Mercy Health - St. Rita's Medical Center — Pricing

627 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 627 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 627
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 627 procedures

Procedures with negotiated rates only

These 627 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
030 SPINAL PROCEDURES WITHOUT CC/MCC $15,071 – $51,752 · median $16,624 42 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $3,558 – $23,085 · median $7,589 42 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $4,726 – $35,997 · median $11,548 42 plans
055 HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,EXTREME $3,139 – $24,037 · median $8,010 42 plans
058 OTHER DISORDERS OF NERVOUS SYSTEM,MODERATE $5,718 – $40,301 · median $12,868 42 plans
060 HEAD TRAUMA WITH COMA < 1 HOUR,MODERATE $7,160 – $21,684 · median $8,453 42 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $8,184 – $41,402 · median $13,668 42 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $8,319 – $54,102 · median $17,099 42 plans
141 ASTHMA,EXTREME $3,987 – $51,419 · median $16,277 42 plans
145 ACUTE BRONCHITIS AND RELATED SYMPTOMS,MINOR $3,026 – $28,344 · median $9,202 42 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $18,706 – $88,116 · median $27,528 42 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,440 – $32,383 · median $13,157 42 plans
180 RESPIRATORY NEOPLASMS WITH MCC $12,572 – $41,633 · median $13,276 42 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,152 – $15,135 · median $6,579 42 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $3,398 – $18,999 · median $6,368 42 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $5,848 – $44,491 · median $14,152 42 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $3,263 – $16,884 · median $5,688 42 plans
199 PNEUMOTHORAX WITH MCC $2,843 – $41,589 · median $13,263 42 plans
206 MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE,MODERATE $5,083 – $22,186 · median $7,327 42 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $8,588 – $74,249 · median $23,276 42 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $3,208 – $48,704 · median $13,576 42 plans
252 MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE,MAJOR $4,872 – $82,237 · median $25,725 42 plans
253 OTHER VASCULAR PROCEDURES WITH CC $4,261 – $61,191 · median $19,273 42 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $4,237 – $42,004 · median $13,457 42 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,269 – $17,047 · median $5,767 42 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $3,733 – $46,697 · median $14,829 42 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $12,313 – $38,491 · median $16,336 42 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,227 – $56,502 · median $10,769 42 plans
304 HYPERTENSION WITH MCC $9,113 – $28,054 · median $11,976 42 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,272 – $28,384 · median $9,214 42 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,829 – $17,344 · median $7,502 42 plans
313 CHEST PAIN $5,716 – $16,974 · median $7,284 42 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $7,477 – $49,159 · median $15,583 42 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $11,775 – $64,143 · median $20,178 42 plans
347 OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES,MODERATE $3,727 – $54,119 · median $17,104 42 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $4,143 – $32,550 · median $10,888 42 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $3,542 – $37,303 · median $11,948 42 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $13,484 – $42,310 · median $14,269 42 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,313 – $19,504 · median $6,491 42 plans
463 KIDNEY AND URINARY TRACT INFECTIONS,EXTREME $3,299 – $134,366 · median $41,708 42 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $4,401 – $44,536 · median $14,454 42 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $4,344 – $36,228 · median $11,619 42 plans
539 OSTEOMYELITIS WITH MCC $4,973 – $46,436 · median $14,749 42 plans
540 CESAREAN SECTION WITHOUT STERILIZATION,MAJOR $4,804 – $30,560 · median $9,881 42 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,743 – $54,488 · median $31,136 42 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,743 – $29,218 · median $16,696 42 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $2,277 – $36,390 · median $11,669 42 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $2,206 – $17,665 · median $5,927 42 plans
614 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,MINOR $10,496 – $51,672 · median $16,354 42 plans
622 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR $13,298 – $83,908 · median $26,238 42 plans
626 NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM,MODERATE $1,893 – $35,348 · median $11,349 42 plans
639 DIABETES WITHOUT CC/MCC $5,001 – $14,645 · median $5,345 42 plans
662 SICKLE CELL ANEMIA CRISIS,MINOR $4,989 – $72,175 · median $22,640 42 plans
663 MINOR BLADDER PROCEDURES WITH CC $3,662 – $35,839 · median $11,615 42 plans
694 URINARY STONES WITHOUT MCC $4,764 – $18,429 · median $6,192 42 plans
722 FEVER AND INFLAMMATORY CONDITIONS,MINOR $3,350 – $42,664 · median $13,592 42 plans
750 SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,MINOR $8,969 – $34,792 · median $11,235 42 plans
776 OTHER DRUG ABUSE AND DEPENDENCE,MINOR $5,244 – $15,435 · median $5,852 42 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $3,264 – $21,647 · median $7,148 42 plans
815 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES,MINOR $3,687 – $23,905 · median $7,841 42 plans
950 AFTERCARE WITHOUT CC/MCC $1,743 – $50,875 · median $18,006 42 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,530 – $15,552 · median $5,732 42 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $4,332 – $37,817 · median $12,227 41 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $5,994 – $97,907 · median $30,530 41 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $2,607 – $24,235 · median $7,942 41 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,811 – $25,645 · median $8,374 41 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $8,388 – $42,994 · median $13,830 41 plans
242 MAJOR ESOPHAGEAL DISORDERS,MAJOR $4,489 – $75,270 · median $23,589 40 plans
251 ABDOMINAL PAIN,MINOR $3,301 – $48,704 · median $11,314 40 plans
711 TESTES PROCEDURES WITH CC/MCC $9,136 – $49,126 · median $15,573 40 plans
811 RED BLOOD CELL DISORDERS WITH MCC $2,642 – $33,106 · median $10,662 40 plans
143 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES,MAJOR $3,595 – $88,326 · median $27,592 39 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $6,443 – $116,635 · median $36,272 39 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $15,369 – $75,685 · median $23,717 39 plans
466 MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE,EXTREME $3,305 – $122,717 · median $38,137 39 plans
