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
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $67,836 – $798,789 · median $301,430 61 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $67,836 – $608,356 · median $227,447 61 plans
007 LUNG TRANSPLANT $43,762 – $1,405,851 · median $367,509 60 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $41,043 – $477,817 · median $114,387 60 plans
010 PANCREAS TRANSPLANT $3,308 – $363,908 · median $115,841 60 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $46,634 – $336,375 · median $115,383 60 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $5,103 – $289,270 · median $97,297 59 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 57 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $3,308 – $258,588 · median $84,354 57 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $3,308 – $258,588 · median $68,745 57 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 56 plans
006 LIVER TRANSPLANT WITHOUT MCC $3,308 – $613,006 · median $93,039 56 plans
652 KIDNEY TRANSPLANT $3,308 – $258,588 · median $58,289 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 – $911,592 · median $286,171 54 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $3,308 – $628,528 · median $213,606 54 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $3,308 – $220,468 · median $81,434 54 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $3,308 – $171,238 · median $54,775 54 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $3,308 – $114,832 · median $44,316 54 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $3,308 – $361,399 · median $135,851 54 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $3,308 – $262,588 · median $96,281 54 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $3,308 – $250,323 · median $58,235 54 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $3,308 – $242,381 · median $93,871 54 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $3,308 – $161,998 · median $54,521 54 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $3,308 – $176,013 · median $63,534 54 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $3,308 – $92,090 · median $31,404 54 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $3,308 – $69,390 · median $24,001 54 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $3,308 – $166,812 · median $54,841 54 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $3,308 – $98,320 · median $33,154 54 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $3,308 – $77,313 · median $27,381 54 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $3,308 – $164,636 · median $63,580 54 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $3,308 – $95,378 · median $33,090 54 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $3,308 – $74,389 · median $29,005 54 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $3,308 – $83,141 · median $29,289 54 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $3,308 – $42,064 · median $12,141 54 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $3,308 – $63,002 · median $18,448 54 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $3,308 – $45,887 · median $12,938 54 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $3,308 – $102,360 · median $24,261 54 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $3,308 – $58,286 · median $15,581 54 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $3,308 – $73,880 · median $19,013 54 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $3,308 – $50,761 · median $16,359 54 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $3,308 – $38,370 · median $13,632 54 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $3,308 – $119,839 · median $40,096 54 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $3,308 – $80,028 · median $27,376 54 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $3,308 – $63,571 · median $23,946 54 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $3,308 – $85,642 · median $23,546 54 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $3,308 – $43,458 · median $16,383 54 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $3,308 – $29,395 · median $10,845 54 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $3,308 – $60,582 · median $23,992 54 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $3,308 – $37,241 · median $14,172 54 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $3,308 – $34,150 · median $13,752 54 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $3,308 – $121,322 · median $30,117 54 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $3,308 – $48,433 · median $18,510 54 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $3,134 – $33,479 · median $9,608 54 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $3,308 – $64,691 · median $17,884 54 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $3,308 – $43,877 · median $15,172 54 plans
075 VIRAL MENINGITIS WITH CC/MCC $3,308 – $81,828 · median $29,701 54 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $3,308 – $39,443 · median $14,379 54 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $3,308 – $94,437 · median $19,457 54 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $3,308 – $39,419 · median $12,406 54 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $3,308 – $97,413 · median $38,674 54 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $3,308 – $57,996 · median $23,190 54 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $3,308 – $39,324 · median $16,117 54 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $3,308 – $97,178 · median $34,472 54 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $3,308 – $56,315 · median $15,796 54 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $2,551 – $37,891 · median $10,483 54 plans
088 CONCUSSION WITH MCC $3,308 – $65,581 · median $17,602 54 plans
089 CONCUSSION WITH CC $2,872 – $49,166 · median $12,457 54 plans
090 CONCUSSION WITHOUT CC/MCC $3,308 – $39,969 · median $12,523 54 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $3,308 – $76,501 · median $24,379 54 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $3,308 – $48,973 · median $18,062 54 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,144 – $33,111 · median $9,971 54 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $3,308 – $154,896 · median $51,063 54 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $3,308 – $101,941 · median $36,221 54 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,308 – $93,197 · median $28,347 54 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $3,308 – $155,503 · median $47,317 54 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $3,308 – $92,120 · median $25,296 54 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $3,308 – $76,278 · median $22,674 54 plans
100 SEIZURES WITH MCC $3,308 – $84,766 · median $21,453 54 plans
102 HEADACHES WITH MCC $3,308 – $51,591 · median $19,171 54 plans
103 HEADACHES WITHOUT MCC $2,594 – $36,018 · median $9,642 54 plans
113 ORBITAL PROCEDURES WITH CC/MCC $3,308 – $107,205 · median $37,934 54 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $3,308 – $95,156 · median $22,135 54 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $3,308 – $66,889 · median $25,865 54 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $3,308 – $78,280 · median $31,922 54 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $3,308 – $51,240 · median $13,707 54 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $3,292 – $54,780 · median $13,151 54 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,308 – $31,833 · median $12,602 54 plans
123 NEUROLOGICAL EYE DISORDERS $3,308 – $34,377 · median $10,675 54 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $3,308 – $56,520 · median $22,448 54 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $2,730 – $34,099 · median $9,508 54 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $3,308 – $113,396 · median $31,937 54 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $3,308 – $46,921 · median $18,123 54 plans
137 MOUTH PROCEDURES WITH CC/MCC $3,308 – $64,336 · median $18,547 54 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $3,308 – $37,015 · median $11,107 54 plans
