603 CELLULITIS WITHOUT MCC $7,073 – $19,292 · median $7,427 41 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,402 – $20,291 · median $7,772 41 plans
606 MINOR SKIN DISORDERS WITH MCC $11,749 – $33,520 · median $12,336 41 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $7,332 – $20,079 · median $7,698 41 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,920 – $30,997 · median $11,466 41 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $26,119 – $77,253 · median $27,424 41 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,348 – $41,431 · median $15,065 41 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $11,058 – $31,418 · median $11,611 41 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $19,879 – $59,454 · median $22,839 41 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $12,383 – $32,952 · median $13,002 41 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,792 – $39,738 · median $14,481 41 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $27,861 – $82,556 · median $29,254 41 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $16,593 – $48,265 · median $17,423 41 plans
637 DIABETES WITH MCC $11,192 – $31,826 · median $11,751 41 plans
638 DIABETES WITH CC $7,258 – $19,853 · median $7,621 41 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,399 – $17,239 · median $6,719 41 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $11,086 – $31,502 · median $11,640 41 plans
643 ENDOCRINE DISORDERS WITH MCC $12,716 – $36,464 · median $13,352 41 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $14,055 – $40,538 · median $14,757 41 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $19,229 – $56,286 · median $20,191 41 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,355 – $29,278 · median $10,873 41 plans
669 TRANSURETHRAL PROCEDURES WITH CC $12,031 – $34,380 · median $12,633 41 plans
671 URETHRAL PROCEDURES WITH CC/MCC $13,800 – $39,763 · median $14,490 41 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $31,317 – $93,074 · median $32,883 41 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $17,757 – $51,805 · median $18,644 41 plans
683 RENAL FAILURE WITH CC $7,109 – $19,401 · median $7,465 41 plans
684 RENAL FAILURE WITHOUT CC/MCC $5,104 – $13,298 · median $5,359 41 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $13,863 – $39,956 · median $14,556 41 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,361 – $23,211 · median $8,779 41 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $9,180 – $25,703 · median $9,639 41 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,627 – $17,932 · median $6,958 41 plans
693 URINARY STONES WITH MCC $10,521 – $29,783 · median $11,047 41 plans
694 URINARY STONES WITHOUT MCC $6,424 – $17,316 · median $6,745 41 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $9,060 – $25,337 · median $9,513 41 plans
697 URETHRAL STRICTURE $8,579 – $23,875 · median $9,008 41 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $12,776 – $36,648 · median $13,415 41 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,122 – $22,484 · median $8,528 41 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,756 – $15,283 · median $6,044 41 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $14,495 – $41,878 · median $15,220 41 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,052 – $25,313 · median $9,504 41 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,252 – $25,922 · median $9,715 41 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,990 – $15,994 · median $6,289 41 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,528 – $32,849 · median $12,105 41 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $14,090 – $40,644 · median $14,794 41 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,765 – $27,484 · median $10,253 41 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $15,649 – $45,392 · median $16,432 41 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $13,378 – $38,480 · median $14,047 41 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $14,140 – $40,797 · median $14,847 41 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,887 – $12,638 · median $5,131 41 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $8,534 – $23,738 · median $8,961 41 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $13,034 – $37,432 · median $13,686 41 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,500 – $14,503 · median $5,775 41 plans
779 ABORTION WITHOUT D&C $6,858 – $18,636 · median $7,201 41 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $11,886 – $54,385 · median $18,605 41 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,451 – $23,483 · median $8,873 41 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $7,706 – $21,217 · median $8,091 41 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $11,886 – $36,540 · median $13,246 41 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $8,863 – $24,739 · median $9,307 41 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $7,713 – $21,239 · median $8,099 41 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $2,040 – $104,606 · median $43,996 41 plans
791 PREMATURITY WITH MAJOR PROBLEMS $2,040 – $71,438 · median $30,279 41 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $2,040 – $73,385 · median $31,084 41 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,854 – $25,976 · median $11,477 41 plans
795 NORMAL NEWBORN $1,363 – $3,830 · median $2,211 41 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,701 – $21,202 · median $8,086 41 plans