469 ACUTE KIDNEY INJURY,EXTREME $2,913 – $70,034 · median $22,436 39 plans
542 VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,MODERATE $4,269 – $41,645 · median $13,280 39 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $15,346 – $181,683 · median $57,388 38 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $15,364 – $73,299 · median $22,985 38 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $11,717 – $123,129 · median $39,058 38 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $7,934 – $176,520 · median $55,772 38 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $4,630 – $126,128 · median $39,997 38 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $4,385 – $83,268 · median $26,579 38 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $11,249 – $154,385 · median $48,842 38 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $3,980 – $254,468 · median $80,174 38 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,636 – $32,842 · median $7,244 36 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,603 – $13,346 · median $6,658 36 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $4,733 – $20,524 · median $6,804 36 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $39,934 – $128,580 · median $40,334 35 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $30,985 – $99,392 · median $31,295 35 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $38,776 – $124,801 · median $39,163 35 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $18,747 – $59,477 · median $18,935 35 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $25,171 – $80,428 · median $25,423 35 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $28,489 – $91,252 · median $28,774 35 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $17,790 – $56,356 · median $17,968 35 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $14,554 – $45,802 · median $14,700 35 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $24,307 – $77,611 · median $24,550 35 plans
038 EXTRACRANIAL PROCEDURES WITH CC $12,240 – $38,253 · median $12,362 35 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $9,008 – $27,712 · median $9,098 35 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $1,743 – $48,163 · median $27,522 35 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $1,743 – $29,377 · median $16,787 35 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,481 – $29,254 · median $9,576 35 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $20,440 – $64,999 · median $20,644 35 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $13,213 – $41,426 · median $13,345 35 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,658 – $33,095 · median $10,765 35 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $15,047 – $47,409 · median $15,198 35 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,814 – $23,818 · median $7,892 35 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $11,127 – $34,625 · median $11,239 35 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $12,545 – $39,248 · median $12,670 35 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $7,927 – $24,188 · median $8,007 35 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $12,107 – $37,821 · median $12,229 35 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,962 – $24,301 · median $8,042 35 plans
075 VIRAL MENINGITIS WITH CC/MCC $14,371 – $45,205 · median $14,515 35 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $13,594 – $42,671 · median $13,730 35 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $1,743 – $27,726 · median $15,843 35 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,420 – $22,533 · median $7,494 35 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,927 – $30,711 · median $10,027 35 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,906 – $24,117 · median $7,985 35 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $25,950 – $82,970 · median $26,210 35 plans
100 SEIZURES WITH MCC $14,511 – $45,660 · median $14,656 35 plans
101 SEIZURES WITHOUT MCC $7,035 – $21,279 · median $7,106 35 plans
102 HEADACHES WITH MCC $8,613 – $26,425 · median $8,700 35 plans
103 HEADACHES WITHOUT MCC $6,556 – $19,716 · median $6,622 35 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,061 – $18,101 · median $6,122 35 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $15,816 – $49,918 · median $15,974 35 plans
149 DYSEQUILIBRIUM $5,944 – $17,719 · median $6,003 35 plans
150 EPISTAXIS WITH MCC $10,136 – $31,390 · median $10,237 35 plans
151 EPISTAXIS WITHOUT MCC $5,817 – $17,304 · median $5,875 35 plans
152 OTITIS MEDIA AND URI WITH MCC $9,056 – $27,870 · median $9,147 35 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,847 – $17,403 · median $5,906 35 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,813 – $36,860 · median $11,931 35 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,136 – $21,606 · median $7,207 35 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,507 – $16,293 · median $5,562 35 plans
157 DENTAL AND ORAL DISEASES WITH MCC $12,921 – $40,474 · median $13,050 35 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,632 – $16,703 · median $5,689 35 plans
164 MAJOR CHEST PROCEDURES WITH CC $18,755 – $59,503 · median $18,943 35 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,388 – $32,213 · median $10,492 35 plans
176 PULMONARY EMBOLISM WITHOUT MCC $6,330 – $18,978 · median $6,393 35 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,807 – $36,841 · median $11,925 35 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,566 – $23,009 · median $7,642 35 plans
181 RESPIRATORY NEOPLASMS WITH CC $8,253 – $25,249 · median $8,335 35 plans
186 PLEURAL EFFUSION WITH MCC $8,319 – $36,742 · median $11,776 35 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,695 – $16,908 · median $5,752 35 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,441 – $29,125 · median $9,535 35 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,518 – $26,114 · median $8,603 35 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,605 – $19,874 · median $6,671 35 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $10,012 – $30,987 · median $10,112 35 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,054 – $14,817 · median $5,105 35 plans