139 SALIVARY GLAND PROCEDURES $3,308 – $50,782 · median $18,338 54 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $3,308 – $90,260 · median $23,391 54 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $3,308 – $52,839 · median $20,487 54 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $3,308 – $71,835 · median $14,334 54 plans
149 DYSEQUILIBRIUM $3,308 – $31,841 · median $12,266 54 plans
150 EPISTAXIS WITH MCC $3,308 – $56,204 · median $21,567 54 plans
151 EPISTAXIS WITHOUT MCC $3,168 – $32,953 · median $9,232 54 plans
152 OTITIS MEDIA AND URI WITH MCC $3,308 – $50,804 · median $13,853 54 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $2,534 – $31,418 · median $8,987 54 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $3,308 – $65,769 · median $25,632 54 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $1,327 – $40,474 · median $10,502 54 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,308 – $28,027 · median $11,772 54 plans
157 DENTAL AND ORAL DISEASES WITH MCC $3,308 – $72,986 · median $20,137 54 plans
158 DENTAL AND ORAL DISEASES WITH CC $2,532 – $40,127 · median $10,431 54 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,308 – $28,870 · median $12,074 54 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $3,308 – $173,499 · median $49,051 54 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $3,308 – $77,809 · median $26,101 54 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $57,966 · median $18,214 54 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $3,308 – $59,988 · median $23,266 54 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $3,308 – $72,533 · median $26,682 54 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $3,308 – $64,711 · median $18,043 54 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $3,308 – $32,636 · median $12,184 54 plans
180 RESPIRATORY NEOPLASMS WITH MCC $3,308 – $74,320 · median $21,457 54 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $3,308 – $32,453 · median $13,222 54 plans
183 MAJOR CHEST TRAUMA WITH MCC $3,308 – $67,321 · median $17,113 54 plans
184 MAJOR CHEST TRAUMA WITH CC $2,440 – $44,976 · median $12,087 54 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $2,393 – $32,311 · median $9,107 54 plans
186 PLEURAL EFFUSION WITH MCC $3,234 – $66,363 · median $17,393 54 plans
187 PLEURAL EFFUSION WITH CC $3,308 – $42,599 · median $12,683 54 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $3,308 – $31,918 · median $12,629 54 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $3,308 – $52,677 · median $19,972 54 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $3,308 – $47,118 · median $19,799 54 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $3,308 – $36,301 · median $11,914 54 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $2,038 – $27,441 · median $7,556 54 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $3,308 – $56,721 · median $14,773 54 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $3,308 – $35,155 · median $11,716 54 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,308 – $26,749 · median $10,463 54 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $3,308 – $81,042 · median $25,025 54 plans
197 INTERSTITIAL LUNG DISEASE WITH CC — 54 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $3,308 – $104,210 · median $13,573 54 plans
199 PNEUMOTHORAX WITH MCC $3,308 – $75,855 · median $31,849 54 plans
200 PNEUMOTHORAX WITH CC $3,308 – $46,049 · median $18,821 54 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $3,308 – $72,758 · median $13,291 54 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $3,308 – $40,940 · median $12,395 54 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,308 – $29,712 · median $10,547 54 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $2,624 – $35,185 · median $9,524 54 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $3,308 – $77,403 · median $29,488 54 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $3,308 – $39,059 · median $15,686 54 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $3,308 – $362,687 · median $104,830 54 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $3,308 – $115,606 · median $38,015 54 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $3,308 – $436,754 · median $160,752 54 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $3,308 – $205,524 · median $72,263 54 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $3,308 – $120,113 · median $34,569 54 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $3,308 – $59,424 · median $22,974 54 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $3,308 – $143,398 · median $48,841 54 plans
253 OTHER VASCULAR PROCEDURES WITH CC $3,308 – $118,252 · median $40,946 54 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $3,308 – $74,188 · median $26,317 54 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $3,308 – $117,471 · median $29,616 54 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $3,308 – $70,109 · median $24,924 54 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $3,308 – $42,372 · median $18,699 54 plans
263 VEIN LIGATION AND STRIPPING $3,308 – $120,797 · median $43,136 54 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $3,308 – $139,644 · median $36,519 54 plans
291 HEART FAILURE AND SHOCK WITH MCC $3,308 – $54,896 · median $19,431 54 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,308 – $32,664 · median $10,954 54 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $3,308 – $68,548 · median $25,694 54 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $3,308 – $31,153 · median $12,140 54 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,308 – $53,251 · median $8,826 54 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $3,308 – $67,394 · median $22,832 54 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $2,038 – $30,349 · median $8,390 54 plans
302 ATHEROSCLEROSIS WITH MCC $3,308 – $47,935 · median $14,938 54 plans
303 ATHEROSCLEROSIS WITHOUT MCC $3,308 – $67,783 · median $12,541 54 plans
304 HYPERTENSION WITH MCC $3,308 – $49,128 · median $15,539 54 plans
305 HYPERTENSION WITHOUT MCC $3,308 – $32,217 · median $12,969 54 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $3,308 – $65,709 · median $19,663 54 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $3,308 – $40,303 · median $15,563 54 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $2,676 – $51,402 · median $13,588 54 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $1,294 – $23,645 · median $6,742 54 plans
311 ANGINA PECTORIS $3,308 – $29,849 · median $12,135 54 plans
312 SYNCOPE AND COLLAPSE $3,308 – $36,921 · median $12,282 54 plans
313 CHEST PAIN $3,308 – $30,939 · median $9,452 54 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $3,308 – $136,860 · median $36,708 54 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,308 – $29,618 · median $12,060 54 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $3,308 – $266,758 · median $85,113 54 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $3,308 – $68,296 · median $20,950 54 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $3,308 – $193,125 · median $67,891 54 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,308 – $101,424 · median $35,614 54 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,308 – $71,490 · median $27,565 54 plans
332 RECTAL RESECTION WITH MCC $3,308 – $155,105 · median $51,229 54 plans
333 RECTAL RESECTION WITH CC $3,308 – $151,645 · median $41,357 54 plans
