Phoenixville Hospital — Pricing

860 procedures published in this hospital's Machine-Readable File (MRF) — 283 with a comparable price, 577 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 860
Lowest published price $1,034
Average published price $14,247
Highest published price $94,464

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 860 procedures

Published charges

Showing all 283 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above. Cash-pay prices not published for this hospital.

Across 32 procedures, this hospital's negotiated rates average ≈122% of what Medicare pays.

DRG Description Published price vs. PA median vs. National median vs Medicare
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $94,464 $301,734 −69% $143,242 −34% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $67,360 $169,413 −60% $111,320 −39% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $61,529 $78,810 −22% $80,018 −23% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $59,297 $212,913 −72% $144,569 −59% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $57,495 $110,367 −48% $126,098 −54% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $56,470 $137,693 −59% $131,961 −57% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $54,795 $67,871 −19% $76,001 −28% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $53,761 $160,856 −67% $82,247 −35% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $45,858 $88,566 −48% $88,566 −48% —
460 NON-EXTENSIVE BURNS W/O O.R. $44,053 $45,459 −3% $51,625 −15% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $42,754 $97,437 −56% $65,608 −35% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $39,729 $144,482 −73% $93,390 −57% —
163 MAJOR CHEST PROCEDURES WITH MCC $39,449 $112,373 −65% $90,195 −56% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $38,891 $208,728 −81% $96,905 −60% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $38,788 $200,042 −81% $102,573 −62% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $37,620 $26,123 +44% $33,047 +14% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $36,144 $166,484 −78% $87,761 −59% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $33,681 $122,370 −72% $82,561 −59% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $32,556 $160,685 −80% $85,159 −62% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $31,658 $117,913 −73% $101,510 −69% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $31,475 $105,590 −70% $77,817 −60% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $30,859 $54,937 −44% $78,852 −61% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $30,554 $96,162 −68% $71,755 −57% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $29,839 $178,432 −83% $81,998 −64% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $29,089 $67,119 −57% $49,351 −41% —
791 PREMATURITY WITH MAJOR PROBLEMS $28,395 $48,371 −41% $42,679 −33% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $28,141 $53,400 −47% $47,737 −41% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $27,846 $95,155 −71% $61,470 −55% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $27,318 $86,115 −68% $52,036 −48% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $26,708 $213,354 −87% $96,507 −72% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $26,511 $50,532 −48% $51,953 −49% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $26,359 $163,981 −84% $70,564 −63% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $25,653 $132,947 −81% $71,014 −64% —
397 APPENDIX PROCEDURES WITH MCC $25,645 $66,179 −61% $53,257 −52% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $25,511 $122,711 −79% $70,847 −64% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $25,266 $108,910 −77% $70,132 −64% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $25,012 $39,935 −37% $40,642 −38% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $24,905 $58,683 −58% $45,333 −45% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $24,445 $76,440 −68% $101,618 −76% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $24,399 $74,887 −67% $65,216 −63% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $23,816 $91,060 −74% $71,464 −67% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $23,372 $77,160 −70% $49,418 −53% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $23,269 $131,865 −82% $65,573 −65% ≈109% of Medicare
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $23,168 $48,760 −52% $64,523 −64% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $23,064 $25,237 −9% $27,152 −15% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $22,934 $69,243 −67% $58,228 −61% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $21,853 $35,948 −39% $43,650 −50% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $21,634 $54,941 −61% $50,618 −57% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $21,559 $52,334 −59% $44,139 −51% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $21,457 $91,440 −77% $88,307 −76% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $21,455 $73,489 −71% $80,793 −73% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $20,983 $31,011 −32% $25,094 −16% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $20,849 $67,997 −69% $59,790 −65% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $20,700 $40,692 −49% $33,661 −39% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $20,625 $41,794 −51% $32,944 −37% —
339 TESTES PROCEDURES, NON-MALIGNANCY $20,579 $19,526 — $18,474 +11% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $20,560 $92,880 −78% $54,929 −63% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $20,541 $48,975 −58% $46,295 −56% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $20,224 $44,033 −54% $38,861 −48% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $19,892 $30,729 −35% $33,424 −40% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $19,799 $28,022 −29% $20,727 −4% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $19,634 $47,804 −59% $33,048 −41% —
501 SOFT TISSUE PROCEDURES WITH CC $19,190 $37,750 −49% $39,619 −52% —
252 OTHER VASCULAR PROCEDURES WITH MCC $19,000 $73,390 −74% $68,508 −72% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $18,885 $91,613 −79% $59,629 −68% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $18,832 $65,383 −71% $66,068 −71% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $18,802 $60,972 −69% $50,624 −63% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $18,739 $74,137 −75% $58,707 −68% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $18,590 $76,694 −76% $59,651 −69% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $18,419 $82,127 −78% $46,090 −60% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $18,284 $77,402 −76% $48,682 −62% —
471 CERVICAL SPINAL FUSION WITH MCC $17,788 $81,285 −78% $92,515 −81% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $17,660 $99,021 −82% $59,500 −70% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $17,525 $156,459 −89% $58,745 −70% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $17,431 $48,171 −64% $32,841 −47% —
348 ANAL AND STOMAL PROCEDURES WITH CC $16,995 $41,123 −59% $27,947 −39% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $16,872 $53,331 −68% $50,011 −66% —
919 COMPLICATIONS OF TREATMENT WITH MCC $16,709 $24,805 −33% $31,105 −46% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $16,288 $52,667 −69% $46,283 −65% ≈120% of Medicare
546 CONNECTIVE TISSUE DISORDERS WITH CC $16,241 $30,441 −47% $25,700 −37% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $15,857 $55,229 −71% $65,788 −76% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $15,736 $14,397 +9% $10,160 +55% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $15,676 $40,048 −61% $33,851 −54% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $15,632 $37,921 −59% $43,943 −64% ≈122% of Medicare
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $15,532 $56,395 −72% $32,574 −52% —
183 MAJOR CHEST TRAUMA WITH MCC $15,498 $49,133 −68% $29,933 −48% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $15,463 $77,879 −80% $75,573 −80% —
336 PERITONEAL ADHESIOLYSIS WITH CC $15,305 $78,344 −80% $50,463 −70% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $15,249 $66,509 −77% $34,459 −56% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $15,155 $25,299 −40% $23,571 −36% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $15,046 $30,347 −50% $17,226 −13% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $14,740 $67,860 −78% $52,751 −72% ≈115% of Medicare
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $14,736 $46,875 −69% $38,094 −61% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $14,680 $67,548 −78% $39,955 −63% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $14,612 $43,043 −66% $40,552 −64% —
380 COMPLICATED PEPTIC ULCER WITH MCC $14,491 $40,981 −65% $39,627 −63% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $14,455 $65,542 −78% $47,711 −70% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $14,440 $58,571 −75% $36,505 −60% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $14,371 $75,941 −81% $58,809 −76% ≈112% of Medicare
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $14,355 $54,572 −74% $44,606 −68% —