200 PNEUMOTHORAX WITH CC $8,457 – $25,916 · median $8,542 35 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,531 – $22,896 · median $7,607 35 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $13,746 – $43,166 · median $13,884 35 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $20,379 – $64,801 · median $20,583 35 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $21,115 – $67,201 · median $21,326 35 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $15,914 – $50,236 · median $16,073 35 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $16,287 – $51,452 · median $16,450 35 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,784 – $40,028 · median $12,912 35 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $24,023 – $76,685 · median $24,263 35 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $14,176 – $44,569 · median $14,318 35 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $12,293 – $38,425 · median $12,415 35 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $24,658 – $78,755 · median $24,904 35 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $18,965 – $60,187 · median $19,154 35 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $24,304 – $77,602 · median $24,547 35 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $16,506 – $52,167 · median $16,671 35 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,246 – $25,228 · median $8,329 35 plans
291 HEART FAILURE AND SHOCK WITH MCC $9,791 – $30,266 · median $9,889 35 plans
292 HEART FAILURE AND SHOCK WITH CC $6,648 – $20,015 · median $6,715 35 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,602 – $13,343 · median $4,649 35 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $8,319 – $36,822 · median $11,801 35 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,713 – $16,967 · median $5,771 35 plans
302 ATHEROSCLEROSIS WITH MCC $1,743 – $33,165 · median $18,951 35 plans
305 HYPERTENSION WITHOUT MCC $5,969 – $17,801 · median $6,029 35 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,901 – $37,149 · median $12,020 35 plans
312 SYNCOPE AND COLLAPSE $6,811 – $20,548 · median $6,880 35 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,474 – $22,710 · median $7,549 35 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $13,255 – $48,704 · median $13,387 35 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $23,287 – $74,285 · median $23,520 35 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $18,178 – $57,622 · median $18,360 35 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,093 – $37,774 · median $12,214 35 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,350 – $38,613 · median $12,474 35 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $26,322 – $84,184 · median $26,586 35 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $11,607 – $36,188 · median $11,723 35 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,388 – $35,473 · median $11,501 35 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,085 – $27,965 · median $9,176 35 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,952 – $27,531 · median $9,042 35 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $21,487 – $68,415 · median $21,702 35 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,672 – $39,663 · median $12,799 35 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,233 – $31,708 · median $10,336 35 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $17,320 – $54,824 · median $17,494 35 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $25,366 – $81,065 · median $25,620 35 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $17,962 – $56,917 · median $18,142 35 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $12,018 – $37,529 · median $12,138 35 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $13,328 – $41,801 · median $13,461 35 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,891 – $24,070 · median $7,970 35 plans
374 DIGESTIVE MALIGNANCY WITH MCC $15,970 – $50,420 · median $16,130 35 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,255 – $28,516 · median $9,347 35 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $13,724 – $43,095 · median $13,862 35 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,600 – $23,120 · median $7,676 35 plans
381 COMPLICATED PEPTIC ULCER WITH CC $8,343 – $25,544 · median $8,426 35 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,568 – $23,016 · median $7,644 35 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,436 – $16,062 · median $5,490 35 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,186 – $34,816 · median $11,298 35 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,220 – $18,620 · median $6,282 35 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,443 – $12,825 · median $4,488 35 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,679 – $29,900 · median $9,776 35 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,146 – $18,379 · median $6,208 35 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,275 – $22,059 · median $7,347 35 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,202 – $15,300 · median $5,254 35 plans
397 APPENDIX PROCEDURES WITH MCC $17,822 – $56,460 · median $18,000 35 plans
398 APPENDIX PROCEDURES WITH CC $11,452 – $35,683 · median $11,566 35 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,785 – $26,986 · median $8,873 35 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $26,262 – $83,988 · median $26,525 35 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $17,761 – $56,259 · median $17,938 35 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,738 – $39,879 · median $12,866 35 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $14,738 – $46,400 · median $14,885 35 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,661 – $16,797 · median $5,718 35 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,687 – $26,666 · median $8,774 35 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $12,295 – $38,432 · median $12,418 35 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,592 – $19,831 · median $6,658 35 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,003 – $14,650 · median $5,053 35 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,489 – $22,757 · median $7,564 35 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $12,589 – $39,391 · median $12,715 35 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,422 – $25,800 · median $8,506 35 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $23,025 – $73,429 · median $23,255 35 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $26,002 – $83,140 · median $26,262 35 plans
472 CERVICAL SPINAL FUSION WITH CC $21,806 – $68,023 · median $22,024 35 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $18,157 – $56,367 · median $18,339 35 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $16,960 – $53,650 · median $17,130 35 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,042 – $27,823 · median $9,132 35 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $25,482 – $81,442 · median $25,737 35 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,948 – $43,824 · median $14,087 35 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $15,626 – $49,298 · median $15,782 35 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $13,297 – $41,702 · median $13,430 35 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $27,050 – $86,558 · median $27,321 35 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $26,718 – $85,476 · median $26,986 35 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $13,550 – $42,527 · median $13,686 35 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $22,317 – $71,121 · median $22,540 35 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $15,075 – $47,499 · median $15,225 35 plans