800 SPLENIC PROCEDURES WITH CC $21,183 – $62,234 · median $22,243 41 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $29,734 – $88,256 · median $31,221 41 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $6,223 – $16,703 · median $6,534 41 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $16,805 – $48,909 · median $17,646 41 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $16,214 – $47,111 · median $17,025 41 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,172 – $25,679 · median $9,631 41 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $43,423 – $129,917 · median $45,594 41 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $34,106 – $101,562 · median $35,812 41 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $13,136 – $37,743 · median $13,793 41 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,987 – $15,985 · median $6,286 41 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,540 – $11,583 · median $4,767 41 plans
835 ACUTE LEUKEMIA WITH CC $15,917 – $46,205 · median $16,712 41 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $24,281 – $71,660 · median $25,495 41 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $12,609 – $36,139 · median $13,239 41 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $15,254 – $44,189 · median $16,017 41 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $9,596 – $26,968 · median $10,075 41 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,632 – $33,166 · median $12,214 41 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $33,844 – $100,763 · median $35,536 41 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $16,322 – $47,439 · median $17,138 41 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,998 – $22,105 · median $8,398 41 plans
865 VIRAL ILLNESS WITH MCC $11,640 – $33,190 · median $12,222 41 plans
866 VIRAL ILLNESS WITHOUT MCC $7,064 – $19,263 · median $7,417 41 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $14,873 – $43,030 · median $15,617 41 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $8,183 – $22,668 · median $8,592 41 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,251 – $19,771 · median $7,723 41 plans
881 DEPRESSIVE NEUROSES $1,251 – $19,374 · median $7,583 41 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,251 – $22,111 · median $8,550 41 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,251 – $33,129 · median $12,445 41 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,251 – $22,051 · median $8,529 41 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $1,251 – $35,933 · median $13,437 41 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $31,281 – $92,963 · median $32,845 41 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $28,680 – $85,048 · median $30,114 41 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $15,257 – $44,198 · median $16,020 41 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $10,289 – $29,079 · median $10,804 41 plans
914 TRAUMATIC INJURY WITHOUT MCC $7,180 – $19,616 · median $7,539 41 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,584 – $14,760 · median $5,863 41 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $12,150 – $34,743 · median $12,758 41 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,745 – $15,249 · median $6,032 41 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $13,468 – $38,753 · median $14,141 41 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $17,744 – $51,767 · median $18,631 41 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $28,125 – $83,358 · median $29,531 41 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $21,741 – $63,931 · median $22,828 41 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,160 – $28,687 · median $10,668 41 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $34,885 – $103,933 · median $36,629 41 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $18,629 – $54,461 · median $19,561 41 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $14,876 – $43,037 · median $15,619 41 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $25,689 – $75,946 · median $26,974 41 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,698 – $36,409 · median $13,333 41 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,463 – $26,565 · median $9,936 41 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $58,010 – $174,310 · median $60,910 40 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $42,444 – $126,938 · median $44,566 40 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $3,613 – $33,824 · median $11,848 40 plans
187 PLEURAL EFFUSION WITH CC $7,934 – $21,911 · median $8,331 40 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $31,224 – $92,790 · median $32,785 40 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $3,327 – $33,106 · median $11,613 40 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $35,387 – $105,461 · median $37,157 40 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $50,797 – $152,359 · median $53,337 40 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $31,474 – $93,552 · median $33,048 40 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $52,635 – $157,953 · median $55,267 40 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $34,352 – $102,309 · median $36,069 40 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $41,250 – $123,302 · median $43,312 40 plans
305 HYPERTENSION WITHOUT MCC $6,231 – $15,548 · median $9,106 40 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $34,191 – $101,822 · median $35,901 40 plans
