Pennsylvania 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
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $47,708 – $289,270 · median $101,244 56 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $5,103 – $289,270 · median $88,799 56 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $3,308 – $421,653 · median $166,642 55 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $3,308 – $639,822 · median $278,655 49 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $3,308 – $616,987 · median $211,702 49 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $3,308 – $164,411 · median $72,954 49 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $3,308 – $127,089 · median $56,393 49 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $3,308 – $90,406 · median $38,688 49 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $3,308 – $271,029 · median $120,761 49 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $3,308 – $258,611 · median $81,619 49 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $3,308 – $250,323 · median $49,448 49 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $3,308 – $200,839 · median $84,836 49 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $3,308 – $117,922 · median $52,326 49 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $3,308 – $135,062 · median $59,602 49 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $3,308 – $64,238 · median $28,866 49 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $3,308 – $50,127 · median $22,743 49 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $3,308 – $116,680 · median $51,625 49 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $3,308 – $72,060 · median $31,975 49 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $3,308 – $58,565 · median $25,987 49 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $3,308 – $146,255 · median $55,409 49 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $3,308 – $66,279 · median $29,752 49 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $3,308 – $72,250 · median $25,308 49 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $3,308 – $71,824 · median $24,684 49 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $3,308 – $29,517 · median $13,098 49 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $3,308 – $46,028 · median $18,619 49 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $3,308 – $30,735 · median $12,356 49 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $3,308 – $70,029 · median $21,100 49 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $2,995 – $53,078 · median $12,632 49 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $3,308 – $51,532 · median $16,913 49 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $3,308 – $37,406 · median $16,598 49 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $3,308 – $27,727 · median $12,630 49 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $3,308 – $83,111 · median $37,057 49 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $3,308 – $52,970 · median $23,976 49 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $3,308 – $42,317 · median $19,353 49 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $3,308 – $60,621 · median $19,389 49 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $3,308 – $30,455 · median $14,206 49 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $3,308 – $20,631 · median $10,402 49 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $3,308 – $44,273 · median $20,274 49 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $3,308 – $26,057 · median $12,915 49 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $3,308 – $24,079 · median $11,300 49 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $3,308 – $121,322 · median $25,654 49 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $3,308 – $48,433 · median $14,411 49 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $3,134 – $22,795 · median $10,115 49 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $3,308 – $48,361 · median $15,476 49 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $3,308 – $31,073 · median $14,026 49 plans
075 VIRAL MENINGITIS WITH CC/MCC $3,308 – $57,802 · median $26,073 49 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $3,308 – $31,173 · median $12,903 49 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $2,995 – $54,561 · median $16,847 49 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $2,624 – $29,301 · median $8,947 49 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $3,308 – $80,014 · median $32,641 49 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $3,308 – $42,076 · median $18,670 49 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $3,308 – $31,976 · median $13,493 49 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $3,308 – $68,485 · median $30,522 49 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $3,308 – $39,269 · median $12,778 49 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $2,551 – $27,573 · median $9,450 49 plans
088 CONCUSSION WITH MCC $3,308 – $40,749 · median $17,454 49 plans
089 CONCUSSION WITH CC $2,872 – $33,117 · median $10,817 49 plans
090 CONCUSSION WITHOUT CC/MCC $3,308 – $24,815 · median $12,059 49 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $3,308 – $52,940 · median $23,491 49 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $3,308 – $48,973 · median $16,193 49 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,144 – $24,004 · median $10,651 49 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $3,308 – $106,090 · median $47,075 49 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $3,308 – $77,749 · median $34,499 49 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,308 – $77,749 · median $24,458 49 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $3,308 – $108,876 · median $47,967 49 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $3,308 – $69,179 · median $21,838 49 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $3,308 – $76,278 · median $21,196 49 plans
100 SEIZURES WITH MCC $3,308 – $58,384 · median $19,180 49 plans
102 HEADACHES WITH MCC $3,308 – $45,864 · median $16,708 49 plans
103 HEADACHES WITHOUT MCC $2,594 – $25,210 · median $9,608 49 plans
113 ORBITAL PROCEDURES WITH CC/MCC $3,308 – $70,873 · median $31,746 49 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $3,308 – $95,156 · median $21,058 49 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $3,308 – $46,269 · median $21,068 49 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $3,308 – $63,460 · median $27,766 49 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $3,308 – $32,704 · median $14,512 49 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $3,292 – $35,067 · median $12,191 49 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,308 – $23,688 · median $11,269 49 plans
123 NEUROLOGICAL EYE DISORDERS $3,308 – $24,073 · median $10,682 49 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $3,308 – $41,999 · median $20,617 49 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $2,730 – $23,145 · median $10,110 49 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $3,308 – $65,414 · median $29,377 49 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $3,308 – $46,921 · median $16,080 49 plans
137 MOUTH PROCEDURES WITH CC/MCC $3,308 – $45,012 · median $18,553 49 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $3,308 – $26,714 · median $11,854 49 plans
139 SALIVARY GLAND PROCEDURES $3,308 – $37,250 · median $17,154 49 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $3,308 – $63,828 · median $20,203 49 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $3,308 – $38,329 · median $17,623 49 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $3,308 – $50,285 · median $12,864 49 plans
149 DYSEQUILIBRIUM $3,308 – $22,657 · median $10,821 49 plans
150 EPISTAXIS WITH MCC $3,308 – $40,137 · median $18,407 49 plans
151 EPISTAXIS WITHOUT MCC $3,168 – $22,126 · median $9,818 49 plans
152 OTITIS MEDIA AND URI WITH MCC $3,308 – $35,637 · median $14,693 49 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $2,534 – $22,253 · median $9,385 49 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $3,308 – $57,332 · median $21,442 49 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $1,327 – $27,627 · median $9,140 49 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,308 – $20,833 · median $10,030 49 plans
