Lancaster General 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
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $13,500 – $174,894 · median $43,102 38 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $13,500 – $142,201 · median $33,433 38 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $13,500 – $96,327 · median $23,015 38 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $13,500 – $321,574 · median $84,646 38 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $13,500 – $244,389 · median $76,237 38 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $13,500 – $223,147 · median $69,266 38 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $13,500 – $179,164 · median $53,880 38 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $13,500 – $127,340 · median $31,059 38 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $13,500 – $131,191 · median $35,801 38 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $13,500 – $90,126 · median $24,646 38 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $13,500 – $88,594 · median $20,212 38 plans
028 SPINAL PROCEDURES WITH MCC $13,500 – $171,001 · median $47,143 38 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $13,441 – $99,210 · median $26,993 38 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $11,430 – $65,348 · median $17,553 38 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $13,500 – $115,619 · median $35,499 38 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $13,500 – $71,171 · median $17,152 38 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $13,500 – $164,136 · median $30,737 38 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $10,279 – $87,735 · median $19,069 38 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $13,500 – $63,200 · median $15,683 38 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $13,125 – $118,424 · median $26,065 38 plans
038 EXTRACRANIAL PROCEDURES WITH CC $12,367 – $72,746 · median $13,212 38 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $6,414 – $48,450 · median $9,691 38 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $13,500 – $107,624 · median $30,663 38 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $13,500 – $87,114 · median $17,581 38 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $13,336 – $55,562 · median $14,003 38 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $13,500 – $90,837 · median $14,688 38 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,242 – $47,495 · median $8,176 38 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $1,982 – $83,200 · median $18,400 38 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $1,485 – $52,937 · median $10,478 38 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $4,095 – $78,522 · median $13,861 38 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,840 – $41,003 · median $10,202 38 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $3,457 – $36,469 · median $7,694 38 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $13,500 – $96,991 · median $22,041 38 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $7,708 – $82,245 · median $14,155 38 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,833 – $77,090 · median $11,499 38 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $13,500 – $67,018 · median $16,124 38 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $6,430 – $42,101 · median $8,401 38 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,510 – $32,889 · median $5,869 38 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $11,205 – $68,212 · median $12,007 38 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,916 – $36,278 · median $7,278 38 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,341 – $32,650 · median $6,749 38 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $13,314 – $79,007 · median $16,806 38 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $8,118 – $40,860 · median $8,543 38 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,970 – $31,600 · median $6,431 38 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $9,664 – $58,283 · median $12,968 38 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $4,531 – $37,757 · median $8,561 38 plans
075 VIRAL MENINGITIS WITH CC/MCC $13,192 – $54,560 · median $15,485 38 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,624 – $31,173 · median $7,098 38 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $1,485 – $99,573 · median $14,444 38 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $1,301 – $31,361 · median $7,393 38 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $13,500 – $83,439 · median $18,359 38 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,726 – $52,412 · median $11,437 38 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,339 – $32,698 · median $7,975 38 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $13,500 – $67,257 · median $18,252 38 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $8,569 – $41,767 · median $10,684 38 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,964 – $27,351 · median $7,671 38 plans
088 CONCUSSION WITH MCC $10,541 – $61,433 · median $11,092 38 plans
089 CONCUSSION WITH CC $8,361 – $34,655 · median $9,111 38 plans
090 CONCUSSION WITHOUT CC/MCC $6,609 – $28,115 · median $6,955 38 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $8,672 – $60,336 · median $14,147 38 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,095 – $42,913 · median $8,519 38 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,261 – $32,793 · median $6,745 38 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $13,500 – $119,094 · median $27,994 38 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $13,500 – $92,680 · median $20,533 38 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,771 – $97,282 · median $20,533 38 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $13,500 – $129,266 · median $28,546 38 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $6,796 – $78,952 · median $18,203 38 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,619 – $44,297 · median $11,175 38 plans
100 SEIZURES WITH MCC $6,409 – $58,665 · median $15,548 38 plans
101 SEIZURES WITHOUT MCC $7,200 – $26,015 · median $7,577 38 plans
102 HEADACHES WITH MCC $8,823 – $42,817 · median $9,285 38 plans
113 ORBITAL PROCEDURES WITH CC/MCC $13,500 – $97,787 · median $18,871 38 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $9,178 – $69,493 · median $11,102 38 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $11,770 – $72,651 · median $12,525 38 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,792 – $86,207 · median $14,631 38 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,410 – $52,507 · median $9,003 38 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $9,038 – $50,646 · median $9,617 38 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,436 – $29,118 · median $6,663 38 plans
123 NEUROLOGICAL EYE DISORDERS $6,364 – $34,130 · median $6,763 38 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $10,083 – $64,202 · median $10,868 38 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,197 – $27,733 · median $6,534 38 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $11,666 – $103,145 · median $17,457 38 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,664 – $51,839 · median $8,459 38 plans
137 MOUTH PROCEDURES WITH CC/MCC $8,347 – $39,604 · median $12,172 38 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,440 – $28,449 · median $7,448 38 plans
139 SALIVARY GLAND PROCEDURES $6,267 – $59,763 · median $10,184 38 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $13,500 – $167,443 · median $33,818 38 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $13,500 – $88,164 · median $17,543 38 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $9,981 – $75,085 · median $12,978 38 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $13,500 – $100,675 · median $29,768 38 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $13,375 – $58,092 · median $13,966 38 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $9,199 – $42,483 · median $9,922 38 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $13,500 – $88,577 · median $17,084 38 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,644 – $57,997 · median $10,464 38 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,345 – $40,884 · median $6,751 38 plans
