University Hospitals - Elyria Medical Center — Pricing

791 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 791 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 791
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 791 procedures

Procedures with negotiated rates only

These 791 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
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $191,049 – $415,090 · median $263,144 32 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $77,890 – $167,847 · median $106,406 32 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $68,570 – $147,483 · median $93,496 32 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $67,389 – $144,903 · median $86,933 32 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $45,645 – $98,906 · median $61,742 32 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $53,122 – $113,731 · median $67,917 32 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $37,222 – $78,989 · median $50,075 32 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $35,238 – $74,655 · median $47,327 32 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $34,609 – $73,281 · median $46,456 32 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $22,421 – $60,366 · median $29,574 32 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $58,218 – $124,864 · median $75,129 32 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $42,169 – $89,799 · median $56,928 32 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $52,898 – $113,241 · median $70,551 32 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $38,102 – $80,914 · median $51,295 32 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $40,854 – $86,926 · median $55,106 32 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $29,466 – $62,045 · median $39,333 32 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $22,714 – $81,264 · median $29,980 32 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $15,515 – $57,406 · median $20,009 32 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $13,323 – $60,251 · median $16,972 32 plans
245 AICD GENERATOR PROCEDURES $31,999 – $67,578 · median $42,841 32 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $15,865 – $32,327 · median $20,494 32 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $11,201 – $27,300 · median $14,033 32 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $24,718 – $51,669 · median $32,755 32 plans
253 OTHER VASCULAR PROCEDURES WITH CC $18,666 – $40,869 · median $24,373 32 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $13,148 – $29,914 · median $16,730 32 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $18,268 – $46,541 · median $23,489 32 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $14,778 – $29,951 · median $17,594 32 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $23,121 – $48,180 · median $28,748 32 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $13,886 – $30,272 · median $17,752 32 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $12,119 – $30,272 · median $15,305 32 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $47,696 – $101,875 · median $64,583 32 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $29,700 – $62,554 · median $39,656 32 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $36,839 – $78,153 · median $49,544 32 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $25,179 – $52,676 · median $33,394 32 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $18,377 – $37,815 · median $23,973 32 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $29,037 – $61,107 · median $38,738 32 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $23,385 – $48,757 · median $29,984 32 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $12,213 – $32,776 · median $16,874 32 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,324 – $15,850 · median $10,048 32 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $29,649 – $124,471 · median $60,940 32 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $29,649 – $88,325 · median $43,569 32 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $29,357 – $61,805 · median $31,884 32 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $26,366 – $81,807 · median $40,437 32 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $19,102 – $51,410 · median $24,977 32 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $21,636 – $77,102 · median $38,176 32 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $22,936 – $52,236 · median $26,226 32 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $19,699 – $40,786 · median $24,190 32 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $18,751 – $44,928 · median $22,714 32 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $14,146 – $28,571 · median $18,112 32 plans
471 CERVICAL SPINAL FUSION WITH MCC $20,594 – $71,523 · median $35,495 32 plans
472 CERVICAL SPINAL FUSION WITH CC $18,289 – $43,638 · median $22,094 32 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $14,744 – $36,161 · median $18,501 32 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $18,751 – $54,384 · median $27,258 32 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $14,459 – $37,565 · median $18,536 32 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $10,898 – $29,720 · median $14,892 32 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $4,368 – $15,873 · median $8,334 31 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $6,783 – $36,365 · median $17,713 31 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,783 – $15,702 · median $8,504 31 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,783 – $14,187 · median $7,941 31 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $6,783 – $24,432 · median $12,252 31 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $6,783 – $16,542 · median $8,900 31 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,783 – $14,202 · median $7,948 31 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $4,368 – $17,286 · median $8,981 31 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $4,368 – $14,818 · median $8,029 31 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $4,368 – $14,177 · median $7,785 31 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $4,368 – $15,985 · median $8,386 31 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,368 – $11,168 · median $6,490 31 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,368 – $10,152 · median $5,922 31 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $144,959 – $314,388 · median $174,801 30 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $94,971 – $205,167 · median $114,269 30 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $70,966 – $152,719 · median $85,201 30 plans
006 LIVER TRANSPLANT WITHOUT MCC $32,505 – $68,683 · median $38,627 30 plans
007 LUNG TRANSPLANT $88,862 – $191,818 · median $106,871 30 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $39,064 – $83,015 · median $46,570 30 plans
010 PANCREAS TRANSPLANT $49,715 – $106,286 · median $59,467 30 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $38,044 – $80,786 · median $45,335 30 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $29,651 – $62,447 · median $35,171 30 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $20,606 – $42,685 · median $24,219 30 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $82,541 – $178,009 · median $99,217 30 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $41,268 – $87,831 · median $49,239 30 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $37,896 – $80,463 · median $45,156 30 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $293,814 – $639,624 · median $355,052 30 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $49,436 – $105,678 · median $59,130 30 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $54,414 – $116,553 · median $65,157 30 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $36,957 – $78,412 · median $44,019 30 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $22,610 – $47,064 · median $26,645 30 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $39,916 – $84,877 · median $47,602 30 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $27,589 – $57,943 · median $32,675 30 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $31,893 – $73,515 · median $37,886 30 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $22,148 – $46,053 · median $26,085 30 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $18,173 – $37,369 · median $21,272 30 plans