157 DENTAL AND ORAL DISEASES WITH MCC $3,308 – $51,752 · median $17,832 49 plans
158 DENTAL AND ORAL DISEASES WITH CC $2,532 – $27,425 · median $9,378 49 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,308 – $21,357 · median $10,257 49 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $3,308 – $112,671 · median $49,885 49 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $3,308 – $54,363 · median $24,581 49 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $41,189 · median $18,325 49 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $3,308 – $49,658 · median $20,011 49 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $3,308 – $71,324 · median $24,149 49 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $3,308 – $64,711 · median $15,501 49 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $3,308 – $24,186 · median $11,394 49 plans
180 RESPIRATORY NEOPLASMS WITH MCC $3,308 – $53,235 · median $16,982 49 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $3,308 – $22,790 · median $12,120 49 plans
183 MAJOR CHEST TRAUMA WITH MCC $3,308 – $46,118 · median $16,853 49 plans
184 MAJOR CHEST TRAUMA WITH CC $2,440 – $32,077 · median $10,500 49 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $2,393 – $23,709 · median $8,862 49 plans
186 PLEURAL EFFUSION WITH MCC $3,234 – $46,980 · median $15,054 49 plans
187 PLEURAL EFFUSION WITH CC $3,308 – $29,816 · median $12,207 49 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $3,308 – $21,620 · median $10,652 49 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $3,308 – $40,342 · median $17,150 49 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $3,308 – $39,023 · median $16,071 49 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $3,308 – $25,412 · median $11,382 49 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $2,038 – $19,353 · median $7,549 49 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $3,308 – $39,622 · median $13,357 49 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $3,308 – $24,293 · median $11,042 49 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,308 – $18,946 · median $10,012 49 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $3,308 – $56,889 · median $24,266 49 plans
197 INTERSTITIAL LUNG DISEASE WITH CC — 49 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $3,308 – $104,210 · median $11,671 49 plans
199 PNEUMOTHORAX WITH MCC $3,308 – $73,609 · median $27,117 49 plans
200 PNEUMOTHORAX WITH CC $3,308 – $34,352 · median $15,370 49 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $3,308 – $50,931 · median $11,655 49 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $3,308 – $29,276 · median $12,991 49 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,308 – $20,197 · median $10,157 49 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $2,624 – $24,339 · median $9,717 49 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $3,308 – $55,195 · median $24,942 49 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $3,308 – $28,369 · median $12,588 49 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $3,308 – $362,687 · median $98,962 49 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $3,308 – $82,858 · median $36,767 49 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $3,308 – $397,472 · median $133,185 49 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $3,308 – $148,362 · median $65,833 49 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $3,308 – $85,927 · median $35,767 49 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $3,308 – $47,807 · median $20,954 49 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $3,308 – $81,312 · median $26,405 49 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $3,308 – $51,182 · median $23,201 49 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $3,308 – $32,924 · median $15,739 49 plans
263 VEIN LIGATION AND STRIPPING $3,308 – $92,164 · median $40,896 49 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $3,308 – $100,701 · median $34,706 49 plans
291 HEART FAILURE AND SHOCK WITH MCC $3,308 – $38,699 · median $17,783 49 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,308 – $27,010 · median $9,457 49 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $3,308 – $47,083 · median $21,422 49 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $3,308 – $30,255 · median $10,459 49 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,308 – $53,251 · median $7,666 49 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $3,308 – $49,217 · median $21,839 49 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $2,038 – $21,695 · median $7,548 49 plans
302 ATHEROSCLEROSIS WITH MCC $3,308 – $36,071 · median $15,524 49 plans
303 ATHEROSCLEROSIS WITHOUT MCC $3,308 – $58,951 · median $10,996 49 plans
304 HYPERTENSION WITH MCC $3,308 – $35,872 · median $15,917 49 plans
305 HYPERTENSION WITHOUT MCC $3,308 – $22,762 · median $10,867 49 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $3,308 – $47,502 · median $20,079 49 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $3,308 – $27,528 · median $12,637 49 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $2,676 – $36,294 · median $11,788 49 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $1,294 – $17,065 · median $5,912 49 plans
311 ANGINA PECTORIS $3,308 – $21,158 · median $10,171 49 plans
312 SYNCOPE AND COLLAPSE $3,308 – $26,274 · median $11,827 49 plans
313 CHEST PAIN $3,308 – $21,704 · median $9,631 49 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $3,308 – $136,860 · median $31,850 49 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,308 – $21,403 · median $10,801 49 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $3,308 – $266,758 · median $74,629 49 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $3,308 – $48,300 · median $21,432 49 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $3,308 – $138,559 · median $61,483 49 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,308 – $72,262 · median $32,349 49 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,308 – $50,730 · median $23,004 49 plans
332 RECTAL RESECTION WITH MCC $3,308 – $114,105 · median $48,355 49 plans
333 RECTAL RESECTION WITH CC $3,308 – $151,645 · median $35,639 49 plans
334 RECTAL RESECTION WITHOUT CC/MCC $3,308 – $49,374 · median $21,268 49 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $3,308 – $107,643 · median $47,764 49 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $3,308 – $63,566 · median $30,532 49 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $3,308 – $46,272 · median $20,208 49 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $3,308 – $77,857 · median $34,777 49 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,308 – $45,358 · median $20,834 49 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,308 – $44,346 · median $17,890 49 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $3,308 – $206,495 · median $36,044 49 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $1,187 – $39,453 · median $12,754 49 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $3,308 – $75,117 · median $23,653 49 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $3,308 – $45,955 · median $20,392 49 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $3,308 – $35,203 · median $15,620 49 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $3,308 – $87,479 · median $38,953 49 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $3,308 – $50,715 · median $22,504 49 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $3,308 – $40,544 · median $18,584 49 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $3,308 – $231,238 · median $65,865 49 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $3,308 – $71,815 · median $35,393 49 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $42,139 · median $19,276 49 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $3,308 – $47,987 · median $21,814 49 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $3,308 – $30,151 · median $14,073 49 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,308 – $21,125 · median $10,868 49 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $3,308 – $53,449 · median $19,289 49 plans
