Acmh Hospital — Pricing

766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 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 766
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 766 procedures

Procedures with negotiated rates only

These 766 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
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $153,272 – $352,327 · median $209,323 24 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $101,969 – $492,151 · median $285,164 24 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $42,894 – $87,042 · median $50,438 24 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $28,152 – $63,259 · median $33,880 24 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $19,553 – $41,753 · median $22,754 24 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $64,886 – $176,047 · median $103,557 24 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $43,652 – $163,294 · median $93,883 24 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $26,201 – $149,756 · median $85,793 24 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $43,942 – $117,104 · median $68,885 24 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $23,557 – $51,157 · median $30,474 24 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $21,214 – $57,058 · median $34,602 24 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $12,082 – $39,602 · median $24,021 24 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $16,345 – $32,482 · median $19,706 24 plans
028 SPINAL PROCEDURES WITH MCC $22,357 – $74,807 · median $45,360 24 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $7,531 – $43,274 · median $26,247 24 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $4,686 – $28,503 · median $17,294 24 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $28,285 – $56,254 · median $34,736 24 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $11,605 – $27,723 · median $16,821 24 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $3,108 – $22,039 · median $13,376 24 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $25,927 – $65,939 · median $30,165 24 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $7,125 – $30,910 · median $18,904 24 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $11,174 – $25,438 · median $15,436 24 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $9,825 – $47,575 · median $25,829 24 plans
038 EXTRACRANIAL PROCEDURES WITH CC $11,437 – $25,629 · median $13,393 24 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $6,140 – $17,069 · median $9,799 24 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $26,396 – $77,565 · median $41,550 24 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $6,746 – $30,691 · median $17,635 24 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $11,950 – $26,907 · median $14,105 24 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $12,654 – $32,003 · median $14,883 24 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,291 – $16,733 · median $8,495 24 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $8,716 – $20,387 · median $12,375 24 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,551 – $14,227 · median $8,536 24 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $9,333 – $30,056 · median $18,235 24 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $9,330 – $19,408 · median $10,866 24 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $3,920 – $27,664 · median $13,968 24 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,590 – $16,914 · median $10,190 24 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $3,309 – $13,015 · median $7,826 24 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $18,750 – $38,965 · median $21,820 24 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $3,907 – $28,976 · median $14,326 24 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,027 – $27,159 · median $11,677 24 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $13,870 – $26,266 · median $15,938 24 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $6,154 – $14,833 · median $8,572 24 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,391 – $11,587 · median $6,204 24 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,292 – $24,031 · median $12,098 24 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,551 – $12,781 · median $7,635 24 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,128 – $11,546 · median $6,975 24 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $13,728 – $60,204 · median $26,304 24 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $7,592 – $14,395 · median $8,791 24 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,853 – $11,133 · median $6,792 24 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $9,251 – $21,327 · median $12,944 24 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $4,337 – $14,363 · median $8,618 24 plans
075 VIRAL MENINGITIS WITH CC/MCC $11,735 – $37,108 · median $15,527 24 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,242 – $30,519 · median $7,210 24 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $11,246 – $35,080 · median $14,721 24 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,745 – $17,397 · median $7,728 24 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $15,711 – $41,321 · median $18,286 24 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $9,976 – $18,795 · median $11,526 24 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,068 – $13,452 · median $8,071 24 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $14,466 – $29,434 · median $18,183 24 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $8,202 – $17,665 · median $10,670 24 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,883 – $12,953 · median $7,869 24 plans
088 CONCUSSION WITH MCC $9,692 – $21,643 · median $11,287 24 plans
089 CONCUSSION WITH CC $7,454 – $15,186 · median $9,222 24 plans
090 CONCUSSION WITHOUT CC/MCC $6,047 – $11,842 · median $7,195 24 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $8,301 – $23,172 · median $14,063 24 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,573 – $18,955 · median $8,823 24 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,112 – $11,553 · median $7,069 24 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $23,663 – $47,844 · median $28,377 24 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $10,410 – $37,233 · median $20,486 24 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,310 – $34,273 · median $20,486 24 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $12,972 – $51,931 · median $28,225 24 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $6,506 – $29,713 · median $18,028 24 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $9,528 – $31,246 · median $11,264 24 plans
100 SEIZURES WITH MCC $6,135 – $25,365 · median $15,392 24 plans
101 SEIZURES WITHOUT MCC $5,595 – $12,806 · median $7,780 24 plans
102 HEADACHES WITH MCC $8,204 – $15,457 · median $9,274 24 plans
103 HEADACHES WITHOUT MCC $6,370 – $12,001 · median $7,292 24 plans
113 ORBITAL PROCEDURES WITH CC/MCC $16,133 – $39,285 · median $19,148 24 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $11,157 – $54,158 · median $14,701 24 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $10,872 – $43,649 · median $12,700 24 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,633 – $31,513 · median $14,858 24 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,972 – $18,499 · median $9,287 24 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,477 – $17,843 · median $9,875 24 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,044 – $13,715 · median $6,920 24 plans
123 NEUROLOGICAL EYE DISORDERS $6,127 – $14,806 · median $7,141 24 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $9,507 – $22,619 · median $11,072 24 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,928 – $11,169 · median $6,787 24 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $10,333 – $41,437 · median $17,419 24 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,523 – $18,263 · median $8,766 24 plans
137 MOUTH PROCEDURES WITH CC/MCC $7,990 – $19,978 · median $12,105 24 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,119 – $12,607 · median $7,659 24 plans
