Lehigh Valley Hospital–Dickson City — Pricing

771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771
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 771 procedures

Procedures with negotiated rates only

These 771 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
010 PANCREAS TRANSPLANT $41,902 – $241,016 · median $74,640 18 plans
312 SYNCOPE AND COLLAPSE $4,988 – $26,339 · median $7,443 18 plans
313 Chest pain $4,493 – $21,565 · median $6,650 18 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $5,675 – $38,599 · median $11,519 18 plans
748 Female reproductive system reconstructive procedures $6,464 – $50,320 · median $16,282 18 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $4,111 – $32,526 · median $8,360 18 plans
849 Radiotherapy $8,939 – $80,745 · median $19,951 18 plans
864 FEVER AND INFLAMMATORY CONDITIONS $3,366 – $27,146 · median $7,148 18 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $19,883 – $206,413 · median $48,053 18 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $57,324 – $396,054 · median $93,126 17 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $35,224 – $1,140,020 · median $163,073 17 plans
652 KIDNEY TRANSPLANT $19,771 – $111,372 · median $46,211 17 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $2,398 – $56,042 · median $12,921 17 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $22,511 – $647,856 · median $274,647 15 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $22,511 – $427,136 · median $182,295 15 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $22,511 – $163,113 · median $75,242 15 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $22,511 – $124,051 · median $61,361 15 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $17,058 – $80,107 · median $36,718 15 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $51,028 – $338,268 · median $130,626 15 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $22,511 – $243,679 · median $125,736 15 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $22,511 – $167,085 · median $86,214 15 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $22,511 – $119,693 · median $55,067 15 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $22,511 – $172,459 · median $78,398 15 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $22,511 – $114,922 · median $55,488 15 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $22,511 – $135,193 · median $56,564 15 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $19,688 – $92,458 · median $39,618 15 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $15,885 – $74,599 · median $33,307 15 plans
028 SPINAL PROCEDURES WITH MCC $22,511 – $183,777 · median $75,420 15 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $21,607 – $101,470 · median $43,394 15 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $14,325 – $67,272 · median $24,870 15 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $22,511 – $126,678 · median $42,868 15 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $13,747 – $64,557 · median $27,009 15 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $10,270 – $48,230 · median $22,892 15 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $22,511 – $117,552 · median $60,656 15 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $14,643 – $68,765 · median $33,727 15 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $11,800 – $55,413 · median $24,406 15 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $21,377 – $100,387 · median $48,611 15 plans
038 EXTRACRANIAL PROCEDURES WITH CC $10,372 – $48,708 · median $25,133 15 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $7,327 – $34,407 · median $18,406 15 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $22,511 – $114,027 · median $47,706 15 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $14,536 – $68,263 · median $32,030 15 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $11,314 – $53,130 · median $22,228 15 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $12,954 – $60,836 · median $31,391 15 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $5,931 – $28,550 · median $14,754 15 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $9,650 – $45,316 · median $16,360 15 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,023 – $32,980 · median $14,214 15 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $14,754 – $75,696 · median $31,976 15 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $8,590 – $40,338 · median $19,900 15 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $11,882 – $55,800 · median $28,510 15 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $7,876 – $36,988 · median $15,705 15 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $5,744 – $26,976 · median $13,920 15 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $14,754 – $81,721 · median $42,167 15 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $11,464 – $53,835 · median $27,778 15 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $9,043 – $45,754 · median $21,912 15 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $12,804 – $60,132 · median $25,683 15 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $6,546 – $30,740 · median $15,831 15 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,431 – $20,807 · median $11,342 15 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $9,365 – $43,980 · median $22,693 15 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,674 – $26,647 · median $13,690 15 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,150 – $24,186 · median $12,571 15 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $11,193 – $52,562 · median $26,795 15 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $6,784 – $31,858 · median $15,486 15 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $4,829 – $22,678 · median $11,651 15 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $9,949 – $46,722 · median $21,542 15 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $6,710 – $31,511 · median $14,754 15 plans
075 VIRAL MENINGITIS WITH CC/MCC $11,087 – $52,066 · median $17,885 15 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,902 – $27,717 · median $11,993 15 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $9,954 – $46,743 · median $24,119 15 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $6,423 – $30,166 · median $15,565 15 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,292 – $20,649 · median $10,986 15 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $12,795 – $60,089 · median $31,006 15 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,824 – $27,351 · median $13,103 15 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $14,754 – $70,137 · median $33,198 15 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $8,950 – $42,030 · median $20,101 15 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,154 – $28,902 · median $13,103 15 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $14,586 – $68,499 · median $27,092 15 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $8,443 – $39,648 · median $16,323 15 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,690 – $26,722 · median $11,180 15 plans
088 CONCUSSION WITH MCC $9,081 – $42,644 · median $22,004 15 plans
089 CONCUSSION WITH CC $6,901 – $32,409 · median $13,559 15 plans
090 CONCUSSION WITHOUT CC/MCC $5,518 – $25,915 · median $10,995 15 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $11,734 – $55,104 · median $23,621 15 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $6,815 – $32,003 · median $16,289 15 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,081 – $23,860 · median $12,311 15 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $14,754 – $110,297 · median $49,377 15 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $14,754 – $72,465 · median $37,391 15 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $14,754 – $72,465 · median $36,554 15 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $14,754 – $108,359 · median $55,912 15 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $13,964 – $65,576 · median $30,608 15 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $8,969 – $42,118 · median $17,621 15 plans
100 SEIZURES WITH MCC $12,779 – $60,014 · median $23,157 15 plans
101 SEIZURES WITHOUT MCC $5,933 – $27,862 · median $11,657 15 plans
102 HEADACHES WITH MCC $7,464 – $35,051 · median $17,000 15 plans
103 HEADACHES WITHOUT MCC $5,473 – $25,701 · median $12,068 15 plans