333 RECTAL RESECTION WITH CC $17,783 – $51,884 · median $18,672 40 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $26,726 – $79,103 · median $28,063 40 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $53,277 – $159,906 · median $55,941 40 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $45,896 – $148,011 · median $50,356 40 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $31,602 – $93,942 · median $33,183 40 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $24,248 – $71,560 · median $25,460 40 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $23,406 – $68,997 · median $24,576 40 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,923 – $19,664 · median $7,388 40 plans
770 DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE,EXTREME $2,684 – $20,647 · median $12,571 40 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $51,044 – $153,110 · median $53,596 40 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $15,047 – $43,557 · median $15,799 40 plans
885 PSYCHOSES $10,901 – $30,942 · median $11,446 40 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,023 – $12,703 · median $5,303 40 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $3,023 – $18,178 · median $7,268 40 plans
028 SPINAL PROCEDURES WITH MCC $44,468 – $129,112 · median $46,691 39 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $1,865 – $36,136 · median $20,649 39 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $1,865 – $30,909 · median $16,039 39 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $48,595 – $141,297 · median $51,025 39 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $56,623 – $164,999 · median $59,455 39 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $39,551 – $114,597 · median $41,528 39 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $43,451 – $126,110 · median $45,623 39 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $45,342 – $131,693 · median $47,609 39 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $21,858 – $59,755 · median $22,950 39 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $42,712 – $123,929 · median $44,848 39 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $31,106 – $85,918 · median $32,661 39 plans
471 CERVICAL SPINAL FUSION WITH MCC $35,882 – $103,764 · median $37,676 39 plans
533 FRACTURES OF FEMUR WITH MCC $1,865 – $36,462 · median $20,835 39 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $1,865 – $28,083 · median $16,048 39 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,865 – $50,936 · median $29,106 39 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $1,865 – $55,451 · median $31,686 39 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,865 – $25,693 · median $14,682 39 plans
949 AFTERCARE WITH CC/MCC $1,865 – $34,844 · median $19,911 39 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $4,644 – $21,551 · median $8,394 38 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $4,357 – $74,259 · median $22,908 37 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,450 – $32,610 · median $12,022 37 plans
626 NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM,MODERATE $1,817 – $33,434 · median $11,079 37 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,084 – $22,936 · median $8,684 37 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,405 – $11,521 · median $6,729 36 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $8,590 – $15,032 · median $8,890 36 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $73,210 – $213,966 · median $74,674 35 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,973 – $17,649 · median $8,397 35 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $17,439 – $50,837 · median $17,787 34 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $10,365 – $29,309 · median $10,572 34 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,405 – $20,302 · median $7,554 34 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,699 – $15,110 · median $5,984 34 plans
398 APPENDIX PROCEDURES WITH CC $10,998 – $33,520 · median $14,298 34 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $16,660 – $48,466 · median $16,993 34 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $26,404 – $78,121 · median $26,932 34 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,894 – $31,719 · median $13,852 34 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $36,682 – $109,400 · median $37,415 34 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $45,290 – $135,599 · median $46,196 34 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $2,351 – $59,476 · median $33,986 32 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $71,942 – $210,223 · median $73,021 32 plans
311 ANGINA PECTORIS $5,843 – $14,453 · median $6,136 32 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,395 – $14,469 · median $8,162 32 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,248 – $24,083 · median $12,896 32 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,244 – $18,291 · median $9,866 31 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,073 – $18,651 · median $7,139 31 plans
313 CHEST PAIN $5,975 – $14,826 · median $10,154 31 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $13,567 – $37,885 · median $14,245 31 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $9,066 – $25,357 · median $11,215 31 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,790 – $13,626 · median $5,029 31 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $2,590 – $24,161 · median $8,054 31 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,693 – $15,092 · median $7,835 30 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,186 – $16,825 · median $7,250 30 plans