139 SALIVARY GLAND PROCEDURES $5,999 – $21,055 · median $10,271 24 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $31,432 – $67,268 · median $36,567 24 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $12,904 – $31,061 · median $17,503 24 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $6,284 – $26,453 · median $13,099 24 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $24,692 – $47,342 · median $29,235 24 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,148 – $22,889 · median $13,891 24 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,729 – $16,445 · median $10,009 24 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $14,627 – $35,585 · median $17,301 24 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,175 – $20,433 · median $10,686 24 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,117 – $39,135 · median $7,130 24 plans
149 DYSEQUILIBRIUM $5,824 – $18,246 · median $6,668 24 plans
150 EPISTAXIS WITH MCC $9,561 – $31,157 · median $11,135 24 plans
151 EPISTAXIS WITHOUT MCC $5,710 – $11,734 · median $6,539 24 plans
152 OTITIS MEDIA AND URI WITH MCC $8,142 – $16,201 · median $9,851 24 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $4,045 – $10,810 · median $6,439 24 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,057 – $50,698 · median $12,926 24 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,914 – $12,975 · median $7,785 24 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,928 – $10,606 · median $6,223 24 plans
157 DENTAL AND ORAL DISEASES WITH MCC $12,045 – $23,392 · median $14,023 24 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,335 – $12,894 · median $7,736 24 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,154 – $13,441 · median $6,351 24 plans
163 MAJOR CHEST PROCEDURES WITH MCC $33,706 – $206,249 · median $119,526 24 plans
164 MAJOR CHEST PROCEDURES WITH CC $17,247 – $33,466 · median $20,323 24 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $13,317 – $25,090 · median $15,225 24 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $22,946 – $47,234 · median $28,647 24 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $9,508 – $23,745 · median $14,410 24 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,786 – $18,438 · median $11,296 24 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $7,606 – $44,716 · median $23,463 24 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $9,833 – $18,526 · median $11,288 24 plans
176 PULMONARY EMBOLISM WITHOUT MCC $6,168 – $12,676 · median $7,061 24 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,051 – $29,167 · median $12,835 24 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,270 – $21,961 · median $8,320 24 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,729 – $13,535 · median $6,693 24 plans
180 RESPIRATORY NEOPLASMS WITH MCC $11,100 – $23,291 · median $14,135 24 plans
181 RESPIRATORY NEOPLASMS WITH CC $6,043 – $15,455 · median $9,019 24 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,838 – $13,269 · median $6,806 24 plans
183 MAJOR CHEST TRAUMA WITH MCC $6,506 – $20,424 · median $12,397 24 plans
184 MAJOR CHEST TRAUMA WITH CC $5,150 – $14,767 · median $8,860 24 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,049 – $11,396 · median $6,925 24 plans
186 PLEURAL EFFUSION WITH MCC $5,201 – $20,771 · median $12,607 24 plans
187 PLEURAL EFFUSION WITH CC $7,354 – $13,857 · median $8,314 24 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,602 – $12,390 · median $6,415 24 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $6,106 – $16,847 · median $10,148 24 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,495 – $15,297 · median $9,178 24 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,413 – $16,260 · median $7,341 24 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,117 – $9,642 · median $5,820 24 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $8,840 – $17,807 · median $10,888 24 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,174 – $15,774 · median $7,068 24 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,712 – $16,004 · median $5,709 24 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $13,143 – $24,762 · median $15,300 24 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,826 – $130,400 · median $63,489 24 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,906 – $54,862 · median $17,314 24 plans
199 PNEUMOTHORAX WITH MCC $10,760 – $38,790 · median $14,377 24 plans
200 PNEUMOTHORAX WITH CC $7,341 – $34,352 · median $9,227 24 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $4,466 – $39,259 · median $6,399 24 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $6,694 – $15,896 · median $8,285 24 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,261 – $15,042 · median $6,050 24 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,016 – $11,650 · median $7,079 24 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $11,560 – $24,080 · median $14,879 24 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,499 – $13,274 · median $7,964 24 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $53,060 – $263,696 · median $152,808 24 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $10,689 – $35,224 · median $21,368 24 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $52,618 – $181,657 · median $82,653 24 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $54,927 – $155,489 · median $91,464 24 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $70,409 – $138,628 · median $84,045 24 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $43,359 – $81,692 · median $50,435 24 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $17,039 – $81,692 · median $49,534 24 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $48,654 – $131,304 · median $77,237 24 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $35,350 – $66,604 · median $40,388 24 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $30,379 – $63,051 · median $38,930 24 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $28,674 – $86,153 · median $38,235 24 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $21,279 – $45,994 · median $24,760 24 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $69,513 – $138,939 · median $82,727 24 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $40,054 – $80,217 · median $47,959 24 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $50,204 – $94,684 · median $58,453 24 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $36,188 – $68,181 · median $42,097 24 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $38,367 – $73,110 · median $44,332 24 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $27,769 – $52,712 · median $31,968 24 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $32,741 – $76,389 · median $40,872 24 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $14,441 – $36,460 · median $22,117 24 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $9,902 – $24,990 · median $11,437 24 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $24,329 – $63,292 · median $27,801 24 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $8,651 – $32,776 · median $17,126 24 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $12,629 – $28,656 · median $14,703 24 plans
245 AICD GENERATOR PROCEDURES $23,078 – $80,974 · median $35,349 24 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $15,046 – $38,403 · median $17,816 24 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $10,612 – $24,872 · median $12,381 24 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $23,462 – $49,593 · median $28,132 24 plans
253 OTHER VASCULAR PROCEDURES WITH CC $17,709 – $36,361 · median $21,079 24 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $5,252 – $24,418 · median $14,509 24 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $5,868 – $34,601 · median $20,990 24 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $7,770 – $22,464 · median $13,633 24 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,515 – $15,108 · median $9,175 24 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $11,067 – $47,794 · median $24,705 24 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $10,070 – $32,053 · median $16,311 24 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $21,944 – $48,668 · median $26,271 24 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $9,027 – $25,831 · median $15,325 24 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $10,090 – $22,955 · median $13,362 24 plans