028 SPINAL PROCEDURES WITH MCC $41,801 – $88,995 · median $49,884 30 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $24,198 – $50,533 · median $28,568 30 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $15,951 – $32,515 · median $18,582 30 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $31,444 – $66,365 · median $37,342 30 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $15,516 – $31,564 · median $18,055 30 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $12,343 – $24,631 · median $14,212 30 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $27,310 – $57,333 · median $32,336 30 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $17,275 – $35,408 · median $20,185 30 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $14,240 – $28,777 · median $16,510 30 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $23,387 – $48,763 · median $27,587 30 plans
038 EXTRACRANIAL PROCEDURES WITH CC $12,070 – $24,034 · median $13,882 30 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $9,039 – $17,412 · median $10,211 30 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $27,245 – $57,192 · median $32,258 30 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $15,975 – $32,567 · median $18,611 30 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $12,782 – $25,591 · median $14,744 30 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $13,349 – $26,829 · median $15,431 30 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,708 – $14,504 · median $8,600 30 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $11,421 – $22,616 · median $13,096 30 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,982 – $15,102 · median $8,932 30 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $16,818 – $34,410 · median $19,632 30 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $9,853 – $19,190 · median $11,197 30 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $12,659 – $25,321 · median $14,595 30 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,482 – $18,380 · median $10,748 30 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $7,305 – $13,624 · median $8,112 30 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $19,761 – $40,838 · median $23,195 30 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $12,982 – $26,028 · median $14,987 30 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,586 – $20,793 · median $12,085 30 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $14,703 – $29,787 · median $17,070 30 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,919 – $14,965 · median $8,855 30 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,709 – $10,277 · median $6,180 30 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $11,026 – $21,754 · median $12,618 30 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,930 – $12,803 · median $7,658 30 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,485 – $11,832 · median $7,119 30 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $12,356 – $24,659 · median $14,228 30 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $8,025 – $15,197 · median $8,984 30 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $6,196 – $11,201 · median $6,769 30 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,946 – $23,763 · median $13,731 30 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,058 – $15,268 · median $9,024 30 plans
075 VIRAL MENINGITIS WITH CC/MCC $14,069 – $28,402 · median $16,302 30 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,664 – $12,223 · median $7,336 30 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $13,340 – $26,810 · median $15,420 30 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,141 – $13,266 · median $7,914 30 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $16,564 – $33,854 · median $19,324 30 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,532 – $20,675 · median $12,020 30 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,549 – $14,157 · median $8,408 30 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $16,471 – $33,651 · median $19,212 30 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,901 – $19,296 · median $11,256 30 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $7,271 – $13,549 · median $8,070 30 plans
088 CONCUSSION WITH MCC $10,234 – $20,023 · median $11,659 30 plans
089 CONCUSSION WITH CC $8,517 – $16,272 · median $9,580 30 plans
090 CONCUSSION WITHOUT CC/MCC $6,650 – $12,193 · median $7,319 30 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $12,975 – $26,013 · median $14,978 30 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,005 – $15,153 · median $8,959 30 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,468 – $11,795 · median $7,098 30 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $24,928 – $52,129 · median $29,453 30 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $18,555 – $38,203 · median $21,734 30 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $18,555 – $38,203 · median $21,734 30 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $25,555 – $53,498 · median $30,211 30 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $16,627 – $33,992 · median $19,401 30 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,306 – $20,180 · median $11,746 30 plans
100 SEIZURES WITH MCC $14,200 – $28,688 · median $16,461 30 plans
101 SEIZURES WITHOUT MCC $7,189 – $13,369 · median $7,971 30 plans
102 HEADACHES WITH MCC $8,668 – $16,603 · median $9,763 30 plans
103 HEADACHES WITHOUT MCC $6,739 – $12,387 · median $7,427 30 plans
113 ORBITAL PROCEDURES WITH CC/MCC $17,008 – $34,824 · median $19,862 30 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $10,242 – $20,041 · median $11,668 30 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $11,475 – $22,735 · median $13,162 30 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $13,327 – $26,782 · median $15,404 30 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,424 – $16,070 · median $9,468 30 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,956 – $17,231 · median $10,111 30 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,397 – $11,639 · median $7,012 30 plans
123 NEUROLOGICAL EYE DISORDERS $6,484 – $11,829 · median $7,117 30 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $10,039 – $19,598 · median $11,423 30 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,275 – $11,373 · median $6,865 30 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $15,781 – $32,142 · median $18,375 30 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,953 – $15,039 · median $8,896 30 plans
137 MOUTH PROCEDURES WITH CC/MCC $11,192 – $22,117 · median $12,819 30 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $7,077 – $13,126 · median $7,836 30 plans
139 SALIVARY GLAND PROCEDURES $9,447 – $18,303 · median $10,706 30 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $29,985 – $63,178 · median $35,576 30 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $15,856 – $32,306 · median $18,466 30 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,892 – $23,646 · median $13,667 30 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $26,469 – $55,495 · median $31,318 30 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,817 – $25,668 · median $14,787 30 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $9,220 – $17,808 · median $10,431 30 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $15,424 – $31,363 · median $17,943 30 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,689 – $18,833 · median $10,999 30 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,473 – $11,807 · median $7,105 30 plans
149 DYSEQUILIBRIUM $6,165 – $11,133 · median $6,732 30 plans
150 EPISTAXIS WITH MCC $10,096 – $19,722 · median $11,492 30 plans
151 EPISTAXIS WITHOUT MCC $6,046 – $10,882 · median $6,587 30 plans
152 OTITIS MEDIA AND URI WITH MCC $9,084 – $17,511 · median $10,266 30 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $6,074 – $10,934 · median $6,622 30 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,669 – $23,159 · median $13,396 30 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,283 – $13,575 · median $8,085 30 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,755 – $10,359 · median $6,235 30 plans
157 DENTAL AND ORAL DISEASES WITH MCC $12,708 – $25,429 · median $14,655 30 plans
158 DENTAL AND ORAL DISEASES WITH CC $7,237 – $13,476 · median $8,030 30 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,873 – $10,571 · median $6,378 30 plans