149 DYSEQUILIBRIUM $5,950 – $27,829 · median $6,395 38 plans
150 EPISTAXIS WITH MCC $10,390 – $64,250 · median $10,933 38 plans
151 EPISTAXIS WITHOUT MCC $5,946 – $27,972 · median $6,257 38 plans
152 OTITIS MEDIA AND URI WITH MCC $8,827 – $37,853 · median $9,765 38 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,684 – $20,392 · median $6,290 38 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $12,115 – $73,176 · median $12,749 38 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,423 – $28,640 · median $7,631 38 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,392 – $22,912 · median $5,921 38 plans
157 DENTAL AND ORAL DISEASES WITH MCC $12,561 – $66,398 · median $13,841 38 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,909 – $29,452 · median $7,616 38 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,297 – $23,962 · median $6,058 38 plans
163 MAJOR CHEST PROCEDURES WITH MCC $13,500 – $319,344 · median $97,454 38 plans
164 MAJOR CHEST PROCEDURES WITH CC $13,500 – $94,990 · median $20,221 38 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $13,500 – $68,784 · median $15,373 38 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $13,500 – $110,638 · median $29,699 38 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $9,933 – $65,300 · median $14,513 38 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,455 – $50,455 · median $11,207 38 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $7,946 – $111,307 · median $23,458 38 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,703 – $47,066 · median $11,263 38 plans
176 PULMONARY EMBOLISM WITHOUT MCC $6,448 – $29,165 · median $6,813 38 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $12,109 – $51,648 · median $12,743 38 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,746 – $35,562 · median $8,151 38 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,102 – $26,635 · median $6,422 38 plans
180 RESPIRATORY NEOPLASMS WITH MCC $11,597 – $63,438 · median $14,223 38 plans
181 RESPIRATORY NEOPLASMS WITH CC $6,313 – $43,867 · median $8,875 38 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,093 – $37,662 · median $6,523 38 plans
183 MAJOR CHEST TRAUMA WITH MCC $6,796 – $50,359 · median $12,458 38 plans
184 MAJOR CHEST TRAUMA WITH CC $5,380 – $36,516 · median $8,776 38 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,174 – $28,545 · median $6,668 38 plans
186 PLEURAL EFFUSION WITH MCC $5,433 – $50,121 · median $12,613 38 plans
187 PLEURAL EFFUSION WITH CC $7,843 – $36,612 · median $8,235 38 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,821 – $28,449 · median $6,126 38 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,589 – $42,149 · median $10,181 38 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,725 – $34,846 · median $9,182 38 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,757 – $30,788 · median $7,110 38 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,205 – $24,583 · median $5,537 38 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $10,186 – $41,099 · median $10,800 38 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,481 – $29,165 · median $6,820 38 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,023 – $21,910 · median $5,432 38 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $13,500 – $67,257 · median $15,248 38 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $13,500 – $163,283 · median $47,996 38 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,600 – $71,336 · median $8,748 38 plans
199 PNEUMOTHORAX WITH MCC $13,500 – $51,472 · median $14,287 38 plans
200 PNEUMOTHORAX WITH CC $8,624 – $34,352 · median $9,116 38 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,427 – $41,014 · median $6,109 38 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,578 – $31,122 · median $8,114 38 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,470 – $19,810 · median $5,756 38 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,422 – $27,972 · median $6,832 38 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $13,500 – $53,748 · median $14,810 38 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,126 – $30,216 · median $7,877 38 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $13,500 – $452,179 · median $84,900 38 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $13,500 – $298,079 · median $78,439 38 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $13,500 – $155,847 · median $42,154 38 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $13,500 – $129,861 · median $39,869 38 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $13,500 – $214,452 · median $39,145 38 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $13,500 – $114,489 · median $25,105 38 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $13,500 – $296,457 · median $66,339 38 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $13,500 – $204,699 · median $60,211 38 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $13,500 – $156,433 · median $46,338 38 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $13,500 – $133,494 · median $38,944 38 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $13,500 – $95,086 · median $22,638 38 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $10,783 – $70,932 · median $11,493 38 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $13,500 – $87,066 · median $17,565 38 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $13,500 – $123,447 · median $27,751 38 plans
253 OTHER VASCULAR PROCEDURES WITH CC $13,500 – $100,146 · median $20,780 38 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $6,130 – $89,644 · median $21,450 38 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $8,117 – $47,591 · median $13,694 38 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,023 – $34,941 · median $9,061 38 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $13,500 – $118,968 · median $24,901 38 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $13,454 – $90,981 · median $16,210 38 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $13,500 – $121,145 · median $25,912 38 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $9,761 – $73,319 · median $15,189 38 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $11,672 – $65,157 · median $13,269 38 plans
263 VEIN LIGATION AND STRIPPING $13,500 – $112,438 · median $24,386 38 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $13,500 – $87,973 · median $26,479 38 plans
265 AICD LEAD PROCEDURES $13,500 – $145,382 · median $28,765 38 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $13,500 – $186,238 · median $48,367 38 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $13,500 – $167,736 · median $37,688 38 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $13,500 – $402,241 · median $126,007 38 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $13,500 – $148,982 · median $41,462 38 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $13,500 – $259,201 · median $56,191 38 plans
276 NON-MALIGANT BREAST DISORDERS $13,500 – $223,368 · median $47,129 38 plans
277 CELLULITIS AGE >17 W CC $13,500 – $172,382 · median $37,774 38 plans
278 CELLULITIS AGE >17 W/O CC $7,423 – $192,392 · median $43,427 38 plans
279 CELLULITIS AGE 0-17 $8,512 – $134,038 · median $28,315 38 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $8,539 – $52,316 · median $13,038 38 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,512 – $36,087 · median $7,689 38 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,510 – $35,228 · median $5,917 38 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,568 – $24,869 · median $5,188 38 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $13,500 – $101,151 · median $22,377 38 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $12,110 – $49,691 · median $13,840 38 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,401 – $48,163 · median $7,789 38 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $12,103 – $70,980 · median $12,737 38 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,202 – $33,414 · median $5,558 38 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,678 – $22,161 · median $4,075 38 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $10,301 – $43,154 · median $13,261 38 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,350 – $33,700 · median $8,867 38 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,697 – $24,917 · median $6,145 38 plans