334 RECTAL RESECTION WITHOUT CC/MCC $3,308 – $68,629 · median $19,566 54 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $3,308 – $152,856 · median $54,456 54 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $3,308 – $90,016 · median $31,807 54 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $3,308 – $63,982 · median $19,636 54 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $3,308 – $117,171 · median $40,082 54 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,308 – $65,871 · median $23,198 54 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,308 – $55,062 · median $21,770 54 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $3,308 – $206,495 · median $41,118 54 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $1,187 – $55,644 · median $14,713 54 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $3,308 – $102,617 · median $27,410 54 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $3,308 – $62,237 · median $21,999 54 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $3,308 – $47,418 · median $16,672 54 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $3,308 – $125,034 · median $44,376 54 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $3,308 – $73,448 · median $22,336 54 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $3,308 – $58,261 · median $22,803 54 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $3,308 – $231,238 · median $73,750 54 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $3,308 – $93,929 · median $38,693 54 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $54,776 · median $23,660 54 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $3,308 – $70,635 · median $25,709 54 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $3,308 – $42,257 · median $16,340 54 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,308 – $31,798 · median $12,363 54 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $3,308 – $74,726 · median $19,696 54 plans
374 DIGESTIVE MALIGNANCY WITH MCC $2,313 – $89,747 · median $23,620 54 plans
375 DIGESTIVE MALIGNANCY WITH CC $3,308 – $51,236 · median $15,097 54 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $3,308 – $38,114 · median $14,446 54 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $3,308 – $76,548 · median $22,083 54 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,308 – $27,074 · median $11,173 54 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $3,308 – $83,312 · median $21,725 54 plans
381 COMPLICATED PEPTIC ULCER WITH CC $3,308 – $45,878 · median $15,338 54 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,308 – $32,371 · median $11,731 54 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $3,308 – $59,783 · median $23,156 54 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $3,308 – $37,442 · median $13,062 54 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $3,308 – $91,495 · median $28,678 54 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $3,308 – $54,283 · median $17,996 54 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,308 – $29,250 · median $12,047 54 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $3,308 – $62,147 · median $20,330 54 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,308 – $23,901 · median $9,293 54 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $2,928 – $54,545 · median $14,278 54 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $3,308 – $33,590 · median $13,432 54 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $3,308 – $69,249 · median $26,749 54 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $3,308 – $43,252 · median $17,213 54 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,308 – $27,685 · median $11,450 54 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $3,308 – $91,970 · median $34,786 54 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $3,308 – $159,150 · median $40,745 54 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $3,308 – $83,688 · median $33,072 54 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $3,308 – $66,923 · median $19,782 54 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $3,308 – $123,162 · median $48,138 54 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $3,308 – $87,459 · median $32,533 54 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $3,308 – $64,546 · median $27,990 54 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $3,308 – $150,727 · median $41,838 54 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $3,308 – $84,479 · median $25,809 54 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $3,308 – $69,574 · median $24,684 54 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $3,308 – $99,102 · median $29,257 54 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $3,308 – $69,895 · median $27,240 54 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $3,308 – $56,148 · median $16,584 54 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $3,308 – $136,857 · median $37,233 54 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $3,308 – $73,097 · median $28,907 54 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $3,308 – $60,330 · median $20,696 54 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $3,308 – $167,218 · median $60,150 54 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $3,308 – $91,900 · median $36,463 54 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $68,492 · median $20,641 54 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $3,308 – $167,818 · median $33,591 54 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $3,308 – $44,082 · median $14,047 54 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,308 – $28,626 · median $10,255 54 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $3,308 – $75,248 · median $20,378 54 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $3,308 – $35,535 · median $13,695 54 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $3,308 – $71,353 · median $25,362 54 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,308 – $26,321 · median $10,057 54 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $3,308 – $78,168 · median $22,820 54 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $3,308 – $40,683 · median $11,710 54 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,308 – $30,558 · median $12,075 54 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $3,308 – $70,167 · median $28,084 54 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,308 – $46,468 · median $13,613 54 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $3,308 – $242,163 · median $75,645 54 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $3,308 – $128,331 · median $34,094 54 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,308 – $79,990 · median $20,239 54 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $3,308 – $221,763 · median $56,533 54 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $3,308 – $149,064 · median $43,405 54 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $3,308 – $114,144 · median $45,540 54 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $3,308 – $183,975 · median $46,958 54 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $3,308 – $91,701 · median $37,082 54 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,308 – $59,305 · median $21,401 54 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,308 – $144,048 · median $48,421 54 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,308 – $101,920 · median $29,037 54 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,308 – $79,699 · median $31,064 54 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $3,308 – $106,217 · median $43,457 54 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $3,308 – $163,723 · median $57,364 54 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $3,308 – $85,869 · median $34,894 54 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,308 – $66,055 · median $23,513 54 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $3,308 – $148,029 · median $46,460 54 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $3,308 – $102,689 · median $27,885 54 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $3,308 – $79,921 · median $26,209 54 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $3,308 – $153,121 · median $59,233 54 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $3,308 – $84,980 · median $31,574 54 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $3,308 – $61,031 · median $17,294 54 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $3,308 – $111,639 · median $32,884 54 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $3,308 – $91,645 · median $21,949 54 plans
500 SOFT TISSUE PROCEDURES WITH MCC $3,308 – $138,652 · median $52,002 54 plans
501 SOFT TISSUE PROCEDURES WITH CC $3,308 – $74,213 · median $29,260 54 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $3,308 – $59,120 · median $22,817 54 plans
503 FOOT PROCEDURES WITH MCC $3,308 – $142,931 · median $49,250 54 plans
504 FOOT PROCEDURES WITH CC $3,308 – $73,846 · median $30,722 54 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $3,308 – $72,931 · median $29,633 54 plans