253 OTHER VASCULAR PROCEDURES WITH CC $14,313 $112,254 −87% $57,454 −75% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $14,167 $72,755 −81% $37,844 −63% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $14,166 $21,633 −35% $18,459 −23% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $14,015 $58,650 −76% $36,792 −62% —
137 MOUTH PROCEDURES WITH CC/MCC $13,925 $59,510 −77% $27,861 −50% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $13,772 $177,080 −92% $68,639 −80% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,631 $48,099 −72% $42,881 −68% —
551 MEDICAL BACK PROBLEMS WITH MCC $13,596 $36,807 −63% $34,017 −60% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $13,430 $38,216 −65% $52,178 −74% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $13,362 $102,790 −87% $41,591 −68% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $13,357 $51,075 −74% $37,842 −65% ≈121% of Medicare
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $13,236 $58,337 −77% $38,101 −65% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $13,236 $24,931 −47% $20,084 −34% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $13,225 $38,640 −66% $38,666 −66% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,098 $89,000 −85% $34,607 −62% —
038 EXTRACRANIAL PROCEDURES WITH CC $13,094 $58,674 −78% $35,770 −63% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $13,032 $29,947 −56% $21,449 −39% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $12,731 $33,537 −62% $22,033 −42% —
665 PROSTATECTOMY WITH MCC $12,653 $50,174 −75% $54,072 −77% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $12,623 $24,065 −48% $19,846 −36% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $12,577 $46,643 −73% $33,876 −63% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $12,510 $61,138 −80% $31,563 −60% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $12,474 $29,184 −57% $34,192 −64% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $12,446 $36,255 −66% $33,633 −63% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $12,406 $38,043 −67% $41,620 −70% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $12,302 $64,773 −81% $33,694 −63% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,204 $41,441 −71% $44,117 −72% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $12,152 $36,515 −67% $30,828 −61% ≈117% of Medicare
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $11,913 $23,178 −49% $18,133 −34% —
643 ENDOCRINE DISORDERS WITH MCC $11,813 $30,412 −61% $33,563 −65% —
381 COMPLICATED PEPTIC ULCER WITH CC $11,756 $25,598 −54% $24,177 −51% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $11,704 $25,651 −54% $17,733 −34% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $11,572 $40,463 −71% $33,555 −66% —
123 NEUROLOGICAL EYE DISORDERS $11,474 $20,741 −45% $19,745 −42% —
865 VIRAL ILLNESS WITH MCC $11,448 $36,697 −69% $26,910 −57% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $11,290 $78,741 −86% $38,998 −71% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $11,219 $128,979 −91% $47,583 −76% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,128 $52,865 −79% $26,280 −58% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $10,775 $31,186 −65% $22,763 −53% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $10,638 $21,696 −51% $14,638 −27% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $10,625 $24,651 −57% $25,970 −59% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $10,473 $21,902 −52% $26,051 −60% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,429 $12,288 −15% $10,975 −5% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $10,303 $34,322 −70% $31,321 −67% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $10,260 $26,886 −62% $17,700 −42% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $10,219 $16,678 −39% $14,648 −30% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,125 $42,094 −76% $30,235 −67% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $10,071 $40,440 −75% $24,552 −59% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $10,058 $28,352 −65% $24,566 −59% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,017 $23,563 −57% $24,127 −58% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $9,877 $27,603 −64% $23,749 −58% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,825 $45,775 −79% $27,297 −64% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $9,663 $35,313 −73% $16,968 −43% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $9,620 $20,219 −52% $18,649 −48% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $9,546 $36,177 −74% $33,255 −71% —
201 PNEUMOTHORAX WITHOUT CC/MCC $9,512 $14,485 −34% $14,053 −32% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,426 $22,434 −58% $20,901 −55% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,389 $24,729 −62% $26,580 −65% ≈120% of Medicare
196 INTERSTITIAL LUNG DISEASE WITH MCC $9,290 $38,270 −76% $32,637 −72% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $9,276 $58,712 −84% $52,075 −82% —
152 OTITIS MEDIA AND URI WITH MCC $9,156 $20,317 −55% $20,247 −55% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $9,096 $22,957 −60% $15,452 −41% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,966 $15,702 −43% $14,128 −37% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,783 $47,033 −81% $26,618 −67% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $8,759 $22,534 −61% $22,024 −60% ≈135% of Medicare
916 ALLERGIC REACTIONS WITHOUT MCC $8,730 $15,792 −45% $13,942 −37% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $8,659 $50,020 −83% $29,743 −71% —
184 MAJOR CHEST TRAUMA WITH CC $8,581 $27,435 −69% $22,432 −62% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $8,546 $45,307 −81% $34,273 −75% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,536 $50,519 −83% $24,944 −66% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $8,457 $24,303 −65% $17,118 −51% —
200 PNEUMOTHORAX WITH CC $8,432 $28,074 −70% $21,368 −61% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,421 $42,379 −80% $20,259 −58% —
304 HYPERTENSION WITH MCC $8,347 $35,870 −77% $26,080 −68% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $8,267 $17,707 −53% $17,601 −53% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $8,169 $26,885 −70% $17,620 −54% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $8,017 $24,724 −68% $12,229 −34% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $7,980 $44,722 −82% $37,950 −79% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $7,896 $13,517 −42% $8,445 −7% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,850 $20,915 −62% $21,363 −63% ≈125% of Medicare
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $7,806 $24,449 −68% $19,096 −59% —
375 DIGESTIVE MALIGNANCY WITH CC $7,758 $35,509 −78% $27,277 −72% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $7,712 $28,026 −72% $16,351 −53% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,534 $23,962 −69% $20,895 −64% —
101 SEIZURES WITHOUT MCC $7,519 $24,167 −69% $20,461 −63% ≈122% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,504 $32,045 −77% $22,098 −66% ≈117% of Medicare
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $7,441 $13,652 −45% $13,275 −44% —
947 SIGNS AND SYMPTOMS WITH MCC $7,363 $21,963 −66% $27,401 −73% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $7,333 $28,217 −74% $32,859 −78% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $7,310 $60,102 −88% $19,594 −63% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $7,292 $35,870 −80% $30,770 −76% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,262 $20,289 −64% $17,724 −59% ≈135% of Medicare
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $7,230 $56,452 −87% $37,387 −81% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,997 $27,574 −75% $20,181 −65% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $6,975 $51,978 −87% $36,253 −81% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,946 $18,641 −63% $18,488 −62% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $6,938 $21,817 −68% $16,288 −57% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $6,851 $45,987 −85% $27,285 −75% —
683 RENAL FAILURE WITH CC $6,821 $25,886 −74% $19,130 −64% ≈115% of Medicare
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,785 $31,828 −79% $16,520 −59% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,782 $34,012 −80% $19,854 −66% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $6,772 $16,602 −59% $16,699 −59% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $6,766 $39,656 −83% $31,951 −79% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,728 $14,635 −54% $12,454 −46% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,678 $24,638 −73% $18,528 −64% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $6,553 $12,347 −47% $12,078 −46% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,512 $24,910 −74% $18,807 −65% ≈122% of Medicare
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,453 $18,082 −64% $17,135 −62% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,426 $25,766 −75% $14,014 −54% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $6,403 $49,985 −87% $43,477 −85% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $6,359 $49,949 −87% $41,955 −85% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,315 $26,043 −76% $15,428 −59% —