163 MAJOR CHEST PROCEDURES WITH MCC $31,453 – $66,384 · median $37,353 30 plans
164 MAJOR CHEST PROCEDURES WITH CC $18,180 – $37,385 · median $21,281 30 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $14,046 – $28,353 · median $16,275 30 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $26,408 – $55,363 · median $31,245 30 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $13,295 – $26,712 · median $15,366 30 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,333 – $20,239 · median $11,778 30 plans
173 Other DRG $21,247 – $44,086 · median $24,995 30 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,382 – $20,346 · median $11,838 30 plans
176 PULMONARY EMBOLISM WITHOUT MCC $6,527 – $11,924 · median $7,170 30 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,664 – $23,147 · median $13,390 30 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,686 – $14,457 · median $8,574 30 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,188 – $11,183 · median $6,759 30 plans
180 RESPIRATORY NEOPLASMS WITH MCC $13,042 – $26,158 · median $15,059 30 plans
181 RESPIRATORY NEOPLASMS WITH CC $8,330 – $15,864 · median $9,354 30 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,180 – $11,165 · median $6,750 30 plans
183 MAJOR CHEST TRAUMA WITH MCC $11,441 – $22,661 · median $13,121 30 plans
184 MAJOR CHEST TRAUMA WITH CC $8,283 – $15,761 · median $9,297 30 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,402 – $11,650 · median $7,018 30 plans
186 PLEURAL EFFUSION WITH MCC $11,635 – $23,085 · median $13,355 30 plans
187 PLEURAL EFFUSION WITH CC $7,775 – $14,651 · median $8,681 30 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,932 – $10,677 · median $6,449 30 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,445 – $18,299 · median $10,703 30 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,579 – $16,407 · median $9,655 30 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,785 – $12,487 · median $7,482 30 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,422 – $9,759 · median $5,832 30 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,980 – $19,469 · median $11,352 30 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,533 – $11,937 · median $7,177 30 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,330 – $9,595 · median $5,721 30 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $13,863 – $27,953 · median $16,054 30 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,504 – $14,058 · median $8,353 30 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,925 – $10,665 · median $6,441 30 plans
199 PNEUMOTHORAX WITH MCC $13,029 – $26,130 · median $15,043 30 plans
200 PNEUMOTHORAX WITH CC $8,522 – $16,283 · median $9,586 30 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,918 – $10,652 · median $6,432 30 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,654 – $14,385 · median $8,534 30 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,612 – $10,101 · median $6,062 30 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,543 – $11,959 · median $7,190 30 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $13,482 – $27,121 · median $15,592 30 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,450 – $13,940 · median $8,287 30 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $44,692 – $95,311 · median $53,385 30 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $19,704 – $40,714 · median $23,126 30 plans
209 Other DRG $77,802 – $167,654 · median $93,478 30 plans
212 Other DRG $74,787 – $161,067 · median $89,828 30 plans
213 Other DRG $39,758 – $84,531 · median $47,410 30 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $45,645 – $98,906 · median $54,539 30 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $34,435 – $72,900 · median $40,964 30 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $20,394 – $42,222 · median $23,962 30 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $10,455 – $20,506 · median $11,926 30 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $19,356 – $39,954 · median $22,705 30 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,580 – $25,149 · median $14,500 30 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,474 – $16,178 · median $9,528 30 plans
263 VEIN LIGATION AND STRIPPING $21,796 – $45,286 · median $25,660 30 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $23,716 – $49,481 · median $27,985 30 plans
265 AICD LEAD PROCEDURES $25,598 – $53,593 · median $30,264 30 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $42,615 – $90,774 · median $50,870 30 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $33,344 – $70,517 · median $39,643 30 plans
275 Other DRG $49,408 – $129,286 · median $59,096 30 plans
276 Other DRG $41,790 – $88,970 · median $49,870 30 plans
277 Other DRG $32,379 – $94,841 · median $38,475 30 plans
278 Other DRG $38,804 – $82,447 · median $46,255 30 plans
279 Other DRG $25,518 – $53,418 · median $30,167 30 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,944 – $23,760 · median $13,730 30 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,300 – $13,614 · median $8,107 30 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,972 – $10,749 · median $6,498 30 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $14,498 – $29,340 · median $16,822 30 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,762 – $10,372 · median $6,244 30 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,130 – $9,234 · median $5,478 30 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $19,416 – $40,084 · median $22,777 30 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $12,641 – $25,283 · median $14,574 30 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,372 – $13,771 · median $8,194 30 plans
291 HEART FAILURE AND SHOCK WITH MCC $9,773 – $19,016 · median $11,100 30 plans
292 HEART FAILURE AND SHOCK WITH CC $6,825 – $12,575 · median $7,531 30 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,907 – $8,832 · median $5,208 30 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,658 – $23,135 · median $13,383 30 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,368 – $9,662 · median $5,766 30 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,155 – $7,479 · median $4,339 30 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $12,138 – $24,184 · median $13,965 30 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,306 – $15,812 · median $9,325 30 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,949 – $10,708 · median $6,470 30 plans
302 ATHEROSCLEROSIS WITH MCC $9,182 – $17,724 · median $10,385 30 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,633 – $10,140 · median $6,088 30 plans
304 HYPERTENSION WITH MCC $9,137 – $17,626 · median $10,330 30 plans
305 HYPERTENSION WITHOUT MCC $6,189 – $11,185 · median $6,760 30 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,752 – $23,341 · median $13,497 30 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,260 – $13,526 · median $8,058 30 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,232 – $17,834 · median $10,445 30 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,057 – $10,903 · median $6,601 30 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,907 – $8,833 · median $5,209 30 plans
311 ANGINA PECTORIS $5,828 – $10,490 · median $6,324 30 plans
312 SYNCOPE AND COLLAPSE $6,978 – $12,910 · median $7,717 30 plans
313 CHEST PAIN $5,951 – $10,711 · median $6,472 30 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $15,206 – $30,886 · median $17,679 30 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,600 – $14,268 · median $8,469 30 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,694 – $10,249 · median $6,161 30 plans
317 Other DRG $46,399 – $99,040 · median $55,452 30 plans
318 Other DRG $17,490 – $35,878 · median $20,446 30 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $31,325 – $66,104 · median $37,198 30 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $17,376 – $35,627 · median $20,307 30 plans
321 DRG Carveouts $19,515 – $42,673 · median $22,897 30 plans
322 DRG Carveouts $13,021 – $39,888 · median $15,034 30 plans
323 Other DRG $30,406 – $64,097 · median $36,086 30 plans
324 Other DRG $22,431 – $46,673 · median $24,611 30 plans