500 SOFT TISSUE PROCEDURES WITH MCC $23,387 – $74,610 · median $23,621 35 plans
501 SOFT TISSUE PROCEDURES WITH CC $13,147 – $41,211 · median $13,278 35 plans
504 FOOT PROCEDURES WITH CC $14,022 – $44,066 · median $14,162 35 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $13,470 – $42,265 · median $13,605 35 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $23,547 – $75,131 · median $23,782 35 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $15,532 – $48,991 · median $15,687 35 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $27,525 – $88,107 · median $27,800 35 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $14,969 – $47,155 · median $15,119 35 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $11,309 – $35,219 · median $11,423 35 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $21,258 – $67,665 · median $21,470 35 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,409 – $22,498 · median $7,483 35 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,848 – $27,191 · median $8,937 35 plans
549 SEPTIC ARTHRITIS WITH CC $9,237 – $28,460 · median $9,330 35 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,460 – $22,663 · median $7,534 35 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,881 – $30,560 · median $9,980 35 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,511 – $19,570 · median $6,577 35 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,066 – $31,161 · median $10,166 35 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,968 – $21,057 · median $7,037 35 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,743 – $41,782 · median $23,876 35 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,554 – $22,971 · median $7,630 35 plans
570 SKIN DEBRIDEMENT WITH MCC $21,770 – $69,336 · median $21,988 35 plans
571 SKIN DEBRIDEMENT WITH CC $12,723 – $39,830 · median $12,851 35 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,500 – $42,364 · median $13,635 35 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,123 – $37,871 · median $12,244 35 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $23,920 – $76,348 · median $24,159 35 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $13,002 – $40,738 · median $13,132 35 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $10,942 – $34,021 · median $11,052 35 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $14,455 – $45,479 · median $14,600 35 plans
593 SKIN ULCERS WITH CC $9,086 – $27,967 · median $9,177 35 plans
595 MAJOR SKIN DISORDERS WITH MCC $15,840 – $49,996 · median $15,998 35 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $8,319 – $39,302 · median $12,561 35 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,689 – $26,670 · median $8,775 35 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $8,040 – $24,556 · median $8,121 35 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,884 – $14,263 · median $4,933 35 plans
602 CELLULITIS WITH MCC $10,785 – $33,507 · median $10,893 35 plans
603 CELLULITIS WITHOUT MCC $6,806 – $20,531 · median $6,874 35 plans
606 MINOR SKIN DISORDERS WITH MCC $8,319 – $35,674 · median $11,449 35 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $7,063 – $21,368 · median $7,134 35 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $25,719 – $82,215 · median $25,976 35 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,030 – $44,092 · median $14,170 35 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $21,382 – $66,667 · median $21,596 35 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,414 – $34,827 · median $11,528 35 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,478 – $42,291 · median $13,613 35 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $27,449 – $87,859 · median $27,724 35 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $16,260 – $51,365 · median $16,423 35 plans
637 DIABETES WITH MCC $10,896 – $33,870 · median $11,005 35 plans
638 DIABETES WITH CC $6,989 – $21,128 · median $7,059 35 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $10,790 – $33,526 · median $10,898 35 plans
644 ENDOCRINE DISORDERS WITH CC $7,920 – $24,164 · median $7,999 35 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,065 – $18,113 · median $6,125 35 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $38,072 – $122,505 · median $38,452 35 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $13,739 – $43,142 · median $13,876 35 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $11,728 – $36,584 · median $11,845 35 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $18,877 – $59,902 · median $19,066 35 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,065 – $31,159 · median $10,165 35 plans
666 PROSTATECTOMY WITH CC $13,156 – $41,240 · median $13,287 35 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,507 – $26,079 · median $8,592 35 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $21,618 – $68,839 · median $21,834 35 plans
669 TRANSURETHRAL PROCEDURES WITH CC $11,729 – $36,588 · median $11,847 35 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $30,881 – $99,053 · median $31,190 35 plans
682 RENAL FAILURE WITH MCC $11,216 – $34,915 · median $11,328 35 plans
683 RENAL FAILURE WITH CC $6,842 – $20,647 · median $6,910 35 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $13,549 – $42,522 · median $13,684 35 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,085 – $24,702 · median $8,166 35 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,898 – $27,354 · median $8,987 35 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,363 – $19,084 · median $6,426 35 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,492 – $16,243 · median $5,546 35 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $12,470 – $39,002 · median $12,594 35 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,848 – $23,929 · median $7,926 35 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $11,378 – $35,443 · median $11,492 35 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $16,683 – $52,744 · median $16,850 35 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,771 – $26,939 · median $8,859 35 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,970 – $27,587 · median $9,059 35 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,375 – $19,124 · median $6,439 35 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $13,774 – $43,255 · median $13,911 35 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,479 – $29,250 · median $9,574 35 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,794 – $23,752 · median $7,872 35 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $12,725 – $39,837 · median $12,853 35 plans