181 RESPIRATORY NEOPLASMS WITH CC $6,250 $26,398 −76% $23,573 −73% —
204 RESPIRATORY SIGNS AND SYMPTOMS $6,247 $16,866 −63% $18,004 −65% —
153 OTITIS MEDIA AND URI WITHOUT MCC $6,181 $18,755 −67% $14,583 −58% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,178 $21,921 −72% $17,578 −65% —
374 DIGESTIVE MALIGNANCY WITH MCC $6,074 $55,499 −89% $39,958 −85% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $6,069 $30,100 −80% $28,050 −78% ≈118% of Medicare
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $6,048 $17,493 −65% $14,689 −59% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $5,987 $36,099 −83% $30,571 −80% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,966 $28,478 −79% $19,227 −69% —
694 URINARY STONES WITHOUT MCC $5,942 $22,651 −74% $17,345 −66% —
311 ANGINA PECTORIS $5,926 $35,368 −83% $15,502 −62% —
669 TRANSURETHRAL PROCEDURES WITH CC $5,907 $34,464 −83% $34,354 −83% —
186 PLEURAL EFFUSION WITH MCC $5,890 $33,084 −82% $33,834 −83% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $5,841 $49,330 −88% $35,465 −84% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $5,829 $23,112 −75% $24,586 −76% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,813 $16,819 −65% $17,674 −67% ≈133% of Medicare
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $5,761 $32,876 −82% $32,496 −82% ≈115% of Medicare
313 CHEST PAIN $5,749 $21,597 −73% $16,440 −65% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,674 $14,744 −62% $12,252 −54% —
949 AFTERCARE WITH CC/MCC $5,584 $20,718 −73% $23,953 −77% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,546 $29,170 −81% $15,600 −64% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $5,514 $80,877 −93% $51,985 −89% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,470 $25,524 −79% $12,324 −56% —
291 HEART FAILURE AND SHOCK WITH MCC $5,422 $27,270 −80% $26,776 −80% ≈130% of Medicare
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $5,380 $10,317 −48% $9,940 −46% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $5,307 $28,486 −81% $32,021 −83% ≈150% of Medicare
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $5,263 $22,477 −77% $20,957 −75% —
638 DIABETES WITH CC $5,234 $20,282 −74% $19,661 −73% —
303 ATHEROSCLEROSIS WITHOUT MCC $5,162 $18,634 −72% $14,927 −65% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,150 $11,029 −53% $13,824 −63% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $5,059 $88,030 −94% $40,548 −88% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,058 $20,809 −76% $15,183 −67% —
540 OSTEOMYELITIS WITH CC $4,994 $18,888 −74% $26,676 −81% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,965 $14,924 −67% $14,368 −65% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,938 $24,303 −80% $12,559 −61% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $4,937 $26,786 −82% $23,319 −79% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,908 $19,012 −74% $14,797 −67% —
639 DIABETES WITHOUT CC/MCC $4,804 $18,483 −74% $13,910 −65% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $4,688 $25,661 −82% $22,506 −79% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $4,680 $48,803 −90% $22,525 −79% —
684 RENAL FAILURE WITHOUT CC/MCC $4,672 $14,416 −68% $13,642 −66% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,570 $14,635 −69% $13,384 −66% ≈152% of Medicare
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,566 $14,309 −68% $13,361 −66% —
312 SYNCOPE AND COLLAPSE $4,513 $28,263 −84% $19,342 −77% ≈122% of Medicare
593 SKIN ULCERS WITH CC $4,490 $30,584 −85% $22,886 −80% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $4,384 $26,532 −83% $24,914 −82% ≈124% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $4,378 $26,493 −83% $18,204 −76% ≈123% of Medicare
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $4,275 $25,997 −84% $23,551 −82% —
920 COMPLICATIONS OF TREATMENT WITH CC $4,191 $30,600 −86% $22,468 −81% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $4,186 $35,613 −88% $25,303 −83% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $4,181 $28,561 −85% $22,850 −82% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $4,117 $33,736 −88% $20,232 −80% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,951 $14,209 −72% $18,150 −78% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $3,922 $23,602 −83% $21,396 −82% ≈127% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $3,892 $16,547 −76% $17,303 −78% ≈130% of Medicare
305 HYPERTENSION WITHOUT MCC $3,869 $21,108 −82% $18,086 −79% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,868 $14,781 −74% $12,895 −70% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $3,781 $35,526 −89% $18,126 −79% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $3,743 $28,208 −87% $20,463 −82% ≈127% of Medicare
603 CELLULITIS WITHOUT MCC $3,676 $17,643 −79% $18,530 −80% ≈128% of Medicare
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $3,595 $22,503 −84% $27,316 −87% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $3,175 $27,008 −88% $26,682 −88% ≈108% of Medicare
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,166 $26,466 −88% $15,038 −79% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $3,000 $29,540 −90% $27,543 −89% ≈123% of Medicare
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $2,967 $31,520 −91% $25,279 −88% —
795 NORMAL NEWBORN $2,055 $4,205 −51% $4,720 −56% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $1,987 $38,735 −95% $23,141 −91% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $1,829 $72,502 −97% $58,280 −97% ≈114% of Medicare
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $1,573 $29,013 −95% $26,932 −94% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $1,261 $22,872 −94% $16,767 −92% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $1,034 $39,276 −97% $25,463 −96% ≈123% of Medicare

Procedures with negotiated rates only

These 577 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 $38,116 – $571,303 · median $221,011 18 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $37,395 – $318,770 · median $89,567 18 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $36,707 – $392,666 · median $167,473 18 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $28,126 – $256,251 · median $109,408 18 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $18,839 – $233,477 · median $81,525 18 plans
006 LIVER TRANSPLANT WITHOUT MCC $7,655 – $105,199 · median $36,848 18 plans
007 LUNG TRANSPLANT $30,194 – $239,579 · median $102,311 18 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $11,091 – $118,276 · median $44,468 18 plans
010 PANCREAS TRANSPLANT $15,237 – $132,750 · median $55,246 18 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $9,339 – $103,394 · median $43,282 18 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $11,561 – $77,996 · median $33,533 18 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $9,434 – $53,313 · median $23,027 18 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $14,437 – $252,338 · median $94,970 18 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $12,665 – $134,401 · median $47,028 18 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $7,481 – $100,498 · median $43,111 18 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $11,020 – $812,553 · median $340,381 18 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $7,155 – $145,011 · median $56,516 18 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $25,151 – $212,380 · median $62,530 18 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $17,318 – $155,739 · median $42,177 18 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $9,426 – $108,784 · median $25,449 18 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $9,665 – $116,422 · median $45,627 18 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $11,649 – $82,661 · median $31,255 18 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $16,047 – $76,533 · median $20,276 18 plans