302 ATHEROSCLEROSIS WITH MCC $9,039 – $54,798 · median $9,878 38 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,392 – $38,482 · median $5,781 38 plans
304 HYPERTENSION WITH MCC $9,124 – $38,569 · median $9,826 38 plans
305 HYPERTENSION WITHOUT MCC $5,974 – $27,495 · median $6,422 38 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,521 – $69,071 · median $12,845 38 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,279 – $42,579 · median $7,660 38 plans
312 SYNCOPE AND COLLAPSE $6,870 – $30,836 · median $7,334 38 plans
313 CHEST PAIN $5,697 – $22,244 · median $6,134 38 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $13,500 – $90,208 · median $23,545 38 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,546 – $36,087 · median $8,052 38 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $13,500 – $181,717 · median $35,361 38 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $13,500 – $97,410 · median $19,294 38 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $7,752 – $103,270 · median $21,651 38 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $6,933 – $87,353 · median $14,200 38 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY $11,168 – $163,424 · median $34,099 38 plans
324 URINARY STONES W/O CC $4,913 – $126,587 · median $24,804 38 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $13,500 – $112,982 · median $25,431 38 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $13,500 – $252,981 · median $79,059 38 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $13,500 – $105,185 · median $29,560 38 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $8,542 – $58,378 · median $13,024 38 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $13,500 – $129,574 · median $36,405 38 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,662 – $63,534 · median $13,578 38 plans
333 RECTAL RESECTION WITH CC $13,500 – $109,901 · median $29,765 38 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,668 – $59,190 · median $13,331 38 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $13,500 – $71,314 · median $16,978 38 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $7,778 – $54,846 · median $12,498 38 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $13,500 – $114,070 · median $20,680 38 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,456 – $54,369 · median $12,289 38 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,309 – $46,063 · median $9,796 38 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $13,500 – $163,896 · median $50,508 38 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $3,958 – $45,729 · median $10,675 38 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $5,195 – $34,989 · median $7,310 38 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $8,612 – $100,759 · median $19,722 38 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $7,619 – $68,498 · median $12,416 38 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $7,369 – $41,051 · median $9,631 38 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $13,500 – $95,191 · median $23,173 38 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,999 – $58,569 · median $13,649 38 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,301 – $48,927 · median $11,039 38 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $13,500 – $205,579 · median $64,148 38 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $13,500 – $67,639 · median $18,671 38 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,464 – $50,073 · median $11,453 38 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $12,314 – $57,949 · median $12,942 38 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $6,465 – $38,426 · median $8,322 38 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,582 – $32,841 · median $5,997 38 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $8,045 – $59,094 · median $14,278 38 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $6,220 – $34,416 · median $8,484 38 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,298 – $25,442 · median $6,192 38 plans
374 DIGESTIVE MALIGNANCY WITH MCC $7,708 – $72,555 · median $16,998 38 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,011 – $42,865 · median $9,957 38 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $4,458 – $35,753 · median $7,729 38 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $12,387 – $63,963 · median $14,704 38 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,721 – $36,755 · median $8,188 38 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,066 – $25,919 · median $5,434 38 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $4,417 – $65,443 · median $15,745 38 plans
381 COMPLICATED PEPTIC ULCER WITH CC $5,156 – $36,278 · median $8,972 38 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $2,355 – $28,688 · median $6,763 38 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,788 – $64,107 · median $11,318 38 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $3,691 – $30,359 · median $7,187 38 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $12,255 – $63,108 · median $12,896 38 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,748 – $48,217 · median $8,154 38 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,377 – $25,442 · median $5,845 38 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,316 – $43,676 · median $12,071 38 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,352 – $24,535 · median $6,694 38 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,462 – $19,189 · median $4,770 38 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $2,932 – $41,719 · median $10,361 38 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $12,381 – $58,808 · median $13,029 38 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,125 – $25,824 · median $5,592 38 plans
397 COAGULATION DISORDERS $13,500 – $66,350 · median $19,213 38 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $11,638 – $58,999 · median $12,359 38 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $8,745 – $84,257 · median $18,068 38 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $13,500 – $181,382 · median $43,230 38 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $13,500 – $95,024 · median $23,159 38 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $13,500 – $82,484 · median $17,844 38 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $13,500 – $142,410 · median $28,188 38 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $13,500 – $84,107 · median $17,415 38 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $8,564 – $70,216 · median $12,910 38 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $13,500 – $132,447 · median $26,152 38 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $13,500 – $90,838 · median $16,930 38 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,747 – $76,708 · median $13,489 38 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $13,500 – $129,852 · median $28,164 38 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $13,500 – $72,937 · median $16,650 38 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,576 – $55,276 · median $11,182 38 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,217 – $60,908 · median $13,646 38 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $10,185 – $50,646 · median $11,202 38 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $8,080 – $139,898 · median $26,779 38 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,562 – $80,193 · median $14,079 38 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $7,435 – $67,973 · median $11,440 38 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $13,500 – $146,554 · median $32,942 38 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $13,500 – $88,954 · median $17,596 38 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,645 – $73,653 · median $12,255 38 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $13,500 – $119,687 · median $35,684 38 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $4,258 – $38,044 · median $8,759 38 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,571 – $32,173 · median $6,089 38 