374 DIGESTIVE MALIGNANCY WITH MCC $2,313 – $64,470 · median $20,399 49 plans
375 DIGESTIVE MALIGNANCY WITH CC $3,308 – $36,463 · median $13,271 49 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $3,308 – $27,863 · median $13,080 49 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $3,308 – $55,104 · median $19,178 49 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,308 – $19,003 · median $9,236 49 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $3,308 – $59,149 · median $18,773 49 plans
381 COMPLICATED PEPTIC ULCER WITH CC $3,308 – $32,662 · median $15,163 49 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,308 – $24,134 · median $11,446 49 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $3,308 – $48,647 · median $19,051 49 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $3,308 – $25,767 · median $12,171 49 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $3,308 – $91,495 · median $24,438 49 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $3,308 – $54,283 · median $15,505 49 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,308 – $22,344 · median $10,256 49 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $3,308 – $44,517 · median $19,971 49 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,308 – $16,399 · median $8,668 49 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $2,928 – $38,232 · median $12,381 49 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $3,308 – $29,380 · median $11,188 49 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $3,308 – $48,210 · median $22,373 49 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $3,308 – $43,252 · median $14,907 49 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,308 – $19,564 · median $9,649 49 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $3,308 – $69,598 · median $30,025 49 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $3,308 – $107,483 · median $35,972 49 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $3,308 – $65,634 · median $29,472 49 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $3,308 – $47,860 · median $18,963 49 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $3,308 – $99,576 · median $44,202 49 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $3,308 – $64,155 · median $32,077 49 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $3,308 – $52,801 · median $22,711 49 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $3,308 – $107,393 · median $43,388 49 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $3,308 – $62,300 · median $27,644 49 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $3,308 – $69,574 · median $21,210 49 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $3,308 – $71,937 · median $23,850 49 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $3,308 – $50,992 · median $22,955 49 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $3,308 – $41,171 · median $16,377 49 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $3,308 – $102,705 · median $32,085 49 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $3,308 – $60,776 · median $25,215 49 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $3,308 – $42,187 · median $19,297 49 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $3,308 – $125,190 · median $55,551 49 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $3,308 – $91,900 · median $33,364 49 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $45,226 · median $20,235 49 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $3,308 – $167,818 · median $30,126 49 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $3,308 – $31,839 · median $14,602 49 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,308 – $21,478 · median $9,876 49 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $3,308 – $55,366 · median $17,617 49 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $3,308 – $25,722 · median $12,580 49 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $3,209 – $49,868 · median $22,554 49 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,308 – $18,732 · median $9,140 49 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $3,308 – $54,100 · median $22,328 49 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $3,308 – $29,098 · median $12,393 49 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,308 – $21,092 · median $10,142 49 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $3,308 – $70,167 · median $22,847 49 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,308 – $32,990 · median $12,195 49 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $3,308 – $171,808 · median $75,549 49 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $3,308 – $93,891 · median $31,124 49 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,308 – $54,974 · median $19,338 49 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $3,308 – $156,914 · median $49,496 49 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $3,308 – $106,307 · median $45,013 49 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $3,308 – $82,837 · median $40,459 49 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $3,209 – $129,407 · median $47,177 49 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $3,308 – $68,600 · median $30,759 49 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,308 – $53,492 · median $18,511 49 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,308 – $104,137 · median $46,182 49 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,308 – $74,131 · median $31,457 49 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,308 – $58,152 · median $25,307 49 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $3,308 – $83,557 · median $37,251 49 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $3,308 – $163,723 · median $48,682 49 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $3,308 – $70,711 · median $29,273 49 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,308 – $47,212 · median $22,146 49 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $3,308 – $110,678 · median $47,194 49 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $3,308 – $76,449 · median $25,615 49 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $3,308 – $60,485 · median $26,839 49 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $3,308 – $127,136 · median $48,497 49 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $3,308 – $64,906 · median $27,704 49 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $3,308 – $36,424 · median $16,162 49 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $3,308 – $90,940 · median $28,489 49 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $3,308 – $91,645 · median $22,087 49 plans
500 SOFT TISSUE PROCEDURES WITH MCC $3,308 – $123,858 · median $47,764 49 plans
501 SOFT TISSUE PROCEDURES WITH CC $3,308 – $52,696 · median $23,857 49 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $3,308 – $40,571 · median $18,388 49 plans
503 FOOT PROCEDURES WITH MCC $3,308 – $142,931 · median $42,256 49 plans
504 FOOT PROCEDURES WITH CC $3,308 – $56,346 · median $25,442 49 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $3,308 – $54,043 · median $24,442 49 plans
506 MAJOR THUMB OR JOINT PROCEDURES $3,308 – $40,671 · median $18,639 49 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $3,308 – $54,453 · median $27,741 49 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $3,308 – $45,651 · median $20,800 49 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $3,308 – $91,051 · median $39,918 49 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $3,308 – $62,682 · median $27,814 49 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $3,308 – $49,901 · median $22,645 49 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $3,308 – $47,456 · median $21,058 49 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $3,308 – $33,196 · median $15,058 49 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $3,308 – $96,067 · median $42,434 49 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $3,308 – $62,643 · median $27,797 49 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $46,323 · median $21,092 49 plans
533 FRACTURES OF FEMUR WITH MCC $3,308 – $47,257 · median $21,497 49 plans