325 Other DRG $22,834 – $47,552 · median $26,916 30 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $34,880 – $73,873 · median $41,504 30 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $17,639 – $36,203 · median $20,626 30 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,932 – $23,733 · median $13,715 30 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $32,230 – $68,083 · median $38,295 30 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $17,321 – $35,507 · median $20,240 30 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,478 – $24,927 · median $14,377 30 plans
332 RECTAL RESECTION WITH MCC $25,615 – $53,630 · median $30,284 30 plans
333 RECTAL RESECTION WITH CC $16,948 – $34,693 · median $19,789 30 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,173 – $24,261 · median $14,007 30 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $25,277 – $52,892 · median $29,875 30 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $15,365 – $31,234 · median $17,872 30 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $11,476 – $22,736 · median $13,163 30 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $18,579 – $38,256 · median $21,764 30 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,270 – $22,288 · median $12,914 30 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,111 – $17,570 · median $10,299 30 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $16,632 – $34,002 · median $19,406 30 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $9,942 – $19,386 · median $11,306 30 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,972 – $12,895 · median $7,708 30 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $17,963 – $36,910 · median $21,018 30 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $11,405 – $22,581 · median $13,076 30 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,986 – $17,297 · median $10,148 30 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $20,743 – $42,984 · median $24,384 30 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,475 – $24,920 · median $14,373 30 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,188 – $19,922 · median $11,603 30 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $30,849 – $65,066 · median $36,622 30 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $16,835 – $34,445 · median $19,652 30 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,546 – $20,706 · median $12,037 30 plans
359 Other DRG $24,381 – $50,933 · median $28,789 30 plans
360 Other DRG $17,437 – $35,761 · median $20,381 30 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,861 – $23,579 · median $13,630 30 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,850 – $14,815 · median $8,772 30 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,821 – $10,477 · median $6,315 30 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $13,090 – $26,263 · median $15,117 30 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,991 – $15,123 · median $8,943 30 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,001 – $10,802 · median $6,533 30 plans
374 DIGESTIVE MALIGNANCY WITH MCC $15,568 – $31,678 · median $18,118 30 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,270 – $17,917 · median $10,491 30 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $7,336 – $13,691 · median $8,149 30 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $13,462 – $27,076 · median $15,568 30 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,718 – $14,526 · median $8,612 30 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,343 – $9,618 · median $5,737 30 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $14,372 – $29,064 · median $16,669 30 plans
381 COMPLICATED PEPTIC ULCER WITH CC $8,415 – $16,049 · median $9,456 30 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,497 – $11,858 · median $7,134 30 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $10,430 – $20,451 · median $11,896 30 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,865 – $12,661 · median $7,579 30 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,796 – $23,437 · median $13,551 30 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,688 – $14,461 · median $8,576 30 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,688 – $10,239 · median $6,154 30 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,081 – $21,874 · median $12,685 30 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,424 – $11,699 · median $7,045 30 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,758 – $8,564 · median $5,027 30 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,668 – $18,786 · median $10,973 30 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,355 – $11,547 · median $6,961 30 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,912 – $23,689 · median $13,690 30 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,413 – $13,860 · median $8,243 30 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,469 – $9,845 · median $5,889 30 plans
397 Other DRG $17,305 – $35,473 · median $20,222 30 plans
398 Other DRG $11,331 – $22,419 · median $12,987 30 plans
399 Other DRG $8,830 – $16,955 · median $9,959 30 plans
402 Other DRG $28,325 – $59,552 · median $33,566 30 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $38,155 – $81,029 · median $45,469 30 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $20,731 – $42,958 · median $24,370 30 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $16,117 – $32,877 · median $18,782 30 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $25,242 – $52,814 · median $29,832 30 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $15,830 – $32,250 · median $18,435 30 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,833 – $23,517 · median $13,595 30 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $23,463 – $48,928 · median $27,679 30 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $15,323 – $31,142 · median $17,821 30 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,327 – $24,595 · median $14,193 30 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $25,221 – $52,769 · median $29,807 30 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $15,080 – $30,612 · median $17,527 30 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,312 – $20,193 · median $11,753 30 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $17,248 – $35,347 · median $20,152 30 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,537 – $25,056 · median $14,448 30 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $10,329 – $20,230 · median $11,774 30 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $24,167 – $50,466 · median $28,531 30 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,849 – $25,736 · median $14,825 30 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,557 – $20,729 · median $12,050 30 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $29,224 – $61,514 · median $34,654 30 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $15,902 – $32,407 · median $18,522 30 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,241 – $22,222 · median $12,878 30 plans
426 Other DRG $75,784 – $163,246 · median $91,035 30 plans
427 Other DRG $50,006 – $106,922 · median $59,820 30 plans
428 Other DRG $39,182 – $83,273 · median $46,713 30 plans
429 Other DRG $62,147 – $133,450 · median $74,522 30 plans
430 Other DRG $40,166 – $85,422 · median $47,904 30 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $14,412 – $29,153 · median $16,719 30 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,230 – $15,644 · median $9,232 30 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,900 – $10,620 · median $6,411 30 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $13,521 – $27,205 · median $15,639 30 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,738 – $16,754 · median $9,847 30 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,854 – $12,639 · median $7,566 30 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $12,121 – $24,147 · median $13,944 30 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,772 – $12,460 · median $7,467 30 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,282 – $9,508 · median $5,663 30 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $13,236 – $26,583 · median $15,294 30 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,614 – $14,298 · median $8,486 30 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,813 – $10,464 · median $6,305 30 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $12,397 – $24,749 · median $14,278 30 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,489 – $16,210 · median $9,546 30 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,678 – $12,254 · median $7,353 30 plans