263 VEIN LIGATION AND STRIPPING $20,685 – $45,170 · median $24,727 24 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $14,166 – $42,412 · median $25,725 24 plans
265 AICD LEAD PROCEDURES $24,299 – $58,405 · median $29,158 24 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $40,478 – $76,265 · median $47,086 24 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $31,664 – $67,386 · median $38,184 24 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $56,539 – $255,535 · median $148,080 24 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $30,040 – $90,703 · median $42,666 24 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $25,461 – $65,918 · median $39,972 24 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $23,900 – $48,567 · median $28,669 24 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $17,434 – $35,366 · median $20,743 24 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $27,569 – $61,668 · median $33,165 24 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $19,347 – $42,951 · median $25,826 24 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $46,936 – $104,131 · median $54,595 24 plans
276 NON-MALIGANT BREAST DISORDERS $11,900 – $89,736 · median $46,173 24 plans
277 CELLULITIS AGE >17 W CC $38,084 – $92,014 · median $50,796 24 plans
278 CELLULITIS AGE >17 W/O CC $7,106 – $77,291 · median $42,872 24 plans
279 CELLULITIS AGE 0-17 $8,148 – $53,848 · median $28,185 24 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $8,173 – $21,325 · median $12,943 24 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,276 – $13,006 · median $7,804 24 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,331 – $11,469 · median $6,458 24 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $8,691 – $26,167 · median $15,933 24 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,274 – $12,411 · median $6,231 24 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,840 – $9,118 · median $5,471 24 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $14,425 – $31,124 · median $17,740 24 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,876 – $25,550 · median $9,012 24 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $21,683 – $79,945 · median $32,908 24 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $10,688 – $22,573 · median $13,949 24 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,972 – $16,968 · median $8,124 24 plans
291 HEART FAILURE AND SHOCK WITH MCC $6,197 – $17,435 · median $10,524 24 plans
292 HEART FAILURE AND SHOCK WITH CC $5,934 – $33,034 · median $7,385 24 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,627 – $14,094 · median $5,270 24 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,046 – $25,007 · median $12,828 24 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,066 – $11,772 · median $5,830 24 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,753 – $13,752 · median $4,427 24 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $9,035 – $21,672 · median $13,154 24 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,248 – $14,809 · median $8,993 24 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,359 – $10,585 · median $6,433 24 plans
302 ATHEROSCLEROSIS WITH MCC $8,692 – $20,997 · median $10,124 24 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,113 – $31,263 · median $6,076 24 plans
304 HYPERTENSION WITH MCC $8,296 – $22,918 · median $9,913 24 plans
305 HYPERTENSION WITHOUT MCC $5,846 – $13,805 · median $6,694 24 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,136 – $24,334 · median $13,023 24 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,865 – $15,001 · median $7,997 24 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,070 – $16,466 · median $9,919 24 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,082 – $10,779 · median $6,551 24 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,973 – $8,720 · median $5,197 24 plans
311 ANGINA PECTORIS $5,041 – $10,369 · median $6,302 24 plans
312 SYNCOPE AND COLLAPSE $6,597 – $12,430 · median $7,551 24 plans
313 CHEST PAIN $4,784 – $10,589 · median $6,353 24 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $14,918 – $69,109 · median $33,786 24 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,188 – $13,543 · median $8,226 24 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,376 – $15,596 · median $6,228 24 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $29,744 – $73,003 · median $35,725 24 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $16,482 – $39,133 · median $19,183 24 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $7,420 – $41,488 · median $21,547 24 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $6,637 – $30,775 · median $14,369 24 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY $8,771 – $65,654 · median $33,588 24 plans
324 URINARY STONES W/O CC $4,703 – $50,855 · median $24,772 24 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $8,860 – $45,389 · median $25,217 24 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $37,525 – $165,099 · median $95,685 24 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $20,155 – $81,816 · median $40,489 24 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $8,177 – $21,303 · median $12,930 24 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $29,568 – $57,663 · median $35,605 24 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $8,323 – $30,956 · median $18,781 24 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,826 – $22,383 · median $13,671 24 plans
332 RECTAL RESECTION WITH MCC $24,316 – $63,215 · median $28,292 24 plans
333 RECTAL RESECTION WITH CC $19,314 – $86,230 · median $40,727 24 plans
334 RECTAL RESECTION WITHOUT CC/MCC $11,536 – $21,735 · median $13,424 24 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $23,090 – $45,208 · median $27,919 24 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $14,570 – $27,452 · median $16,960 24 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $7,446 – $20,486 · median $12,434 24 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $17,626 – $45,826 · median $20,978 24 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $9,135 – $20,118 · median $12,211 24 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,625 – $16,250 · median $9,946 24 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $18,929 – $116,623 · median $65,047 24 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $4,398 – $17,739 · median $10,718 24 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $4,973 – $12,418 · median $7,488 24 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $8,244 – $40,479 · median $19,832 24 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $4,217 – $24,132 · median $12,535 24 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $7,053 – $16,027 · median $9,623 24 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $19,683 – $38,242 · median $23,018 24 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $11,823 – $22,276 · median $13,765 24 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $9,648 – $18,178 · median $10,999 24 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $28,654 – $136,374 · median $79,043 24 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $14,548 – $37,935 · median $18,585 24 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,989 – $18,821 · median $11,543 24 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,240 – $21,177 · median $12,853 24 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $6,188 – $13,991 · median $8,395 24 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,496 – $11,570 · median $6,383 24 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $7,701 – $23,377 · median $14,187 24 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,954 – $14,244 · median $8,546 24 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,114 – $10,679 · median $6,407 24 plans
374 DIGESTIVE MALIGNANCY WITH MCC $7,472 – $27,817 · median $16,878 24 plans
375 DIGESTIVE MALIGNANCY WITH CC $8,625 – $16,534 · median $9,947 24 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $4,267 – $13,070 · median $7,842 24 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $11,857 – $24,044 · median $14,591 24 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,300 – $13,755 · median $8,354 24 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,892 – $9,501 · median $5,700 24 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $4,228 – $25,673 · median $15,579 24 plans