028 SPINAL PROCEDURES WITH MCC $14,696 – $116,877 · median $47,825 18 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $7,487 – $66,493 · median $27,300 18 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $4,452 – $54,571 · median $17,686 18 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $9,210 – $82,889 · median $35,749 18 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $5,597 – $73,917 · median $17,178 18 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $3,090 – $73,917 · median $13,478 18 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $13,116 – $80,213 · median $30,814 18 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $7,083 – $50,168 · median $19,158 18 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $7,232 – $37,395 · median $15,632 18 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $9,768 – $67,233 · median $26,356 18 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $7,536 – $82,809 · median $30,854 18 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $6,867 – $41,884 · median $13,991 18 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $11,051 – $33,509 · median $14,597 18 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $6,390 – $18,774 · median $8,104 18 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $8,665 – $29,538 · median $12,357 18 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $6,643 – $22,640 · median $8,362 18 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $9,279 – $42,977 · median $18,627 18 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $3,897 – $37,434 · median $13,795 18 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,557 – $22,957 · median $10,105 18 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $3,289 – $17,696 · median $7,577 18 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $12,098 – $58,429 · median $22,045 18 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $9,046 – $33,168 · median $11,473 18 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $12,845 – $37,713 · median $16,169 18 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $6,119 – $23,058 · median $8,289 18 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,546 – $16,486 · median $5,766 18 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $9,452 – $31,209 · median $11,899 18 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,672 – $19,005 · median $7,194 18 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,262 – $15,731 · median $6,624 18 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $6,683 – $21,939 · median $8,413 18 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $4,995 – $15,953 · median $6,335 18 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $9,197 – $29,680 · median $12,967 18 plans
075 VIRAL MENINGITIS WITH CC/MCC $12,260 – $36,891 · median $15,548 18 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $11,181 – $33,485 · median $14,587 18 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,867 – $17,296 · median $7,441 18 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $14,563 – $43,904 · median $18,332 18 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,033 – $18,434 · median $7,860 18 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $14,358 – $44,311 · median $18,224 18 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $8,154 – $24,801 · median $10,592 18 plans
088 CONCUSSION WITH MCC $8,721 – $29,718 · median $11,060 18 plans
089 CONCUSSION WITH CC $7,137 – $21,242 · median $9,052 18 plans
090 CONCUSSION WITHOUT CC/MCC $5,414 – $16,094 · median $6,867 18 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $7,393 – $67,958 · median $28,775 18 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $6,468 – $42,456 · median $18,405 18 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $8,476 – $27,361 · median $11,062 18 plans
100 SEIZURES WITH MCC $6,099 – $35,831 · median $15,585 18 plans
102 HEADACHES WITH MCC $6,447 – $23,258 · median $9,160 18 plans
103 HEADACHES WITHOUT MCC — 18 plans
113 ORBITAL PROCEDURES WITH CC/MCC $14,972 – $43,790 · median $18,988 18 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $8,729 – $26,325 · median $11,070 18 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $9,867 – $43,394 · median $12,513 18 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $11,576 – $33,450 · median $14,681 18 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,052 – $20,071 · median $8,943 18 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $7,542 – $21,623 · median $9,565 18 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,181 – $14,537 · median $6,570 18 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $8,542 – $26,475 · median $10,833 18 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,068 – $15,794 · median $6,427 18 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $10,273 – $41,575 · median $17,421 18 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $6,616 – $25,913 · median $8,329 18 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,809 – $18,005 · median $7,367 18 plans
139 SALIVARY GLAND PROCEDURES $5,964 – $22,860 · median $10,064 18 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $7,557 – $86,647 · median $33,921 18 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $8,483 – $48,051 · median $17,509 18 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $6,248 – $35,019 · median $12,905 18 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $6,242 – $69,312 · median $29,836 18 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $11,105 – $38,104 · median $13,979 18 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $7,432 – $26,415 · median $9,801 18 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $13,510 – $40,791 · median $17,134 18 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,219 – $27,032 · median $10,423 18 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,251 – $38,907 · median $6,660 18 plans
149 DYSEQUILIBRIUM $4,967 – $18,140 · median $6,299 18 plans
150 EPISTAXIS WITH MCC $8,594 – $30,976 · median $10,899 18 plans
151 EPISTAXIS WITHOUT MCC $4,856 – $15,309 · median $6,159 18 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $10,045 – $50,403 · median $12,740 18 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,588 – $14,501 · median $5,819 18 plans
157 DENTAL AND ORAL DISEASES WITH MCC $11,004 – $32,539 · median $13,853 18 plans
158 DENTAL AND ORAL DISEASES WITH CC $5,956 – $18,680 · median $7,498 18 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,697 – $13,443 · median $5,957 18 plans
164 MAJOR CHEST PROCEDURES WITH CC $16,054 – $83,882 · median $20,379 18 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $12,239 – $83,882 · median $15,465 18 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,812 – $28,188 · median $11,176 18 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $7,562 – $66,933 · median $23,327 18 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $6,471 – $32,300 · median $11,150 18 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,301 – $20,406 · median $6,722 18 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $9,735 – $41,429 · median $12,639 18 plans
180 RESPIRATORY NEOPLASMS WITH MCC $11,036 – $36,496 · median $14,240 18 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $4,980 – $18,617 · median $6,316 18 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,185 – $15,633 · median $6,576 18 plans
187 PLEURAL EFFUSION WITH CC $6,452 – $23,584 · median $8,122 18 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,751 – $17,109 · median $6,026 18 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,194 – $25,202 · median $9,056 18 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $8,487 – $38,034 · median $10,764 18 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $6,202 – $25,112 · median $7,866 18 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,745 – $16,924 · median $6,018 18 plans
199 PNEUMOTHORAX WITH MCC $11,300 – $38,098 · median $14,331 18 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $12,151 – $119,042 · median $51,004 18 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $6,836 – $50,851 · median $21,978 18 plans
209 COMPLEX AORTIC ARCH PROCEDURES $27,982 – $209,398 · median $87,374 18 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $10,969 – $234,443 · median $84,356 18 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $20,811 – $105,578 · median $44,215 18 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $13,255 – $345,521 · median $79,035 18 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $25,414 – $206,005 · median $77,658 18 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $36,328 – $136,208 · median $52,306 18 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $16,939 – $121,643 · median $52,306 18 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $21,628 – $102,547 · median $40,173 18 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $7,202 – $99,232 · median $25,229 18 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $13,615 – $169,903 · median $66,965 18 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $13,959 – $125,766 · median $48,254 18 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $10,824 – $126,471 · median $46,720 18 plans
245 AICD GENERATOR PROCEDURES $5,812 – $102,008 · median $36,261 18 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $5,221 – $37,508 · median $14,417 18 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $5,834 – $57,033 · median $21,574 18 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,097 – $23,604 · median $9,001 18 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $8,439 – $62,231 · median $25,076 18 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $10,012 – $42,349 · median $16,257 18 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $7,052 – $81,188 · median $25,706 18 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $8,974 – $40,571 · median $15,277 18 plans
263 VEIN LIGATION AND STRIPPING $19,391 – $56,562 · median $24,592 18 plans