447 Other DRG $46,366 – $98,968 · median $55,411 30 plans
448 Other DRG $29,819 – $62,815 · median $35,375 30 plans
450 Other DRG $37,200 – $78,942 · median $44,313 30 plans
451 DRG Carveouts $22,969 – $47,849 · median $27,080 30 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $39,708 – $84,421 · median $47,349 30 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $22,185 – $46,135 · median $26,130 30 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $13,433 – $27,013 · median $15,532 30 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $30,172 – $63,586 · median $35,802 30 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $16,497 – $33,708 · median $19,243 30 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,070 – $17,481 · median $10,250 30 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,489 – $51,170 · median $28,921 30 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,741 – $36,426 · median $20,749 30 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,672 – $27,534 · median $15,821 30 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $20,813 – $43,137 · median $24,469 30 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $15,269 – $31,024 · median $17,755 30 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $12,127 – $24,158 · median $13,951 30 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $19,861 – $41,057 · median $23,162 30 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $22,947 – $47,800 · median $27,053 30 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $15,246 – $30,973 · median $17,728 30 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,687 – $23,199 · median $13,419 30 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $13,061 – $26,201 · median $15,083 30 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,641 – $16,542 · median $9,729 30 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $25,649 – $53,704 · median $30,325 30 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $13,299 – $26,719 · median $15,370 30 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,261 – $17,897 · median $10,481 30 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $21,521 – $44,685 · median $25,327 30 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $14,728 – $29,843 · median $17,101 30 plans
500 SOFT TISSUE PROCEDURES WITH MCC $22,524 – $46,877 · median $26,542 30 plans
501 SOFT TISSUE PROCEDURES WITH CC $12,920 – $25,893 · median $14,912 30 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,194 – $19,935 · median $11,610 30 plans
503 FOOT PROCEDURES WITH MCC $19,991 – $41,342 · median $23,474 30 plans
504 FOOT PROCEDURES WITH CC $13,741 – $27,687 · median $15,906 30 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $13,223 – $26,555 · median $15,279 30 plans
506 MAJOR THUMB OR JOINT PROCEDURES $10,216 – $22,362 · median $11,637 30 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $13,316 – $26,756 · median $15,390 30 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $11,336 – $22,431 · median $12,993 30 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $21,546 – $44,740 · median $22,493 30 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $15,166 – $30,800 · median $17,632 30 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $12,292 – $24,520 · median $14,151 30 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,742 – $23,319 · median $13,485 30 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,000 – $22,362 · median $8,954 30 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $22,674 – $47,204 · median $26,723 30 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $15,158 – $30,781 · median $17,621 30 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $11,487 – $22,762 · median $13,176 30 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $26,406 – $55,357 · median $31,241 30 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $14,629 – $29,627 · median $16,981 30 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $11,197 – $22,128 · median $12,825 30 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $20,527 – $42,513 · median $24,123 30 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $15,426 – $31,367 · median $17,946 30 plans
533 FRACTURES OF FEMUR WITH MCC $11,697 – $23,221 · median $13,431 30 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,534 – $11,940 · median $7,179 30 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,761 – $18,989 · median $11,086 30 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,545 – $11,962 · median $7,191 30 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,539 – $14,135 · median $8,396 30 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,953 – $10,715 · median $6,475 30 plans
539 OSTEOMYELITIS WITH MCC $14,423 – $29,175 · median $16,731 30 plans
540 OSTEOMYELITIS WITH CC $9,858 – $19,201 · median $11,203 30 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,408 – $11,663 · median $7,025 30 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $13,045 – $26,165 · median $15,063 30 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,039 – $15,227 · median $9,001 30 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,185 – $11,177 · median $6,756 30 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $17,894 – $36,759 · median $20,934 30 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,889 – $17,084 · median $10,030 30 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,738 – $12,386 · median $7,426 30 plans
548 SEPTIC ARTHRITIS WITH MCC $14,160 – $28,600 · median $16,412 30 plans
549 SEPTIC ARTHRITIS WITH CC $9,254 – $17,881 · median $10,472 30 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,995 – $12,947 · median $7,737 30 plans
551 MEDICAL BACK PROBLEMS WITH MCC $12,432 – $24,826 · median $14,321 30 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,587 – $14,239 · median $8,453 30 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,858 – $19,201 · median $11,203 30 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,697 – $12,295 · median $7,376 30 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,030 – $19,579 · median $11,412 30 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,700 – $12,303 · median $7,380 30 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,150 – $22,024 · median $12,768 30 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,125 – $13,230 · median $7,894 30 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,712 – $27,623 · median $15,871 30 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,704 – $16,680 · median $9,806 30 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,519 – $11,907 · median $7,161 30 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,729 – $21,104 · median $12,258 30 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $7,140 – $13,264 · median $7,913 30 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $11,534 – $22,864 · median $13,233 30 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,675 – $14,433 · median $8,561 30 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $6,149 – $11,099 · median $6,713 30 plans
570 SKIN DEBRIDEMENT WITH MCC $21,008 – $43,564 · median $24,705 30 plans
571 SKIN DEBRIDEMENT WITH CC $12,523 – $25,025 · median $14,431 30 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,841 – $16,979 · median $9,972 30 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $45,483 – $97,039 · median $54,343 30 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $24,603 – $51,418 · median $29,059 30 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,252 – $26,617 · median $15,313 30 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $34,296 – $72,597 · median $40,796 30 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $19,039 – $39,262 · median $22,321 30 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,960 – $23,794 · median $13,749 30 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $23,024 – $47,969 · median $27,147 30 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,784 – $25,595 · median $14,747 30 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $10,853 – $21,375 · median $12,408 30 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $14,130 – $28,537 · median $16,377 30 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,760 – $25,542 · median $14,717 30 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $15,582 – $31,708 · median $18,135 30 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $14,147 – $28,574 · median $16,398 30 plans