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $5,548 – $61,052 · median $14,772 38 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,774 – $40,001 · median $9,365 38 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,230 – $37,901 · median $7,191 38 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $12,481 – $66,016 · median $13,242 38 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,743 – $31,218 · median $7,096 38 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,967 – $22,435 · median $5,376 38 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $9,948 – $72,317 · median $14,483 38 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,575 – $37,089 · median $8,067 38 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,617 – $30,645 · median $5,989 38 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $12,910 – $56,994 · median $13,559 38 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,888 – $39,571 · median $9,058 38 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,320 – $33,605 · median $6,972 38 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $13,500 – $285,322 · median $68,344 38 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $13,500 – $187,578 · median $33,095 38 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $13,500 – $267,406 · median $77,808 38 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $13,500 – $91,076 · median $21,331 38 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $13,500 – $152,750 · median $45,018 38 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $6,015 – $88,159 · median $24,689 38 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,664 – $66,445 · median $14,671 38 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $13,500 – $134,917 · median $40,912 38 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $13,185 – $91,346 · median $27,885 38 plans
471 CERVICAL SPINAL FUSION WITH MCC $13,500 – $259,377 · median $80,367 38 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $10,254 – $119,680 · median $33,873 38 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $13,500 – $74,560 · median $18,282 38 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,037 – $56,278 · median $9,749 38 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,500 – $102,140 · median $27,488 38 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $13,500 – $77,377 · median $19,715 38 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,500 – $59,810 · median $15,027 38 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $13,500 – $106,703 · median $23,253 38 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $13,500 – $85,846 · median $16,867 38 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $13,500 – $137,429 · median $35,757 38 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,135 – $50,598 · median $12,770 38 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $13,500 – $88,403 · median $14,357 38 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,793 – $52,412 · median $9,435 38 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $13,500 – $97,284 · median $29,182 38 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $10,738 – $63,438 · median $16,089 38 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $13,500 – $149,694 · median $28,824 38 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $13,500 – $107,205 · median $23,929 38 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $9,020 – $68,153 · median $16,245 38 plans
500 SOFT TISSUE PROCEDURES WITH MCC $13,500 – $89,331 · median $25,225 38 plans
501 SOFT TISSUE PROCEDURES WITH CC $13,488 – $61,958 · median $14,162 38 plans
503 FOOT PROCEDURES WITH MCC $13,500 – $102,021 · median $26,910 38 plans
504 FOOT PROCEDURES WITH CC $13,434 – $58,617 · median $15,108 38 plans
506 MAJOR THUMB OR JOINT PROCEDURES $10,521 – $69,453 · median $11,315 38 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $13,500 – $96,184 · median $14,650 38 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $9,984 – $67,018 · median $12,365 38 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $13,500 – $116,708 · median $24,098 38 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $12,718 – $70,980 · median $16,655 38 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $12,341 – $51,887 · median $13,468 38 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,582 – $44,536 · median $12,834 38 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,971 – $34,798 · median $8,514 38 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $11,486 – $50,168 · median $12,539 38 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $13,500 – $96,707 · median $29,695 38 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $13,500 – $65,682 · median $16,131 38 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $11,044 – $44,918 · median $12,204 38 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $13,500 – $74,643 · median $22,791 38 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $13,500 – $58,481 · median $17,048 38 plans
533 FRACTURES OF FEMUR WITH MCC $11,725 – $72,937 · median $12,782 38 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,444 – $33,843 · median $6,822 38 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $10,021 – $55,037 · median $10,546 38 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,421 – $28,688 · median $6,833 38 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,224 – $45,538 · median $7,981 38 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,386 – $33,414 · median $6,150 38 plans
539 OSTEOMYELITIS WITH MCC $4,435 – $56,039 · median $15,695 38 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,343 – $47,911 · median $6,793 38 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $13,500 – $72,364 · median $14,306 38 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,011 – $36,660 · median $6,418 38 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $11,283 – $100,005 · median $19,643 38 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,997 – $46,684 · median $9,540 38 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,940 – $38,951 · median $7,057 38 plans
548 SEPTIC ARTHRITIS WITH MCC $13,500 – $91,219 · median $15,590 38 plans
549 SEPTIC ARTHRITIS WITH CC $9,349 – $42,865 · median $9,961 38 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,648 – $36,707 · median $7,302 38 plans
551 MEDICAL BACK PROBLEMS WITH MCC $7,664 – $58,713 · median $13,475 38 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $10,099 – $63,056 · median $10,658 38 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,317 – $65,157 · median $10,858 38 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,463 – $31,504 · median $7,013 38 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,545 – $46,111 · median $12,150 38 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,814 – $24,336 · median $7,503 38 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,500 – $67,496 · median $15,074 38 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,856 – $39,285 · median $9,326 38 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,466 – $31,648 · median $6,804 38 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,874 – $56,756 · median $11,638 38 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,998 – $29,213 · median $7,504 38 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $6,998 – $68,498 · median $12,565 38 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,734 – $46,956 · median $8,139 38 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $2,226 – $30,884 · median $6,333 38 plans
570 SKIN DEBRIDEMENT WITH MCC $13,500 – $400,338 · median $121,510 38 plans
571 SKIN DEBRIDEMENT WITH CC $12,835 – $48,163 · median $13,705 38 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,884 – $41,337 · median $9,484 38 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $13,500 – $245,136 · median $51,357 38 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $13,500 – $136,256 · median $27,457 38 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,500 – $89,787 · median $14,577 38 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $11,457 – $229,103 · median $38,552 38 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $13,500 – $97,535 · median $21,210 38 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,434 – $77,615 · median $13,085 38 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $13,500 – $87,448 · median $25,800 38 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $11,088 – $53,510 · median $11,807 38 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $10,209 – $95,861 · median $17,130 38 plans