506 MAJOR THUMB OR JOINT PROCEDURES $3,308 – $62,536 · median $22,871 54 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $3,308 – $91,145 · median $30,280 54 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $3,308 – $61,314 · median $21,523 54 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $3,308 – $116,325 · median $41,454 54 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $3,308 – $85,249 · median $28,599 54 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $3,308 – $69,001 · median $27,040 54 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $3,308 – $69,309 · median $19,877 54 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $3,308 – $44,531 · median $17,573 54 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $3,308 – $135,176 · median $41,306 54 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $3,308 – $87,258 · median $27,434 54 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $63,896 · median $23,022 54 plans
533 FRACTURES OF FEMUR WITH MCC $3,308 – $69,754 · median $25,315 54 plans
534 FRACTURES OF FEMUR WITHOUT MCC $3,308 – $34,633 · median $10,485 54 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $3,308 – $55,443 · median $19,859 54 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $3,247 – $33,654 · median $10,014 54 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $3,308 – $41,346 · median $16,141 54 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $3,308 – $30,319 · median $12,607 54 plans
539 OSTEOMYELITIS WITH MCC $1,330 – $84,847 · median $21,806 54 plans
540 OSTEOMYELITIS WITH CC $3,308 – $55,507 · median $16,167 54 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $3,308 – $47,911 · median $14,815 54 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $3,308 – $77,976 · median $23,349 54 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $3,308 – $32,816 · median $10,498 54 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $3,308 – $106,602 · median $27,301 54 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $3,308 – $51,278 · median $19,698 54 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,308 – $34,779 · median $12,675 54 plans
548 SEPTIC ARTHRITIS WITH MCC $3,308 – $83,368 · median $24,802 54 plans
549 SEPTIC ARTHRITIS WITH CC $3,308 – $51,573 · median $13,829 54 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $1,694 – $39,371 · median $10,047 54 plans
551 MEDICAL BACK PROBLEMS WITH MCC $2,299 – $72,768 · median $18,655 54 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $3,308 – $41,316 · median $13,419 54 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $3,308 – $57,786 · median $16,072 54 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $3,039 – $35,138 · median $10,322 54 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,308 – $59,817 · median $24,005 54 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $3,308 – $35,249 · median $13,646 54 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $3,308 – $66,564 · median $25,103 54 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,308 – $79,122 · median $31,228 54 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,308 – $55,581 · median $19,384 54 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,308 – $33,359 · median $13,487 54 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $3,262 – $65,021 · median $15,958 54 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $3,308 – $38,293 · median $14,088 54 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $3,308 – $66,782 · median $22,243 54 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $3,308 – $62,514 · median $17,936 54 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $668 – $32,089 · median $8,708 54 plans
570 SKIN DEBRIDEMENT WITH MCC $3,308 – $365,150 · median $59,379 54 plans
571 SKIN DEBRIDEMENT WITH CC $3,308 – $72,341 · median $24,810 54 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $3,308 – $48,726 · median $16,321 54 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $3,308 – $265,867 · median $70,542 54 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $3,308 – $145,622 · median $41,572 54 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,308 – $87,481 · median $30,128 54 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $3,308 – $242,992 · median $53,268 54 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $3,308 – $113,268 · median $30,707 54 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,308 – $79,712 · median $28,275 54 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $3,308 – $142,902 · median $45,043 54 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $3,308 – $74,679 · median $19,212 54 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $3,308 – $57,581 · median $23,035 54 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $3,308 – $71,280 · median $25,245 54 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $3,308 – $65,072 · median $19,173 54 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $3,308 – $72,003 · median $24,129 54 plans
592 SKIN ULCERS WITH MCC $3,308 – $89,366 · median $21,437 54 plans
593 SKIN ULCERS WITH CC $3,249 – $51,732 · median $13,398 54 plans
594 SKIN ULCERS WITHOUT CC/MCC $3,308 – $36,355 · median $14,541 54 plans
595 MAJOR SKIN DISORDERS WITH MCC $3,308 – $92,996 · median $30,286 54 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $2,278 – $43,142 · median $12,284 54 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $3,308 – $68,433 · median $18,558 54 plans
598 MALIGNANT BREAST DISORDERS WITH CC $3,308 – $126,768 · median $20,280 54 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,308 – $77,457 · median $12,546 54 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $3,308 – $43,847 · median $14,696 54 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,308 – $26,621 · median $9,520 54 plans
602 CELLULITIS WITH MCC $3,308 – $63,601 · median $21,027 54 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $3,308 – $64,401 · median $20,167 54 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $3,308 – $45,882 · median $15,524 54 plans
606 MINOR SKIN DISORDERS WITH MCC $3,308 – $67,804 · median $17,479 54 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $2,001 – $38,203 · median $10,394 54 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $3,308 – $96,306 · median $33,440 54 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $3,308 – $62,900 · median $19,429 54 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $3,308 – $169,219 · median $53,531 54 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,308 – $84,851 · median $27,272 54 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,308 – $85,315 · median $22,843 54 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $3,308 – $163,571 · median $38,865 54 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,308 – $79,588 · median $24,639 54 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,308 – $78,585 · median $20,170 54 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $3,308 – $171,648 · median $40,664 54 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $3,308 – $96,751 · median $26,839 54 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $103,671 · median $24,658 54 plans
637 DIABETES WITH MCC $3,308 – $61,968 · median $20,477 54 plans
639 DIABETES WITHOUT CC/MCC $3,025 – $26,616 · median $7,588 54 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $2,173 – $56,234 · median $15,000 54 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $3,308 – $33,410 · median $11,997 54 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $1,198 – $55,725 · median $15,929 54 plans
643 ENDOCRINE DISORDERS WITH MCC $3,308 – $70,340 · median $22,946 54 plans
644 ENDOCRINE DISORDERS WITH CC $3,308 – $45,395 · median $15,388 54 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $3,308 – $32,534 · median $11,718 54 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $3,308 – $302,839 · median $88,341 54 plans
654 MAJOR BLADDER PROCEDURES WITH CC $3,308 – $117,047 · median $40,539 54 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $3,308 – $90,123 · median $30,449 54 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $3,308 – $134,154 · median $47,773 54 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $3,308 – $78,852 · median $27,429 54 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $3,308 – $63,297 · median $25,616 54 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $3,308 – $110,694 · median $27,936 54 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $3,308 – $57,547 · median $15,645 54 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $3,308 – $44,826 · median $15,872 54 plans