534 FRACTURES OF FEMUR WITHOUT MCC $3,308 – $24,299 · median $10,782 49 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $3,308 – $38,645 · median $17,760 49 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $3,247 – $24,345 · median $10,802 49 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $3,308 – $28,767 · median $13,473 49 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $3,308 – $21,713 · median $10,523 49 plans
539 OSTEOMYELITIS WITH MCC $1,330 – $59,376 · median $18,842 49 plans
540 OSTEOMYELITIS WITH CC $3,308 – $39,076 · median $17,339 49 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $3,308 – $47,911 · median $12,861 49 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $3,308 – $53,250 · median $23,629 49 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $3,308 – $22,747 · median $10,302 49 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $3,308 – $74,810 · median $23,559 49 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $3,308 – $36,213 · median $16,850 49 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,308 – $25,207 · median $11,928 49 plans
548 SEPTIC ARTHRITIS WITH MCC $3,308 – $58,206 · median $25,828 49 plans
549 SEPTIC ARTHRITIS WITH CC $3,308 – $36,390 · median $14,036 49 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $1,694 – $26,349 · median $8,749 49 plans
551 MEDICAL BACK PROBLEMS WITH MCC $2,299 – $50,525 · median $16,138 49 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $3,308 – $28,978 · median $13,026 49 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $3,308 – $39,076 · median $17,339 49 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $3,039 – $25,023 · median $11,103 49 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,308 – $53,803 · median $20,598 49 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $3,308 – $25,038 · median $11,855 49 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $3,308 – $44,822 · median $20,440 49 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,308 – $56,216 · median $25,385 49 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,308 – $39,065 · median $17,713 49 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,308 – $24,233 · median $11,505 49 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $3,262 – $42,950 · median $13,823 49 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $3,308 – $26,994 · median $12,267 49 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $3,308 – $46,531 · median $20,897 49 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $3,308 – $55,643 · median $15,477 49 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $668 – $22,587 · median $7,599 49 plans
570 SKIN DEBRIDEMENT WITH MCC $3,308 – $365,150 · median $50,981 49 plans
571 SKIN DEBRIDEMENT WITH CC $3,308 – $50,929 · median $23,000 49 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $3,308 – $34,555 · median $15,716 49 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $3,308 – $197,488 · median $61,052 49 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $3,308 – $104,644 · median $42,011 49 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,308 – $54,170 · median $24,360 49 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $3,308 – $147,744 · median $45,849 49 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $3,308 – $79,904 · median $31,379 49 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,308 – $55,798 · median $24,793 49 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $3,308 – $97,623 · median $43,355 49 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $3,209 – $52,090 · median $16,616 49 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $3,209 – $53,484 · median $19,867 49 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $3,209 – $58,076 · median $25,770 49 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $3,209 – $51,981 · median $17,537 49 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $3,209 – $58,152 · median $25,323 49 plans
592 SKIN ULCERS WITH MCC $3,209 – $58,339 · median $18,526 49 plans
593 SKIN ULCERS WITH CC $3,209 – $35,760 · median $11,625 49 plans
594 SKIN ULCERS WITHOUT CC/MCC $3,209 – $36,355 · median $12,328 49 plans
595 MAJOR SKIN DISORDERS WITH MCC $3,209 – $63,927 · median $28,366 49 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $2,278 – $32,631 · median $10,669 49 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $3,209 – $50,254 · median $16,055 49 plans
598 MALIGNANT BREAST DISORDERS WITH CC $3,308 – $126,768 · median $17,790 49 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,308 – $77,457 · median $12,455 49 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $3,209 – $31,398 · median $13,932 49 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,209 – $18,237 · median $8,903 49 plans
602 CELLULITIS WITH MCC $3,209 – $42,844 · median $19,582 49 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $3,209 – $44,376 · median $20,247 49 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $3,209 – $45,882 · median $12,972 49 plans
606 MINOR SKIN DISORDERS WITH MCC $3,209 – $45,615 · median $18,052 49 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $2,001 – $27,323 · median $9,047 49 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $3,209 – $66,071 · median $29,662 49 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $3,209 – $42,181 · median $18,717 49 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $3,308 – $105,126 · median $46,647 49 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,209 – $56,379 · median $25,456 49 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,308 – $85,315 · median $19,543 49 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $3,209 – $107,290 · median $35,787 49 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,209 – $54,076 · median $23,995 49 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,308 – $78,585 · median $17,366 49 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $3,209 – $112,342 · median $38,371 49 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $3,209 – $65,679 · median $27,833 49 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $103,671 · median $22,628 49 plans
637 DIABETES WITH MCC $3,209 – $43,309 · median $19,241 49 plans
639 DIABETES WITHOUT CC/MCC $3,025 – $18,726 · median $7,843 49 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $2,173 – $40,261 · median $13,001 49 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $3,209 – $23,458 · median $11,169 49 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $1,198 – $42,868 · median $13,798 49 plans
643 ENDOCRINE DISORDERS WITH MCC $3,209 – $49,621 · median $22,386 49 plans
644 ENDOCRINE DISORDERS WITH CC $3,209 – $30,898 · median $14,398 49 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $3,209 – $23,160 · median $11,040 49 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $3,308 – $302,839 · median $80,139 49 plans
654 MAJOR BLADDER PROCEDURES WITH CC $3,209 – $84,383 · median $37,609 49 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $3,209 – $63,804 · median $28,312 49 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $3,308 – $95,974 · median $43,832 49 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $3,209 – $55,164 · median $24,929 49 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $3,209 – $53,271 · median $21,657 49 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $3,209 – $87,258 · median $26,882 49 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $3,209 – $47,650 · median $16,224 49 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $3,209 – $35,008 · median $14,534 49 plans
662 MINOR BLADDER PROCEDURES WITH MCC $3,209 – $92,287 · median $28,901 49 plans
663 MINOR BLADDER PROCEDURES WITH CC $3,209 – $45,826 · median $19,580 49 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $3,308 – $62,994 · median $15,580 49 plans
665 PROSTATECTOMY WITH MCC $3,308 – $94,087 · median $41,749 49 plans
666 PROSTATECTOMY WITH CC $3,209 – $52,732 · median $20,705 49 plans
667 PROSTATECTOMY WITHOUT CC/MCC $3,209 – $33,346 · median $13,378 49 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $3,308 – $89,177 · median $39,188 49 plans
669 TRANSURETHRAL PROCEDURES WITH CC $3,209 – $48,439 · median $21,339 49 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $3,209 – $29,460 · median $10,676 49 plans
