Pottstown Hospital — Pricing

797 procedures published in this hospital's Machine-Readable File (MRF) — 242 with a comparable price, 555 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 797
Lowest published price $1,019
Average published price $13,428
Highest published price $104,868

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 797 procedures

Published charges

Showing all 242 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 26 procedures, this hospital's negotiated rates average ≈135% of what Medicare pays.

DRG Description Published price vs. PA median vs. National median vs Medicare
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $104,868 $219,105 −52% $248,521 −58% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $58,866 $145,381 −60% $153,282 −62% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $54,985 $54,320 +1% $56,836 −3% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $53,780 $105,590 −49% $77,817 −31% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $47,350 $274,467 −83% $125,242 −62% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $41,026 $110,367 −63% $126,098 −67% —
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $40,910 $75,703 −46% $139,857 −71% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $37,097 $95,470 −61% $58,975 −37% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $36,334 $140,076 −74% $90,775 −60% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $35,737 $86,115 −59% $52,036 −31% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $35,057 $92,771 −62% $46,402 −24% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $34,896 $67,997 −49% $59,790 −42% —
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $34,592 $34,288 — $33,983 +2% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $34,062 $67,871 −50% $76,001 −55% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $32,591 $86,544 −62% $84,692 −62% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $32,008 $281,849 −89% $83,441 −62% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $31,577 $431,251 −93% $70,177 −55% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $30,779 $102,924 −70% $89,207 −65% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $30,140 $77,160 −61% $49,418 −39% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $29,845 $156,459 −81% $58,745 −49% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $28,568 $178,432 −84% $81,998 −65% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $28,158 $76,350 −63% $71,795 −61% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $27,444 $96,162 −71% $71,755 −62% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $26,445 $122,370 −78% $82,561 −68% —
252 OTHER VASCULAR PROCEDURES WITH MCC $25,725 $73,390 −65% $68,508 −62% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $25,035 $65,383 −62% $66,068 −62% —
263 VEIN LIGATION AND STRIPPING $24,893 $103,068 −76% $51,253 −51% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $24,779 $122,711 −80% $70,847 −65% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $24,749 $56,468 −56% $42,914 −42% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $24,254 $108,910 −78% $70,132 −65% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $24,040 $74,887 −68% $65,216 −63% —
500 SOFT TISSUE PROCEDURES WITH MCC $23,803 $95,436 −75% $61,872 −62% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $23,213 $102,620 −77% $62,821 −63% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $22,377 $39,656 −44% $31,951 −30% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $22,004 $65,542 −66% $47,711 −54% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $21,612 $110,896 −81% $70,467 −69% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $21,461 $56,395 −62% $32,574 −34% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $20,683 $138,008 −85% $148,832 −86% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $20,595 $72,566 −72% $44,546 −54% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $20,091 $55,229 −64% $65,788 −69% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $19,938 $92,880 −79% $54,929 −64% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $19,685 $38,216 −48% $52,178 −62% —
503 FOOT PROCEDURES WITH MCC $19,599 $77,559 −75% $47,540 −59% —
571 SKIN DEBRIDEMENT WITH CC $19,272 $46,529 −59% $37,169 −48% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $19,201 $74,137 −74% $58,707 −67% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $18,776 $109,290 −83% $75,103 −75% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $18,700 $114,100 −84% $55,162 −66% —
472 CERVICAL SPINAL FUSION WITH CC $18,650 $45,228 −59% $59,537 −69% —
253 OTHER VASCULAR PROCEDURES WITH CC $18,339 $112,254 −84% $57,454 −68% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $18,216 $61,138 −70% $31,563 −42% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $18,196 $40,692 −55% $33,661 −46% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $18,155 $38,759 −53% $40,362 −55% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $17,392 $95,155 −82% $61,470 −72% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $16,977 $147,417 −88% $50,498 −66% —
501 SOFT TISSUE PROCEDURES WITH CC $16,923 $37,750 −55% $39,619 −57% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $16,793 $78,623 −79% $37,267 −55% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $16,783 $62,838 −73% $53,451 −69% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $16,407 $41,441 −60% $44,117 −63% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $16,196 $53,400 −70% $47,737 −66% —