662 MINOR BLADDER PROCEDURES WITH MCC $3,308 – $128,130 · median $33,523 54 plans
663 MINOR BLADDER PROCEDURES WITH CC $3,308 – $62,382 · median $18,881 54 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $3,308 – $62,994 · median $17,972 54 plans
665 PROSTATECTOMY WITH MCC $3,308 – $132,081 · median $44,733 54 plans
666 PROSTATECTOMY WITH CC $3,308 – $73,431 · median $20,073 54 plans
667 PROSTATECTOMY WITHOUT CC/MCC $3,308 – $44,878 · median $12,962 54 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $3,308 – $120,489 · median $45,018 54 plans
669 TRANSURETHRAL PROCEDURES WITH CC $3,308 – $65,615 · median $24,409 54 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $3,308 – $41,158 · median $11,155 54 plans
671 URETHRAL PROCEDURES WITH CC/MCC $3,308 – $73,196 · median $26,468 54 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $3,308 – $58,610 · median $17,920 54 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $3,308 – $158,115 · median $62,969 54 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $3,308 – $101,856 · median $33,741 54 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $3,308 – $95,393 · median $27,606 54 plans
682 RENAL FAILURE WITH MCC $3,308 – $78,310 · median $25,007 54 plans
684 RENAL FAILURE WITHOUT CC/MCC $3,308 – $26,018 · median $9,461 54 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $3,308 – $78,647 · median $20,024 54 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $3,308 – $44,694 · median $15,722 54 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $3,308 – $60,293 · median $13,604 54 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $3,308 – $50,214 · median $13,366 54 plans
693 URINARY STONES WITH MCC $3,308 – $60,557 · median $18,531 54 plans
694 URINARY STONES WITHOUT MCC $3,158 – $33,466 · median $9,056 54 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $1,592 – $51,137 · median $12,942 54 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $1,257 – $29,592 · median $8,061 54 plans
697 URETHRAL STRICTURE $3,308 – $47,593 · median $13,205 54 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $3,308 – $70,737 · median $24,034 54 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $1,813 – $30,285 · median $8,070 54 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $3,308 – $83,885 · median $28,308 54 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $3,308 – $62,361 · median $22,032 54 plans
709 PENIS PROCEDURES WITH CC/MCC $3,308 – $90,645 · median $34,290 54 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $3,308 – $52,775 · median $15,791 54 plans
711 TESTES PROCEDURES WITH CC/MCC $3,308 – $90,769 · median $23,644 54 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $3,308 – $50,812 · median $15,906 54 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $3,308 – $62,028 · median $20,437 54 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $3,308 – $40,983 · median $13,187 54 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $3,308 – $94,386 · median $24,678 54 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $3,308 – $60,809 · median $21,638 54 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $3,308 – $77,548 · median $24,357 54 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $3,308 – $50,274 · median $19,059 54 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $3,308 – $80,161 · median $29,522 54 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $3,308 – $47,644 · median $14,496 54 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,308 – $55,330 · median $10,911 54 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $3,308 – $53,057 · median $15,022 54 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,308 – $31,251 · median $11,362 54 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $3,308 – $69,309 · median $18,779 54 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $3,308 – $34,210 · median $10,037 54 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $3,308 – $42,924 · median $12,029 54 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,308 – $26,578 · median $10,114 54 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $3,308 – $92,937 · median $29,694 54 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $3,308 – $53,882 · median $20,087 54 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $3,308 – $166,205 · median $56,281 54 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $3,308 – $84,394 · median $29,531 54 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,308 – $58,346 · median $21,055 54 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $3,308 – $154,622 · median $52,587 54 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $3,308 – $76,407 · median $29,348 54 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,308 – $102,324 · median $23,594 54 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $3,308 – $76,189 · median $22,885 54 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $3,308 – $80,486 · median $28,288 54 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $3,308 – $170,264 · median $19,860 54 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $3,308 – $71,665 · median $22,720 54 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $3,308 – $37,934 · median $13,504 54 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $3,308 – $60,069 · median $15,555 54 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $3,308 – $107,628 · median $36,673 54 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $58,150 · median $23,096 54 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,308 – $79,207 · median $27,573 54 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,308 – $46,379 · median $15,609 54 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,688 – $42,317 · median $10,975 54 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,308 – $63,776 · median $24,211 54 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,308 – $42,441 · median $13,533 54 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,203 – $27,630 · median $8,046 54 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $3,308 – $42,560 · median $11,479 54 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,308 – $35,250 · median $10,032 54 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $3,308 – $66,013 · median $26,649 54 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,308 – $34,150 · median $12,961 54 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,284 – $30,644 · median $8,211 54 plans
779 ABORTION WITHOUT D&C $3,308 – $42,295 · median $11,059 54 plans
799 SPLENECTOMY WITH MCC $3,308 – $211,844 · median $65,631 54 plans
800 SPLENECTOMY WITH CC $3,308 – $120,476 · median $46,535 54 plans
801 SPLENECTOMY WITHOUT CC/MCC $3,308 – $76,522 · median $21,725 54 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $3,308 – $161,104 · median $57,271 54 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $3,308 – $79,451 · median $25,492 54 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $3,308 – $51,753 · median $15,219 54 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $3,308 – $93,642 · median $24,362 54 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $3,308 – $100,011 · median $21,326 54 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $3,308 – $42,949 · median $14,949 54 plans
811 RED BLOOD CELL DISORDERS WITH MCC $3,308 – $60,014 · median $20,845 54 plans