779 ABORTION WITHOUT D&C $6,592 – $19,834 · median $6,658 35 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,386 – $24,992 · median $8,256 35 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,386 – $22,580 · median $7,509 35 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $6,386 – $26,329 · median $8,670 35 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $1,800 – $26,024 · median $13,538 35 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $3,434 – $83,770 · median $43,472 35 plans
791 PREMATURITY WITH MAJOR PROBLEMS $3,434 – $57,493 · median $29,850 35 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $1,800 – $35,046 · median $18,215 35 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $3,434 – $59,035 · median $30,650 35 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $3,434 – $32,827 · median $11,179 35 plans
795 NORMAL NEWBORN $1,773 – $4,444 · median $1,956 35 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,386 – $22,564 · median $7,504 35 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $13,948 – $43,824 · median $14,087 35 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $6,386 – $25,442 · median $8,395 35 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $33,651 – $108,087 · median $33,987 35 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $23,352 – $74,497 · median $23,586 35 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,727 – $17,012 · median $5,784 35 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,291 – $12,327 · median $4,334 35 plans
834 ACUTE LEUKEMIA WITH MCC $40,193 – $129,424 · median $40,595 35 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $23,894 – $76,263 · median $24,133 35 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $14,930 – $47,027 · median $15,079 35 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $9,311 – $28,700 · median $9,404 35 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $14,954 – $47,105 · median $15,103 35 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $33,390 – $107,236 · median $33,724 35 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $15,990 – $50,486 · median $16,150 35 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $10,579 – $32,838 · median $10,685 35 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,724 – $23,525 · median $7,802 35 plans
865 VIRAL ILLNESS WITH MCC $11,341 – $35,322 · median $11,455 35 plans
866 VIRAL ILLNESS WITHOUT MCC $6,797 – $20,501 · median $6,865 35 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $15,641 – $49,347 · median $15,798 35 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,786 – $17,203 · median $5,844 35 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $8,319 – $45,794 · median $14,552 35 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,908 – $24,124 · median $7,987 35 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $771 – $21,357 · median $7,452 35 plans
882 NEUROSES EXCEPT DEPRESSIVE $728 – $23,883 · median $8,273 35 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $771 – $35,785 · median $12,141 35 plans
885 PSYCHOSES $714 – $31,068 · median $10,608 35 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $714 – $38,815 · median $13,125 35 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $14,350 – $45,134 · median $14,493 35 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $28,262 – $90,512 · median $28,545 35 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $14,933 – $47,037 · median $15,082 35 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $10,000 – $30,947 · median $10,100 35 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,912 – $20,876 · median $6,981 35 plans
915 ALLERGIC REACTIONS WITH MCC $12,666 – $39,644 · median $12,793 35 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC — 35 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $799 – $20,206 · median $6,774 35 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $13,745 – $43,161 · median $13,882 35 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,756 – $23,629 · median $7,834 35 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,487 – $16,229 · median $5,542 35 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $1,743 – $51,490 · median $26,739 35 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $17,403 – $55,092 · median $17,577 35 plans
947 SIGNS AND SYMPTOMS WITH MCC $1,743 – $46,152 · median $26,372 35 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,743 – $36,865 · median $21,066 35 plans
949 AFTERCARE WITH CC/MCC $1,743 – $54,094 · median $30,911 35 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,309 – $22,172 · median $7,383 35 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,872 – $30,530 · median $9,971 35 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $34,424 – $110,609 · median $34,769 35 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $18,282 – $57,959 · median $18,465 35 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $25,292 – $80,825 · median $25,545 35 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,392 – $38,748 · median $12,515 35 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,759 – $20,378 · median $6,827 34 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $19,154 – $60,805 · median $19,346 34 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $8,319 – $60,805 · median $19,154 34 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $4,124 – $98,482 · median $31,342 34 plans
158 DENTAL AND ORAL DISEASES WITH CC $7,088 – $21,449 · median $7,158 34 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $20,072 – $63,799 · median $20,273 34 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $14,694 – $46,259 · median $14,841 34 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,259 – $35,054 · median $11,371 34 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,319 – $25,520 · median $8,336 34 plans
661 COAGULATION AND PLATELET DISORDERS,MODERATE $7,343 – $24,410 · median $8,075 34 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,779 – $26,965 · median $8,867 34 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,661 – $29,844 · median $9,758 34 plans
835 ACUTE LEUKEMIA WITH CC $8,319 – $49,173 · median $15,588 34 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $12,303 – $38,460 · median $12,426 34 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $8,319 – $61,118 · median $19,347 34 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $921 – $91,115 · median $28,590 34 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $614 – $14,244 · median $4,970 34 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $28,787 – $92,223 · median $29,075 33 plans