336 PERITONEAL ADHESIOLYSIS WITH CC $16,145 $78,344 −79% $50,463 −68% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $16,084 $67,452 −76% $88,050 −82% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $15,958 $40,048 −60% $33,851 −53% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $15,753 $76,694 −79% $59,651 −74% —
539 OSTEOMYELITIS WITH MCC $15,499 $54,560 −72% $37,609 −59% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $15,466 $59,979 −74% $45,877 −66% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $15,457 $36,001 −57% $38,070 −59% —
548 SEPTIC ARTHRITIS WITH MCC $15,397 $26,119 −41% $31,346 −51% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $15,255 $82,127 −81% $46,090 −67% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $15,201 $69,799 −78% $52,405 −71% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $15,180 $37,921 −60% $43,943 −65% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $15,026 $67,119 −78% $49,351 −70% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $15,001 $39,246 −62% $36,937 −59% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $14,868 $160,685 −91% $85,159 −83% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $14,717 $55,209 −73% $40,213 −63% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $14,708 $67,860 −78% $52,751 −72% ≈128% of Medicare
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $14,707 $82,087 −82% $77,990 −81% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $14,687 $34,322 −57% $31,321 −53% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $14,679 $37,743 −61% $29,524 −50% —
381 COMPLICATED PEPTIC ULCER WITH CC $14,627 $25,598 −43% $24,177 −40% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $14,278 $118,045 −88% $46,340 −69% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $14,133 $72,502 −81% $58,280 −76% ≈126% of Medicare
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $13,686 $38,124 −64% $36,670 −63% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $13,622 $38,270 −64% $32,637 −58% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,581 $66,509 −80% $34,459 −61% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $13,511 $58,337 −77% $38,101 −65% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $13,420 $69,265 −81% $33,985 −61% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $13,237 $68,050 −81% $39,018 −66% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $13,063 $28,217 −54% $32,859 −60% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $13,007 $91,573 −86% $40,694 −68% —
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,948 $12,948 +0% $12,397 +4% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $12,894 $53,712 −76% $31,159 −59% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $12,864 $40,359 −68% $39,973 −68% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,675 $54,572 −77% $44,606 −72% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,476 $40,731 −69% $32,443 −62% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,332 $49,985 −75% $43,477 −72% —
038 EXTRACRANIAL PROCEDURES WITH CC $12,271 $58,674 −79% $35,770 −66% —
183 MAJOR CHEST TRAUMA WITH MCC $12,244 $49,133 −75% $29,933 −59% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,147 $43,429 −72% $35,074 −65% —
551 MEDICAL BACK PROBLEMS WITH MCC $12,119 $36,807 −67% $34,017 −64% —
643 ENDOCRINE DISORDERS WITH MCC $12,023 $30,412 −60% $33,563 −64% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,843 $130,375 −91% $34,434 −66% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $11,769 $45,730 −74% $39,211 −70% —
835 ACUTE LEUKEMIA WITH CC $11,613 $33,551 −65% $35,569 −67% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $11,455 $27,678 −59% $30,502 −62% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $11,438 $31,976 −64% $33,393 −66% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,369 $36,099 −69% $30,571 −63% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $11,359 $35,313 −68% $16,968 −33% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $11,311 $50,020 −77% $29,743 −62% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,130 $49,949 −78% $41,955 −73% —
186 PLEURAL EFFUSION WITH MCC $11,118 $33,084 −66% $33,834 −67% —
602 CELLULITIS WITH MCC $11,118 $36,257 −69% $30,598 −64% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $11,115 $77,326 −86% $24,941 −55% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $11,069 $49,330 −78% $35,465 −69% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $10,959 $24,651 −56% $25,970 −58% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $10,896 $23,112 −53% $24,586 −56% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $10,774 $28,128 −62% $19,305 −44% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $10,403 $19,030 −45% $18,602 −44% —
199 PNEUMOTHORAX WITH MCC $10,397 $23,929 −57% $33,787 −69% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $10,308 $36,911 −72% $29,805 −65% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,127 $48,171 −79% $32,841 −69% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $10,090 $14,781 −32% $12,895 −22% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,027 $23,563 −57% $24,127 −58% —
541 OSTEOMYELITIS WITHOUT CC/MCC $9,823 $14,335 −31% $15,215 −35% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $9,751 $26,886 −64% $17,700 −45% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,748 $30,980 −69% $31,264 −69% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,621 $94,682 −90% $27,426 −65% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,613 $19,388 −50% $19,354 −50% —