592 SKIN ULCERS WITH MCC $14,189 – $28,666 · median $16,449 30 plans
593 SKIN ULCERS WITH CC $9,112 – $17,571 · median $10,300 30 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,946 – $12,839 · median $7,677 30 plans
595 MAJOR SKIN DISORDERS WITH MCC $15,446 – $31,412 · median $17,971 30 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,408 – $16,034 · median $9,448 30 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $12,371 – $24,693 · median $14,247 30 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,739 – $16,757 · median $9,849 30 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,286 – $11,396 · median $6,878 30 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $8,131 – $15,428 · median $9,112 30 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,171 – $9,308 · median $5,528 30 plans
602 CELLULITIS WITH MCC $10,705 – $21,052 · median $12,229 30 plans
603 CELLULITIS WITHOUT MCC $6,974 – $12,900 · median $7,711 30 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,049 – $21,805 · median $12,646 30 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,279 – $13,568 · median $8,081 30 plans
606 MINOR SKIN DISORDERS WITH MCC $11,328 – $22,414 · median $12,984 30 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $7,214 – $13,426 · median $8,002 30 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $15,928 – $32,465 · median $18,554 30 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,556 – $20,726 · median $12,049 30 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $24,711 – $51,655 · median $29,190 30 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,749 – $27,703 · median $15,915 30 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,685 – $21,008 · median $12,205 30 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $20,644 – $42,768 · median $21,676 30 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,918 – $27,383 · median $13,843 30 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,295 – $27,383 · median $13,080 30 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $25,198 – $52,719 · median $29,779 30 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,231 – $26,571 · median $15,288 30 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,557 – $18,543 · median $10,839 30 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $21,544 – $44,734 · median $25,354 30 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,234 – $22,209 · median $12,870 30 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $10,075 – $19,675 · median $11,466 30 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $26,334 – $55,201 · median $31,155 30 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $15,840 – $32,272 · median $18,448 30 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,964 – $21,618 · median $12,543 30 plans
637 DIABETES WITH MCC $10,809 – $21,280 · median $12,356 30 plans
638 DIABETES WITH CC $7,145 – $13,275 · median $7,919 30 plans
639 DIABETES WITHOUT CC/MCC $5,281 – $9,506 · median $5,661 30 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $10,124 – $19,783 · median $11,526 30 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,345 – $11,527 · median $6,950 30 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $10,710 – $21,064 · median $12,236 30 plans
643 ENDOCRINE DISORDERS WITH MCC $12,229 – $24,382 · median $14,075 30 plans
644 ENDOCRINE DISORDERS WITH CC $8,018 – $15,182 · median $8,976 30 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,278 – $11,380 · median $6,869 30 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $32,941 – $69,637 · median $39,156 30 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $26,192 – $54,890 · median $30,983 30 plans
652 KIDNEY TRANSPLANT $22,963 – $47,835 · median $27,073 30 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $36,297 – $76,969 · median $43,219 30 plans
654 MAJOR BLADDER PROCEDURES WITH CC $20,047 – $41,463 · median $23,541 30 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $15,419 – $31,351 · median $17,937 30 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $22,653 – $47,158 · median $26,698 30 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $13,476 – $27,106 · median $15,584 30 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $11,590 – $22,985 · median $13,300 30 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $18,295 – $37,636 · median $21,420 30 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,030 – $19,577 · median $11,412 30 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $8,089 – $15,336 · median $9,061 30 plans
662 MINOR BLADDER PROCEDURES WITH MCC $21,824 – $45,347 · median $25,694 30 plans
663 MINOR BLADDER PROCEDURES WITH CC $11,375 – $22,517 · median $13,041 30 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,167 – $15,507 · median $9,156 30 plans
665 PROSTATECTOMY WITH MCC $22,229 – $46,231 · median $26,184 30 plans
666 PROSTATECTOMY WITH CC $12,929 – $25,911 · median $14,922 30 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,569 – $16,385 · median $9,642 30 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $20,865 – $43,251 · median $24,532 30 plans
669 TRANSURETHRAL PROCEDURES WITH CC $11,591 – $22,988 · median $13,302 30 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,695 – $14,476 · median $8,584 30 plans
671 URETHRAL PROCEDURES WITH CC/MCC $13,238 – $26,588 · median $15,297 30 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,388 – $15,990 · median $9,423 30 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $29,553 – $62,234 · median $35,053 30 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $16,924 – $34,639 · median $19,759 30 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $12,197 – $24,312 · median $14,036 30 plans
682 RENAL FAILURE WITH MCC $11,110 – $21,937 · median $12,719 30 plans
683 RENAL FAILURE WITH CC $7,007 – $12,972 · median $7,751 30 plans
684 RENAL FAILURE WITHOUT CC/MCC $5,139 – $9,251 · median $5,490 30 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $13,297 – $26,716 · median $15,368 30 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,173 – $15,520 · median $9,163 30 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,427 – $11,706 · median $7,049 30 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,936 – $17,186 · median $10,087 30 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,557 – $11,990 · median $7,207 30 plans
693 URINARY STONES WITH MCC $10,184 – $19,915 · median $11,599 30 plans
694 URINARY STONES WITHOUT MCC $6,369 – $11,579 · median $6,979 30 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,824 – $16,942 · median $9,951 30 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,741 – $10,333 · median $6,218 30 plans
697 URETHRAL STRICTURE $8,376 – $15,964 · median $9,409 30 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $12,285 – $24,505 · median $14,143 30 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,951 – $15,034 · median $8,894 30 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,747 – $10,344 · median $6,225 30 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $14,630 – $29,628 · median $16,982 30 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $11,470 – $22,725 · median $13,156 30 plans
709 PENIS PROCEDURES WITH CC/MCC $16,846 – $34,469 · median $19,665 30 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,569 – $20,755 · median $12,064 30 plans