231 MAJOR LARGE BOWEL PROCEDURES,MODERATE $9,699 – $194,638 · median $61,444 33 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $12,079 – $36,949 · median $12,199 33 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,867 – $23,992 · median $7,946 33 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $15,915 – $50,238 · median $15,994 32 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $12,531 – $39,203 · median $12,594 32 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $17,032 – $53,883 · median $17,117 32 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $16,933 – $53,560 · median $17,018 32 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $7,123 – $21,564 · median $7,159 32 plans
089 CONCUSSION WITH CC $8,452 – $25,900 · median $8,494 32 plans
183 MAJOR CHEST TRAUMA WITH MCC $8,203 – $25,086 · median $8,244 32 plans
184 MAJOR CHEST TRAUMA WITH CC $8,203 – $25,086 · median $8,244 32 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,196 – $18,542 · median $6,227 32 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $2,631 – $16,422 · median $5,166 32 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $36,943 – $118,823 · median $37,127 32 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $30,789 – $98,751 · median $30,943 32 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $36,086 – $116,029 · median $36,267 32 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $34,923 – $112,236 · median $35,098 32 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $38,649 – $124,389 · median $38,842 32 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $26,217 – $83,840 · median $26,348 32 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $43,928 – $141,606 · median $44,148 32 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $33,895 – $108,881 · median $34,064 32 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $25,842 – $102,018 · median $31,790 32 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $33,736 – $108,362 · median $33,904 32 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,676 – $39,674 · median $12,739 32 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $18,523 – $58,747 · median $18,616 32 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $32,263 – $103,560 · median $32,424 32 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $31,164 – $99,977 · median $31,320 32 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $23,861 – $76,157 · median $23,980 32 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $43,613 – $140,580 · median $43,832 32 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $20,374 – $64,784 · median $20,476 32 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $31,541 – $101,205 · median $31,699 32 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $18,287 – $57,976 · median $18,378 32 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $21,562 – $68,657 · median $21,670 32 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $15,651 – $49,378 · median $15,729 32 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $12,300 – $38,451 · median $12,362 32 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $20,547 – $65,348 · median $20,650 32 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $18,843 – $59,789 · median $18,937 32 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $15,015 – $47,303 · median $15,090 32 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $13,568 – $42,586 · median $13,636 32 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $15,542 – $49,022 · median $15,619 32 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $15,818 – $49,925 · median $15,897 32 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,338 – $19,004 · median $6,370 32 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,778 – $30,223 · median $9,827 32 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,349 – $19,039 · median $6,381 32 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,966 – $17,790 · median $5,996 32 plans
551 MEDICAL BACK PROBLEMS WITH MCC $12,626 – $39,514 · median $12,690 32 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,810 – $33,590 · median $10,864 32 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,984 – $21,111 · median $7,019 32 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,152 – $34,705 · median $11,208 32 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,132 – $21,595 · median $7,168 32 plans
643 ENDOCRINE DISORDERS WITH MCC $12,410 – $38,807 · median $12,472 32 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,575 – $23,040 · median $7,841 32 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $14,970 – $47,157 · median $15,045 32 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $2,702 – $25,367 · median $7,746 32 plans
800 SPLENIC PROCEDURES WITH CC $20,818 – $66,232 · median $20,922 32 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,214 – $28,384 · median $9,260 32 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $36,208 – $116,428 · median $36,389 32 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $11,234 – $34,971 · median $11,290 32 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $13,156 – $41,242 · median $13,222 32 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $49,165 – $158,686 · median $49,411 32 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $27,711 – $88,713 · median $27,849 32 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,589 – $36,131 · median $11,647 32 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $100,631 – $319,815 · median $100,631 31 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $41,931 – $132,307 · median $41,931 31 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $33,376 – $104,979 · median $33,376 31 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $32,897 – $103,450 · median $32,897 31 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $3,177 – $151,698 · median $47,022 31 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $79,111 – $251,072 · median $79,111 31 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $72,482 – $229,897 · median $72,482 31 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $71,223 – $225,875 · median $71,223 31 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $48,039 – $151,817 · median $48,039 31 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $56,011 – $177,284 · median $56,011 31 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $44,808 – $141,499 · median $44,808 31 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $31,037 – $97,509 · median $31,037 31 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $30,331 – $97,259 · median $30,938 31 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $52,051 – $164,634 · median $52,051 31 plans
351 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,MAJOR $3,707 – $35,469 · median $10,627 31 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $29,572 – $92,829 · median $29,572 31 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $41,148 – $129,806 · median $41,148 31 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $48,807 – $154,271 · median $48,807 31 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $39,034 – $123,055 · median $39,034 31 plans