694 URINARY STONES WITHOUT MCC $9,585 $22,651 −58% $17,345 −45% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $9,578 $36,177 −74% $33,255 −71% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $9,507 $14,209 −33% $18,150 −48% —
593 SKIN ULCERS WITH CC $9,500 $30,584 −69% $22,886 −58% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,446 $27,167 −65% $27,275 −65% ≈136% of Medicare
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,444 $39,276 −76% $25,463 −63% ≈137% of Medicare
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $9,404 $51,075 −82% $37,842 −75% ≈125% of Medicare
813 COAGULATION DISORDERS $9,268 $40,699 −77% $33,296 −72% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $9,267 $46,643 −80% $33,876 −73% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $9,054 $99,021 −91% $59,500 −85% —
152 OTITIS MEDIA AND URI WITH MCC $8,872 $20,317 −56% $20,247 −56% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $8,810 $21,696 −59% $14,638 −40% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,788 $31,820 −72% $25,034 −65% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $8,676 $24,449 −65% $19,096 −55% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,642 $26,123 −67% $33,047 −74% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $8,531 $21,832 −61% $16,634 −49% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,435 $30,347 −72% $17,226 −51% —
302 ATHEROSCLEROSIS WITH MCC $8,409 $35,347 −76% $22,446 −63% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,383 $27,603 −70% $23,749 −65% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $8,370 $47,856 −83% $50,394 −83% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,329 $28,486 −71% $32,021 −74% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $8,321 $26,466 −69% $15,038 −45% —
292 HEART FAILURE AND SHOCK WITH CC $8,299 $14,009 −41% $16,371 −49% —
200 PNEUMOTHORAX WITH CC $8,216 $28,074 −71% $21,368 −62% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,042 $28,561 −72% $22,850 −65% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $7,933 $29,170 −73% $15,600 −49% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $7,866 $40,440 −81% $24,552 −68% —
184 MAJOR CHEST TRAUMA WITH CC $7,800 $27,435 −72% $22,432 −65% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,794 $33,424 −77% $20,422 −62% ≈140% of Medicare
291 HEART FAILURE AND SHOCK WITH MCC $7,785 $27,270 −71% $26,776 −71% ≈131% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $7,739 $38,640 −80% $38,666 −80% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $7,658 $15,427 −50% $12,460 −39% —
916 ALLERGIC REACTIONS WITHOUT MCC $7,561 $15,792 −52% $13,942 −46% —
644 ENDOCRINE DISORDERS WITH CC $7,487 $26,209 −71% $23,198 −68% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $7,462 $48,099 −84% $42,881 −83% ≈114% of Medicare
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $7,379 $40,463 −82% $33,555 −78% —
915 ALLERGIC REACTIONS WITH MCC $7,306 $42,047 −83% $32,645 −78% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,226 $28,208 −74% $20,463 −65% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $7,205 $31,485 −77% $22,458 −68% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,157 $32,045 −78% $22,098 −68% ≈133% of Medicare
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $6,982 $16,602 −58% $16,699 −58% —
380 COMPLICATED PEPTIC ULCER WITH MCC $6,902 $40,981 −83% $39,627 −83% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,724 $18,641 −64% $18,488 −64% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $6,714 $76,563 −91% $50,607 −87% ≈141% of Medicare
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $6,701 $17,493 −62% $14,689 −54% —
638 DIABETES WITH CC $6,679 $20,282 −67% $19,661 −66% ≈141% of Medicare
881 DEPRESSIVE NEUROSES $6,605 $19,989 −67% $15,058 −56% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,533 $24,638 −73% $18,528 −65% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,442 $22,957 −72% $15,452 −58% —
919 COMPLICATIONS OF TREATMENT WITH MCC $6,428 $24,805 −74% $31,105 −79% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,412 $39,273 −84% $19,842 −68% ≈165% of Medicare
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $6,394 $27,008 −76% $26,682 −76% ≈117% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,293 $24,910 −75% $18,807 −67% ≈167% of Medicare
882 NEUROSES EXCEPT DEPRESSIVE $6,292 $14,865 −58% $15,680 −60% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,291 $21,921 −71% $17,578 −64% ≈140% of Medicare
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $6,264 $36,515 −83% $30,828 −80% ≈127% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $6,221 $22,832 −73% $22,888 −73% ≈138% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $6,196 $86,056 −93% $60,170 −90% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $6,188 $88,030 −93% $40,548 −85% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $6,098 $29,184 −79% $34,192 −82% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,056 $16,678 −64% $14,648 −59% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,997 $26,493 −77% $18,204 −67% ≈141% of Medicare
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,981 $20,809 −71% $15,183 −61% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,946 $27,570 −78% $18,002 −67% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,939 $25,128 −76% $17,298 −66% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,885 $16,819 −65% $17,674 −67% ≈144% of Medicare