381 COMPLICATED PEPTIC ULCER WITH CC $4,935 – $15,003 · median $9,002 24 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $2,254 – $11,567 · median $6,940 24 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $8,989 – $22,585 · median $11,408 24 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $3,533 – $12,226 · median $7,335 24 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,914 – $48,474 · median $13,786 24 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,272 – $46,154 · median $8,322 24 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,371 – $22,344 · median $6,142 24 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $9,394 – $19,779 · median $12,161 24 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,277 – $15,756 · median $6,949 24 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,127 – $8,452 · median $5,071 24 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $2,807 – $17,247 · median $10,403 24 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,328 – $29,380 · median $6,874 24 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,287 – $21,266 · median $13,122 24 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,797 – $19,499 · median $8,023 24 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,162 – $9,860 · median $5,877 24 plans
397 COAGULATION DISORDERS $14,271 – $30,928 · median $18,764 24 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $10,735 – $24,930 · median $12,531 24 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $9,117 – $64,651 · median $27,733 24 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $36,238 – $72,868 · median $43,479 24 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $19,672 – $49,239 · median $23,181 24 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $15,285 – $31,888 · median $17,828 24 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $18,931 – $57,211 · median $27,879 24 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $11,885 – $29,632 · median $17,474 24 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $8,197 – $24,738 · median $13,031 24 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $10,355 – $53,209 · median $25,913 24 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $14,530 – $36,493 · median $17,184 24 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $11,682 – $27,025 · median $13,692 24 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $8,648 – $52,166 · median $27,856 24 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $14,300 – $34,376 · median $16,645 24 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $9,766 – $36,323 · median $11,374 24 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $16,088 – $30,824 · median $18,701 24 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $11,694 – $22,387 · median $13,587 24 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $9,782 – $18,431 · median $11,275 24 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $7,735 – $56,202 · median $26,691 24 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,178 – $28,253 · median $14,300 24 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $7,116 – $23,947 · median $11,555 24 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $27,746 – $58,876 · median $33,383 24 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $15,081 – $50,233 · median $17,858 24 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $8,598 – $25,949 · median $12,345 24 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $15,020 – $93,705 · median $47,383 24 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $4,076 – $14,671 · median $8,803 24 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,572 – $11,335 · median $6,480 24 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $5,310 – $24,149 · median $14,655 24 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,270 – $15,581 · median $9,461 24 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,479 – $13,353 · median $7,551 24 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $4,882 – $23,258 · median $13,364 24 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,401 – $15,051 · median $7,328 24 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,825 – $14,921 · median $5,651 24 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $9,523 – $25,478 · median $14,607 24 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,201 – $13,568 · median $8,241 24 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,489 – $10,797 · median $6,374 24 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,749 – $27,580 · median $13,679 24 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,636 – $15,135 · median $9,081 24 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,067 – $11,892 · median $7,181 24 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $69,294 – $145,597 · median $86,502 24 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $25,903 – $83,362 · median $45,847 24 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $27,873 – $75,357 · median $33,538 24 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $45,542 – $162,604 · median $95,650 24 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $37,463 – $71,057 · median $43,087 24 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $5,757 – $39,668 · median $24,062 24 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,422 – $23,991 · median $14,559 24 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $11,091 – $65,057 · median $39,450 24 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $6,124 – $44,670 · median $27,094 24 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $17,751 – $43,446 · median $21,751 24 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $13,165 – $38,679 · median $23,462 24 plans
471 CERVICAL SPINAL FUSION WITH MCC $30,718 – $169,142 · median $98,028 24 plans
472 CERVICAL SPINAL FUSION WITH CC $19,722 – $70,030 · median $23,236 24 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $15,934 – $34,259 · median $19,453 24 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $3,065 – $53,976 · median $32,734 24 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $15,647 – $44,947 · median $18,212 24 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,586 – $27,119 · median $10,001 24 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,245 – $43,796 · median $27,047 24 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $16,642 – $31,708 · median $19,587 24 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,864 – $26,879 · median $15,088 24 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $19,750 – $72,083 · median $23,581 24 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $14,479 – $85,846 · median $17,121 24 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,492 – $37,525 · median $13,372 24 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $15,164 – $67,917 · median $21,930 24 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $26,611 – $95,981 · median $48,059 24 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $14,457 – $60,141 · median $16,828 24 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,883 – $23,486 · median $12,862 24 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,380 – $53,266 · median $14,548 24 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,177 – $22,055 · median $9,526 24 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $23,860 – $46,431 · median $28,673 24 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $17,325 – $32,642 · median $19,803 24 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $10,278 – $26,211 · median $15,905 24 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $24,348 – $127,136 · median $29,217 24 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $12,606 – $28,373 · median $14,676 24 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $8,767 – $21,754 · median $10,212 24 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $13,333 – $43,068 · median $23,766 24 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $12,772 – $52,994 · median $16,256 24 plans