265 AICD LEAD PROCEDURES $16,849 – $66,937 · median $28,825 18 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $8,885 – $187,164 · median $48,592 18 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $8,374 – $142,736 · median $37,823 18 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $10,090 – $136,710 · median $54,494 18 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $7,982 – $103,063 · median $41,882 18 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $12,162 – $48,993 · median $20,437 18 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $7,411 – $135,176 · median $46,743 18 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $10,631 – $104,097 · median $36,016 18 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $7,064 – $102,975 · median $43,340 18 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $8,100 – $69,667 · median $28,195 18 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,595 – $17,037 · median $5,784 18 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,011 – $30,514 · median $5,087 18 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $10,942 – $36,936 · median $13,775 18 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,081 – $22,955 · median $7,712 18 plans
292 HEART FAILURE AND SHOCK WITH CC $5,576 – $32,841 · median $7,072 18 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,806 – $14,664 · median $4,826 18 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,231 – $14,122 · median $5,366 18 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,112 – $9,745 · median $3,947 18 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $6,943 – $21,754 · median $8,805 18 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,767 – $15,287 · median $6,046 18 plans
302 ATHEROSCLEROSIS WITH MCC $7,750 – $49,985 · median $9,829 18 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,977 – $17,509 · median $7,581 18 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $7,797 – $26,447 · median $9,888 18 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,532 – $15,505 · median $5,747 18 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $13,520 – $44,811 · median $18,954 18 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $6,678 – $89,259 · median $35,477 18 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $11,412 – $51,102 · median $19,274 18 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $7,377 – $62,573 · median $21,352 18 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $7,820 – $59,392 · median $25,135 18 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $8,721 – $87,741 · median $19,654 18 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $8,129 – $32,985 · median $12,951 18 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $5,182 – $110,377 · median $36,529 18 plans
332 RECTAL RESECTION WITH MCC $7,268 – $99,191 · median $28,845 18 plans
333 RECTAL RESECTION WITH CC $12,531 – $52,793 · median $18,777 18 plans
334 RECTAL RESECTION WITHOUT CC/MCC $10,511 – $35,872 · median $13,330 18 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $7,402 – $34,119 · median $12,421 18 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $12,004 – $67,540 · median $20,672 18 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $8,196 – $54,378 · median $19,956 18 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $7,012 – $21,604 · median $9,529 18 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $18,418 – $63,433 · median $23,186 18 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,010 – $29,418 · median $11,426 18 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $9,645 – $63,614 · median $26,771 18 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $9,885 – $44,665 · median $18,893 18 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,649 – $16,009 · median $5,896 18 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $4,242 – $19,793 · median $7,612 18 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $2,241 – $17,931 · median $6,638 18 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $4,903 – $29,483 · median $11,206 18 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $3,513 – $18,460 · median $7,065 18 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,163 – $37,428 · median $12,889 18 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,142 – $38,667 · median $6,521 18 plans
398 APPENDIX PROCEDURES WITH CC $9,733 – $32,940 · median $12,253 18 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $11,124 – $74,379 · median $31,246 18 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $13,090 – $121,650 · median $43,574 18 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $18,407 – $104,384 · median $23,366 18 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $13,599 – $43,590 · median $17,812 18 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $18,821 – $79,396 · median $28,411 18 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $11,816 – $53,651 · median $17,479 18 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $8,150 – $33,904 · median $12,836 18 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $5,405 – $77,886 · median $26,346 18 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $5,452 – $54,376 · median $16,890 18 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $10,652 – $39,171 · median $13,510 18 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $8,095 – $76,800 · median $28,388 18 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $13,193 – $43,688 · median $16,732 18 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $8,793 – $29,041 · median $11,152 18 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $15,193 – $53,838 · median $19,197 18 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $8,809 – $27,296 · median $11,182 18 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $7,690 – $79,686 · median $27,163 18 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $8,293 – $37,985 · median $14,016 18 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $7,075 – $28,168 · median $11,354 18 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $19,135 – $92,835 · median $33,037 18 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $13,951 – $50,170 · median $17,694 18 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $8,548 – $34,827 · median $12,148 18 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $7,197 – $203,892 · median $85,086 18 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $7,208 – $133,544 · median $55,841 18 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $9,082 – $104,007 · median $43,562 18 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $11,193 – $166,678 · median $69,615 18 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $9,102 – $36,412 · median $15,832 18 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,722 – $13,572 · median $5,989 18 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $7,341 – $25,437 · median $9,310 18 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $10,463 – $36,159 · median $13,220 18 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $9,467 – $40,850 · median $14,466 18 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $5,033 – $98,598 · median $41,314 18 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $26,229 – $204,740 · median $65,885 18 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $19,691 – $153,980 · median $47,467 18 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $26,367 – $115,333 · median $33,470 18 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $11,389 – $110,960 · median $43,989 18 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $16,905 – $84,506 · median $21,360 18 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $8,658 – $111,071 · median $45,215 18 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,390 – $42,117 · median $14,694 18 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $12,331 – $45,310 · median $15,639 18 plans
472 CERVICAL SPINAL FUSION WITH CC $18,694 – $140,527 · median $23,731 18 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $27,119 – $79,419 · median $34,394 18 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $14,501 – $45,712 · median $18,407 18 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,648 – $43,924 · median $9,708 18 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $18,380 – $67,936 · median $27,537 18 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,649 – $47,869 · median $19,846 18 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $11,893 – $37,347 · median $15,084 18 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $18,483 – $220,473 · median $23,462 18 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $20,452 – $69,941 · median $25,962 18 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,062 – $35,112 · median $12,773 18 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $11,330 – $52,955 · median $14,383 18 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $7,251 – $28,277 · median $9,205 18 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $22,946 – $154,982 · median $29,100 18 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $11,549 – $37,985 · median $14,593 18 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $7,823 – $27,069 · median $9,885 18 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $19,137 – $55,811 · median $24,180 18 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $12,869 – $37,274 · median $16,160 18 plans