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,884 $24,435 −76% $14,716 −60% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $5,847 $42,094 −86% $30,235 −81% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,814 $42,379 −86% $20,259 −71% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,762 $16,049 −64% $17,038 −66% ≈146% of Medicare
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $5,751 $34,471 −83% $33,653 −83% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,716 $26,043 −78% $15,428 −63% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $5,698 $74,070 −92% $66,685 −91% —
151 EPISTAXIS WITHOUT MCC $5,682 $15,177 −63% $13,032 −56% —
865 VIRAL ILLNESS WITH MCC $5,619 $36,697 −85% $26,910 −79% —
374 DIGESTIVE MALIGNANCY WITH MCC $5,547 $55,499 −90% $39,958 −86% —
637 DIABETES WITH MCC $5,542 $34,156 −84% $30,100 −82% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,465 $16,547 −67% $17,303 −68% ≈145% of Medicare
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $5,398 $38,347 −86% $33,707 −84% ≈130% of Medicare
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,374 $25,986 −79% $14,549 −63% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,338 $14,744 −64% $12,252 −56% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,306 $19,012 −72% $14,797 −64% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,231 $14,924 −65% $14,368 −64% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,187 $16,800 −69% $14,415 −64% —
303 ATHEROSCLEROSIS WITHOUT MCC $5,155 $18,634 −72% $14,927 −65% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $5,144 $217,830 −98% $50,919 −90% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,120 $21,905 −77% $20,781 −75% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,056 $26,786 −81% $23,319 −78% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $4,997 $29,540 −83% $27,543 −82% ≈128% of Medicare
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $4,952 $44,066 −89% $32,628 −85% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $4,748 $39,013 −88% $27,163 −83% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,733 $15,702 −70% $14,128 −66% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,720 $21,817 −78% $16,288 −71% —
639 DIABETES WITHOUT CC/MCC $4,701 $18,483 −75% $13,910 −66% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,642 $11,029 −58% $13,824 −66% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,471 $20,643 −78% $12,999 −66% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $4,374 $30,957 −86% $23,940 −82% ≈133% of Medicare
534 FRACTURES OF FEMUR WITHOUT MCC $4,214 $55,274 −92% $17,559 −76% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,175 $22,258 −81% $15,837 −74% —
683 RENAL FAILURE WITH CC $4,147 $25,886 −84% $19,130 −78% ≈129% of Medicare
885 PSYCHOSES $4,112 $24,971 −84% $21,729 −81% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $4,103 $22,988 −82% $21,275 −81% ≈126% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,067 $14,635 −72% $13,384 −70% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $3,937 $33,736 −88% $20,232 −81% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $3,893 $22,534 −83% $22,024 −82% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $3,858 $20,915 −82% $21,363 −82% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $3,054 $45,307 −93% $34,273 −91% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,010 $22,872 −87% $16,767 −82% —
313 CHEST PAIN $2,879 $21,597 −87% $16,440 −82% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $2,842 $26,094 −89% $26,770 −89% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $2,726 $17,707 −85% $17,601 −85% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $2,540 $23,926 −89% $24,386 −90% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $2,391 $14,309 −83% $13,361 −82% —
204 RESPIRATORY SIGNS AND SYMPTOMS $2,019 $16,866 −88% $18,004 −89% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,019 $10,317 −90% $9,940 −90% —

Procedures with negotiated rates only

These 555 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 $170,741 – $518,442 · median $216,941 17 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $69,232 – $239,670 · median $87,966 17 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $129,396 – $392,666 · median $164,409 17 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $63,021 – $190,744 · median $80,074 17 plans
006 LIVER TRANSPLANT WITHOUT MCC $28,519 – $85,785 · median $36,236 17 plans
007 LUNG TRANSPLANT $79,074 – $239,579 · median $100,471 17 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $34,404 – $103,685 · median $43,713 17 plans
010 PANCREAS TRANSPLANT $43,958 – $132,750 · median $55,335 17 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $33,488 – $100,901 · median $42,550 17 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $25,959 – $77,996 · median $32,984 17 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $17,846 – $53,313 · median $22,674 17 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $73,404 – $222,331 · median $93,267 17 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $36,381 – $109,699 · median $46,225 17 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $33,356 – $100,498 · median $42,382 17 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $262,926 – $798,882 · median $334,070 17 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $43,708 – $131,990 · median $55,535 17 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $48,173 – $159,680 · median $61,208 17 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $32,514 – $117,094 · median $41,311 17 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $19,643 – $81,790 · median $24,959 17 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $35,168 – $106,011 · median $44,684 17 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $24,110 – $72,370 · median $30,634 17 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $27,970 – $84,114 · median $35,539 17 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $19,229 – $57,520 · median $24,432 17 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $15,663 – $46,674 · median $19,901 17 plans