594 SKIN ULCERS WITHOUT CC/MCC $1,295 – $23,665 · median $7,280 38 plans
595 MAJOR SKIN DISORDERS WITH MCC $4,030 – $88,954 · median $16,975 38 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,412 – $76,140 · median $18,249 38 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,209 – $35,319 · median $6,648 38 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,259 – $28,449 · median $7,682 38 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $13,298 – $88,069 · median $17,527 38 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $13,500 – $106,559 · median $27,806 38 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,646 – $41,825 · median $11,613 38 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $12,261 – $60,956 · median $13,037 38 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 38 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,849 – $41,481 · median $10,310 38 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $12,399 – $120,726 · median $23,955 38 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $2,964 – $96,440 · median $29,613 38 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,807 – $57,020 · median $11,935 38 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $13,500 – $299,099 · median $93,673 38 plans
654 MAJOR BLADDER PROCEDURES WITH CC $13,500 – $90,042 · median $22,241 38 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $13,500 – $84,537 · median $16,943 38 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $13,500 – $101,219 · median $25,373 38 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $7,254 – $68,259 · median $14,720 38 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $11,570 – $58,856 · median $12,658 38 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,273 – $52,555 · median $8,706 38 plans
665 PROSTATECTOMY WITH MCC $13,500 – $132,363 · median $24,940 38 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $13,500 – $104,819 · median $23,313 38 plans
669 TRANSURETHRAL PROCEDURES WITH CC $11,298 – $47,400 · median $12,631 38 plans
671 URETHRAL PROCEDURES WITH CC/MCC $2,367 – $83,439 · median $14,448 38 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,515 – $49,214 · median $8,961 38 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $13,500 – $108,522 · median $33,321 38 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $2,232 – $76,565 · median $18,666 38 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $12,025 – $71,123 · median $13,359 38 plans
682 RENAL FAILURE WITH MCC $11,501 – $42,435 · median $12,103 38 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,777 – $29,499 · median $6,698 38 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $3,891 – $57,853 · median $13,430 38 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $10,003 – $69,691 · median $16,041 38 plans
709 PENIS PROCEDURES WITH CC/MCC $11,405 – $94,605 · median $18,577 38 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC — 38 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $13,240 – $84,775 · median $14,643 38 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,364 – $35,896 · median $5,733 38 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $13,500 – $168,740 · median $28,488 38 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $4,849 – $72,317 · median $16,509 38 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,745 – $52,650 · median $11,979 38 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $13,500 – $158,736 · median $28,553 38 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $13,500 – $70,694 · median $14,642 38 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,601 – $55,905 · median $11,674 38 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $1,325 – $41,672 · median $10,200 38 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $11,748 – $53,749 · median $16,420 38 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $13,500 – $112,705 · median $34,171 38 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $5,740 – $78,713 · median $20,443 38 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,873 – $65,109 · median $12,036 38 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,500 – $61,290 · median $14,810 38 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,911 – $69,357 · median $11,719 38 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC — 38 plans
799 SPLENECTOMY WITH MCC $13,500 – $126,461 · median $35,797 38 plans
800 SPLENECTOMY WITH CC $13,500 – $92,973 · median $22,450 38 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $13,500 – $149,443 · median $35,739 38 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,597 – $53,990 · median $10,420 38 plans
811 RED BLOOD CELL DISORDERS WITH MCC $3,222 – $49,166 · median $11,477 38 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $13,500 – $199,257 · median $46,309 38 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $9,682 – $99,334 · median $17,890 38 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $13,500 – $150,029 · median $36,313 38 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $13,500 – $202,229 · median $37,040 38 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $13,500 – $100,050 · median $18,551 38 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $11,261 – $65,157 · median $12,291 38 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $13,500 – $328,264 · median $100,121 38 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $13,254 – $86,232 · median $23,766 38 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $6,057 – $84,584 · median $15,998 38 plans
849 RADIOTHERAPY $13,500 – $140,786 · median $44,016 38 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $1,928 – $66,398 · median $16,024 38 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $9,780 – $117,354 · median $35,816 38 plans
865 VIRAL ILLNESS WITH MCC $7,594 – $45,443 · median $12,212 38 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $13,500 – $78,856 · median $16,857 38 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $13,500 – $217,675 · median $54,484 38 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $7,642 – $66,923 · median $15,592 38 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $13,500 – $134,247 · median $33,282 38 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $13,500 – $122,317 · median $29,194 38 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $11,519 – $76,708 · median $12,395 38 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $13,500 – $114,991 · median $30,311 38 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,500 – $86,526 · median $24,398 38 plans
913 TRAUMATIC INJURY WITH MCC $5,043 – $73,844 · median $13,276 38 plans
915 ALLERGIC REACTIONS WITH MCC $12,993 – $49,930 · median $13,643 38 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $1,592 – $47,352 · median $12,581 38 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $13,500 – $908,209 · median $167,608 38 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $4,986 – $184,125 · median $55,815 38 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $13,500 – $83,564 · median $25,662 38 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $13,500 – $136,047 · median $30,990 38 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $13,500 – $134,749 · median $28,846 38 plans
945 REHABILITATION WITH CC/MCC $11,737 – $71,839 · median $12,633 38 plans