864 FEVER AND INFLAMMATORY CONDITIONS $4,078 – $19,664 · median $7,196 30 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,323 – $13,965 · median $6,176 29 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,716 – $15,161 · median $6,705 29 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,560 – $22,504 · median $7,938 29 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,409 – $16,053 · median $6,729 28 plans
682 RENAL FAILURE WITH MCC $11,514 – $30,495 · median $18,999 28 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,691 – $19,681 · median $8,076 27 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,530 – $17,640 · median $14,015 27 plans
101 SEIZURES WITHOUT MCC $6,909 – $20,418 · median $7,254 27 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,340 – $14,842 · median $5,723 27 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,937 – $14,098 · median $5,184 27 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,442 – $31,748 · median $16,498 27 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $18,798 – $51,101 · median $19,174 27 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,540 – $17,799 · median $6,768 26 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,652 – $24,097 · median $9,871 26 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $14,586 – $41,143 · median $15,315 26 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $8,142 – $22,544 · median $9,260 26 plans
446 URETHRAL AND TRANSURETHRAL PROCEDURES,MODERATE $4,285 – $18,326 · median $6,756 25 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,227 – $15,538 · median $6,289 25 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,319 – $15,325 · median $8,404 25 plans
176 PULMONARY EMBOLISM WITHOUT MCC $6,594 – $17,832 · median $7,405 24 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,212 – $19,031 · median $6,801 24 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,634 – $14,913 · median $6,256 24 plans
644 ENDOCRINE DISORDERS WITH CC $8,195 – $22,706 · median $14,342 24 plans
915 ALLERGIC REACTIONS WITH MCC $12,552 – $35,785 · median $12,991 24 plans
312 SYNCOPE AND COLLAPSE $7,079 – $17,947 · median $8,539 23 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,949 – $26,066 · median $15,719 23 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $13,142 – $37,550 · median $13,799 22 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,416 – $28,454 · median $9,887 21 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $10,261 – $26,950 · median $10,312 20 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,642 – $12,171 · median $5,839 20 plans
947 SIGNS AND SYMPTOMS WITH MCC $9,974 – $26,138 · median $12,436 19 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $6,108 – $16,353 · median $8,349 18 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,186 – $14,895 · median $8,634 18 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,551 – $32,812 · median $11,609 18 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $10,170 – $26,692 · median $10,526 18 plans
799 SPLENIC PROCEDURES WITH MCC $33,699 – $100,324 · median $56,110 18 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,609 – $19,527 · median $7,989 17 plans
075 VIRAL MENINGITIS WITH CC/MCC $14,692 – $39,483 · median $15,426 16 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $15,061 – $43,600 · median $21,313 16 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $101,556 – $263,592 · median $103,587 15 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $13,093 – $37,612 · median $13,748 15 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $23,734 – $72,132 · median $24,564 14 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $8,495 – $23,700 · median $11,765 14 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $204,715 – $533,295 · median $204,715 11 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $155,229 – $403,916 · median $155,229 10 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $19,534 – $46,010 · median $19,925 9 plans
021 OPEN CRANIOTOMY EXCEPT TRAUMA,MAJOR $26,446 – $26,829 · median $26,829 7 plans
030 PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,MODERATE $15,191 – $17,298 · median $17,298 7 plans
042 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,MAJOR $10,730 – $10,886 · median $10,886 7 plans
043 MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES,MINOR $5,100 – $5,174 · median $5,174 7 plans
044 INTRACRANIAL HEMORRHAGE,MODERATE $6,920 – $7,021 · median $7,021 7 plans
045 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,MODERATE $3,445 – $5,556 · median $5,556 7 plans
048 PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS,MINOR $3,507 – $3,558 · median $3,558 7 plans
049 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,MODERATE $10,566 – $10,719 · median $10,719 7 plans
053 SEIZURE,EXTREME $4,215 – $12,155 · median $12,155 7 plans
058 OTHER DISORDERS OF NERVOUS SYSTEM,MAJOR $8,384 – $12,586 · median $12,586 7 plans
113 INFECTIONS OF UPPER RESPIRATORY TRACT,MODERATE $3,763 – $5,392 · median $5,392 7 plans
121 OTHER RESPIRATORY AND CHEST PROCEDURES,MODERATE $11,357 – $30,805 · median $11,522 7 plans
130 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,MAJOR $27,871 – $28,275 · median $28,275 7 plans
133 RESPIRATORY FAILURE,MAJOR $4,892 – $12,195 · median $7,632 7 plans