113 ORBITAL PROCEDURES WITH CC/MCC $14,526 – $68,215 · median $35,198 15 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $7,609 – $36,115 · median $19,479 15 plans
115 Extraocular procedures except orbit $9,855 – $46,281 · median $23,880 15 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $10,741 – $51,862 · median $26,027 15 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $6,943 – $32,605 · median $17,773 15 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $7,488 – $35,162 · median $18,144 15 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,366 – $20,504 · median $11,177 15 plans
123 Neurological eye disorders $5,170 – $24,280 · median $12,859 15 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $8,393 – $39,416 · median $20,338 15 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,315 – $24,960 · median $10,882 15 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $15,520 – $72,885 · median $37,608 15 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $6,297 – $31,436 · median $16,119 15 plans
137 MOUTH PROCEDURES WITH CC/MCC $9,003 – $42,278 · median $17,688 15 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,237 – $24,591 · median $11,503 15 plans
139 Salivary gland procedures $8,838 – $41,504 · median $21,828 15 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $22,511 – $127,844 · median $65,967 15 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $13,830 – $64,947 · median $32,833 15 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $10,122 – $47,532 · median $24,526 15 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $21,254 – $99,813 · median $44,251 15 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $11,308 – $53,103 · median $22,404 15 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $7,627 – $35,815 · median $16,172 15 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $14,754 – $69,348 · median $35,783 15 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,013 – $37,629 · median $19,416 15 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,154 – $24,204 · median $13,194 15 plans
149 Dysequilibrium $4,812 – $22,596 · median $10,844 15 plans
150 EPISTAXIS WITH MCC $8,897 – $41,783 · median $21,559 15 plans
151 EPISTAXIS WITHOUT MCC $4,879 – $22,914 · median $10,807 15 plans
152 OTITIS MEDIA AND URI WITH MCC $7,305 – $34,304 · median $14,685 15 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $4,581 – $21,514 · median $9,001 15 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $10,468 – $49,161 · median $25,367 15 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,010 – $28,222 · median $11,807 15 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,328 – $20,326 · median $9,131 15 plans
157 DENTAL AND ORAL DISEASES WITH MCC $10,541 – $49,500 · median $25,281 15 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,055 – $28,433 · median $11,896 15 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,246 – $19,939 · median $9,790 15 plans
163 MAJOR CHEST PROCEDURES WITH MCC $22,511 – $139,332 · median $60,139 15 plans
164 MAJOR CHEST PROCEDURES WITH CC $16,202 – $76,086 · median $35,405 15 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $11,999 – $56,347 · median $26,412 15 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $22,511 – $116,391 · median $48,695 15 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $11,762 – $55,234 · median $25,026 15 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,715 – $40,927 · median $19,617 15 plans
173 Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism $19,753 – $92,761 · median $47,763 15 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $9,070 – $42,596 · median $18,168 15 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,243 – $24,622 · median $11,541 15 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,405 – $48,865 · median $20,389 15 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,386 – $29,990 · median $14,045 15 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $4,955 – $23,267 · median $10,637 15 plans
180 RESPIRATORY NEOPLASMS WITH MCC $11,251 – $52,834 · median $24,497 15 plans
181 RESPIRATORY NEOPLASMS WITH CC $7,147 – $33,563 · median $16,526 15 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,391 – $25,317 · median $13,800 15 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,217 – $47,982 · median $20,075 15 plans
184 MAJOR CHEST TRAUMA WITH CC $6,875 – $32,288 · median $14,327 15 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,006 – $23,509 · median $11,014 15 plans
186 PLEURAL EFFUSION WITH MCC $10,170 – $47,762 · median $19,862 15 plans
187 PLEURAL EFFUSION WITH CC $6,463 – $30,350 · median $14,572 15 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,726 – $22,194 · median $10,995 15 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $7,965 – $37,405 · median $16,198 15 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,229 – $33,947 · median $14,203 15 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,530 – $25,970 · median $12,256 15 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,166 – $19,564 · median $9,771 15 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $8,482 – $39,833 · median $16,191 15 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,278 – $24,788 · median $11,447 15 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,008 – $18,824 · median $8,566 15 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $12,128 – $56,954 · median $27,069 15 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $6,373 – $29,927 · median $15,442 15 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,508 – $21,172 · median $11,541 15 plans
199 PNEUMOTHORAX WITH MCC $11,363 – $53,363 · median $19,166 15 plans
200 PNEUMOTHORAX WITH CC $7,129 – $33,479 · median $14,007 15 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $4,358 – $20,468 · median $8,563 15 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $6,223 – $29,222 · median $12,226 15 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,484 – $21,058 · median $8,810 15 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,220 – $24,516 · median $10,675 15 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $12,152 – $57,066 · median $20,898 15 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,831 – $27,381 · median $11,691 15 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $14,754 – $195,497 · median $100,875 15 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $14,754 – $81,129 · median $36,134 15 plans
212 Concomitant Aortic and Mitral Valve Procedures $70,124 – $329,312 · median $169,922 15 plans
215 Other heart assist system implant $68,199 – $320,270 · median $131,434 15 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $62,124 – $291,743 · median $123,689 15 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $41,570 – $195,216 · median $83,176 15 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $38,296 – $179,841 · median $75,241 15 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $49,806 – $233,897 · median $97,856 15 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $34,095 – $160,114 · median $69,753 15 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $29,563 – $138,830 · median $58,083 15 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $32,078 – $150,640 · median $80,929 15 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $19,995 – $93,900 · median $49,167 15 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $54,546 – $256,158 · median $120,716 15 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $39,322 – $184,660 · median $84,344 15 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $50,314 – $236,282 · median $91,479 15 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $34,246 – $160,824 · median $71,315 15 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $37,877 – $177,873 · median $73,021 15 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $26,470 – $124,305 · median $54,710 15 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $22,511 – $152,260 · median $60,038 15 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $18,746 – $88,033 · median $36,831 15 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $9,719 – $45,643 · median $23,551 15 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $21,834 – $102,537 · median $49,103 15 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $14,501 – $68,100 · median $35,139 15 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $11,617 – $54,554 · median $29,738 15 plans