671 URETHRAL PROCEDURES WITH CC/MCC $3,209 – $54,109 · median $24,471 49 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $3,308 – $58,610 · median $15,111 49 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $3,308 – $126,655 · median $56,201 49 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $3,209 – $70,496 · median $31,582 49 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $3,308 – $95,393 · median $22,471 49 plans
682 RENAL FAILURE WITH MCC $3,308 – $78,310 · median $20,451 49 plans
684 RENAL FAILURE WITHOUT CC/MCC $3,209 – $18,096 · median $8,842 49 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $3,209 – $54,372 · median $17,313 49 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $3,209 – $31,585 · median $14,696 49 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $3,308 – $60,293 · median $11,327 49 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $3,209 – $34,977 · median $13,612 49 plans
693 URINARY STONES WITH MCC $3,209 – $40,529 · median $18,577 49 plans
694 URINARY STONES WITHOUT MCC $3,158 – $23,564 · median $8,187 49 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $1,592 – $34,479 · median $11,234 49 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $1,257 – $20,770 · median $7,044 49 plans
697 URETHRAL STRICTURE $3,209 – $32,490 · median $13,840 49 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $3,209 – $49,871 · median $22,295 49 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $1,813 – $20,797 · median $7,052 49 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $3,209 – $60,298 · median $26,756 49 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $3,209 – $46,248 · median $20,521 49 plans
709 PENIS PROCEDURES WITH CC/MCC $3,209 – $70,149 · median $31,432 49 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $3,209 – $42,238 · median $15,879 49 plans
711 TESTES PROCEDURES WITH CC/MCC $3,209 – $62,815 · median $24,257 49 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $3,209 – $33,150 · median $14,710 49 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $3,209 – $45,319 · median $20,242 49 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $3,209 – $31,875 · median $13,633 49 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $3,209 – $67,442 · median $21,308 49 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $3,209 – $44,343 · median $20,232 49 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $3,209 – $56,988 · median $24,907 49 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $3,209 – $40,487 · median $17,965 49 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $3,308 – $61,035 · median $24,739 49 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $3,209 – $34,446 · median $15,033 49 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,209 – $55,330 · median $9,567 49 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $3,209 – $35,275 · median $15,579 49 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,209 – $21,764 · median $10,434 49 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $3,209 – $44,701 · median $19,540 49 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $3,209 – $24,453 · median $10,409 49 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $3,209 – $31,914 · median $10,450 49 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,209 – $20,257 · median $9,350 49 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $3,209 – $64,208 · median $28,853 49 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $3,209 – $40,559 · median $18,591 49 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $3,308 – $108,386 · median $48,031 49 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $3,209 – $62,116 · median $27,563 49 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,209 – $44,267 · median $19,643 49 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $3,308 – $108,002 · median $47,924 49 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $3,308 – $60,345 · median $24,662 49 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,308 – $102,324 · median $22,135 49 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $3,209 – $55,309 · median $23,225 49 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $3,209 – $61,769 · median $27,409 49 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $3,308 – $170,264 · median $18,440 49 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $3,209 – $52,364 · median $23,235 49 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $3,209 – $25,915 · median $12,235 49 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $3,209 – $41,819 · median $13,477 49 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $3,209 – $77,399 · median $34,578 49 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,209 – $45,509 · median $20,295 49 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,209 – $55,517 · median $25,082 49 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,209 – $32,791 · median $14,550 49 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,688 – $28,954 · median $9,545 49 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,209 – $52,845 · median $19,721 49 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,209 – $29,511 · median $13,675 49 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,203 – $20,004 · median $8,304 49 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $3,209 – $30,371 · median $9,978 49 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,209 – $35,250 · median $8,482 49 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $3,308 – $64,958 · median $23,095 49 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,209 – $30,226 · median $13,412 49 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,209 – $19,736 · median $8,515 49 plans
779 ABORTION WITHOUT D&C $3,209 – $26,912 · median $11,253 49 plans
799 SPLENECTOMY WITH MCC $3,308 – $136,521 · median $60,579 49 plans
800 SPLENECTOMY WITH CC $3,308 – $100,270 · median $38,342 49 plans
801 SPLENECTOMY WITHOUT CC/MCC $3,209 – $57,543 · median $22,298 49 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $3,308 – $161,104 · median $53,892 49 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $3,209 – $56,036 · median $24,865 49 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $3,209 – $40,876 · median $13,681 49 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $3,209 – $66,556 · median $21,037 49 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $3,308 – $100,011 · median $19,774 49 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $3,209 – $31,549 · median $13,999 49 plans
811 RED BLOOD CELL DISORDERS WITH MCC $3,209 – $42,332 · median $19,341 49 plans
813 COAGULATION DISORDERS $3,209 – $45,979 · median $20,943 49 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $3,209 – $64,108 · median $23,862 49 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $3,209 – $30,566 · median $14,254 49 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $2,577 – $19,051 · median $6,681 49 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $3,308 – $176,791 · median $77,712 49 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $3,209 – $67,481 · median $30,274 49 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,209 – $36,294 · median $16,762 49 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $3,308 – $138,206 · median $60,967 49 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $3,209 – $68,295 · median $27,790 49 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $3,209 – $40,677 · median $18,642 49 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $3,308 – $141,010 · median $62,570 49 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $3,209 – $69,670 · median $31,224 49 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,209 – $51,360 · median $22,790 49 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $3,209 – $95,257 · median $32,640 49 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $3,308 – $79,316 · median $20,677 49 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,209 – $36,761 · median $11,931 49 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $3,308 – $327,819 · median $74,178 49 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $3,209 – $69,377 · median $27,921 49 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,209 – $43,526 · median $19,314 49 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $3,209 – $97,514 · median $30,498 49 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $3,308 – $138,959 · median $25,161 49 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $3,192 – $30,458 · median $10,005 49 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $3,209 – $60,132 · median $26,682 49 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC — 49 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $3,209 – $25,671 · median $12,129 49 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,365 – $25,605 · median $8,522 49 plans