950 AFTERCARE WITHOUT CC/MCC $4,751 – $33,935 · median $5,425 38 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $13,500 – $250,410 · median $53,073 38 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $13,500 – $199,173 · median $29,896 38 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $13,500 – $240,155 · median $60,014 38 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $13,500 – $138,768 · median $33,218 38 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $13,500 – $108,712 · median $25,141 38 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $13,500 – $100,759 · median $21,859 38 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $13,500 – $573,229 · median $175,469 38 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $13,500 – $161,573 · median $50,651 38 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,201 – $43,486 · median $7,721 38 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $13,500 – $624,938 · median $174,392 37 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $13,500 – $795,065 · median $244,248 37 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $3,247 – $59,524 · median $13,497 37 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $9,106 – $41,624 · median $12,435 37 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,070 – $36,373 · median $8,473 37 plans
103 HEADACHES WITHOUT MCC $6,707 – $30,836 · median $7,042 37 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $13,500 – $415,012 · median $129,704 37 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $13,500 – $93,320 · median $21,721 37 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $13,500 – $287,080 · median $76,903 37 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $13,500 – $188,331 · median $51,857 37 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $13,500 – $171,043 · median $51,189 37 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $13,500 – $215,189 · median $62,326 37 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $13,500 – $199,675 · median $47,853 37 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $13,500 – $159,698 · median $43,169 37 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $13,500 – $122,610 · median $33,221 37 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $13,500 – $110,387 · median $25,444 37 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $13,500 – $93,033 · median $17,132 37 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $13,500 – $81,338 · median $14,626 37 plans
245 AICD GENERATOR PROCEDURES $13,500 – $201,559 · median $36,138 37 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $11,602 – $70,598 · median $12,182 37 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $5,487 – $69,309 · median $14,265 37 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $13,500 – $122,484 · median $33,490 37 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $13,500 – $120,894 · median $28,282 37 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $13,500 – $88,033 · median $20,447 37 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $13,500 – $153,503 · median $32,727 37 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $13,500 – $106,912 · median $26,216 37 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,525 – $32,554 · median $6,158 37 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $9,079 – $74,274 · median $15,800 37 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $13,500 – $67,066 · median $17,791 37 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,446 – $40,908 · median $8,868 37 plans
291 HEART FAILURE AND SHOCK WITH MCC $6,474 – $40,431 · median $10,537 37 plans
292 HEART FAILURE AND SHOCK WITH CC $6,795 – $34,511 · median $7,141 37 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,473 – $24,678 · median $4,931 37 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,919 – $37,519 · median $9,910 37 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,889 – $23,628 · median $6,257 37 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,314 – $18,473 · median $4,891 37 plans
311 ANGINA PECTORIS $5,585 – $23,437 · median $5,993 37 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,469 – $31,552 · median $5,838 37 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $13,500 – $84,537 · median $19,011 37 plans
332 RECTAL RESECTION WITH MCC $13,500 – $157,354 · median $28,785 37 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $13,500 – $94,145 · median $28,396 37 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,194 – $29,380 · median $6,599 37 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,390 – $31,600 · median $7,818 37 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $13,500 – $74,799 · median $18,928 37 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $13,500 – $207,503 · median $46,507 37 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $13,500 – $82,532 · median $21,970 37 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $13,500 – $79,882 · median $24,197 37 plans
472 CERVICAL SPINAL FUSION WITH CC $13,500 – $91,697 · median $23,517 37 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $13,500 – $74,083 · median $19,575 37 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $12,182 – $61,815 · median $13,248 37 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $13,500 – $72,142 · median $22,157 37 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $13,500 – $67,257 · median $16,841 37 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $13,500 – $90,265 · median $20,082 37 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $13,500 – $63,629 · median $14,598 37 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,473 – $50,550 · median $9,992 37 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,497 – $46,350 · median $11,021 37 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $13,434 – $54,607 · median $14,511 37 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $13,500 – $105,698 · median $25,397 37 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $13,500 – $79,095 · median $16,739 37 plans
540 OSTEOMYELITIS WITH CC $10,010 – $37,662 · median $10,634 37 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,132 – $45,586 · median $8,539 37 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,557 – $30,168 · median $8,018 37 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,597 – $28,927 · median $6,994 37 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $13,338 – $63,820 · median $14,005 37 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $13,406 – $87,991 · median $15,556 37 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,600 – $90,599 · median $13,977 37 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $13,500 – $95,324 · median $15,576 37 plans
592 SKIN ULCERS WITH MCC $13,500 – $53,462 · median $15,624 37 plans
593 SKIN ULCERS WITH CC $9,310 – $32,650 · median $9,775 37 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,593 – $29,977 · median $8,965 37 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $12,885 – $78,809 · median $13,530 37 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,503 – $30,406 · median $8,645 37 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,851 – $17,519 · median $5,236 37 plans
602 CELLULITIS WITH MCC $11,057 – $51,457 · median $11,610 37 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,434 – $69,882 · median $12,007 37 plans
606 MINOR SKIN DISORDERS WITH MCC $11,741 – $68,021 · median $12,359 37 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $6,671 – $25,060 · median $7,590 37 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,894 – $65,395 · median $11,438 37 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,500 – $55,323 · median $15,116 37 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $13,500 – $91,591 · median $23,059 37 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,500 – $54,464 · median $14,520 37 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,609 – $62,961 · median $12,220 37 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,808 – $45,299 · median $10,884 37 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $13,500 – $63,056 · median $17,525 37 plans
637 DIABETES WITH MCC $11,172 – $42,340 · median $11,730 37 plans
638 DIABETES WITH CC $7,152 – $26,158 · median $7,510 37 plans
639 DIABETES WITHOUT CC/MCC $5,052 – $20,191 · median $5,362 37 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $7,244 – $46,111 · median $10,941 37 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,202 – $25,347 · median $6,588 37 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $3,993 – $37,795 · median $11,617 37 plans
643 ENDOCRINE DISORDERS WITH MCC $12,708 – $55,944 · median $13,366 37 plans