245 AICD generator procedures $31,456 – $147,723 · median $76,224 15 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $14,886 – $69,908 · median $34,283 15 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $10,058 – $47,236 · median $25,749 15 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $22,081 – $103,698 · median $53,507 15 plans
253 OTHER VASCULAR PROCEDURES WITH CC $16,434 – $77,175 · median $38,196 15 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $11,261 – $52,883 · median $26,467 15 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $16,842 – $79,094 · median $30,725 15 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $10,902 – $51,199 · median $21,420 15 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $5,741 – $26,961 · median $12,783 15 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $18,059 – $84,807 · median $43,760 15 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $11,314 – $54,775 · median $27,416 15 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $21,926 – $102,966 · median $49,669 15 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $12,215 – $57,363 · median $27,707 15 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $9,770 – $45,882 · median $23,665 15 plans
263 VEIN LIGATION AND STRIPPING $17,265 – $81,077 · median $41,835 15 plans
264 Other circulatory system O.R. procedures $22,498 – $105,653 · median $35,055 15 plans
265 AICD lead procedures $22,962 – $107,833 · median $55,641 15 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $38,563 – $181,096 · median $83,967 15 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $30,284 – $142,218 · median $73,384 15 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $22,511 – $201,555 · median $100,396 15 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $22,511 – $125,774 · median $52,620 15 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $22,511 – $155,165 · median $64,917 15 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $22,172 – $104,121 · median $52,423 15 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $16,107 – $75,639 · median $38,860 15 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $25,171 – $118,204 · median $64,170 15 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $20,090 – $94,345 · median $48,470 15 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $45,490 – $213,628 · median $110,231 15 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $39,873 – $187,251 · median $96,201 15 plans
277 Cardiac Defibrillator Implant without MCC $29,944 – $140,622 · median $74,219 15 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $32,206 – $151,245 · median $78,041 15 plans
279 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC $20,627 – $96,866 · median $49,982 15 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $10,566 – $49,618 · median $20,653 15 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,934 – $27,865 · median $14,082 15 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,667 – $21,919 · median $11,948 15 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $12,587 – $59,110 · median $29,294 15 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,770 – $22,400 · median $12,210 15 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,614 – $16,971 · median $9,131 15 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $14,247 – $66,906 · median $25,529 15 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,014 – $32,941 · median $15,523 15 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $14,754 – $82,571 · median $34,748 15 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $10,149 – $47,662 · median $19,843 15 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,302 – $29,594 · median $15,270 15 plans
291 HEART FAILURE AND SHOCK WITH MCC $8,399 – $39,443 · median $16,134 15 plans
292 HEART FAILURE AND SHOCK WITH CC $5,544 – $26,033 · median $11,127 15 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,532 – $16,587 · median $9,041 15 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $7,905 – $37,121 · median $19,154 15 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,084 – $23,875 · median $13,014 15 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $10,546 – $49,527 · median $25,556 15 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,534 – $21,293 · median $11,607 15 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $2,843 – $14,754 · median $7,278 15 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $10,412 – $48,898 · median $16,492 15 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $6,891 – $32,363 · median $13,540 15 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,592 – $21,565 · median $9,922 15 plans
302 ATHEROSCLEROSIS WITH MCC $7,488 – $35,165 · median $18,145 15 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,328 – $20,326 · median $9,319 15 plans
304 HYPERTENSION WITH MCC $7,562 – $35,513 · median $14,858 15 plans
305 HYPERTENSION WITHOUT MCC $4,832 – $22,693 · median $10,788 15 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $9,639 – $45,265 · median $23,356 15 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,963 – $28,004 · median $14,754 15 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $7,762 – $36,453 · median $14,911 15 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,759 – $22,348 · median $9,376 15 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,602 – $16,913 · median $7,380 15 plans
311 Angina pectoris $4,495 – $21,109 · median $9,564 15 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $13,862 – $65,098 · median $27,148 15 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,194 – $29,089 · median $14,064 15 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,395 – $20,637 · median $11,250 15 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $21,439 – $132,790 · median $68,519 15 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $14,900 – $69,974 · median $36,106 15 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $18,325 – $86,056 · median $44,404 15 plans
322 Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC $11,646 – $56,369 · median $29,812 15 plans
323 Coronary Intravascular Lithotripsy with Intraluminal Device with MCC $27,418 – $128,757 · median $66,438 15 plans
324 Coronary Intravascular Lithotripsy with Intraluminal Device without MCC $20,567 – $96,585 · median $52,649 15 plans
325 Coronary Intravascular Lithotripsy without Intraluminal Device $18,423 – $86,518 · median $47,162 15 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $22,511 – $153,533 · median $67,399 15 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $15,630 – $73,399 · median $35,843 15 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $10,257 – $48,170 · median $22,511 15 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $22,511 – $138,809 · median $54,654 15 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $15,215 – $71,452 · median $32,286 15 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $10,627 – $49,908 · median $24,041 15 plans
332 RECTAL RESECTION WITH MCC $22,328 – $108,038 · median $54,105 15 plans
333 RECTAL RESECTION WITH CC $13,681 – $64,246 · median $33,150 15 plans
334 RECTAL RESECTION WITHOUT CC/MCC $10,676 – $50,138 · median $22,855 15 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $22,511 – $109,532 · median $42,850 15 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $13,597 – $63,853 · median $27,178 15 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $9,881 – $46,405 · median $21,481 15 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $17,345 – $81,452 · median $42,029 15 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $9,583 – $45,002 · median $21,444 15 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,016 – $37,644 · median $18,205 15 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $15,235 – $71,546 · median $36,917 15 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $8,104 – $38,055 · median $19,147 15 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $5,670 – $26,629 · median $13,740 15 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $15,569 – $73,115 · median $37,727 15 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $9,684 – $45,480 · median $23,467 15 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $7,097 – $33,331 · median $16,172 15 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $18,880 – $88,662 · median $37,466 15 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $10,950 – $51,423 · median $22,511 15 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $8,582 – $40,301 · median $19,184 15 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $22,511 – $128,948 · median $52,696 15 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $14,496 – $68,076 · median $25,962 15 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,723 – $40,963 · median $19,768 15 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $10,750 – $50,482 · median $22,965 15 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $6,550 – $30,761 · median $14,884 15 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,493 – $21,100 · median $11,502 15 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $11,252 – $52,840 · median $22,107 15 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $6,626 – $31,115 · median $13,367 15 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,669 – $21,928 · median $9,940 15 plans