849 RADIOTHERAPY $3,308 – $186,276 · median $41,053 49 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $3,308 – $148,871 · median $59,231 49 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $3,209 – $60,232 · median $27,128 49 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,209 – $45,132 · median $16,163 49 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $3,209 – $137,118 · median $46,605 49 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $3,209 – $64,554 · median $20,425 49 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $3,209 – $41,988 · median $19,119 49 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $3,209 – $54,974 · median $20,703 49 plans
864 FEVER AND INFLAMMATORY CONDITIONS $3,209 – $26,759 · median $12,180 49 plans
865 VIRAL ILLNESS WITH MCC $3,209 – $45,165 · median $20,589 49 plans
866 VIRAL ILLNESS WITHOUT MCC $2,640 – $26,214 · median $8,708 49 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $3,308 – $115,030 · median $31,160 49 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $3,209 – $31,082 · median $14,140 49 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $3,209 – $21,996 · median $8,460 49 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $3,308 – $208,353 · median $91,408 49 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $3,209 – $58,556 · median $25,983 49 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $3,308 – $126,504 · median $56,134 49 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $3,209 – $57,712 · median $26,034 49 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $3,209 – $35,257 · median $16,071 49 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $3,308 – $110,724 · median $49,040 49 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $3,308 – $84,069 · median $22,896 49 plans
906 HAND PROCEDURES FOR INJURIES $3,209 – $59,213 · median $20,896 49 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $3,209 – $115,734 · median $51,214 49 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $3,308 – $139,314 · median $30,524 49 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $3,209 – $39,571 · median $18,161 49 plans
913 TRAUMATIC INJURY WITH MCC $3,209 – $49,274 · median $21,864 49 plans
914 TRAUMATIC INJURY WITHOUT MCC $3,110 – $26,693 · median $8,854 49 plans
915 ALLERGIC REACTIONS WITH MCC $3,308 – $66,003 · median $23,351 49 plans
916 ALLERGIC REACTIONS WITHOUT MCC $1,723 – $20,085 · median $6,835 49 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $3,209 – $47,279 · median $15,145 49 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $1,829 – $25,837 · median $8,028 49 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $3,209 – $55,189 · median $17,563 49 plans
920 COMPLICATIONS OF TREATMENT WITH CC $2,086 – $30,214 · median $9,930 49 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,390 – $20,751 · median $7,038 49 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $3,209 – $52,735 · median $16,813 49 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $853 – $30,678 · median $10,072 49 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $3,308 – $643,600 · median $280,294 49 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $3,209 – $216,217 · median $66,776 49 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $3,308 – $113,407 · median $43,123 49 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $3,308 – $117,389 · median $51,932 49 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $3,209 – $66,637 · median $21,330 49 plans
935 NON-EXTENSIVE BURNS $3,209 – $62,098 · median $19,674 49 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $3,308 – $109,379 · median $48,579 49 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $3,209 – $70,445 · median $26,062 49 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $3,209 – $61,124 · median $26,963 49 plans
947 SIGNS AND SYMPTOMS WITH MCC $3,209 – $38,265 · median $11,875 49 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $2,995 – $27,584 · median $8,071 49 plans
949 AFTERCARE WITH CC/MCC $2,468 – $35,863 · median $11,657 49 plans
950 AFTERCARE WITHOUT CC/MCC $3,308 – $75,784 · median $10,367 49 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,872 – $24,752 · median $5,819 49 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $3,308 – $202,905 · median $89,045 49 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $3,308 – $113,434 · median $50,334 49 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,308 – $229,698 · median $100,672 49 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $3,209 – $127,026 · median $51,198 49 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,308 – $137,959 · median $42,472 49 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,308 – $88,107 · median $36,808 49 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $3,209 – $46,199 · median $15,969 49 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,209 – $28,351 · median $13,095 49 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $3,308 – $481,576 · median $106,107 49 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $3,308 – $203,225 · median $41,240 49 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $3,209 – $86,997 · median $27,284 49 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $3,209 – $39,037 · median $12,627 49 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $3,308 – $62,377 · median $13,057 49 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $3,209 – $39,118 · median $12,652 49 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,308 – $80,225 · median $33,151 49 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,209 – $57,266 · median $23,411 49 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $3,209 – $103,347 · median $29,896 49 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,209 – $49,545 · median $15,452 49 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,209 – $36,149 · median $12,188 49 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 48 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $3,308 – $215,069 · median $62,241 48 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $3,308 – $184,620 · median $60,519 48 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $3,308 – $70,160 · median $29,348 48 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $3,308 – $55,595 · median $21,613 48 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $3,308 – $121,136 · median $50,058 48 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $3,308 – $52,237 · median $23,419 48 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $73,917 · median $17,777 48 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $3,308 – $89,722 · median $25,929 48 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $3,308 – $327,794 · median $102,541 48 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $3,308 – $105,153 · median $45,357 48 plans
253 OTHER VASCULAR PROCEDURES WITH CC $3,308 – $82,776 · median $37,314 48 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $3,308 – $53,708 · median $24,618 48 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY $3,308 – $130,447 · median $40,563 48 plans
324 URINARY STONES W/O CC $3,308 – $94,985 · median $27,407 48 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $3,308 – $96,776 · median $41,951 48 plans