644 ENDOCRINE DISORDERS WITH CC $8,074 – $32,316 · median $8,516 37 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,182 – $22,148 · median $6,511 37 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,317 – $42,101 · median $10,832 37 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $8,023 – $34,464 · median $8,597 37 plans
662 MINOR BLADDER PROCEDURES WITH MCC $13,500 – $126,922 · median $24,418 37 plans
663 MINOR BLADDER PROCEDURES WITH CC $11,744 – $72,269 · median $12,383 37 plans
666 PROSTATECTOMY WITH CC $12,634 – $81,434 · median $14,172 37 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,032 – $48,784 · median $9,150 37 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,497 – $38,569 · median $8,143 37 plans
683 RENAL FAILURE WITH CC $7,000 – $24,297 · median $7,351 37 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,909 – $18,091 · median $5,199 37 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $13,500 – $73,367 · median $14,435 37 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,217 – $38,378 · median $8,694 37 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $9,091 – $43,533 · median $9,572 37 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,359 – $23,819 · median $6,833 37 plans
693 URINARY STONES WITH MCC $10,486 – $67,352 · median $11,060 37 plans
694 URINARY STONES WITHOUT MCC $6,202 – $22,578 · median $6,616 37 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,306 – $55,419 · median $9,443 37 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,192 – $23,628 · median $5,892 37 plans
697 URETHRAL STRICTURE $7,839 – $49,643 · median $8,928 37 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,974 – $33,891 · median $8,438 37 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,554 – $29,881 · median $5,899 37 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $11,410 – $64,393 · median $12,492 37 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,908 – $68,307 · median $11,505 37 plans
711 TESTES PROCEDURES WITH CC/MCC $13,500 – $98,188 · median $16,784 37 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,343 – $54,607 · median $9,099 37 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $11,139 – $56,946 · median $12,251 37 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,378 – $39,810 · median $8,769 37 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $13,500 – $91,968 · median $17,975 37 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $13,500 – $54,751 · median $15,274 37 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $9,548 – $36,755 · median $11,000 37 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,739 – $53,462 · median $9,435 37 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,190 – $59,954 · median $9,693 37 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,857 – $35,562 · median $6,150 37 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,313 – $72,126 · median $12,091 37 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,467 – $25,776 · median $6,846 37 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,361 – $49,930 · median $8,779 37 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,906 – $29,499 · median $5,759 37 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $13,500 – $70,455 · median $17,144 37 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,415 – $56,756 · median $11,018 37 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $13,500 – $59,572 · median $14,839 37 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $12,837 – $49,404 · median $14,076 37 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,881 – $35,228 · median $7,257 37 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $10,517 – $64,345 · median $11,345 37 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,577 – $36,803 · median $9,006 37 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,625 – $32,411 · median $8,012 37 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,768 – $29,738 · median $8,156 37 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,152 – $23,390 · median $5,694 37 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,719 – $28,545 · median $8,379 37 plans
795 NORMAL NEWBORN $1,196 – $13,500 · median $2,032 37 plans
801 SPLENECTOMY WITHOUT CC/MCC $12,593 – $76,756 · median $15,418 37 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $13,500 – $74,035 · median $15,027 37 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,610 – $50,311 · median $11,100 37 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $13,500 – $77,281 · median $17,551 37 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,468 – $34,321 · median $8,684 37 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,253 – $34,082 · median $7,682 37 plans
813 COAGULATION DISORDERS $11,831 – $65,348 · median $12,422 37 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $13,500 – $65,157 · median $17,119 37 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,945 – $35,705 · median $8,430 37 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,187 – $26,826 · median $5,447 37 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,893 – $56,660 · median $9,913 37 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $13,500 – $95,659 · median $18,203 37 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,540 – $58,188 · median $11,049 37 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,304 – $66,684 · median $13,816 37 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $13,500 – $82,017 · median $25,187 37 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $2,013 – $109,005 · median $16,610 37 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,557 – $76,660 · median $10,034 37 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $13,500 – $54,724 · median $16,812 37 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,577 – $40,431 · median $11,787 37 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $13,500 – $131,066 · median $25,772 37 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $8,002 – $51,171 · median $8,402 37 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $1,943 – $47,925 · median $10,018 37 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,613 – $40,717 · median $7,162 37 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $10,381 – $72,651 · median $20,517 37 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,837 – $35,466 · median $10,727 37 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,552 – $23,222 · median $7,144 37 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $13,500 – $141,991 · median $38,607 37 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,622 – $52,507 · median $12,258 37 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $13,500 – $61,481 · median $17,039 37 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,968 – $43,676 · median $11,388 37 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,825 – $30,359 · median $8,304 37 plans
864 FEVER AND INFLAMMATORY CONDITIONS $7,068 – $30,120 · median $7,443 37 plans
866 VIRAL ILLNESS WITHOUT MCC $6,954 – $25,585 · median $7,302 37 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,156 – $36,182 · median $8,563 37 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,743 – $29,165 · median $6,210 37 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $8,056 – $34,177 · median $8,502 37 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $13,500 – $56,946 · median $15,462 37 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,186 – $38,044 · median $9,645 37 plans
906 HAND PROCEDURES FOR INJURIES $13,500 – $61,720 · median $15,850 37 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,819 – $45,729 · median $10,762 37 plans
914 TRAUMATIC INJURY WITHOUT MCC $7,073 – $28,593 · median $7,426 37 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,331 – $21,814 · median $5,715 37 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $1,526 – $23,533 · median $7,096 37 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $13,500 – $52,937 · median $14,808 37 plans
920 COMPLICATIONS OF TREATMENT WITH CC $6,953 – $32,554 · median $8,338 37 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,635 – $23,342 · median $5,887 37 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $12,947 – $70,980 · median $14,172 37 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $2,843 – $27,504 · median $8,459 37 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $13,500 – $96,375 · median $17,774 37 plans