813 COAGULATION DISORDERS $3,308 – $66,701 · median $22,832 54 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $3,308 – $90,991 · median $23,550 54 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $3,308 – $42,509 · median $14,359 54 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $2,577 – $30,366 · median $7,449 54 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $3,308 – $258,539 · median $82,832 54 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $3,308 – $95,438 · median $32,486 54 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $52,967 · median $18,293 54 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $3,308 – $192,488 · median $65,234 54 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $3,308 – $95,472 · median $26,798 54 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $3,308 – $55,216 · median $19,239 54 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $3,308 – $187,652 · median $69,213 54 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $3,308 – $99,077 · median $33,586 54 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $70,139 · median $23,615 54 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $3,308 – $134,847 · median $34,581 54 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $3,308 – $79,316 · median $24,649 54 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $51,193 · median $13,754 54 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $3,308 – $327,819 · median $84,870 54 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $3,308 – $83,479 · median $28,534 54 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,308 – $55,717 · median $19,193 54 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $3,308 – $133,624 · median $35,384 54 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $3,308 – $138,959 · median $27,604 54 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $3,192 – $45,596 · median $11,510 54 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $3,308 – $79,554 · median $28,513 54 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC — 54 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $3,308 – $36,981 · median $13,010 54 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,365 – $32,474 · median $9,782 54 plans
849 RADIOTHERAPY $3,308 – $186,276 · median $38,979 54 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $3,308 – $213,755 · median $57,115 54 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $3,308 – $87,147 · median $30,190 54 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $72,764 · median $16,735 54 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $3,308 – $189,345 · median $49,485 54 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $3,308 – $91,316 · median $23,650 54 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $54,874 · median $19,432 54 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $3,308 – $78,758 · median $20,471 54 plans
864 FEVER AND INFLAMMATORY CONDITIONS $3,308 – $37,746 · median $12,789 54 plans
865 VIRAL ILLNESS WITH MCC $3,308 – $70,117 · median $22,881 54 plans
866 VIRAL ILLNESS WITHOUT MCC $2,640 – $39,238 · median $9,999 54 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $3,308 – $115,030 · median $34,928 54 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $3,308 – $46,413 · median $14,624 54 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $3,263 – $29,532 · median $8,498 54 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $3,308 – $297,798 · median $94,771 54 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $3,308 – $84,770 · median $27,844 54 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $3,308 – $185,044 · median $57,674 54 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $3,308 – $80,584 · median $27,651 54 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $3,308 – $53,083 · median $17,246 54 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $3,308 – $139,225 · median $51,925 54 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $3,308 – $84,069 · median $25,046 54 plans
906 HAND PROCEDURES FOR INJURIES $3,308 – $80,452 · median $21,748 54 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $3,308 – $159,035 · median $51,129 54 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $3,308 – $139,314 · median $33,340 54 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $3,308 – $57,991 · median $19,475 54 plans
913 TRAUMATIC INJURY WITH MCC $3,308 – $63,900 · median $23,149 54 plans
914 TRAUMATIC INJURY WITHOUT MCC $3,110 – $38,811 · median $10,170 54 plans
915 ALLERGIC REACTIONS WITH MCC $3,308 – $75,851 · median $28,258 54 plans
916 ALLERGIC REACTIONS WITHOUT MCC $1,723 – $28,168 · median $7,817 54 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $3,308 – $68,236 · median $17,499 54 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $1,829 – $36,810 · median $9,104 54 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $3,308 – $78,019 · median $20,315 54 plans
920 COMPLICATIONS OF TREATMENT WITH CC $2,086 – $44,202 · median $11,423 54 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,390 – $29,836 · median $8,054 54 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $3,308 – $74,607 · median $19,441 54 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $853 – $43,244 · median $11,589 54 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $3,308 – $1,127,019 · median $281,755 54 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $3,308 – $295,866 · median $77,646 54 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $3,308 – $137,485 · median $51,772 54 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $3,308 – $129,639 · median $52,696 54 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $3,308 – $89,469 · median $24,391 54 plans
935 NON-EXTENSIVE BURNS $3,308 – $87,271 · median $22,775 54 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $3,308 – $137,477 · median $52,411 54 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $3,308 – $92,637 · median $25,905 54 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $3,308 – $79,357 · median $26,470 54 plans
947 SIGNS AND SYMPTOMS WITH MCC $3,308 – $53,515 · median $13,943 54 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $3,308 – $34,248 · median $10,132 54 plans
949 AFTERCARE WITH CC/MCC $2,468 – $44,301 · median $13,435 54 plans
950 AFTERCARE WITHOUT CC/MCC $3,308 – $75,784 · median $11,178 54 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,872 – $25,227 · median $6,633 54 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $3,308 – $260,399 · median $91,805 54 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $3,308 – $165,820 · median $55,126 54 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,308 – $309,240 · median $107,841 54 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $3,308 – $172,944 · median $49,370 54 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,308 – $137,959 · median $48,215 54 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,308 – $116,910 · median $43,331 54 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $3,308 – $64,178 · median $17,115 54 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,308 – $40,871 · median $14,083 54 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $3,308 – $481,576 · median $111,304 54 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $3,308 – $203,225 · median $47,079 54 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $3,308 – $124,701 · median $31,640 54 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $3,308 – $58,291 · median $14,565 54 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $3,308 – $62,377 · median $15,635 54 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $3,308 – $60,548 · median $14,594 54 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,308 – $106,294 · median $39,263 54 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,308 – $69,916 · median $27,850 54 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $3,308 – $144,378 · median $30,128 54 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,308 – $72,559 · median $15,380 54 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $3,308 – $341,778 · median $62,231 53 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $3,308 – $184,620 · median $65,949 53 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $3,308 – $88,580 · median $34,186 53 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $3,308 – $66,060 · median $25,275 53 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $3,308 – $142,193 · median $58,044 53 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $3,308 – $73,991 · median $27,355 53 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $73,917 · median $21,712 53 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $3,308 – $131,478 · median $26,137 53 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $3,308 – $460,523 · median $117,371 53 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY $3,308 – $177,014 · median $47,110 53 plans