374 DIGESTIVE MALIGNANCY WITH MCC $13,591 – $63,826 · median $27,197 15 plans
375 DIGESTIVE MALIGNANCY WITH CC $7,909 – $37,142 · median $16,343 15 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $5,684 – $26,692 · median $13,713 15 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $11,704 – $54,962 · median $24,242 15 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $6,346 – $29,803 · median $14,478 15 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,098 – $19,247 · median $9,931 15 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $12,387 – $58,170 · median $25,135 15 plans
381 COMPLICATED PEPTIC ULCER WITH CC $7,011 – $32,922 · median $14,327 15 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,823 – $22,651 · median $11,127 15 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $8,138 – $38,357 · median $19,719 15 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,598 – $26,287 · median $11,993 15 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,459 – $49,116 · median $20,032 15 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,389 – $30,002 · median $13,743 15 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,315 – $20,263 · median $10,053 15 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $9,462 – $44,434 · median $17,189 15 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,160 – $24,232 · median $10,138 15 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,522 – $16,541 · median $7,625 15 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $8,268 – $38,829 · median $16,245 15 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,023 – $23,588 · median $9,868 15 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $10,660 – $50,059 · median $22,107 15 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,059 – $28,455 · median $12,557 15 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,097 – $19,238 · median $9,927 15 plans
397 APPENDIX PROCEDURES WITH MCC $15,950 – $74,901 · median $25,303 15 plans
398 APPENDIX PROCEDURES WITH CC $9,740 – $45,743 · median $22,511 15 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $7,234 – $33,971 · median $16,586 15 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $22,511 – $164,104 · median $78,762 15 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $18,078 – $84,895 · median $41,315 15 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $13,748 – $64,563 · median $30,863 15 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $22,511 – $105,841 · median $54,613 15 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $13,495 – $63,375 · median $30,097 15 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $9,984 – $46,888 · median $24,194 15 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $17,614 – $92,628 · median $42,682 15 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $13,721 – $64,436 · median $33,249 15 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $10,702 – $50,256 · median $25,932 15 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $22,511 – $105,916 · median $54,138 15 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $12,733 – $59,796 · median $26,886 15 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $8,820 – $41,420 · median $21,280 15 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $15,298 – $71,839 · median $29,577 15 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $10,675 – $50,132 · median $22,928 15 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $8,481 – $39,830 · median $19,824 15 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $22,511 – $106,693 · median $55,053 15 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $10,541 – $49,503 · median $25,543 15 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $9,459 – $44,418 · median $22,920 15 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $22,511 – $122,953 · median $63,443 15 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $14,698 – $69,022 · median $35,615 15 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $9,950 – $46,728 · median $24,111 15 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $12,611 – $59,222 · median $26,503 15 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $6,886 – $32,339 · median $14,754 15 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,483 – $21,055 · median $10,807 15 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $11,745 – $55,156 · median $23,238 15 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $7,259 – $34,089 · median $15,395 15 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,054 – $23,736 · median $12,939 15 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $10,709 – $50,292 · median $25,838 15 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,537 – $26,003 · median $12,143 15 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,959 – $18,594 · median $8,830 15 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,169 – $57,145 · median $27,215 15 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,219 – $29,207 · median $14,440 15 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,523 – $21,242 · median $11,508 15 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $10,842 – $50,918 · median $21,487 15 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $6,981 – $32,783 · median $15,158 15 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,132 – $24,102 · median $12,661 15 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $22,511 – $256,015 · median $121,299 15 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $22,511 – $173,496 · median $89,134 15 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $22,511 – $130,529 · median $67,352 15 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $22,511 – $185,506 · median $95,720 15 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $18,434 – $86,570 · median $35,225 15 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $22,511 – $163,267 · median $67,343 15 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $18,980 – $89,133 · median $38,579 15 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,175 – $52,481 · median $25,445 15 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $32,794 – $154,005 · median $56,499 15 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $22,048 – $103,540 · median $39,856 15 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $16,886 – $79,300 · median $33,177 15 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $21,041 – $98,810 · median $40,929 15 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $12,137 – $56,997 · median $23,846 15 plans
471 CERVICAL SPINAL FUSION WITH MCC $22,511 – $146,831 · median $56,819 15 plans