028 SPINAL PROCEDURES WITH MCC $36,859 – $111,154 · median $46,832 17 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $21,067 – $63,115 · median $26,768 17 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $13,670 – $40,611 · median $17,369 17 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $27,568 – $82,889 · median $35,027 17 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $13,280 – $39,424 · median $16,873 17 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $10,433 – $30,764 · median $13,256 17 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $23,859 – $71,608 · median $30,315 17 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $14,858 – $44,224 · median $18,878 17 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $20,341 – $60,904 · median $25,845 17 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $7,469 – $21,747 · median $9,490 17 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $23,802 – $71,432 · median $30,242 17 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $11,336 – $33,509 · median $14,403 17 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $6,275 – $18,115 · median $7,974 17 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $6,521 – $18,863 · median $8,286 17 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $10,717 – $31,626 · median $13,616 17 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $5,914 – $17,016 · median $7,515 17 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $17,087 – $51,006 · median $21,711 17 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $11,007 – $32,508 · median $13,985 17 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $8,858 – $25,970 · median $11,254 17 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $12,550 – $37,204 · median $15,946 17 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,577 – $15,991 · median $7,087 17 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,178 – $14,778 · median $6,580 17 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $6,560 – $18,981 · median $8,335 17 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $4,919 – $13,990 · median $6,250 17 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $10,077 – $29,680 · median $12,804 17 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $6,589 – $19,070 · median $8,372 17 plans
075 VIRAL MENINGITIS WITH CC/MCC $11,982 – $35,474 · median $15,224 17 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,339 – $15,266 · median $6,784 17 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $11,328 – $33,485 · median $14,393 17 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,767 – $16,569 · median $7,328 17 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $14,220 – $42,284 · median $18,068 17 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $8,809 – $25,822 · median $11,193 17 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,133 – $17,682 · median $7,793 17 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $14,137 – $42,030 · median $17,962 17 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $8,243 – $24,100 · median $10,473 17 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,883 – $16,922 · median $7,475 17 plans
088 CONCUSSION WITH MCC $8,541 – $25,008 · median $10,853 17 plans
089 CONCUSSION WITH CC $7,002 – $20,324 · median $8,896 17 plans
090 CONCUSSION WITHOUT CC/MCC $5,327 – $15,229 · median $6,768 17 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $11,001 – $32,490 · median $13,977 17 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $6,542 – $18,926 · median $8,312 17 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,163 – $14,732 · median $6,560 17 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $21,723 – $65,109 · median $27,601 17 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $16,005 – $47,715 · median $20,336 17 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $16,005 – $47,715 · median $20,336 17 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $22,285 – $66,818 · median $28,315 17 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $14,277 – $42,456 · median $18,140 17 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $8,606 – $25,204 · median $10,934 17 plans
100 SEIZURES WITH MCC $12,099 – $35,831 · median $15,373 17 plans
101 SEIZURES WITHOUT MCC $5,810 – $16,698 · median $7,382 17 plans
102 HEADACHES WITH MCC $7,137 – $20,737 · median $9,068 17 plans
103 HEADACHES WITHOUT MCC $5,406 – $15,472 · median $6,869 17 plans
113 ORBITAL PROCEDURES WITH CC/MCC $14,618 – $43,495 · median $18,574 17 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $8,549 – $25,031 · median $10,862 17 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $9,655 – $28,396 · median $12,267 17 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $11,316 – $33,450 · median $14,378 17 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $6,918 – $20,071 · median $8,790 17 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $7,395 – $21,521 · median $9,396 17 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,099 – $14,537 · median $6,479 17 plans