397 COAGULATION DISORDERS $3,308 – $72,193 · median $32,176 48 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $3,308 – $82,456 · median $22,107 48 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $3,308 – $180,383 · median $18,268 48 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $3,308 – $86,521 · median $37,843 48 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $3,308 – $78,575 · median $28,509 48 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $3,209 – $87,039 · median $27,297 48 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $3,209 – $56,962 · median $24,653 48 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $3,209 – $68,778 · median $30,678 48 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $3,209 – $34,943 · median $15,829 48 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,209 – $25,921 · median $11,517 48 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $3,209 – $36,249 · median $15,648 48 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,209 – $21,752 · median $10,040 48 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,180 – $15,763 · median $5,514 48 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $3,258 – $85,059 · median $34,068 48 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $2,674 – $43,359 · median $9,359 48 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,236 – $18,596 · median $6,082 48 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $2,937 – $172,079 · median $13,738 48 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $2,699 – $123,094 · median $16,773 48 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $2,611 – $39,341 · median $8,665 48 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $3,308 – $134,532 · median $54,851 47 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $3,308 – $72,506 · median $31,858 47 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $3,308 – $236,648 · median $70,414 47 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $3,308 – $219,147 · median $57,480 47 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $3,209 – $25,212 · median $12,802 47 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $3,209 – $24,323 · median $9,018 47 plans
881 DEPRESSIVE NEUROSES $2,624 – $42,982 · median $9,008 47 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,273 – $23,632 · median $9,871 47 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $2,661 – $43,274 · median $17,461 47 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $2,674 – $35,409 · median $14,421 47 plans
885 PSYCHOSES $2,624 – $30,741 · median $12,618 47 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $2,649 – $58,008 · median $18,715 47 plans
887 OTHER MENTAL DISORDER DIAGNOSES $2,599 – $25,730 · median $10,269 47 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $3,308 – $93,725 · median $35,177 46 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,308 – $76,051 · median $28,220 46 plans
028 SPINAL PROCEDURES WITH MCC $3,308 – $181,117 · median $54,951 46 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $3,308 – $102,841 · median $35,342 46 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $3,308 – $66,173 · median $25,590 46 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $3,308 – $99,239 · median $33,270 46 plans
038 EXTRACRANIAL PROCEDURES WITH CC $3,308 – $57,365 · median $22,627 46 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,308 – $35,435 · median $13,715 46 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $3,308 – $39,596 · median $19,287 46 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $3,308 – $26,208 · median $9,890 46 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $3,308 – $18,122 · median $9,153 46 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $3,308 – $57,703 · median $18,954 46 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $3,308 – $294,897 · median $117,650 46 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $3,308 – $198,209 · median $74,139 46 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $3,308 – $198,209 · median $59,728 46 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $3,308 – $231,458 · median $102,666 46 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $3,308 – $160,754 · median $60,242 46 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $3,308 – $151,934 · median $54,240 46 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $3,308 – $174,055 · median $55,624 46 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $3,308 – $114,153 · median $37,054 46 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $3,308 – $254,115 · median $109,082 46 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $3,308 – $182,754 · median $73,786 46 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $3,308 – $230,461 · median $88,200 46 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $3,308 – $164,670 · median $61,162 46 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $3,308 – $176,906 · median $66,261 46 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $3,308 – $126,269 · median $46,599 46 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $3,308 – $115,773 · median $47,957 46 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $3,308 – $66,214 · median $24,865 46 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $3,308 – $54,486 · median $24,465 46 plans
245 AICD GENERATOR PROCEDURES $3,308 – $137,531 · median $51,701 46 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $3,308 – $86,999 · median $31,412 46 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $3,308 – $64,455 · median $21,840 46 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $3,308 – $94,717 · median $35,414 46 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $3,308 – $60,955 · median $23,915 46 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $3,308 – $98,054 · median $41,409 46 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $3,308 – $56,988 · median $21,917 46 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $3,308 – $49,132 · median $22,632 46 plans
265 AICD LEAD PROCEDURES $3,308 – $109,069 · median $38,041 46 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $3,308 – $215,305 · median $73,372 46 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $3,308 – $164,197 · median $60,810 46 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $3,308 – $351,490 · median $104,097 46 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $3,308 – $146,313 · median $60,195 46 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $3,308 – $159,051 · median $56,432 46 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $3,308 – $107,203 · median $46,438 46 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $3,308 – $76,959 · median $34,660 46 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $3,308 – $124,361 · median $45,387 46 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $3,308 – $99,227 · median $36,766 46 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $3,308 – $214,942 · median $80,327 46 plans
276 NON-MALIGANT BREAST DISORDERS $3,308 – $181,066 · median $54,627 46 plans
277 CELLULITIS AGE >17 W CC $3,308 – $232,912 · median $64,549 46 plans
278 CELLULITIS AGE >17 W/O CC $3,308 – $167,790 · median $47,624 46 plans
279 CELLULITIS AGE 0-17 $3,308 – $108,713 · median $31,113 46 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $3,308 – $48,355 · median $18,724 46 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $3,308 – $27,706 · median $13,274 46 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,308 – $21,797 · median $9,355 46 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $3,308 – $59,710 · median $21,808 46 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $3,308 – $20,866 · median $9,844 46 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $1,486 – $18,054 · median $6,118 46 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $3,308 – $66,704 · median $30,365 46 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $3,308 – $33,015 · median $15,583 46 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $3,308 – $131,407 · median $38,698 46 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $3,308 – $51,454 · median $23,076 46 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $3,308 – $28,025 · median $13,670 46 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $3,308 – $31,825 · median $12,298 46 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $2,664 – $21,127 · median $7,972 46 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $3,308 – $82,017 · median $25,762 46 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $3,308 – $53,145 · median $16,561 46 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $3,308 – $150,784 · median $35,053 46 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $3,308 – $91,061 · median $39,841 46 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $3,308 – $253,316 · median $112,424 46 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $3,308 – $179,754 · median $54,236 46 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $3,308 – $132,674 · median $54,251 46 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $3,308 – $261,787 · median $77,882 46 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $3,308 – $80,489 · median $31,283 46 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $3,308 – $91,434 · median $35,867 46 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $3,209 – $58,146 · median $18,467 46 plans