472 CERVICAL SPINAL FUSION WITH CC $18,649 – $87,579 · median $35,677 15 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $15,239 – $71,564 · median $28,899 15 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $22,511 – $135,568 · median $55,388 15 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $13,887 – $65,213 · median $28,729 15 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,487 – $35,159 · median $19,166 15 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $22,137 – $103,958 · median $45,583 15 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,054 – $70,694 · median $29,933 15 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $11,431 – $53,681 · median $22,855 15 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $18,931 – $88,903 · median $45,583 15 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $13,356 – $62,722 · median $32,049 15 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $10,212 – $47,955 · median $23,238 15 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $16,403 – $77,030 · median $27,675 15 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $20,723 – $97,316 · median $50,214 15 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $13,652 – $64,113 · median $25,849 15 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,172 – $47,768 · median $19,985 15 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,651 – $59,412 · median $30,656 15 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $7,972 – $37,436 · median $19,415 15 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $22,511 – $107,349 · median $43,527 15 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $15,455 – $72,580 · median $33,599 15 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $12,136 – $56,994 · median $23,859 15 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $22,511 – $106,424 · median $54,914 15 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $12,700 – $59,642 · median $24,953 15 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $8,642 – $40,585 · median $19,994 15 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $16,253 – $76,325 · median $39,383 15 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $7,472 – $35,639 · median $19,128 15 plans
500 SOFT TISSUE PROCEDURES WITH MCC $20,397 – $95,787 · median $39,178 15 plans
501 SOFT TISSUE PROCEDURES WITH CC $11,488 – $53,950 · median $23,421 15 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $8,994 – $42,236 · median $18,130 15 plans
503 FOOT PROCEDURES WITH MCC $17,036 – $80,004 · median $41,281 15 plans
504 FOOT PROCEDURES WITH CC $11,297 – $53,052 · median $22,801 15 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $11,297 – $53,052 · median $22,195 15 plans
506 MAJOR THUMB OR JOINT PROCEDURES $9,650 – $45,316 · median $23,383 15 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $12,476 – $58,590 · median $30,232 15 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $8,308 – $40,374 · median $21,267 15 plans
509 Arthroscopy $11,308 – $53,103 · median $26,923 15 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $18,398 – $86,398 · median $44,580 15 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $12,624 – $59,285 · median $26,777 15 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $10,349 – $48,602 · median $20,334 15 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $9,692 – $45,513 · median $19,041 15 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $6,563 – $30,821 · median $14,026 15 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $19,906 – $93,480 · median $45,309 15 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $12,949 – $60,812 · median $30,334 15 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $9,609 – $45,123 · median $19,429 15 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $22,511 – $108,341 · median $39,159 15 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $12,693 – $59,609 · median $24,939 15 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $9,226 – $43,324 · median $18,126 15 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $18,762 – $88,108 · median $45,463 15 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $13,570 – $63,726 · median $29,805 15 plans
533 FRACTURES OF FEMUR WITH MCC $9,816 – $46,096 · median $23,785 15 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,240 – $24,606 · median $13,413 15 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $8,561 – $40,202 · median $20,744 15 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,220 – $24,513 · median $11,541 15 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $5,916 – $27,780 · median $14,754 15 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,322 – $20,299 · median $11,065 15 plans
539 OSTEOMYELITIS WITH MCC $13,018 – $61,135 · median $21,500 15 plans
540 OSTEOMYELITIS WITH CC $8,330 – $39,119 · median $15,287 15 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,632 – $26,447 · median $11,065 15 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $12,006 – $56,380 · median $28,054 15 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $6,829 – $32,070 · median $16,548 15 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $4,864 – $22,844 · median $12,452 15 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $14,754 – $76,386 · median $39,414 15 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $7,452 – $34,996 · median $17,493 15 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,803 – $22,557 · median $12,296 15 plans
548 SEPTIC ARTHRITIS WITH MCC $12,968 – $60,899 · median $31,424 15 plans
549 SEPTIC ARTHRITIS WITH CC $7,757 – $36,429 · median $15,742 15 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,549 – $26,060 · median $13,447 15 plans
551 MEDICAL BACK PROBLEMS WITH MCC $10,984 – $51,583 · median $21,581 15 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,204 – $29,135 · median $12,189 15 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $8,407 – $39,479 · median $20,371 15 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,372 – $25,229 · median $11,597 15 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,668 – $40,706 · median $21,004 15 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,256 – $24,682 · median $12,680 15 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $9,975 – $46,846 · median $16,925 15 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $5,560 – $26,112 · median $10,849 15 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $11,949 – $56,114 · median $26,412 15 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,330 – $34,422 · median $15,121 15 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,263 – $24,715 · median $12,698 15 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $9,421 – $44,240 · median $20,010 15 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $5,753 – $27,019 · median $11,560 15 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $10,101 – $47,435 · median $24,476 15 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,564 – $30,825 · median $13,631 15 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $4,816 – $22,614 · median $11,743 15 plans
570 SKIN DEBRIDEMENT WITH MCC $19,377 – $90,995 · median $34,735 15 plans
571 SKIN DEBRIDEMENT WITH CC $10,777 – $50,612 · median $21,175 15 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $7,354 – $34,534 · median $15,758 15 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $22,511 – $186,156 · median $96,055 15 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $22,304 – $104,740 · median $54,045 15 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,853 – $60,358 · median $31,144 15 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $22,511 – $163,095 · median $84,155 15 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $17,140 – $80,494 · median $41,387 15 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $10,881 – $51,099 · median $26,367 15 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $20,981 – $98,528 · median $34,472 15 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $11,413 – $53,596 · median $24,059 15 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $9,264 – $43,506 · median $19,919 15 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $11,272 – $56,232 · median $27,315 15 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $10,574 – $50,012 · median $25,623 15 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $13,179 – $65,450 · median $31,935 15 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $12,778 – $60,008 · median $30,963 15 plans
592 SKIN ULCERS WITH MCC $13,236 – $62,160 · median $20,389 15 plans
593 SKIN ULCERS WITH CC $7,871 – $36,961 · median $14,754 15 plans
594 SKIN ULCERS WITHOUT CC/MCC $5,463 – $25,655 · median $10,590 15 plans
595 MAJOR SKIN DISORDERS WITH MCC $13,615 – $63,937 · median $32,991 15 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $6,959 – $32,681 · median $13,673 15 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $11,308 – $53,103 · median $27,401 15 plans
598 MALIGNANT BREAST DISORDERS WITH CC $6,945 – $32,614 · median $15,194 15 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,503 – $25,843 · median $13,103 15 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $6,158 – $28,917 · median $12,915 15 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,859 – $18,122 · median $7,582 15 plans