500 SOFT TISSUE PROCEDURES WITH MCC $21,909 – $68,190 · median $30,939 24 plans
501 SOFT TISSUE PROCEDURES WITH CC $12,246 – $23,073 · median $14,258 24 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $9,654 – $18,189 · median $11,135 24 plans
503 FOOT PROCEDURES WITH MCC $23,015 – $79,706 · median $38,109 24 plans
504 FOOT PROCEDURES WITH CC $12,608 – $42,620 · median $15,165 24 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $11,745 – $23,616 · median $14,593 24 plans
506 MAJOR THUMB OR JOINT PROCEDURES $9,675 – $38,743 · median $11,268 24 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $12,622 – $42,620 · median $14,845 24 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $10,740 – $23,611 · median $12,538 24 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $20,447 – $46,886 · median $23,794 24 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $12,174 – $27,096 · median $16,441 24 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $11,160 – $43,239 · median $13,561 24 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $9,579 – $26,265 · median $12,926 24 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,484 – $33,196 · median $8,661 24 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $21,520 – $58,122 · median $25,573 24 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $14,373 – $27,866 · median $16,929 24 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $10,790 – $24,148 · median $12,631 24 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $21,653 – $47,229 · median $29,166 24 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $13,871 – $26,135 · median $16,147 24 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $9,661 – $19,986 · median $12,295 24 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $8,788 – $44,935 · median $22,667 24 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $14,628 – $27,849 · median $17,073 24 plans
533 FRACTURES OF FEMUR WITH MCC $11,084 – $25,696 · median $12,959 24 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,175 – $14,318 · median $7,198 24 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,242 – $29,592 · median $10,764 24 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,170 – $12,028 · median $7,080 24 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,130 – $16,043 · median $8,308 24 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,622 – $13,695 · median $6,545 24 plans
539 OSTEOMYELITIS WITH MCC $4,927 – $25,764 · median $15,634 24 plans
540 OSTEOMYELITIS WITH CC $8,100 – $17,946 · median $10,746 24 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,749 – $47,911 · median $6,932 24 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $12,365 – $31,573 · median $14,529 24 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,605 – $22,892 · median $8,861 24 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,843 – $14,717 · median $6,812 24 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $12,537 – $40,176 · median $19,756 24 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,413 – $28,291 · median $9,801 24 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,369 – $18,779 · median $7,423 24 plans
548 SEPTIC ARTHRITIS WITH MCC $13,425 – $32,772 · median $15,828 24 plans
549 SEPTIC ARTHRITIS WITH CC $8,760 – $16,505 · median $10,047 24 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,275 – $12,932 · median $7,570 24 plans
551 MEDICAL BACK PROBLEMS WITH MCC $8,515 – $22,199 · median $13,473 24 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,489 – $19,879 · median $8,212 24 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,334 – $22,215 · median $10,871 24 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,222 – $11,926 · median $7,246 24 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,499 – $27,136 · median $11,063 24 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,333 – $21,057 · median $7,250 24 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $9,918 – $24,148 · median $12,240 24 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,754 – $12,692 · median $7,557 24 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,999 – $24,492 · median $15,133 24 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,237 – $25,298 · median $9,425 24 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,161 – $22,378 · median $7,053 24 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,163 – $19,995 · median $11,753 24 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,283 – $12,720 · median $7,632 24 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $6,699 – $24,132 · median $12,685 24 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,260 – $44,947 · median $8,308 24 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $2,473 – $10,945 · median $6,605 24 plans
570 SKIN DEBRIDEMENT WITH MCC $20,133 – $257,119 · median $148,997 24 plans
571 SKIN DEBRIDEMENT WITH CC $9,334 – $22,362 · median $13,572 24 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,368 – $15,765 · median $9,459 24 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $31,263 – $98,480 · median $50,256 24 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $11,346 – $54,739 · median $27,173 24 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,562 – $31,633 · median $14,770 24 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $12,730 – $92,039 · median $37,889 24 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $18,064 – $39,184 · median $21,515 24 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,333 – $42,677 · median $13,265 24 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $18,809 – $42,677 · median $25,427 24 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $7,325 – $19,370 · median $11,758 24 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $3,028 – $38,511 · median $17,200 24 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,768 – $56,823 · median $27,936 24 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,938 – $23,516 · median $6,923 24 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $2,190 – $12,969 · median $7,781 24 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $5,549 – $31,027 · median $17,583 24 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $23,456 – $44,194 · median $27,293 24 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,505 – $28,824 · median $11,568 24 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $9,673 – $21,475 · median $13,087 24 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,922 – $24,279 · median $10,398 24 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $4,815 – $48,500 · median $23,791 24 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $8,809 – $41,222 · median $18,221 24 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $42,849 – $193,304 · median $112,026 24 plans
654 MAJOR BLADDER PROCEDURES WITH CC $9,786 – $36,173 · median $22,031 24 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $5,892 – $29,783 · median $17,019 24 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $21,500 – $40,664 · median $25,017 24 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC — 24 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $7,181 – $20,735 · median $12,681 24 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,727 – $18,516 · median $9,002 24 plans
665 PROSTATECTOMY WITH MCC $21,096 – $53,175 · median $25,231 24 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $19,799 – $42,110 · median $23,642 24 plans
669 TRANSURETHRAL PROCEDURES WITH CC $3,917 – $20,692 · median $12,560 24 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,937 – $17,338 · median $9,247 24 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $24,907 – $53,796 · median $32,645 24 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $13,535 – $35,631 · median $15,481 24 plans
682 RENAL FAILURE WITH MCC $9,127 – $24,093 · median $12,194 24 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,073 – $11,923 · median $6,953 24 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $2,860 – $26,136 · median $15,859 24 plans