500 SOFT TISSUE PROCEDURES WITH MCC $20,062 – $69,706 · median $25,349 18 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $8,684 – $25,580 · median $11,014 18 plans
503 FOOT PROCEDURES WITH MCC $17,725 – $51,635 · median $22,396 18 plans
504 FOOT PROCEDURES WITH CC $11,958 – $34,698 · median $15,109 18 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $11,480 – $33,167 · median $14,505 18 plans
506 MAJOR THUMB OR JOINT PROCEDURES $8,705 – $29,363 · median $10,999 18 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $11,565 – $40,699 · median $14,667 18 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $9,738 – $35,118 · median $12,350 18 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $17,402 – $55,879 · median $24,119 18 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $13,273 – $38,469 · median $16,833 18 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $10,620 – $30,625 · median $13,469 18 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $6,660 – $19,710 · median $8,415 18 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $20,201 – $69,353 · median $25,524 18 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $9,878 – $38,562 · median $12,481 18 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $23,644 – $69,140 · median $29,986 18 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $18,220 – $66,682 · median $23,021 18 plans
533 FRACTURES OF FEMUR WITH MCC $10,072 – $31,409 · median $12,726 18 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,308 – $16,005 · median $6,706 18 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,317 – $15,761 · median $6,718 18 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,235 – $19,690 · median $7,878 18 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,771 – $13,674 · median $6,028 18 plans
539 OSTEOMYELITIS WITH MCC $12,586 – $39,975 · median $15,903 18 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,191 – $19,803 · median $6,558 18 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $4,985 – $16,989 · median $6,299 18 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $15,789 – $53,130 · median $19,950 18 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,496 – $17,157 · median $6,944 18 plans
548 SEPTIC ARTHRITIS WITH MCC $12,344 – $40,776 · median $15,597 18 plans
549 SEPTIC ARTHRITIS WITH CC $7,817 – $25,737 · median $9,877 18 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,733 – $17,694 · median $7,244 18 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $9,566 – $31,116 · median $12,087 18 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $5,852 – $18,408 · median $7,395 18 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $5,867 – $17,130 · median $7,413 18 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $9,921 – $33,140 · median $12,535 18 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $4,952 – $15,583 · median $6,257 18 plans
570 SKIN DEBRIDEMENT WITH MCC $18,663 – $54,410 · median $23,581 18 plans
571 SKIN DEBRIDEMENT WITH CC $10,834 – $31,712 · median $13,689 18 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $41,247 – $121,201 · median $52,117 18 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,506 – $35,134 · median $14,538 18 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $30,925 – $116,437 · median $39,074 18 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $16,846 – $49,147 · median $21,286 18 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $10,314 – $30,064 · median $13,032 18 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $12,317 – $35,642 · median $15,621 18 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $11,052 – $31,901 · median $14,016 18 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $13,656 – $39,603 · median $17,319 18 plans
592 SKIN ULCERS WITH MCC $12,371 – $35,803 · median $15,631 18 plans
594 SKIN ULCERS WITHOUT CC/MCC $5,687 – $16,036 · median $7,186 18 plans
595 MAJOR SKIN DISORDERS WITH MCC $13,531 – $40,225 · median $17,097 18 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $10,694 – $37,868 · median $13,512 18 plans
598 MALIGNANT BREAST DISORDERS WITH CC $7,342 – $23,110 · median $9,277 18 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,078 – $15,696 · median $6,416 18 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $6,781 – $21,425 · median $8,568 18 plans
602 CELLULITIS WITH MCC $9,156 – $31,281 · median $11,569 18 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $9,474 – $29,444 · median $11,970 18 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,995 – $17,455 · median $7,575 18 plans
606 MINOR SKIN DISORDERS WITH MCC $9,731 – $29,838 · median $12,295 18 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,935 – $16,768 · median $7,499 18 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $13,976 – $52,057 · median $17,659 18 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $9,018 – $31,026 · median $11,395 18 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $22,080 – $87,185 · median $27,899 18 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,137 – $26,239 · median $11,545 18 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $18,327 – $64,033 · median $23,243 18 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $10,276 – $40,066 · median $13,032 18 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $9,701 – $33,797 · median $12,303 18 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,096 – $24,579 · median $10,230 18 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $19,157 – $56,883 · median $24,116 18 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $9,644 – $30,334 · median $12,231 18 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $8,574 – $24,574 · median $10,874 18 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $23,578 – $74,906 · median $29,792 18 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $9,395 – $29,605 · median $11,871 18 plans
637 DIABETES WITH MCC $9,252 – $30,088 · median $11,690 18 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,133 – $15,718 · median $6,486 18 plans
644 ENDOCRINE DISORDERS WITH CC $6,677 – $22,034 · median $8,436 18 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $29,675 – $98,238 · median $37,495 18 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $23,447 – $80,400 · median $29,626 18 plans
652 KIDNEY TRANSPLANT $20,467 – $68,652 · median $25,861 18 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $32,771 – $131,593 · median $41,407 18 plans
654 MAJOR BLADDER PROCEDURES WITH CC $17,776 – $65,881 · median $22,461 18 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $13,505 – $49,620 · median $17,064 18 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $11,713 – $43,732 · median $14,799 18 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $8,533 – $41,422 · median $10,782 18 plans
662 MINOR BLADDER PROCEDURES WITH MCC $19,416 – $62,899 · median $24,533 18 plans
663 MINOR BLADDER PROCEDURES WITH CC $9,775 – $36,246 · median $12,350 18 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $6,814 – $28,268 · median $8,609 18 plans
666 PROSTATECTOMY WITH CC $11,208 – $38,915 · median $14,161 18 plans
667 PROSTATECTOMY WITHOUT CC/MCC $7,185 – $21,688 · median $9,078 18 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $18,531 – $54,020 · median $23,415 18 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $6,378 – $20,041 · median $8,059 18 plans
671 URETHRAL PROCEDURES WITH CC/MCC $11,494 – $34,185 · median $14,523 18 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,018 – $19,971 · median $8,867 18 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $26,548 – $77,730 · median $33,544 18 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $14,894 – $50,386 · median $18,819 18 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $10,533 – $33,945 · median $13,308 18 plans
682 RENAL FAILURE WITH MCC $9,529 – $32,835 · median $12,041 18 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,209 – $14,621 · median $6,581 18 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $7,523 – $23,554 · median $9,506 18 plans
693 URINARY STONES WITH MCC $8,675 – $29,000 · median $10,962 18 plans
697 URETHRAL STRICTURE $7,007 – $20,498 · median $8,854 18 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $6,614 – $22,302 · median $8,357 18 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $12,778 – $38,643 · median $16,205 18 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $9,862 – $28,615 · median $12,508 18 plans
709 PENIS PROCEDURES WITH CC/MCC $14,822 – $43,051 · median $18,728 18 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $9,030 – $30,843 · median $11,410 18 plans