711 TESTES PROCEDURES WITH CC/MCC $15,196 – $30,865 · median $17,668 30 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,525 – $16,289 · median $9,589 30 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $11,262 – $22,268 · median $12,903 30 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,238 – $15,662 · median $9,242 30 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $16,237 – $33,139 · median $18,928 30 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $11,042 – $21,788 · median $12,637 30 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $13,886 – $28,002 · median $16,081 30 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $10,175 – $19,894 · median $11,587 30 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $13,338 – $26,805 · median $15,418 30 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,816 – $16,926 · median $9,942 30 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,515 – $9,927 · median $5,944 30 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,003 – $17,333 · median $10,168 30 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,964 – $10,736 · median $6,489 30 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,123 – $21,965 · median $12,735 30 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,569 – $12,015 · median $7,221 30 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,247 – $15,681 · median $9,253 30 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,625 – $10,126 · median $6,078 30 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $15,509 – $31,550 · median $18,047 30 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $10,191 – $19,930 · median $11,607 30 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $25,302 – $52,945 · median $29,905 30 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $15,039 – $30,522 · median $16,861 30 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,025 – $21,751 · median $12,617 30 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $25,358 – $53,068 · median $29,973 30 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $13,337 – $26,804 · median $15,417 30 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,737 – $21,123 · median $12,269 30 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $13,508 – $27,177 · median $15,624 30 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,481 – $18,377 · median $10,747 30 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $14,961 – $30,351 · median $17,383 30 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,781 – $16,849 · median $9,899 30 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $12,846 – $25,730 · median $14,822 30 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,898 – $12,734 · median $7,619 30 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $10,474 – $20,549 · median $11,950 30 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $18,476 – $38,031 · median $21,639 30 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,074 – $21,860 · median $12,677 30 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,555 – $27,279 · median $15,680 30 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,444 – $16,112 · median $9,491 30 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,581 – $14,227 · median $8,446 30 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,777 – $21,209 · median $12,316 30 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,707 – $14,501 · median $8,598 30 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,568 – $10,023 · median $6,009 30 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,900 – $14,923 · median $8,832 30 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,937 – $8,887 · median $5,245 30 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $12,525 – $25,029 · median $14,433 30 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,867 – $14,852 · median $8,793 30 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,508 – $9,914 · median $5,936 30 plans
779 ABORTION WITHOUT D&C $6,773 – $12,461 · median $7,468 30 plans
799 SPLENECTOMY WITH MCC $31,772 – $67,082 · median $37,740 30 plans
800 SPLENECTOMY WITH CC $20,115 – $41,613 · median $23,624 30 plans
801 SPLENECTOMY WITHOUT CC/MCC $14,010 – $28,275 · median $16,232 30 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $28,079 – $59,012 · median $33,267 30 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $13,672 – $27,534 · median $15,821 30 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $10,262 – $20,085 · median $11,693 30 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $16,037 – $32,703 · median $18,686 30 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,651 – $18,751 · median $10,953 30 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $8,165 – $15,502 · median $9,153 30 plans
811 RED BLOOD CELL DISORDERS WITH MCC $10,590 – $20,800 · median $12,090 30 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,294 – $13,600 · median $8,099 30 plans
813 COAGULATION DISORDERS $11,410 – $22,593 · median $13,083 30 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $15,487 – $31,501 · median $18,020 30 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,944 – $15,019 · median $8,886 30 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,354 – $9,637 · median $5,750 30 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $16,537 – $33,795 · median $19,291 30 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,928 – $17,170 · median $10,078 30 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,899 – $12,737 · median $7,621 30 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $40,828 – $86,869 · median $48,706 30 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $16,246 – $33,158 · median $18,938 30 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,232 – $17,834 · median $10,445 30 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $32,151 – $67,910 · median $38,199 30 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $16,429 – $33,558 · median $19,160 30 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $10,218 – $19,987 · median $11,639 30 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $32,781 – $69,288 · median $38,962 30 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $16,738 – $34,233 · median $19,534 30 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,620 – $25,237 · median $14,548 30 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $22,492 – $46,806 · median $26,502 30 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $11,272 – $22,292 · median $12,916 30 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $9,222 – $17,811 · median $10,433 30 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,962 – $10,731 · median $6,485 30 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,615 – $8,306 · median $4,854 30 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $38,287 – $81,316 · median $45,629 30 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $15,210 – $30,895 · median $17,684 30 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,337 – $18,063 · median $10,573 30 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $33,639 – $71,161 · median $40,000 30 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $15,221 – $30,919 · median $17,697 30 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,858 – $21,387 · median $12,415 30 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $23,000 – $47,915 · median $27,117 30 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $12,129 – $24,164 · median $13,954 30 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,919 – $14,966 · median $8,856 30 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $14,593 – $29,547 · median $16,937 30 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $9,323 – $18,032 · median $10,555 30 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,843 – $12,614 · median $7,552 30 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $18,645 – $38,400 · median $21,844 30 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,938 – $19,377 · median $11,301 30 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,828 – $12,581 · median $7,534 30 plans
849 RADIOTHERAPY $19,438 – $40,133 · median $22,804 30 plans
850 Other DRG $59,774 – $128,265 · median $71,648 30 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $34,549 – $73,151 · median $41,103 30 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $14,615 – $29,596 · median $16,964 30 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,220 – $22,177 · median $12,852 30 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $31,906 – $67,375 · median $37,902 30 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $15,587 – $31,720 · median $18,141 30 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $10,512 – $20,632 · median $11,996 30 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $13,433 – $27,013 · median $15,532 30 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,835 – $14,781 · median $8,753 30 plans
864 FEVER AND INFLAMMATORY CONDITIONS $7,088 – $13,149 · median $7,849 30 plans
865 VIRAL ILLNESS WITH MCC $11,227 – $22,193 · median $12,861 30 plans