709 PENIS PROCEDURES WITH CC/MCC $4,004 – $38,006 · median $18,597 24 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $12,425 – $29,867 · median $14,719 24 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,206 – $12,646 · median $6,010 24 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $24,018 – $67,789 · median $28,813 24 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $20,745 – $63,770 · median $28,008 24 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $11,958 – $24,906 · median $14,718 24 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,657 – $40,313 · median $17,579 24 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $4,284 – $26,729 · median $16,037 24 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $6,981 – $86,201 · median $47,284 24 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,938 – $22,938 · median $12,153 24 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $6,502 – $24,210 · median $14,692 24 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $6,893 – $24,435 · median $11,809 24 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $10,955 – $22,365 · median $13,821 24 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $8,532 – $59,280 · median $31,558 24 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $8,378 – $29,182 · median $13,166 24 plans
799 SPLENECTOMY WITH MCC $19,203 – $56,842 · median $34,471 24 plans
800 SPLENECTOMY WITH CC $19,087 – $38,925 · median $22,586 24 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $32,853 – $82,054 · median $48,275 24 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,922 – $38,750 · median $16,291 24 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $38,779 – $80,049 · median $46,065 24 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $2,598 – $34,996 · median $17,934 24 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $30,529 – $60,272 · median $36,289 24 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $31,129 – $81,243 · median $37,529 24 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $9,828 – $35,248 · median $18,478 24 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $10,680 – $24,773 · median $12,463 24 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $32,381 – $211,507 · median $122,572 24 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $13,452 – $65,057 · median $34,071 24 plans
849 RADIOTHERAPY $22,342 – $97,719 · median $56,648 24 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $11,206 – $61,817 · median $37,487 24 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $2,678 – $57,082 · median $34,617 24 plans
865 VIRAL ILLNESS WITH MCC — 24 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $16,961 – $48,895 · median $24,750 24 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $45,527 – $87,448 · median $53,374 24 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC — 24 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $12,003 – $60,625 · median $30,122 24 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $486 – $13,506 · median $8,103 24 plans
881 DEPRESSIVE NEUROSES $232 – $13,271 · median $7,807 24 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $10,380 – $27,047 · median $16,411 24 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $11,673 – $87,427 · median $48,488 24 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $11,663 – $54,341 · median $27,180 24 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $13,480 – $53,932 · median $32,608 24 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $24,653 – $49,139 · median $29,447 24 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $10,540 – $27,982 · median $12,293 24 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $7,159 – $48,468 · median $29,395 24 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $14,456 – $65,297 · median $34,749 24 plans
915 ALLERGIC REACTIONS WITH MCC $10,739 – $22,266 · median $13,759 24 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC — 24 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $138,587 – $364,862 · median $169,243 24 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $11,745 – $47,799 · median $26,399 24 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $26,078 – $54,655 · median $31,338 24 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $24,366 – $54,134 · median $29,239 24 plans
950 AFTERCARE WITHOUT CC/MCC $5,025 – $22,387 · median $5,778 24 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $44,363 – $100,599 · median $53,750 24 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $20,155 – $80,015 · median $29,358 24 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $50,091 – $96,479 · median $58,264 24 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $5,781 – $55,748 · median $32,738 24 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $24,277 – $64,381 · median $36,225 24 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $18,599 – $40,479 · median $22,171 24 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $50,476 – $361,180 · median $209,286 24 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $21,748 – $110,548 · median $64,081 24 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,798 – $15,320 · median $7,922 24 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $12,965 – $65,923 · median $36,319 24 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $16,825 – $33,180 · median $19,988 24 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,879 – $22,659 · median $13,752 24 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $356,083 – $1,590,972 · median $926,355 23 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $7,197 – $127,288 · median $54,211 23 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $12,382 – $25,269 · median $15,506 23 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,117 – $22,829 · median $14,012 23 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $13,397 – $35,349 · median $15,702 23 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,094 – $31,919 · median $14,174 23 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $13,413 – $33,584 · median $15,721 23 plans
592 SKIN ULCERS WITH MCC $11,499 – $25,347 · median $15,554 23 plans
593 SKIN ULCERS WITH CC $7,022 – $16,251 · median $9,782 23 plans
594 SKIN ULCERS WITHOUT CC/MCC $4,774 – $12,371 · median $7,423 23 plans
595 MAJOR SKIN DISORDERS WITH MCC $14,648 – $35,736 · median $17,168 23 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $6,448 – $14,991 · median $8,994 23 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $11,724 – $27,765 · median $13,741 23 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $6,540 – $14,494 · median $8,696 23 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,645 – $9,192 · median $5,515 23 plans
602 CELLULITIS WITH MCC $10,140 – $19,105 · median $11,720 23 plans
603 CELLULITIS WITHOUT MCC $5,051 – $12,421 · median $7,453 23 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,467 – $24,620 · median $12,139 23 plans
606 MINOR SKIN DISORDERS WITH MCC $10,732 – $23,964 · median $12,478 23 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,390 – $12,852 · median $7,711 23 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $9,998 – $23,039 · median $11,568 23 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $11,899 – $24,557 · median $15,070 23 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $19,589 – $36,908 · median $22,633 23 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $10,585 – $20,163 · median $12,380 23 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $20,626 – $45,066 · median $27,627 23 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $11,714 – $23,630 · median $14,502 23 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $10,643 – $22,182 · median $12,364 23 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,541 – $17,976 · median $10,953 23 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $23,439 – $47,101 · median $28,874 23 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $13,562 – $28,303 · median $17,364 23 plans
637 DIABETES WITH MCC $9,107 – $19,292 · median $11,847 23 plans
638 DIABETES WITH CC $5,626 – $12,728 · median $7,637 23 plans
639 DIABETES WITHOUT CC/MCC $4,343 – $9,389 · median $5,633 23 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,588 – $18,064 · median $11,013 23 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,452 – $11,295 · median $6,777 23 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $7,916 – $19,115 · median $11,727 23 plans