324 URINARY STONES W/O CC $3,308 – $126,928 · median $27,616 53 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $3,308 – $113,062 · median $40,961 53 plans
397 COAGULATION DISORDERS $3,308 – $96,058 · median $37,444 53 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $3,308 – $82,456 · median $27,903 53 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $3,308 – $180,383 · median $21,370 53 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $3,308 – $128,023 · median $31,470 53 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $3,308 – $90,311 · median $27,501 53 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $3,308 – $110,676 · median $31,655 53 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $3,308 – $73,260 · median $25,335 53 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $3,308 – $96,417 · median $32,793 53 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $3,308 – $50,158 · median $16,648 53 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,308 – $38,789 · median $11,208 53 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $3,308 – $43,176 · median $14,867 53 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,308 – $31,542 · median $10,134 53 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,180 – $21,883 · median $6,278 53 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $3,308 – $159,548 · median $34,966 53 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,308 – $46,190 · median $13,536 53 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $3,308 – $126,266 · median $37,276 52 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,308 – $104,024 · median $34,660 52 plans
028 SPINAL PROCEDURES WITH MCC $3,308 – $257,658 · median $59,542 52 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $3,308 – $146,580 · median $37,919 52 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $3,308 – $99,153 · median $27,327 52 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $3,308 – $144,331 · median $35,998 52 plans
038 EXTRACRANIAL PROCEDURES WITH CC $3,308 – $68,407 · median $24,160 52 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,308 – $48,786 · median $15,974 52 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $3,308 – $64,602 · median $20,610 52 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $3,308 – $43,480 · median $11,376 52 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $3,308 – $31,674 · median $9,153 52 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $3,308 – $80,229 · median $21,210 52 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $3,308 – $414,970 · median $119,035 52 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $3,308 – $272,161 · median $83,053 52 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $3,308 – $243,574 · median $65,090 52 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $3,308 – $329,708 · median $104,438 52 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $3,308 – $224,243 · median $63,942 52 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $3,308 – $198,760 · median $57,745 52 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $3,308 – $215,440 · median $59,368 52 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $3,308 – $135,950 · median $41,706 52 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $3,308 – $346,982 · median $108,631 52 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $3,308 – $254,344 · median $73,422 52 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $3,308 – $333,487 · median $92,407 52 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $3,308 – $222,247 · median $63,989 52 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $3,308 – $251,437 · median $70,589 52 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $3,308 – $172,790 · median $49,479 52 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $3,308 – $147,730 · median $49,397 52 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $3,308 – $97,383 · median $28,478 52 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $3,308 – $78,224 · median $26,080 52 plans
245 AICD GENERATOR PROCEDURES $3,308 – $193,749 · median $56,458 52 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $3,308 – $100,513 · median $34,130 52 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $3,308 – $67,851 · median $23,235 52 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $3,308 – $115,812 · median $37,536 52 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $3,308 – $79,810 · median $26,195 52 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $3,308 – $141,748 · median $44,159 52 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $3,308 – $80,460 · median $24,254 52 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $3,308 – $70,348 · median $22,815 52 plans
265 AICD LEAD PROCEDURES $3,308 – $151,108 · median $40,499 52 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 52 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $3,308 – $208,663 · median $65,925 52 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $3,308 – $351,490 · median $112,469 52 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $3,308 – $177,809 · median $66,964 52 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $3,308 – $216,218 · median $60,427 52 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $3,308 – $147,777 · median $46,213 52 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $3,308 – $104,306 · median $34,827 52 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $3,308 – $166,624 · median $47,061 52 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $3,308 – $138,567 · median $38,998 52 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $3,308 – $67,834 · median $21,310 52 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $3,308 – $39,037 · median $14,080 52 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,308 – $30,704 · median $10,678 52 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $3,308 – $84,291 · median $23,097 52 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $3,308 – $31,627 · median $10,878 52 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $1,486 – $20,895 · median $6,579 52 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $3,308 – $92,167 · median $32,731 52 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $3,308 – $46,246 · median $16,541 52 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $3,308 – $131,407 · median $44,862 52 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $3,308 – $63,182 · median $25,111 52 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $3,308 – $43,834 · median $14,483 52 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $3,308 – $46,763 · median $13,846 52 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $2,664 – $27,001 · median $8,735 52 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $3,308 – $186,502 · median $51,417 52 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $3,308 – $95,177 · median $29,364 52 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $3,308 – $360,416 · median $116,566 52 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $3,308 – $259,762 · median $59,099 52 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $3,308 – $193,732 · median $63,270 52 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $3,308 – $291,539 · median $89,920 52 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $3,308 – $121,699 · median $41,591 52 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $3,308 – $142,372 · median $37,481 52 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $3,308 – $80,456 · median $20,344 52 plans
471 CERVICAL SPINAL FUSION WITH MCC $3,308 – $272,536 · median $79,259 52 plans
472 CERVICAL SPINAL FUSION WITH CC $3,308 – $126,364 · median $42,990 52 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $3,308 – $105,208 · median $26,867 52 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $3,308 – $126,086 · median $42,745 52 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $3,308 – $88,716 · median $31,456 52 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $3,308 – $67,915 · median $23,324 52 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $3,308 – $90,072 · median $27,192 52 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,308 – $52,920 · median $17,593 52 plans