134 PULMONARY EMBOLISM,MODERATE $3,962 – $4,020 · median $4,020 7 plans
135 MAJOR CHEST AND RESPIRATORY TRAUMA,MODERATE — 7 plans
137 MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,EXTREME $4,015 – $9,437 · median $5,263 7 plans
139 OTHER PNEUMONIA,MODERATE $3,839 – $8,685 · median $5,253 7 plans
140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE,EXTREME — 7 plans
141 ASTHMA,EXTREME $3,922 – $7,328 · median $5,039 7 plans
142 INTERSTITIAL AND ALVEOLAR LUNG DISEASES,MODERATE $4,972 – $5,045 · median $5,045 7 plans
143 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES,MAJOR $4,760 – $6,869 · median $6,869 7 plans
145 ACUTE BRONCHITIS AND RELATED SYMPTOMS,MAJOR $5,869 – $5,954 · median $5,954 7 plans
167 OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES,EXTREME $17,736 – $42,606 · median $27,149 7 plans
169 MAJOR ABDOMINAL VASCULAR PROCEDURES,MINOR $14,102 – $14,975 · median $14,307 7 plans
171 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK,MODERATE $11,870 – $12,042 · median $12,042 7 plans
174 PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,MAJOR $8,398 – $11,446 · median $9,339 7 plans
198 ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,MINOR $2,643 – $4,884 · median $2,643 7 plans
227 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL,EXTREME $25,410 – $25,778 · median $25,778 7 plans
230 MAJOR SMALL BOWEL PROCEDURES,EXTREME $11,359 – $35,982 · median $18,159 7 plans
241 PEPTIC ULCER AND GASTRITIS,MODERATE $3,737 – $6,512 · median $4,574 7 plans
245 INFLAMMATORY BOWEL DISEASE,MODERATE — 7 plans
248 MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,MINOR $3,816 – $4,888 · median $4,818 7 plans
261 MAJOR BILIARY TRACT PROCEDURES,MINOR $8,244 – $8,364 · median $8,364 7 plans
263 CHOLECYSTECTOMY,MAJOR $5,741 – $9,228 · median $9,228 7 plans
325 NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,MAJOR $22,102 – $22,422 · median $22,422 7 plans
341 FRACTURE OF PELVIS OR DISLOCATION OF HIP,MINOR $3,374 – $3,423 · median $3,423 7 plans
347 OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES,MODERATE $3,703 – $11,309 · median $4,422 7 plans
364 OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES,MODERATE $5,749 – $5,833 · median $5,833 7 plans
383 CELLULITIS AND OTHER SKIN INFECTIONS,MODERATE $4,135 – $6,063 · median $6,063 7 plans
403 PROCEDURES FOR OBESITY,MODERATE $8,787 – $8,914 · median $8,914 7 plans
421 MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS,MODERATE $7,022 – $11,181 · median $7,124 7 plans
422 HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,MODERATE $3,055 – $5,614 · median $4,012 7 plans
425 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,MAJOR $3,701 – $9,474 · median $5,498 7 plans
465 URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,MINOR $3,249 – $6,402 · median $3,958 7 plans
466 MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE,MODERATE — 7 plans
468 OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS,MODERATE — 7 plans
513 GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY,MODERATE $6,359 – $6,451 · median $6,451 7 plans
514 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,MINOR $4,503 – $4,569 · median $4,569 7 plans
547 ANTEPARTUM WITH O.R. PROCEDURE,MODERATE $5,364 – $5,442 · median $5,442 7 plans
548 POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,MINOR $2,835 – $4,828 · median $2,876 7 plans
612 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR $22,818 – $33,847 · median $23,149 7 plans
633 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,MINOR $2,065 – $2,094 · median $2,094 7 plans
634 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR $5,527 – $14,654 · median $11,652 7 plans
650 SPLENIC PROCEDURES,MINOR — 7 plans
663 OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,MAJOR $3,584 – $6,708 · median $6,708 7 plans
691 LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA,MAJOR $14,549 – $14,759 · median $14,759 7 plans
720 SEPTICEMIA AND DISSEMINATED INFECTIONS,EXTREME $3,407 – $14,198 · median $4,398 7 plans
721 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS,MAJOR $8,694 – $8,820 · median $8,820 7 plans
774 COCAINE ABUSE AND DEPENDENCE,MAJOR $4,772 – $7,697 · median $4,772 7 plans
775 ALCOHOL ABUSE AND DEPENDENCE,MAJOR $4,320 – $8,965 · median $5,770 7 plans
817 INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,EXTREME $9,117 – $9,249 · median $9,249 7 plans
861 SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,MAJOR $4,777 – $9,425 · median $7,838 7 plans
890 HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,EXTREME $8,804 – $15,737 · median $8,932 7 plans
005 TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,EXTREME $57,449 – $58,281 · median $58,281 6 plans
047 TRANSIENT ISCHEMIA,MINOR $2,743 – $2,782 · median $2,782 6 plans
342 FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK,MINOR $2,970 – $3,013 · median $3,013 6 plans
136 RESPIRATORY MALIGNANCY,MODERATE $5,123 – $5,197 · median $5,197 5 plans
226 ANAL AND PERINEAL PROCEDURES,MINOR $5,082 – $5,156 · median $5,156 5 plans
614 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,MODERATE $16,242 – $16,477 · median $16,477 5 plans
182 OTHER UPPER VASCULAR PROCEDURES,MINOR $11,204 – $11,366 · median $11,366 4 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $18,504 – $52,461 · median $23,870 4 plans
850 PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES,MODERATE — 1 plans
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