711 TESTES PROCEDURES WITH CC/MCC $13,300 – $43,444 · median $16,805 18 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $7,144 – $20,624 · median $9,027 18 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $9,669 – $32,818 · median $12,218 18 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $6,880 – $19,562 · median $8,692 18 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $9,467 – $27,214 · median $11,962 18 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $12,091 – $38,407 · median $15,277 18 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $8,667 – $24,847 · median $10,951 18 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $11,586 – $37,809 · median $14,639 18 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $7,413 – $23,898 · median $9,367 18 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,367 – $14,246 · median $5,517 18 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $7,585 – $28,728 · median $9,584 18 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,781 – $16,120 · median $6,041 18 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $9,541 – $31,477 · median $12,056 18 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $6,888 – $24,311 · median $8,703 18 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,469 – $13,138 · median $5,646 18 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $13,589 – $54,972 · median $17,170 18 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $8,682 – $26,571 · median $10,970 18 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $22,625 – $94,220 · median $28,588 18 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $13,155 – $43,614 · median $16,622 18 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,451 – $29,381 · median $11,942 18 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $22,677 – $74,185 · median $28,653 18 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $11,585 – $36,829 · median $14,638 18 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,186 – $26,383 · median $11,607 18 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $8,026 – $22,953 · median $10,141 18 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $7,381 – $21,155 · median $9,326 18 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $11,131 – $32,136 · median $14,065 18 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $8,943 – $25,665 · median $11,300 18 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $16,327 – $57,577 · median $20,629 18 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,497 – $29,050 · median $12,000 18 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,786 – $41,801 · median $14,892 18 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,273 – $17,769 · median $7,927 18 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,416 – $16,532 · median $5,580 18 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,834 – $11,656 · median $4,844 18 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $5,164 – $27,465 · median $8,597 18 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $6,537 – $18,550 · median $8,260 18 plans
779 ABORTION WITHOUT D&C $5,528 – $15,564 · median $6,984 18 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $8,113 – $45,419 · median $18,913 18 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,896 – $24,906 · median $8,681 18 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $5,164 – $28,221 · median $9,301 18 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $5,164 – $28,221 · median $8,135 18 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $5,164 – $28,221 · median $7,797 18 plans
799 SPLENIC PROCEDURES WITH MCC $28,596 – $103,542 · median $36,131 18 plans
800 SPLENIC PROCEDURES WITH CC $17,839 – $59,563 · median $22,540 18 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $12,206 – $38,000 · median $15,423 18 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $25,188 – $73,746 · median $31,825 18 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $11,893 – $40,745 · median $15,028 18 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,747 – $25,500 · median $11,053 18 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $5,164 – $19,965 · median $8,626 18 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $14,077 – $48,640 · median $17,786 18 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,184 – $26,632 · median $10,340 18 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $6,812 – $19,362 · median $8,607 18 plans
811 RED BLOOD CELL DISORDERS WITH MCC $9,050 – $28,279 · median $11,434 18 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,009 – $18,658 · median $7,592 18 plans
813 COAGULATION DISORDERS $9,806 – $37,765 · median $12,391 18 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $6,608 – $21,338 · median $8,349 18 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $14,538 – $55,107 · median $18,369 18 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $7,516 – $29,570 · median $9,497 18 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,644 – $18,262 · median $7,131 18 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $36,952 – $128,757 · median $46,690 18 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $14,269 – $50,310 · median $18,029 18 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $7,797 – $27,972 · median $9,851 18 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $14,437 – $51,080 · median $18,242 18 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $8,706 – $30,402 · median $11,000 18 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $29,527 – $112,782 · median $37,308 18 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $14,723 – $50,370 · median $18,603 18 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $10,923 – $32,953 · median $13,802 18 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $20,032 – $72,355 · median $25,312 18 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $9,680 – $29,755 · median $12,230 18 plans
834 ACUTE LEUKEMIA WITH MCC $34,607 – $121,872 · median $43,890 18 plans
835 ACUTE LEUKEMIA WITH CC $13,313 – $112,009 · median $16,884 18 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $7,894 – $112,009 · median $10,011 18 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $30,318 – $133,535 · median $38,308 18 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $13,323 – $60,309 · median $16,834 18 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,297 – $28,710 · median $11,747 18 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $20,501 – $68,454 · median $25,904 18 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $6,586 – $24,307 · median $8,321 18 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $12,743 – $40,190 · median $16,102 18 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $7,880 – $24,451 · median $9,957 18 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,592 – $17,982 · median $7,066 18 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $16,482 – $53,585 · median $20,904 18 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $8,448 – $25,865 · median $10,715 18 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,578 – $22,581 · median $7,075 18 plans
849 RADIOTHERAPY $17,214 – $50,126 · median $21,751 18 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $54,435 – $160,201 · median $67,243 18 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $31,158 – $111,737 · median $39,370 18 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $9,631 – $32,920 · median $12,169 18 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $8,978 – $28,950 · median $11,344 18 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,818 – $18,460 · median $7,351 18 plans
866 VIRAL ILLNESS WITHOUT MCC $5,705 – $16,845 · median $7,208 18 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $13,359 – $56,742 · median $16,879 18 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $43,502 – $127,949 · median $54,966 18 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $12,416 – $39,019 · median $15,688 18 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $6,666 – $22,696 · median $8,423 18 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $24,442 – $71,501 · median $30,883 18 plans
881 DEPRESSIVE NEUROSES $6,151 – $17,407 · median $7,772 18 plans
882 NEUROSES EXCEPT DEPRESSIVE $6,982 – $19,865 · median $8,822 18 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $12,565 – $36,377 · median $15,876 18 plans
885 PSYCHOSES $9,003 – $25,841 · median $11,375 18 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $13,247 – $38,393 · median $16,676 18 plans
887 OTHER MENTAL DISORDER DIAGNOSES $6,964 – $21,634 · median $8,799 18 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $9,120 – $27,067 · median $11,524 18 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $11,181 – $34,126 · median $14,128 18 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $26,517 – $85,696 · median $33,505 18 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,241 – $39,757 · median $15,467 18 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $7,581 – $25,517 · median $9,579 18 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $23,242 – $69,958 · median $29,367 18 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $9,544 – $30,981 · median $12,060 18 plans
906 HAND PROCEDURES FOR INJURIES $12,553 – $36,340 · median $15,861 18 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $12,746 – $43,325 · median $16,105 18 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $8,477 – $28,279 · median $10,710 18 plans
913 TRAUMATIC INJURY WITH MCC $10,490 – $30,240 · median $13,255 18 plans
914 TRAUMATIC INJURY WITHOUT MCC $5,804 – $16,382 · median $7,334 18 plans