643 ENDOCRINE DISORDERS WITH MCC $11,589 – $21,835 · median $13,403 23 plans
644 ENDOCRINE DISORDERS WITH CC $6,951 – $14,292 · median $8,575 23 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $4,764 – $11,175 · median $6,705 23 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $38,768 – $87,691 · median $51,598 23 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $30,558 – $75,449 · median $44,400 23 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $16,324 – $32,701 · median $20,056 23 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,055 – $17,895 · median $10,899 23 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,413 – $14,419 · median $8,651 23 plans
662 MINOR BLADDER PROCEDURES WITH MCC $20,711 – $50,989 · median $24,275 23 plans
663 MINOR BLADDER PROCEDURES WITH CC $10,777 – $25,461 · median $12,535 23 plans
666 PROSTATECTOMY WITH CC $12,254 – $28,690 · median $14,362 23 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,109 – $17,187 · median $9,389 23 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,278 – $13,713 · median $8,296 23 plans
671 URETHRAL PROCEDURES WITH CC/MCC $12,549 – $29,396 · median $14,708 23 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $16,052 – $30,244 · median $18,552 23 plans
683 RENAL FAILURE WITH CC $5,226 – $12,481 · median $7,488 23 plans
684 RENAL FAILURE WITHOUT CC/MCC $3,891 – $9,135 · median $5,481 23 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $12,605 – $25,848 · median $14,773 23 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,733 – $14,569 · median $8,742 23 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,458 – $15,935 · median $9,568 23 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,123 – $11,676 · median $7,005 23 plans
693 URINARY STONES WITH MCC $9,645 – $23,729 · median $11,161 23 plans
694 URINARY STONES WITHOUT MCC $4,856 – $11,338 · median $6,803 23 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,352 – $19,525 · median $9,669 23 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,082 – $10,212 · median $6,127 23 plans
697 URETHRAL STRICTURE $7,926 – $17,490 · median $9,178 23 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,642 – $21,936 · median $13,465 23 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,289 – $14,171 · median $8,503 23 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,426 – $10,527 · median $6,292 23 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,868 – $22,686 · median $12,651 23 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,010 – $24,065 · median $11,583 23 plans
711 TESTES PROCEDURES WITH CC/MCC $14,410 – $34,593 · median $16,889 23 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,067 – $19,239 · median $9,341 23 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,669 – $20,102 · median $12,342 23 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,795 – $14,686 · median $8,812 23 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $15,399 – $36,947 · median $18,049 23 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,460 – $23,224 · median $12,130 23 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $11,776 – $24,803 · median $15,221 23 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $7,905 – $18,155 · median $11,075 23 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,344 – $18,835 · median $9,661 23 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,522 – $21,122 · median $9,865 23 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,633 – $12,529 · median $6,533 23 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,537 – $25,410 · median $12,228 23 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,544 – $11,696 · median $7,018 23 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,803 – $17,591 · median $9,036 23 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,311 – $10,393 · median $6,129 23 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $14,708 – $27,711 · median $17,001 23 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,651 – $19,995 · median $11,168 23 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $14,260 – $26,868 · median $16,485 23 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,444 – $19,678 · median $12,083 23 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $12,805 – $24,126 · median $14,806 23 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $8,963 – $16,912 · median $10,231 23 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $10,626 – $22,940 · median $14,080 23 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,520 – $12,411 · median $7,557 23 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,921 – $22,669 · median $11,479 23 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $16,930 – $33,025 · median $20,255 23 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,916 – $15,055 · median $9,033 23 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,971 – $13,509 · median $8,106 23 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,396 – $13,734 · median $8,240 23 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,031 – $9,904 · median $5,942 23 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $6,140 – $14,080 · median $8,448 23 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,579 – $8,773 · median $5,264 23 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $5,400 – $14,858 · median $8,836 23 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $5,729 – $14,022 · median $8,413 23 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,532 – $9,796 · median $5,785 23 plans
779 ABORTION WITHOUT D&C $3,768 – $12,062 · median $7,095 23 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,464 – $14,719 · median $8,831 23 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,232 – $13,476 · median $8,086 23 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,413 – $15,407 · median $9,244 23 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,222 – $13,489 · median $8,093 23 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $11,704 – $23,730 · median $14,564 23 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $39,286 – $109,731 · median $46,045 23 plans
791 PREMATURITY WITH MAJOR PROBLEMS $19,743 – $51,135 · median $30,681 23 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $6,560 – $31,587 · median $18,609 23 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $8,521 – $52,479 · median $30,893 23 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,331 – $19,768 · median $11,659 23 plans
795 NORMAL NEWBORN $1,602 – $4,272 · median $2,513 23 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $8,501 – $19,676 · median $9,841 23 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,427 – $13,994 · median $8,396 23 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,735 – $13,468 · median $8,081 23 plans
801 SPLENECTOMY WITHOUT CC/MCC $13,283 – $27,042 · median $15,568 23 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,960 – $26,083 · median $15,190 23 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $9,719 – $18,312 · median $11,182 23 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $5,267 – $14,951 · median $8,826 23 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,795 – $11,002 · median $6,601 23 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,086 – $10,033 · median $6,020 23 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $15,210 – $28,657 · median $17,580 23 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,382 – $14,555 · median $8,733 23 plans
811 RED BLOOD CELL DISORDERS WITH MCC $10,030 – $18,898 · median $11,580 23 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,897 – $12,996 · median $7,797 23 plans