471 CERVICAL SPINAL FUSION WITH MCC $35,414 – $111,490 · median $35,414 31 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $6,386 – $23,895 · median $12,434 31 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,386 – $14,264 · median $7,442 31 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $6,386 – $14,844 · median $7,742 31 plans
799 SPLENIC PROCEDURES WITH MCC $33,247 – $104,568 · median $33,247 31 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,385 – $10,296 · median $5,385 31 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $34,323 – $110,279 · median $34,323 31 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $55,589 – $175,936 · median $55,589 31 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $3,496 – $40,853 · median $13,037 30 plans
281 MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,MAJOR $6,799 – $21,668 · median $7,155 30 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $4,019 – $163,994 · median $48,913 30 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $23,837 – $74,511 · median $23,837 30 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,308 – $15,644 · median $5,388 30 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $6,386 – $15,837 · median $8,257 30 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $30,970 – $97,295 · median $30,970 30 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,224 – $18,631 · median $6,535 29 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,730 – $16,670 · median $5,787 29 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $1,407 – $30,838 · median $10,165 28 plans
137 MOUTH PROCEDURES WITH CC/MCC $3,983 – $32,972 · median $9,934 27 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $15,753 – $49,713 · median $16,541 27 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,569 – $16,809 · median $5,847 27 plans
881 DEPRESSIVE NEUROSES $1,324 – $20,928 · median $7,312 27 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,958 – $15,852 · median $5,032 26 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,940 – $18,852 · median $5,969 26 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,626 – $32,989 · median $14,225 26 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $678 – $19,635 · median $6,892 26 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $20,272 – $64,449 · median $20,272 26 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $3,473 – $22,858 · median $7,193 25 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $2,891 – $16,303 · median $5,262 25 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,094 – $14,947 · median $5,196 25 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,515 – $14,024 · median $4,515 25 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,498 – $15,929 · median $5,773 25 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,588 – $23,080 · median $7,967 25 plans
813 COAGULATION DISORDERS $7,031 – $35,959 · median $11,536 25 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,495 – $21,170 · median $6,625 25 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,977 – $17,460 · median $6,157 24 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,009 – $29,251 · median $14,547 24 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $6,989 – $23,667 · median $9,347 24 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,828 – $18,474 · median $5,828 23 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $4,764 – $83,393 · median $26,618 23 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $8,319 – $31,192 · median $10,276 23 plans
204 SYNCOPE AND COLLAPSE,MODERATE $3,095 – $18,725 · median $5,919 23 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $42,930 – $135,500 · median $43,360 23 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,701 – $18,422 · median $5,758 23 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,964 – $23,807 · median $8,124 23 plans
123 NEUROLOGICAL EYE DISORDERS $6,284 – $18,827 · median $6,378 22 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,112 – $21,085 · median $7,112 22 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $8,954 – $29,067 · median $9,044 22 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $14,176 – $44,569 · median $14,176 22 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $15,323 – $47,312 · median $16,463 22 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,918 – $15,333 · median $5,271 22 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $17,839 – $55,349 · median $17,839 21 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,068 – $14,862 · median $5,534 21 plans
384 CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE,MAJOR $3,994 – $20,219 · median $6,149 21 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $8,793 – $29,016 · median $9,232 21 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,458 – $16,135 · median $5,458 20 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $7,523 – $60,890 · median $19,180 20 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $8,319 – $70,400 · median $20,783 20 plans
311 ANGINA PECTORIS $5,585 – $16,547 · median $5,585 19 plans
163 CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,MAJOR $31,754 – $105,658 · median $33,342 18 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $14,347 – $45,127 · median $22,561 18 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,692 – $25,221 · median $7,730 18 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $25,603 – $80,151 · median $25,603 18 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,961 – $9,079 · median $5,961 18 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $14,662 – $48,268 · median $14,882 18 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $12,071 – $37,704 · median $12,192 17 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $15,920 – $56,160 · median $17,388 17 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $11,601 – $36,169 · median $12,736 17 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,727 – $19,854 · median $6,794 17 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $8,219 – $26,575 · median $8,301 17 plans
052 ALTERATION IN CONSCIOUSNESS,MODERATE $1,743 – $26,151 · median $5,852 16 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,319 – $16,749 · median $7,070 16 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $9,386 – $30,422 · median $9,480 16 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,267 – $18,386 · median $6,392 15 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,460 – $28,533 · median $8,629 15 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,042 – $15,763 · median $5,515 15 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,335 – $23,495 · median $7,900 14 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $13,787 – $43,300 · median $13,856 14 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $36,561 – $115,154 · median $36,927 13 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $50,471 – $159,587 · median $50,976 13 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $22,149 – $89,151 · median $25,838 12 plans