866 VIRAL ILLNESS WITHOUT MCC $6,965 – $12,881 · median $7,700 30 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $15,260 – $31,004 · median $17,745 30 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,060 – $15,273 · median $9,026 30 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,016 – $10,830 · median $6,552 30 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $47,926 – $102,378 · median $57,301 30 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $14,238 – $28,772 · median $16,508 30 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $8,007 – $15,157 · median $8,962 30 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $29,519 – $62,160 · median $35,012 30 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $14,048 – $28,358 · median $16,278 30 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,999 – $17,324 · median $10,163 30 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $25,970 – $54,406 · median $30,714 30 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $11,126 – $21,972 · median $12,739 30 plans
906 HAND PROCEDURES FOR INJURIES $14,386 – $29,095 · median $16,687 30 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $27,097 – $56,868 · median $32,079 30 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $14,596 – $29,553 · median $16,940 30 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,969 – $19,444 · median $11,338 30 plans
913 TRAUMATIC INJURY WITH MCC $12,151 – $24,212 · median $13,980 30 plans
914 TRAUMATIC INJURY WITHOUT MCC $7,073 – $13,116 · median $7,831 30 plans
915 ALLERGIC REACTIONS WITH MCC $12,470 – $24,908 · median $14,366 30 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,587 – $10,056 · median $6,031 30 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $11,702 – $23,231 · median $13,437 30 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,880 – $12,695 · median $7,598 30 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $13,481 – $27,118 · median $15,591 30 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,864 – $14,846 · median $8,790 30 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,736 – $10,326 · median $6,213 30 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $12,929 – $25,912 · median $14,923 30 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,969 – $15,074 · median $8,916 30 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $145,809 – $316,244 · median $175,829 30 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $49,695 – $106,242 · median $59,443 30 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $22,904 – $47,706 · median $27,001 30 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $27,469 – $57,681 · median $32,529 30 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $16,056 – $32,743 · median $18,709 30 plans
935 NON-EXTENSIVE BURNS $15,035 – $30,513 · median $17,472 30 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $25,668 – $53,745 · median $30,348 30 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $16,912 – $34,614 · median $19,745 30 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $14,816 – $30,034 · median $17,207 30 plans
947 SIGNS AND SYMPTOMS WITH MCC $9,675 – $18,802 · median $10,982 30 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,496 – $11,857 · median $7,133 30 plans
949 AFTERCARE WITH CC/MCC $9,135 – $17,622 · median $10,328 30 plans
950 AFTERCARE WITHOUT CC/MCC $5,325 – $9,585 · median $5,714 30 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,839 – $8,710 · median $5,126 30 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $46,701 – $99,701 · median $55,818 30 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $26,580 – $55,738 · median $31,452 30 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $52,726 – $112,866 · median $63,114 30 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $29,637 – $62,416 · median $35,154 30 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $21,028 – $43,608 · median $24,730 30 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $19,603 – $40,493 · median $23,004 30 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,459 – $22,701 · median $13,143 30 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,446 – $13,931 · median $8,282 30 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $42,567 – $90,669 · median $50,812 30 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $18,949 – $39,065 · median $22,212 30 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $20,634 – $42,747 · median $24,253 30 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,849 – $19,182 · median $11,192 30 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,189 – $13,371 · median $7,972 30 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $9,867 – $19,222 · median $11,215 30 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $32,876 – $69,495 · median $39,077 30 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $17,736 – $36,415 · median $20,744 30 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,689 – $25,388 · median $14,632 30 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $24,311 – $50,781 · median $28,706 30 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,212 – $24,345 · median $14,054 30 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,199 – $17,763 · median $10,406 30 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $13,287 – $26,694 · median $13,952 29 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $41,362 – $88,035 · median $43,430 28 plans
791 PREMATURITY WITH MAJOR PROBLEMS $28,586 – $60,122 · median $30,016 28 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $17,673 – $36,278 · median $18,557 28 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $11,075 – $21,861 · median $11,629 28 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $29,336 – $61,760 · median $30,803 27 plans
945 REHABILITATION WITH CC/MCC $11,568 – $22,938 · median $12,146 27 plans
946 REHABILITATION WITHOUT CC/MCC $8,844 – $16,986 · median $9,286 27 plans
795 NORMAL NEWBORN $1,858 – $4,364 · median $2,424 26 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $27,271 – $57,247 · median $28,361 26 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,252 – $9,453 · median $5,462 26 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $10,666 – $20,968 · median $11,093 26 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $12,900 – $25,848 · median $13,416 26 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $7,054 – $13,076 · median $7,337 26 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,579 – $14,222 · median $7,806 25 plans
881 DEPRESSIVE NEUROSES $7,448 – $13,937 · median $7,672 25 plans
882 NEUROSES EXCEPT DEPRESSIVE $8,349 – $15,905 · median $8,600 25 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $14,400 – $29,125 · median $14,832 25 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $11,977 – $23,831 · median $12,336 25 plans
885 PSYCHOSES $10,539 – $20,689 · median $10,855 25 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $15,139 – $30,739 · median $15,593 25 plans
887 OTHER MENTAL DISORDER DIAGNOSES $8,330 – $15,862 · median $8,579 25 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $90,899 – $126,062 · median $113,531 4 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $90,882 – $126,062 · median $113,521 4 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $65,708 – $88,242 · median $80,626 4 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $65,708 – $88,242 · median $80,626 4 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $27,300 – $32,943 · median $28,475 4 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $27,300 – $32,943 · median $28,475 4 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $69,914 – $77,682 · median $73,798 2 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $69,914 – $77,682 · median $73,798 2 plans
230 DRG Carveouts $41,665 – $46,294 · median $43,980 2 plans
237 DRG Carveouts $42,414 – $42,414 · median $42,414 2 plans
238 DRG Carveouts $42,414 – $42,414 · median $42,414 2 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $36,379 – $40,421 · median $38,400 2 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $33,656 – $37,396 · median $35,526 2 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $48,911 – $54,345 · median $51,628 2 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $48,911 – $54,345 · median $51,628 2 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $48,911 – $54,345 · median $51,628 2 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $29,488 – $32,764 · median $31,126 2 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $24,391 – $27,101 · median $25,746 2 plans
484 DRG Carveouts $25,471 – $25,471 · median $25,471 2 plans
490 DRG Carveouts $11,539 – $12,821 · median $12,180 2 plans
491 DRG Carveouts $8,655 – $9,617 · median $9,136 2 plans
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