602 CELLULITIS WITH MCC $9,457 – $44,412 · median $19,317 15 plans
603 CELLULITIS WITHOUT MCC $5,670 – $26,626 · median $11,139 15 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $9,563 – $44,911 · median $23,174 15 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,946 – $27,923 · median $11,682 15 plans
606 MINOR SKIN DISORDERS WITH MCC $10,366 – $48,678 · median $24,862 15 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,563 – $26,124 · median $10,930 15 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $14,670 – $68,892 · median $33,836 15 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $9,224 – $43,318 · median $22,511 15 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $22,511 – $116,835 · median $43,038 15 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,434 – $58,390 · median $22,511 15 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,015 – $37,638 · median $15,747 15 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $17,550 – $82,419 · median $37,823 15 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $10,280 – $48,276 · median $23,985 15 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $9,410 – $46,480 · median $19,391 15 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $22,511 – $113,117 · median $35,620 15 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,313 – $57,822 · median $22,511 15 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $6,457 – $30,323 · median $15,513 15 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $18,456 – $86,670 · median $44,721 15 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $9,715 – $45,625 · median $23,440 15 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $8,155 – $38,297 · median $18,111 15 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $22,511 – $119,275 · median $43,019 15 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $14,477 – $67,988 · median $25,002 15 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $9,020 – $42,360 · median $17,722 15 plans
637 DIABETES WITH MCC $9,374 – $44,022 · median $16,812 15 plans
638 DIABETES WITH CC $5,904 – $27,726 · median $11,600 15 plans
639 DIABETES WITHOUT CC/MCC $4,033 – $18,941 · median $7,925 15 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,548 – $40,144 · median $17,383 15 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,030 – $23,621 · median $9,884 15 plans
643 ENDOCRINE DISORDERS WITH MCC $10,668 – $50,099 · median $21,378 15 plans
644 ENDOCRINE DISORDERS WITH CC $6,652 – $31,239 · median $13,069 15 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,012 – $23,539 · median $9,848 15 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $22,511 – $168,515 · median $86,952 15 plans
654 MAJOR BLADDER PROCEDURES WITH CC $18,166 – $85,309 · median $39,819 15 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $13,372 – $62,795 · median $32,402 15 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $20,972 – $98,486 · median $42,154 15 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $11,767 – $55,262 · median $25,920 15 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $9,681 – $45,464 · median $22,511 15 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $16,635 – $78,121 · median $29,520 15 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $8,626 – $40,507 · median $16,947 15 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $6,608 – $31,033 · median $13,536 15 plans
662 MINOR BLADDER PROCEDURES WITH MCC $20,081 – $94,302 · median $48,659 15 plans
663 MINOR BLADDER PROCEDURES WITH CC $9,832 – $46,172 · median $23,824 15 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $6,951 – $32,641 · median $17,793 15 plans
665 PROSTATECTOMY WITH MCC $22,102 – $103,794 · median $53,557 15 plans
666 PROSTATECTOMY WITH CC $10,604 – $49,796 · median $25,694 15 plans
667 PROSTATECTOMY WITHOUT CC/MCC $6,616 – $31,069 · median $16,936 15 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $18,772 – $88,157 · median $43,157 15 plans
669 TRANSURETHRAL PROCEDURES WITH CC $9,961 – $46,779 · median $19,571 15 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $6,152 – $28,890 · median $14,271 15 plans
671 URETHRAL PROCEDURES WITH CC/MCC $11,095 – $52,106 · median $26,886 15 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,045 – $33,083 · median $18,034 15 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $22,511 – $126,647 · median $42,529 15 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $14,859 – $69,781 · median $29,194 15 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $10,076 – $47,317 · median $24,415 15 plans
682 RENAL FAILURE WITH MCC $9,668 – $45,401 · median $15,739 15 plans
683 RENAL FAILURE WITH CC $5,722 – $26,871 · median $11,108 15 plans
684 RENAL FAILURE WITHOUT CC/MCC $3,910 – $18,361 · median $7,682 15 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $12,138 – $57,003 · median $25,902 15 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $6,776 – $31,822 · median $14,534 15 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,662 – $21,892 · median $10,957 15 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $7,533 – $35,377 · median $17,219 15 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,166 – $24,262 · median $10,150 15 plans
693 URINARY STONES WITH MCC $9,465 – $44,449 · median $22,935 15 plans
694 URINARY STONES WITHOUT MCC $5,030 – $23,621 · median $9,882 15 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $7,260 – $34,092 · median $17,591 15 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,453 – $20,912 · median $9,206 15 plans
697 Urethral stricture $6,449 – $30,283 · median $15,626 15 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $10,820 – $50,812 · median $22,436 15 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $6,565 – $30,831 · median $13,405 15 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,469 – $20,985 · median $11,382 15 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $12,492 – $58,662 · median $26,503 15 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $9,543 – $44,814 · median $23,124 15 plans
709 PENIS PROCEDURES WITH CC/MCC $14,465 – $67,928 · median $35,050 15 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $9,665 – $45,386 · median $23,419 15 plans
711 TESTES PROCEDURES WITH CC/MCC $12,299 – $58,978 · median $29,801 15 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $6,885 – $32,753 · median $17,625 15 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $9,308 – $43,711 · median $20,879 15 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $6,049 – $28,406 · median $14,594 15 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $14,537 – $68,266 · median $35,225 15 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $9,136 – $42,904 · median $22,511 15 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $11,944 – $56,090 · median $22,511 15 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $7,930 – $37,239 · median $15,580 15 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $11,129 – $52,263 · median $26,967 15 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $7,228 – $33,944 · median $17,515 15 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,690 – $22,025 · median $12,006 15 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,127 – $38,167 · median $19,694 15 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,792 – $22,502 · median $12,266 15 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $9,459 – $44,418 · median $22,920 15 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,260 – $24,700 · median $10,334 15 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,086 – $33,279 · median $17,172 15 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,907 – $18,346 · median $10,001 15 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $13,536 – $63,566 · median $27,051 15 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $7,814 – $36,695 · median $20,003 15 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $22,511 – $119,030 · median $61,418 15 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $12,864 – $60,410 · median $27,525 15 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,764 – $45,854 · median $20,691 15 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $22,511 – $120,339 · median $62,094 15 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $11,704 – $54,965 · median $27,087 15 