506 MAJOR THUMB OR JOINT PROCEDURES $10,264 – $31,152 · median $10,264 12 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,729 – $33,043 · median $9,729 11 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $12,826 – $42,188 · median $13,083 9 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,600 – $32,906 · median $10,865 8 plans
005 TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,MAJOR $41,846 – $43,938 · median $43,938 7 plans
043 MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES,MODERATE $8,344 – $8,761 · median $8,761 7 plans
044 INTRACRANIAL HEMORRHAGE,MAJOR $10,287 – $10,801 · median $10,801 7 plans
045 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,MODERATE $5,512 – $8,939 · median $5,787 7 plans
048 PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS,MODERATE $4,689 – $4,924 · median $4,924 7 plans
050 NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,MODERATE $8,541 – $8,968 · median $8,968 7 plans
113 INFECTIONS OF UPPER RESPIRATORY TRACT,MODERATE $3,733 – $5,616 · median $3,919 7 plans
115 OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES,MINOR $3,706 – $4,944 · median $4,709 7 plans
130 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,MAJOR $28,051 – $38,634 · median $29,454 7 plans
133 RESPIRATORY FAILURE,MODERATE $5,057 – $7,950 · median $5,257 7 plans
134 PULMONARY EMBOLISM,MODERATE $3,988 – $4,188 · median $4,188 7 plans
135 MAJOR CHEST AND RESPIRATORY TRAUMA,EXTREME $8,856 – $9,299 · median $9,299 7 plans
136 RESPIRATORY MALIGNANCY,EXTREME $5,156 – $12,599 · median $7,894 7 plans
138 BRONCHIOLITIS AND RSV PNEUMONIA,MODERATE $3,448 – $4,668 · median $3,585 7 plans
139 OTHER PNEUMONIA,MODERATE $3,053 – $5,472 · median $3,923 7 plans
142 INTERSTITIAL AND ALVEOLAR LUNG DISEASES,MODERATE $5,005 – $5,255 · median $5,255 7 plans
174 PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,MAJOR $8,415 – $11,923 · median $9,728 7 plans
182 OTHER UPPER VASCULAR PROCEDURES,MODERATE $12,574 – $13,203 · median $13,203 7 plans
224 PERITONEAL ADHESIOLYSIS,MODERATE $9,824 – $15,149 · median $9,824 7 plans
226 ANAL AND PERINEAL PROCEDURES,MODERATE $5,115 – $6,178 · median $5,371 7 plans
230 MAJOR SMALL BOWEL PROCEDURES,MODERATE $8,290 – $11,832 · median $8,618 7 plans
241 PEPTIC ULCER AND GASTRITIS,EXTREME $3,744 – $13,840 · median $3,893 7 plans
245 INFLAMMATORY BOWEL DISEASE,MINOR — 7 plans
247 INTESTINAL OBSTRUCTION,MAJOR $4,480 – $7,166 · median $4,657 7 plans
248 MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,MINOR $3,786 – $3,975 · median $3,975 7 plans
249 OTHER GASTROENTERITIS, NAUSEA AND VOMITING,MINOR $3,577 – $6,458 · median $3,647 7 plans
263 CHOLECYSTECTOMY,MINOR $5,695 – $9,613 · median $5,980 7 plans
284 DISORDERS OF GALLBLADDER AND BILIARY TRACT,MODERATE $4,806 – $5,046 · median $5,046 7 plans
320 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,MAJOR $12,724 – $13,360 · median $13,360 7 plans
340 FRACTURE OF FEMUR,MODERATE $3,729 – $3,916 · median $3,916 7 plans
341 FRACTURE OF PELVIS OR DISLOCATION OF HIP,MODERATE $3,712 – $3,898 · median $3,898 7 plans
342 FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK,MODERATE $3,807 – $3,997 · median $3,997 7 plans
364 OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES,MODERATE $5,787 – $9,956 · median $6,076 7 plans
403 PROCEDURES FOR OBESITY,MINOR $8,232 – $8,932 · median $8,392 7 plans
420 DIABETES,MAJOR — 7 plans
421 MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS,MINOR $4,545 – $11,204 · median $4,772 7 plans
424 OTHER ENDOCRINE DISORDERS,MODERATE $4,820 – $5,061 · median $5,061 7 plans
425 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,MINOR $2,711 – $3,856 · median $2,819 7 plans
465 URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,MINOR $3,270 – $3,434 · median $3,434 7 plans
541 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,MINOR $4,968 – $5,216 · median $5,216 7 plans
608 NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,MINOR $20,963 – $30,222 · median $28,783 7 plans
612 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MODERATE $33,580 – $35,259 · median $35,259 7 plans
625 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,MODERATE $13,503 – $14,178 · median $14,178 7 plans
633 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,MINOR $2,078 – $2,182 · median $2,182 7 plans
634 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR $5,563 – $15,265 · median $12,138 7 plans
710 INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,EXTREME $31,752 – $33,339 · median $33,339 7 plans
720 SEPTICEMIA AND DISSEMINATED INFECTIONS,MAJOR $4,407 – $14,790 · median $6,936 7 plans
721 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS,MODERATE $4,516 – $5,575 · median $4,604 7 plans
740 MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,MINOR $12,389 – $13,008 · median $13,008 7 plans
751 DEPRESSIVE DISORDERS,MINOR $4,992 – $5,929 · median $5,242 7 plans
753 BIPOLAR DISORDERS,MODERATE $5,592 – $6,391 · median $6,148 7 plans
756 ACUTE ANXIETY AND STRESS SYNDROMES,MODERATE $6,916 – $8,150 · median $7,190 7 plans
761 SCHIZOAFFECTIVE DISORDERS,MODERATE $9,075 – $10,340 · median $9,434 7 plans
773 OPIOID ABUSE AND DEPENDENCE,MINOR $4,186 – $4,717 · median $4,493 7 plans
774 COCAINE ABUSE AND DEPENDENCE,MODERATE $4,734 – $4,971 · median $4,971 7 plans
775 ALCOHOL ABUSE AND DEPENDENCE,MAJOR $4,565 – $9,339 · median $6,011 7 plans
816 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,MODERATE $3,568 – $3,746 · median $3,746 7 plans
850 PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES,MODERATE $12,175 – $16,104 · median $15,491 7 plans
861 SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,MAJOR $3,949 – $8,165 · median $4,105 7 plans
911 EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,MAJOR $13,479 – $14,153 · median $14,153 7 plans
912 MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,MODERATE $11,551 – $12,128 · median $12,128 7 plans
930 MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,EXTREME $6,985 – $22,723 · median $7,261 7 plans
952 NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,EXTREME $29,811 – $31,302 · median $31,302 7 plans
227 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL,MINOR $7,066 – $7,419 · median $7,349 6 plans
246 GASTROINTESTINAL VASCULAR INSUFFICIENCY,MINOR $3,677 – $3,861 · median $3,861 6 plans
422 HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,MODERATE $4,020 – $4,180 · median $4,180 6 plans
404 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES,MINOR $6,882 – $7,227 · median $7,227 5 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $153,930 – $153,930 · median $153,930 1 plans
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