471 CERVICAL SPINAL FUSION WITH MCC $3,308 – $272,536 · median $71,984 46 plans
472 CERVICAL SPINAL FUSION WITH CC $3,308 – $88,809 · median $40,244 46 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $3,308 – $73,592 · median $23,584 46 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $3,308 – $87,790 · median $39,872 46 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $3,308 – $85,846 · median $29,248 46 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $3,308 – $49,166 · median $22,486 46 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $3,308 – $61,442 · median $25,512 46 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,308 – $33,665 · median $16,587 46 plans
509 ARTHROSCOPY $3,308 – $136,253 · median $25,186 46 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $3,308 – $112,659 · median $40,450 46 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $3,308 – $60,295 · median $26,628 46 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $3,308 – $45,033 · median $18,689 46 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $3,209 – $91,039 · median $33,975 46 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $3,209 – $45,199 · median $17,557 46 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $3,209 – $40,041 · median $16,514 46 plans
652 KIDNEY TRANSPLANT $3,308 – $123,997 · median $47,090 46 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $3,308 – $686,005 · median $296,307 45 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 45 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $3,308 – $331,494 · median $136,328 45 plans
006 LIVER TRANSPLANT WITHOUT MCC $3,308 – $398,454 · median $80,378 45 plans
007 LUNG TRANSPLANT $3,308 – $1,405,851 · median $274,351 45 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $3,308 – $456,981 · median $90,547 45 plans
010 PANCREAS TRANSPLANT $3,308 – $254,736 · median $85,374 45 plans
176 PULMONARY EMBOLISM WITHOUT MCC $3,308 – $24,266 · median $10,768 45 plans
181 RESPIRATORY NEOPLASMS WITH CC $3,308 – $32,285 · median $11,316 45 plans
292 HEART FAILURE AND SHOCK WITH CC $3,308 – $41,746 · median $12,095 45 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $3,308 – $32,179 · median $14,279 45 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $3,308 – $22,177 · median $9,841 45 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $2,440 – $29,038 · median $9,204 45 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $3,308 – $26,244 · median $9,010 45 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $3,308 – $30,778 · median $10,155 45 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $2,499 – $21,927 · median $7,398 45 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $3,308 – $29,563 · median $10,376 45 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $3,308 – $25,088 · median $11,321 45 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $3,308 – $36,217 · median $15,786 45 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $3,308 – $25,358 · median $9,783 45 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $3,308 – $24,939 · median $8,318 45 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $3,308 – $286,212 · median $95,779 45 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $3,308 – $202,064 · median $57,044 45 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $3,308 – $155,080 · median $51,155 45 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $3,308 – $176,974 · median $61,941 45 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $3,308 – $99,449 · median $34,395 45 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $3,308 – $30,989 · median $13,751 45 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $2,736 – $26,925 · median $8,925 45 plans
603 CELLULITIS WITHOUT MCC $3,209 – $26,253 · median $10,462 45 plans
638 DIABETES WITH CC $3,209 – $27,707 · median $11,988 45 plans
683 RENAL FAILURE WITH CC $3,209 – $26,401 · median $10,723 45 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $3,209 – $24,402 · median $8,154 45 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $3,209 – $30,597 · median $10,047 45 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $3,209 – $37,400 · median $16,596 45 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $3,209 – $27,679 · median $9,155 45 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $3,209 – $30,081 · median $9,621 45 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $3,209 – $30,847 · median $10,124 45 plans
101 SEIZURES WITHOUT MCC $3,308 – $27,208 · median $10,395 44 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $3,308 – $164,905 · median $53,093 44 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $3,209 – $64,530 · median $21,990 44 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $3,209 – $28,007 · median $10,569 44 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $3,308 – $130,407 · median $23,819 44 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $3,209 – $27,726 · median $10,889 44 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,209 – $25,229 · median $9,520 44 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $3,308 – $85,844 · median $16,327 44 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $3,209 – $29,110 · median $10,985 44 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $3,209 – $25,253 · median $9,529 44 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $636 – $45,843 · median $16,295 44 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,384 – $146,947 · median $51,978 44 plans
791 PREMATURITY WITH MAJOR PROBLEMS $2,268 – $100,940 · median $35,741 44 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $3,209 – $61,639 · median $21,870 44 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $2,305 – $103,640 · median $36,693 44 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,493 – $37,877 · median $13,484 44 plans
795 NORMAL NEWBORN $2,116 – $6,723 · median $3,028 44 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $3,209 – $30,336 · median $12,177 44 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $3,209 – $26,269 · median $9,913 44 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $3,209 – $28,710 · median $11,773 44 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $3,209 – $24,323 · median $7,643 44 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $3,209 – $165,490 · median $48,069 44 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $3,209 – $62,875 · median $19,912 44 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $3,114 – $78,150 · median $23,105 44 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $3,025 – $39,435 · median $12,039 44 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $3,308 – $141,432 · median $43,920 44 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $3,209 – $56,873 · median $14,593 43 plans
945 REHABILITATION WITH CC/MCC $3,209 – $51,665 · median $20,701 42 plans
946 REHABILITATION WITHOUT CC/MCC $3,209 – $30,851 · median $15,374 42 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $3,308 – $137,058 · median $40,479 41 plans
163 MAJOR CHEST PROCEDURES WITH MCC $3,308 – $322,003 · median $41,985 41 plans
164 MAJOR CHEST PROCEDURES WITH CC $3,308 – $76,085 · median $23,949 41 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $3,209 – $11,378 · median $11,378 30 plans
999 UNGROUPABLE $3,209 – $21,765 · median $21,765 30 plans
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