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $8,842 – $41,523 · median $19,617 15 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $11,758 – $55,219 · median $23,102 15 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $7,716 – $36,236 · median $16,172 15 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $12,578 – $59,067 · median $22,310 15 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $6,597 – $30,979 · median $12,961 15 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $10,779 – $50,621 · median $21,179 15 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,149 – $28,875 · median $13,894 15 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $16,663 – $78,251 · median $29,784 15 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,301 – $38,980 · median $21,248 15 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,646 – $54,693 · median $23,822 15 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,146 – $33,557 · median $14,666 15 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,147 – $28,869 · median $13,009 15 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,110 – $42,783 · median $22,076 15 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,561 – $30,812 · median $12,891 15 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,120 – $19,347 · median $9,395 15 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $6,344 – $29,794 · median $12,465 15 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,080 – $19,162 · median $8,736 15 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $6,556 – $33,140 · median $9,412 15 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $7,340 – $42,003 · median $20,338 15 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,593 – $21,568 · median $7,212 15 plans
779 ABORTION WITHOUT D&C $6,017 – $28,258 · median $7,986 15 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $9,834 – $55,685 · median $15,588 15 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,971 – $32,738 · median $13,133 15 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,623 – $26,405 · median $11,047 15 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $9,834 – $48,847 · median $14,848 15 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $6,835 – $32,097 · median $13,151 15 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $5,824 – $27,348 · median $11,390 15 plans
789 Neonates, died or transferred to another acute care facility $11,603 – $61,999 · median $21,904 15 plans
790 Extreme immaturity or respiratory distress syndrome, neonate $38,267 – $179,705 · median $92,525 15 plans
791 PREMATURITY WITH MAJOR PROBLEMS $26,134 – $122,727 · median $41,555 15 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $8,743 – $74,052 · median $17,488 15 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $8,743 – $126,070 · median $29,773 15 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,534 – $44,624 · median $10,538 15 plans
795 Normal newborn $1,286 – $6,040 · median $2,702 15 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $6,556 – $38,590 · median $19,826 15 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $6,232 – $29,268 · median $13,976 15 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,232 – $29,268 · median $11,893 15 plans
799 SPLENIC PROCEDURES WITH MCC $22,511 – $143,733 · median $57,308 15 plans
800 SPLENIC PROCEDURES WITH CC $18,756 – $88,081 · median $41,935 15 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $10,568 – $49,627 · median $25,607 15 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $22,511 – $108,365 · median $55,915 15 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $11,458 – $53,808 · median $26,905 15 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $7,117 – $33,421 · median $18,218 15 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $6,424 – $30,169 · median $9,658 15 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,658 – $21,874 · median $8,698 15 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,102 – $19,265 · median $7,210 15 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $14,743 – $69,233 · median $29,604 15 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $7,972 – $37,439 · median $15,851 15 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $6,127 – $28,772 · median $13,856 15 plans
811 RED BLOOD CELL DISORDERS WITH MCC $9,056 – $42,529 · median $18,605 15 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,941 – $27,898 · median $13,254 15 plans
813 Coagulation disorders $9,964 – $46,794 · median $24,041 15 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $13,457 – $63,194 · median $25,416 15 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $6,541 – $30,716 · median $14,195 15 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,245 – $19,933 · median $10,356 15 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $16,318 – $76,634 · median $27,605 15 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,291 – $38,935 · median $16,289 15 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,256 – $24,682 · median $10,326 15 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $22,511 – $176,002 · median $82,867 15 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $14,370 – $67,483 · median $34,821 15 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $7,362 – $34,573 · median $18,846 15 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $22,511 – $141,457 · median $62,547 15 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $14,158 – $66,486 · median $34,306 15 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $7,923 – $37,206 · median $20,281 15 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $22,511 – $144,359 · median $74,488 15 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $15,191 – $71,337 · median $36,810 15 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $10,318 – $48,454 · median $24,893 15 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $19,850 – $93,220 · median $30,311 15 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $9,414 – $44,210 · median $22,812 15 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $7,409 – $34,794 · median $14,557 15 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,811 – $22,593 · median $9,452 15 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,346 – $15,713 · median $6,574 15 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $22,511 – $197,247 · median $86,214 15 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $13,749 – $75,201 · median $33,316 15 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,180 – $46,874 · median $19,820 15 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $14,754 – $151,363 · median $57,986 15 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $13,056 – $61,310 · median $20,596 15 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $8,821 – $41,426 · median $16,040 15 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $20,528 – $96,400 · median $49,742 15 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $10,093 – $47,399 · median $24,458 15 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $6,771 – $31,798 · median $17,333 15 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $12,187 – $57,233 · median $29,532 15 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $7,694 – $36,130 · median $18,643 15 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,386 – $25,296 · median $13,789 15 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $14,754 – $77,199 · median $28,165 15 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $8,180 – $38,412 · median $14,754 15 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,271 – $24,755 · median $10,237 15 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $22,511 – $151,184 · median $63,251 15 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $12,862 – $60,401 · median $25,847 15 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,464 – $49,140 · median $20,898 15 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $22,511 – $136,381 · median $52,338 15 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $14,026 – $65,866 · median $24,211 15 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $8,293 – $38,947 · median $17,622 15 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $11,836 – $55,582 · median $18,337 15 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $6,436 – $30,226 · median $12,646 15 plans
865 VIRAL ILLNESS WITH MCC $9,500 – $44,615 · median $18,666 15 plans