813 COAGULATION DISORDERS $10,810 – $23,022 · median $12,578 23 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $14,014 – $27,671 · median $16,977 23 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,515 – $14,159 · median $8,495 23 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,053 – $9,520 · median $5,764 23 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $12,207 – $29,552 · median $18,128 23 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,193 – $15,922 · median $9,559 23 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,493 – $12,288 · median $7,373 23 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,740 – $19,962 · median $10,116 23 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $15,582 – $33,701 · median $18,262 23 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,677 – $20,500 · median $11,197 23 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,961 – $23,493 · median $14,019 23 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $16,509 – $40,219 · median $24,659 23 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $6,376 – $16,448 · median $9,869 23 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,158 – $10,608 · median $6,365 23 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,957 – $8,195 · median $4,821 23 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $36,363 – $114,507 · median $42,619 23 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $14,423 – $43,791 · median $16,904 23 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,839 – $27,008 · median $10,232 23 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $10,760 – $27,194 · median $16,316 23 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $8,696 – $19,379 · median $11,900 23 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $21,829 – $52,654 · median $25,585 23 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,492 – $18,028 · median $8,677 23 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $13,836 – $29,800 · median $16,217 23 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $8,826 – $16,884 · median $10,216 23 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,468 – $14,345 · median $7,496 23 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $15,626 – $33,327 · median $20,440 23 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $7,628 – $17,731 · median $10,787 23 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,887 – $12,160 · median $7,296 23 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $13,858 – $26,109 · median $16,021 23 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,629 – $20,027 · median $12,296 23 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $13,224 – $27,851 · median $17,087 23 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,394 – $18,760 · median $11,486 23 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $10,246 – $23,991 · median $14,724 23 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $6,530 – $13,963 · median $8,378 23 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,478 – $12,625 · median $7,575 23 plans
866 VIRAL ILLNESS WITHOUT MCC $5,503 – $12,405 · median $7,443 23 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,625 – $14,367 · median $8,620 23 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,683 – $10,707 · median $6,424 23 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,351 – $14,272 · median $8,563 23 plans
882 NEUROSES EXCEPT DEPRESSIVE $3,675 – $14,885 · median $8,788 23 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $10,328 – $25,723 · median $15,564 23 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $6,427 – $21,383 · median $12,609 23 plans
885 PSYCHOSES $5,513 – $18,807 · median $11,094 23 plans
887 OTHER MENTAL DISORDER DIAGNOSES $7,882 – $17,355 · median $9,127 23 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,501 – $9,337 · median $5,525 23 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,103 – $12,566 · median $7,539 23 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,248 – $25,094 · median $15,399 23 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,183 – $16,048 · median $9,644 23 plans
906 HAND PROCEDURES FOR INJURIES $13,275 – $25,699 · median $15,769 23 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,440 – $17,786 · median $10,824 23 plans
913 TRAUMATIC INJURY WITH MCC $11,515 – $26,016 · median $13,479 23 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,150 – $12,598 · median $7,559 23 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,692 – $9,937 · median $5,962 23 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,062 – $12,254 · median $7,352 23 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $11,386 – $24,078 · median $14,777 23 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,002 – $14,017 · median $8,410 23 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,020 – $10,205 · median $6,123 23 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $12,255 – $25,007 · median $14,363 23 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $5,698 – $14,204 · median $8,522 23 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $24,178 – $88,946 · median $52,336 23 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $15,227 – $33,954 · median $17,847 23 plans
935 NON-EXTENSIVE BURNS $8,973 – $26,861 · median $15,830 23 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $16,041 – $30,223 · median $18,540 23 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $11,786 – $26,469 · median $16,241 23 plans
945 REHABILITATION WITH CC/MCC $6,096 – $25,310 · median $12,679 23 plans
947 SIGNS AND SYMPTOMS WITH MCC $9,158 – $17,260 · median $10,467 23 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,139 – $11,566 · median $6,940 23 plans
949 AFTERCARE WITH CC/MCC $8,647 – $17,557 · median $10,010 23 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,450 – $8,597 · median $5,158 23 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,857 – $20,456 · median $12,560 23 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,041 – $13,266 · median $7,960 23 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $19,580 – $43,203 · median $22,949 23 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,326 – $22,669 · median $10,793 23 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $9,343 – $23,174 · median $10,813 23 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $23,076 – $43,478 · median $26,655 23 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,573 – $21,804 · median $13,385 23 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,709 – $16,408 · median $9,889 23 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $10,946 – $31,235 · median $12,745 22 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,411 – $16,767 · median $8,635 22 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,277 – $13,561 · median $6,153 22 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $8,894 – $19,693 · median $10,175 22 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,070 – $13,941 · median $7,076 22 plans
509 ARTHROSCOPY $13,880 – $136,253 · median $15,959 22 plans
946 REHABILITATION WITHOUT CC/MCC $8,371 – $18,095 · median $9,577 22 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $205,150 – $478,627 · median $287,176 20 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $93,441 – $380,473 · median $222,657 20 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $85,020 – $228,707 · median $137,224 20 plans
006 LIVER TRANSPLANT WITHOUT MCC $38,236 – $288,824 · median $169,031 20 plans
007 LUNG TRANSPLANT $106,787 – $1,141,894 · median $668,178 20 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $46,215 – $279,893 · median $163,806 20 plans
010 PANCREAS TRANSPLANT $54,188 – $161,747 · median $94,676 20 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $14,522 – $163,495 · median $91,225 20 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $31,088 – $73,852 · median $45,597 20 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $7,525 – $67,812 · median $40,687 20 plans
652 KIDNEY TRANSPLANT $26,630 – $68,832 · median $31,683 20 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $63,706 – $273,656 · median $72,018 18 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $24,328 – $89,597 · median $45,232 18 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $30,663 – $146,158 · median $34,664 18 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $43,726 – $176,974 · median $49,430 18 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $21,070 – $79,729 · median $27,499 18 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $19,719 – $34,147 · median $20,942 17 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $3,413 – $11,378 · median $11,378 4 plans
999 UNGROUPABLE $6,530 – $21,765 · median $21,765 4 plans
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