935 NON-EXTENSIVE BURNS $13,500 – $54,027 · median $16,598 37 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $13,500 – $81,816 · median $18,760 37 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $13,500 – $54,798 · median $16,345 37 plans
946 REHABILITATION WITHOUT CC/MCC $8,691 – $51,362 · median $9,467 37 plans
947 SIGNS AND SYMPTOMS WITH MCC $1,648 – $42,579 · median $10,275 37 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,485 – $28,927 · median $6,660 37 plans
949 AFTERCARE WITH CC/MCC $8,228 – $49,834 · median $9,802 37 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,609 – $16,039 · median $4,853 37 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,541 – $52,507 · median $12,479 37 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,177 – $36,087 · median $7,856 37 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $13,500 – $107,540 · median $23,048 37 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,118 – $64,345 · median $10,672 37 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,138 – $65,777 · median $10,693 37 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $13,500 – $164,094 · median $36,704 37 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $13,500 – $94,179 · median $19,710 37 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,789 – $58,522 · median $13,896 37 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $13,500 – $108,126 · median $26,962 37 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,711 – $57,519 · median $13,346 37 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,981 – $44,297 · median $9,876 37 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $11,884 – $73,271 · median $12,586 36 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,810 – $47,591 · median $8,304 36 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,350 – $34,368 · median $5,718 36 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $9,470 – $55,896 · median $10,048 36 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,264 – $39,571 · median $6,679 36 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $13,500 – $50,691 · median $15,487 36 plans
509 ARTHROSCOPY $13,447 – $136,253 · median $14,151 36 plans
603 CELLULITIS WITHOUT MCC $6,940 – $23,769 · median $7,312 36 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,256 – $49,214 · median $12,290 36 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $13,500 – $75,897 · median $20,236 36 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $10,719 – $50,932 · median $13,632 36 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $9,255 – $79,152 · median $20,868 36 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $9,255 – $43,581 · median $13,172 36 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,118 – $47,467 · median $14,403 36 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $4,613 – $246,697 · median $46,337 36 plans
791 PREMATURITY WITH MAJOR PROBLEMS $7,559 – $104,893 · median $31,805 36 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $11,469 – $63,930 · median $19,169 36 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $7,684 – $107,708 · median $32,048 36 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,978 – $39,164 · median $11,693 36 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC — 36 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $13,500 – $285,029 · median $42,839 36 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $13,500 – $48,014 · median $14,671 36 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,615 – $150,908 · median $30,289 36 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $1,109 – $17,306 · median $5,244 36 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $13,500 – $116,403 · median $35,583 36 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $13,500 – $73,099 · median $17,282 36 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,295 – $24,072 · median $7,294 36 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $13,500 – $778,351 · median $240,668 35 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $13,500 – $610,539 · median $191,858 35 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $5,213 – $28,876 · median $8,710 35 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,944 – $27,123 · median $8,341 35 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,356 – $18,267 · median $5,624 35 plans
779 ABORTION WITHOUT D&C $6,744 – $23,016 · median $7,081 35 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,371 – $29,095 · median $8,790 35 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,886 – $25,980 · median $7,912 35 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $8,285 – $30,026 · median $9,232 35 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $7,118 – $26,006 · median $7,920 35 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $6,665 – $31,303 · median $9,486 35 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $6,665 – $27,064 · median $8,165 35 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,665 – $25,962 · median $7,867 35 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $4,700 – $29,069 · median $8,683 35 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,700 – $20,794 · median $6,278 35 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,700 – $18,764 · median $5,666 35 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,108 – $38,092 · median $9,564 35 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,463 – $25,538 · median $7,226 35 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $8,947 – $32,207 · median $9,902 35 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,854 – $19,970 · median $6,146 35 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,933 – $14,914 · median $4,558 35 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,326 – $28,067 · median $7,891 35 plans
881 DEPRESSIVE NEUROSES $1,301 – $25,550 · median $7,742 35 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,326 – $42,548 · median $12,893 35 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,314 – $58,760 · median $16,490 35 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $13,500 – $2,615,836 · median $800,368 34 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,277 – $28,932 · median $8,767 34 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $1,494 – $51,642 · median $15,607 34 plans
885 PSYCHOSES $1,301 – $37,151 · median $11,258 34 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,289 – $49,261 · median $8,764 34 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $7,518 – $183,155 · median $55,153 33 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $13,500 – $125,296 · median $37,968 33 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $13,500 – $104,878 · median $31,781 33 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $13,500 – $159,252 · median $46,067 32 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $7,861 – $139,838 · median $42,114 32 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $13,500 – $307,416 · median $92,560 31 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $13,500 – $273,656 · median $68,381 31 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $13,500 – $157,243 · median $47,353 31 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $13,500 – $146,158 · median $35,781 31 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $13,500 – $176,974 · median $51,306 31 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $13,500 – $94,687 · median $28,522 31 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $13,500 – $361,196 · median $110,894 30 plans
006 LIVER TRANSPLANT WITHOUT MCC $13,500 – $453,842 · median $138,983 30 plans
007 LUNG TRANSPLANT $13,500 – $1,850,950 · median $568,493 30 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $13,500 – $440,415 · median $135,222 30 plans
010 PANCREAS TRANSPLANT $13,500 – $249,239 · median $76,503 30 plans
652 KIDNEY TRANSPLANT $13,500 – $85,003 · median $25,560 30 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $3,982 – $13,500 · median $11,378 7 plans
999 UNGROUPABLE $7,618 – $21,765 · median $13,500 7 plans
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