866 VIRAL ILLNESS WITHOUT MCC $5,695 – $26,747 · median $11,190 15 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $13,803 – $64,820 · median $29,349 15 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $6,759 – $31,743 · median $13,913 15 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,632 – $21,753 · median $11,181 15 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $14,754 – $210,288 · median $94,230 15 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $12,630 – $59,312 · median $25,464 15 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $6,637 – $31,166 · median $13,386 15 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $22,511 – $118,788 · median $61,294 15 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $22,511 – $133,930 · median $60,704 15 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,215 – $57,363 · median $22,511 15 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $7,847 – $36,852 · median $15,418 15 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $22,511 – $116,717 · median $54,156 15 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $10,609 – $49,823 · median $25,709 15 plans
906 Hand procedures for injuries $14,049 – $65,975 · median $25,906 15 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $22,511 – $120,423 · median $50,382 15 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $12,984 – $60,975 · median $25,756 15 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $8,164 – $38,339 · median $18,412 15 plans
913 TRAUMATIC INJURY WITH MCC $10,417 – $48,920 · median $25,242 15 plans
914 TRAUMATIC INJURY WITHOUT MCC $5,899 – $27,702 · median $11,597 15 plans
915 ALLERGIC REACTIONS WITH MCC $11,187 – $52,535 · median $19,391 15 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,275 – $20,075 · median $8,623 15 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,555 – $49,566 · median $18,751 15 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,694 – $26,741 · median $11,188 15 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $11,739 – $55,126 · median $21,462 15 plans
920 COMPLICATIONS OF TREATMENT WITH CC $6,539 – $30,710 · median $12,859 15 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,427 – $20,788 · median $9,451 15 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $10,875 – $51,069 · median $25,610 15 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,565 – $30,831 · median $12,284 15 plans
935 Non-extensive burns $14,138 – $66,395 · median $18,764 15 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $20,431 – $95,947 · median $49,508 15 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $13,591 – $63,826 · median $30,042 15 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $12,580 – $59,077 · median $22,511 15 plans
947 SIGNS AND SYMPTOMS WITH MCC $8,279 – $38,881 · median $16,267 15 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,114 – $24,017 · median $11,277 15 plans
949 AFTERCARE WITH CC/MCC $6,946 – $32,617 · median $16,830 15 plans
950 AFTERCARE WITHOUT CC/MCC $3,773 – $18,912 · median $9,658 15 plans
951 Other factors influencing health status $3,650 – $17,140 · median $7,171 15 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $22,511 – $132,778 · median $59,622 15 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $22,511 – $225,635 · median $104,482 15 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $22,511 – $124,235 · median $60,558 15 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $17,019 – $79,922 · median $41,239 15 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $14,754 – $82,123 · median $42,375 15 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $9,656 – $45,347 · median $20,119 15 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,874 – $27,587 · median $14,173 15 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $22,511 – $191,177 · median $98,646 15 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $17,079 – $81,056 · median $41,386 15 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $14,754 – $90,270 · median $46,579 15 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,150 – $42,968 · median $22,171 15 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,456 – $30,320 · median $15,645 15 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $9,282 – $43,587 · median $22,491 15 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $22,511 – $143,706 · median $71,977 15 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,760 – $74,010 · median $34,821 15 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,738 – $50,428 · median $22,103 15 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $22,511 – $105,883 · median $46,659 15 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,046 – $51,873 · median $22,511 15 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $7,438 – $34,930 · median $17,113 15 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $122,004 – $851,500 · median $359,247 14 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $76,058 – $371,352 · median $171,884 14 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $38,853 – $182,459 · median $66,696 14 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $38,853 – $182,459 · median $54,881 14 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $39,822 – $187,009 · median $99,217 14 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $25,183 – $118,262 · median $62,744 14 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $67,430 – $316,661 · median $168,004 14 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $45,720 – $214,708 · median $113,913 14 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $35,430 – $166,383 · median $88,275 14 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $53,688 – $252,128 · median $133,766 14 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $35,214 – $165,368 · median $87,736 14 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $43,158 – $202,676 · median $107,530 14 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $26,285 – $123,440 · median $65,491 14 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $33,151 – $155,682 · median $82,597 14 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $19,865 – $93,287 · median $49,493 14 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $29,657 – $139,274 · median $71,864 14 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $22,352 – $104,970 · median $54,164 14 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $59,297 – $278,467 · median $147,740 14 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $6,171 – $28,978 · median $11,663 14 plans
881 Depressive neuroses $5,884 – $27,632 · median $8,199 14 plans
882 Neuroses except depressive $6,177 – $29,080 · median $8,145 14 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $10,751 – $50,488 · median $14,441 14 plans
885 Psychoses $9,074 – $42,611 · median $12,199 14 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $11,564 – $54,306 · median $21,178 14 plans
887 Other mental disorder diagnoses $7,656 – $35,954 · median $18,512 14 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $152,704 – $717,117 · median $374,299 14 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $42,540 – $201,896 · median $56,322 14 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $20,472 – $96,140 · median $27,176 14 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $27,852 – $130,798 · median $54,575 14 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $13,813 – $64,865 · median $34,414 14 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $73,503 – $321,921 · median $170,795 13 plans
006 LIVER TRANSPLANT WITHOUT MCC $33,469 – $146,586 · median $77,771 13 plans
007 Lung transplant $90,201 – $395,057 · median $209,597 13 plans
008 Simultaneous pancreas/kidney transplant $68,814 – $275,556 · median $101,457 7 plans
894 Alcohol/drug abuse or dependence, left AMA $4,017 – $18,866 · median $8,626 7 plans
945 REHABILITATION WITH CC/MCC $10,536 – $41,971 · median $24,482 7 plans
946 REHABILITATION WITHOUT CC/MCC $7,706 – $29,783 · median $17,906 7 plans
895 Alcohol/drug abuse or dependence w rehabilitation therapy $23,859 – $42,279 · median $28,409 2 plans
896 Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC $21,162 – $32,921 · median $27,652 2 plans
897 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC $8,843 – $14,537 · median $11,555 2 plans
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