509 ARTHROSCOPY $3,308 – $136,253 · median $25,777 52 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $3,308 – $156,140 · median $49,237 52 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $3,308 – $84,171 · median $28,560 52 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $3,308 – $61,207 · median $20,982 52 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $3,308 – $124,902 · median $36,011 52 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $3,308 – $63,789 · median $19,752 52 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $3,308 – $52,848 · median $16,339 52 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 51 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $3,308 – $300,830 · median $77,192 51 plans
276 NON-MALIGANT BREAST DISORDERS $3,308 – $265,530 · median $53,919 51 plans
277 CELLULITIS AGE >17 W CC $3,308 – $232,912 · median $71,332 51 plans
278 CELLULITIS AGE >17 W/O CC $3,308 – $190,713 · median $48,247 51 plans
279 CELLULITIS AGE 0-17 $3,308 – $136,848 · median $31,506 51 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $3,308 – $122,914 · median $27,308 51 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $3,308 – $77,963 · median $17,408 51 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $3,308 – $378,887 · median $95,779 51 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $3,308 – $261,515 · median $62,718 51 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $3,308 – $196,922 · median $51,155 51 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $3,308 – $283,577 · median $71,847 51 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $3,308 – $156,401 · median $39,924 51 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $3,308 – $43,359 · median $10,971 51 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,308 – $19,311 · median $7,287 51 plans
176 PULMONARY EMBOLISM WITHOUT MCC $3,308 – $34,873 · median $11,260 50 plans
181 RESPIRATORY NEOPLASMS WITH CC $3,308 – $47,080 · median $14,177 50 plans
292 HEART FAILURE AND SHOCK WITH CC $3,308 – $42,397 · median $14,362 50 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $3,308 – $45,622 · median $14,669 50 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $3,308 – $31,841 · median $9,668 50 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $2,440 – $41,359 · median $9,162 50 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $3,308 – $150,784 · median $40,616 50 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $3,308 – $41,722 · median $12,007 50 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $3,308 – $44,566 · median $12,328 50 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $2,499 – $30,635 · median $7,837 50 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $3,308 – $42,064 · median $11,183 50 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $3,308 – $35,840 · median $12,763 50 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $3,308 – $123,457 · median $45,338 50 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $3,308 – $47,063 · median $18,146 50 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $3,308 – $36,566 · median $9,739 50 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $3,308 – $34,270 · median $9,135 50 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $3,308 – $46,635 · median $13,290 50 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $2,736 – $37,558 · median $9,401 50 plans
603 CELLULITIS WITHOUT MCC $3,308 – $37,827 · median $10,238 50 plans
638 DIABETES WITH CC $3,308 – $38,456 · median $12,069 50 plans
683 RENAL FAILURE WITH CC $3,308 – $38,516 · median $10,394 50 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $3,308 – $34,501 · median $8,674 50 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $3,308 – $43,646 · median $11,560 50 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $3,308 – $49,684 · median $16,089 50 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $3,308 – $38,511 · median $10,521 50 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $3,308 – $42,992 · median $9,607 50 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $3,308 – $44,035 · median $11,649 50 plans
881 DEPRESSIVE NEUROSES $3,308 – $42,982 · median $9,330 50 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,273 – $32,305 · median $9,966 50 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $2,661 – $57,689 · median $17,496 50 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $3,308 – $47,524 · median $14,580 50 plans
885 PSYCHOSES $3,308 – $41,492 · median $12,751 50 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $3,308 – $60,789 · median $18,602 50 plans
887 OTHER MENTAL DISORDER DIAGNOSES $3,308 – $32,223 · median $10,410 50 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $3,308 – $172,079 · median $22,268 50 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $3,308 – $123,094 · median $21,760 50 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $3,308 – $39,341 · median $9,518 50 plans
101 SEIZURES WITHOUT MCC $3,308 – $38,892 · median $10,353 49 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $3,308 – $235,386 · median $59,378 49 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $3,308 – $83,744 · median $23,641 49 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $3,308 – $52,082 · median $12,167 49 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $3,308 – $130,407 · median $24,323 49 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $3,308 – $43,787 · median $12,044 49 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,308 – $37,040 · median $10,946 49 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $3,308 – $85,844 · median $18,369 49 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $3,308 – $44,942 · median $12,652 49 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $3,308 – $36,557 · median $10,956 49 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $3,308 – $60,647 · median $13,191 49 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $3,308 – $42,582 · median $11,403 49 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $3,308 – $34,684 · median $10,938 49 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $3,308 – $43,108 · median $12,249 49 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $3,308 – $31,927 · median $8,758 49 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $3,308 – $27,976 · median $7,902 49 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $3,308 – $239,396 · median $48,048 49 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $3,308 – $95,583 · median $23,052 49 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $3,114 – $104,498 · median $23,062 49 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $3,025 – $51,847 · median $11,987 49 plans
945 REHABILITATION WITH CC/MCC $1,140 – $64,542 · median $19,780 49 plans
946 REHABILITATION WITHOUT CC/MCC $1,140 – $43,300 · median $14,978 49 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $3,308 – $202,685 · median $51,020 49 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $3,308 – $73,260 · median $15,483 48 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $636 – $77,792 · median $16,247 48 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,384 – $256,546 · median $51,960 48 plans
791 PREMATURITY WITH MAJOR PROBLEMS $2,268 – $175,205 · median $35,709 48 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $3,308 – $105,717 · median $21,827 48 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $2,305 – $179,977 · median $36,663 48 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,493 – $63,704 · median $13,434 48 plans
795 NORMAL NEWBORN $2,179 – $8,624 · median $3,077 48 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $3,308 – $188,815 · median $41,000 47 plans
163 MAJOR CHEST PROCEDURES WITH MCC $3,308 – $322,003 · median $48,767 47 plans
164 MAJOR CHEST PROCEDURES WITH CC $3,308 – $109,047 · median $27,755 47 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $3,308 – $11,378 · median $11,378 33 plans
999 UNGROUPABLE $3,308 – $21,765 · median $21,765 33 plans
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