915 ALLERGIC REACTIONS WITH MCC $10,784 – $34,914 · median $13,626 18 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,571 – $15,150 · median $5,776 18 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $133,824 – $394,984 · median $169,090 18 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $45,134 – $132,695 · median $57,028 18 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $20,413 – $59,585 · median $25,792 18 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $24,625 – $72,043 · median $31,115 18 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $14,093 – $40,896 · median $17,807 18 plans
935 NON-EXTENSIVE BURNS $13,151 – $38,110 · median $16,617 18 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $22,963 – $67,127 · median $29,015 18 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $12,949 – $37,512 · median $16,362 18 plans
945 REHABILITATION WITH CC/MCC $9,952 – $28,649 · median $12,528 18 plans
946 REHABILITATION WITHOUT CC/MCC $7,439 – $21,216 · median $9,364 18 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,272 – $16,012 · median $6,662 18 plans
950 AFTERCARE WITHOUT CC/MCC $4,192 – $12,620 · median $5,296 18 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $42,372 – $138,505 · median $53,737 18 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $23,804 – $80,790 · median $30,078 18 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $47,931 – $142,581 · median $60,788 18 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $26,625 – $98,861 · median $33,767 18 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $18,682 – $98,861 · median $23,693 18 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $17,366 – $57,236 · median $21,943 18 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $9,852 – $30,920 · median $12,448 18 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $38,557 – $113,244 · median $48,718 18 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $16,763 – $60,666 · median $21,181 18 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $18,318 – $57,749 · median $23,146 18 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $8,366 – $29,579 · median $10,570 18 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $5,912 – $19,749 · median $7,470 18 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $29,615 – $105,638 · median $37,558 18 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $7,767 – $33,874 · median $9,813 18 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $12,836 – $33,625 · median $19,651 3 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $12,224 – $21,062 · median $15,069 3 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $9,127 – $20,474 · median $12,310 3 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $9,012 – $21,388 · median $14,596 3 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $8,976 – $16,166 · median $11,279 3 plans
453 COMPLICATIONS OF TREATMENT W/O CC $5,259 – $248,803 · median $113,316 3 plans
454 OTHER INJURY, POISONING & TOXIC $10,704 – $175,653 · median $75,509 3 plans
455 OTHER INJURY, POISONING & TOXIC $5,288 – $134,810 · median $59,432 3 plans
459 NON-EXTENSIVE BURNS W WOUND $21,184 – $142,474 · median $82,198 3 plans
222 KNEE PROCEDURES W/O CC $11,897 – $97,734 · median $91,924 2 plans
223 MAJOR SHOULDER/ELBOW PROC, OR $9,856 – $66,727 · median $62,766 2 plans
224 SHOULDER, ELBOW OR FOREARM PROC, $8,371 – $90,518 · median $85,138 2 plans
225 FOOT PROCEDURES $10,875 – $64,679 · median $60,841 2 plans
226 SOFT TISSUE PROCEDURES W CC $16,158 – $81,763 · median $76,905 2 plans
227 SOFT TISSUE PROCEDURES W/O CC $8,452 – $64,208 · median $60,398 2 plans
246 Perc cardiovasc proc w drug-eluting stent w mcc or 4+ vessels/stents $6,676 – $51,150 · median $48,593 2 plans
247 Perc cardiovasc proc w drug-eluting stent w/o mcc $6,680 – $39,563 · median $37,585 2 plans
248 TENDONITIS, MYOSITIS & BURSITIS $8,594 – $38,632 · median $36,347 2 plans
249 AFTERCARE, MUSCULOSKELETAL SYSTEM $7,832 – $23,457 · median $22,078 2 plans
338 TESTES PROCEDURES, FOR MALIGNANCY $11,759 – $34,138 · median $32,122 2 plans
340 TESTES PROCEDURES, NON-MALIGNANCY $5,453 – $15,611 · median $14,701 2 plans
341 PENIS PROCEDURES $12,307 – $29,082 · median $27,368 2 plans
342 CIRCUMCISION AGE >17 $8,077 – $18,833 · median $17,730 2 plans
343 CIRCUMCISION AGE 0-17 $4,764 – $14,248 · median $13,419 2 plans
509 ARTHROSCOPY $18,504 – $36,050 · median $19,656 2 plans
009 SPINAL DISORDERS & INJURIES $15,158 – $15,158 · median $15,158 1 plans
015 TRANSIENT ISCHEMIC ATTACK & $8,343 – $8,343 · median $8,343 1 plans
043 HYPHEMA $4,106 – $4,106 · median $4,106 1 plans
044 ACUTE MAJOR EYE INFECTIONS $6,949 – $6,949 · median $6,949 1 plans
045 NEUROLOGICAL EYE DISORDERS $7,500 – $7,500 · median $7,500 1 plans
046 OTHER DISORDERS OF THE EYE AGE >17 $9,121 – $9,121 · median $9,121 1 plans
047 OTHER DISORDERS OF THE EYE AGE >17 $5,230 – $5,230 · median $5,230 1 plans
048 OTHER DISORDERS OF THE EYE AGE 0- $5,055 – $5,055 · median $5,055 1 plans
049 MAJOR HEAD & NECK PROCEDURES $20,656 – $20,656 · median $20,656 1 plans
050 SIALOADENECTOMY $8,611 – $8,611 · median $8,611 1 plans
051 SALIVARY GLAND PROCEDURES EXCEPT $8,257 – $8,257 · median $8,257 1 plans
104 CARDIAC VALVE PROCEDURES W CARDIAC $91,865 – $91,865 · median $91,865 1 plans
105 CARDIAC VALVE PROCEDURES W/O $69,622 – $69,622 · median $69,622 1 plans
106 CORONARY BYPASS W CARDIAC CATH $68,447 – $68,447 · median $68,447 1 plans
107 CORONARY BYPASS W/O CARDIAC CATH $50,685 – $50,685 · median $50,685 1 plans
108 OTHER CARDIOTHORACIC PROCEDURES $73,758 – $73,758 · median $73,758 1 plans
110 MAJOR CARDIOVASCULAR PROCEDURES W $49,263 – $49,263 · median $49,263 1 plans
111 MAJOR CARDIOVASCULAR PROCEDURES W/ $27,802 – $27,802 · median $27,802 1 plans
112 PERCUTANEOUS CARDIOVASCULAR $24,007 – $24,007 · median $24,007 1 plans
118 CARDIAC PACEMAKER DEVICE $18,816 – $18,816 · median $18,816 1 plans
119 VEIN LIGATION & STRIPPING $12,014 – $12,014 · median $12,014 1 plans
120 OTHER CIRCULATORY SYSTEM O.R. $23,687 – $23,687 · median $23,687 1 plans
126 ACUTE & SUBACUTE ENDOCARDITIS $33,478 – $33,478 · median $33,478 1 plans
127 HEART FAILURE & SHOCK $12,364 – $12,364 · median $12,364 1 plans
128 DEEP VEIN THROMBOPHLEBITIS $9,443 – $9,443 · median $9,443 1 plans
129 CARDIAC ARREST, UNEXPLAINED $13,655 – $13,655 · median $13,655 1 plans
130 PERIPHERAL VASCULAR DISORDERS W CC $11,082 – $11,082 · median $11,082 1 plans
131 PERIPHERAL VASCULAR DISORDERS W/O $7,111 – $7,111 · median $7,111 1 plans
132 ATHEROSCLEROSIS W CC $8,810 – $8,810 · median $8,810 1 plans
133 ATHEROSCLEROSIS W/O CC $6,458 – $6,458 · median $6,458 1 plans
134 HYPERTENSION $6,957 – $6,957 · median $6,957 1 plans
160 HERNIA PROCEDURES EXCEPT INGUINAL $7,938 – $7,938 · median $7,938 1 plans
161 INGUINAL & FEMORAL HERNIA $10,932 – $10,932 · median $10,932 1 plans
162 INGUINAL & FEMORAL HERNIA $6,226 – $6,226 · median $6,226 1 plans
169 MOUTH PROCEDURES W/O CC $7,425 – $7,425 · median $7,425 1 plans
170 OTHER DIGESTIVE SYSTEM O.R. $33,585 – $33,585 · median $33,585 1 plans
171 OTHER DIGESTIVE SYSTEM O.R. $12,846 – $12,846 · median $12,846 1 plans
172 DIGESTIVE MALIGNANCY W CC $15,686 – $15,686 · median $15,686 1 plans
174 G.I. HEMORRHAGE W CC $11,745 – $11,745 · median $11,745 1 plans
210 HIP & FEMUR PROCEDURES EXCEPT $22,251 – $22,251 · median $22,251 1 plans
211 HIP & FEMUR PROCEDURES EXCEPT $15,686 – $15,686 · median $15,686 1 plans
214 BACK & NECK PROCEDURES W CC $23,229 – $23,229 · median $23,229 1 plans
230 LOCAL EXCISION & REMOVAL OF INT $11,043 – $11,043 · median $11,043 1 plans
237 SPRAINS, STRAINS, & DISLOCATIONS $6,684 – $6,684 · median $6,684 1 plans
238 OSTEOMYELITIS $18,039 – $18,039 · median $18,039 1 plans
361 LAPAROSCOPY & INCISIONAL TUBAL $13,340 – $13,340 · median $13,340 1 plans
362 ENDOSCOPIC TUBAL INTERRUPTION $6,266 – $6,266 · median $6,266 1 plans
363 D&C, CONIZATION & RADIO-IMPLANT, $7,813 – $7,813 · median $7,813 1 plans
364 D&C, CONIZATION EXCEPT FOR $7,534 – $7,534 · median $7,534 1 plans
365 OTHER FEMALE REPRODUCTIVE SYSTEM $20,681 – $20,681 · median $20,681 1 plans
366 MALIGNANCY, FEMALE REPRODUCTIVE $14,624 – $14,624 · median $14,624 1 plans
367 MALIGNANCY, FEMALE REPRODUCTIVE $5,417 – $5,417 · median $5,417 1 plans
396 RED BLOOD CELL DISORDERS AGE 0-17 $3,452 – $3,452 · median $3,452 1 plans
400 LYMPHOMA & LEUKEMIA W MAJOR O.R. $31,002 – $31,002 · median $31,002 1 plans
401 LYMPHOMA & NON-ACUTE LEUKEMIA W $29,033 – $29,033 · median $29,033 1 plans
403 LYMPHOMA & NON-ACUTE LEUKEMIA W CC $20,475 – $20,475 · median $20,475 1 plans
404 LYMPHOMA & NON-ACUTE LEUKEMIA W/O $9,142 – $9,142 · median $9,142 1 plans
431 CHILDHOOD MENTAL DISORDERS $7,627 – $7,627 · median $7,627 1 plans
449 POISONING & TOXIC EFFECTS OF DRUGS $9,420 – $9,420 · median $9,420 1 plans
452 COMPLICATIONS OF TREATMENT W CC $10,357 – $10,357 · median $10,357 1 plans
484 CRANIOTOMY FOR MULTIPLE $72,219 – $72,219 · median $72,219 1 plans
490 HIV W OR W/O OTHER RELATED $12,836 – $12,836 · median $12,836 1 plans
491 MAJOR JOINT & LIMB REATTACHMENT $19,604 – $19,604 · median $19,604 1 plans
← Back to Phoenixville Hospital profile