123 NEUROLOGICAL EYE DISORDERS $5,177 – $14,774 · median $6,578 17 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $8,367 – $24,477 · median $10,631 17 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $13,517 – $40,145 · median $17,175 17 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $6,495 – $19,483 · median $8,252 17 plans
137 MOUTH PROCEDURES WITH CC/MCC $9,401 – $27,624 · median $11,945 17 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,710 – $16,395 · median $7,255 17 plans
139 SALIVARY GLAND PROCEDURES $7,835 – $22,860 · median $9,955 17 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $26,259 – $78,908 · median $33,364 17 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $10,029 – $29,533 · median $12,743 17 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $23,105 – $69,312 · median $29,357 17 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $10,859 – $32,059 · median $13,797 17 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $7,632 – $22,243 · median $9,697 17 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $13,197 – $39,172 · median $16,768 17 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,053 – $23,523 · median $10,232 17 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,168 – $14,746 · median $6,567 17 plans
149 DYSEQUILIBRIUM $4,891 – $13,905 · median $6,215 17 plans
150 EPISTAXIS WITH MCC $8,418 – $24,633 · median $10,696 17 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $4,810 – $13,657 · median $6,111 17 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $9,829 – $28,925 · median $12,488 17 plans
157 DENTAL AND ORAL DISEASES WITH MCC $10,761 – $31,761 · median $13,673 17 plans
158 DENTAL AND ORAL DISEASES WITH CC $5,853 – $16,831 · median $7,437 17 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,629 – $13,107 · median $5,882 17 plans
163 MAJOR CHEST PROCEDURES WITH MCC $27,576 – $82,913 · median $35,037 17 plans
164 MAJOR CHEST PROCEDURES WITH CC $15,670 – $46,694 · median $19,910 17 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $23,051 – $69,147 · median $29,288 17 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $11,288 – $33,363 · median $14,342 17 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,630 – $25,278 · median $10,965 17 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $18,421 – $55,063 · median $23,362 17 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $8,674 – $25,412 · median $11,021 17 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,216 – $15,343 · median $6,628 17 plans
180 RESPIRATORY NEOPLASMS WITH MCC $11,060 – $32,671 · median $14,053 17 plans
181 RESPIRATORY NEOPLASMS WITH CC $6,834 – $19,814 · median $8,683 17 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $4,905 – $13,997 · median $6,232 17 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,104 – $14,550 · median $6,485 17 plans
187 PLEURAL EFFUSION WITH CC $6,336 – $18,298 · median $8,050 17 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,682 – $13,268 · median $5,949 17 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $7,834 – $22,855 · median $9,953 17 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $6,092 – $17,558 · median $7,741 17 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,676 – $13,250 · median $5,941 17 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $4,669 – $13,229 · median $5,933 17 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $6,227 – $17,967 · median $7,912 17 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $39,452 – $119,042 · median $50,127 17 plans
209 COMPLEX AORTIC ARCH PROCEDURES $69,153 – $209,398 · median $87,377 17 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $66,449 – $201,171 · median $84,273 17 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $60,872 – $259,783 · median $77,343 17 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $59,812 – $180,982 · median $75,997 17 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $40,307 – $121,643 · median $51,213 17 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $40,307 – $121,643 · median $51,213 17 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $47,014 – $142,049 · median $59,736 17 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $32,751 – $98,657 · median $41,613 17 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $30,971 – $93,244 · median $39,352 17 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $30,407 – $113,760 · median $38,635 17 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $19,474 – $74,609 · median $24,743 17 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $51,585 – $155,953 · median $65,543 17 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $37,189 – $112,158 · median $47,252 17 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $46,813 – $141,436 · median $59,480 17 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $33,541 – $101,060 · median $42,616 17 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $36,009 – $108,569 · median $45,753 17 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $25,794 – $77,493 · median $32,773 17 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $30,251 – $91,051 · median $38,436 17 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $8,740 – $25,611 · median $11,104 17 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $13,279 – $43,277 · median $16,872 17 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $11,313 – $35,012 · median $14,374 17 plans
245 AICD GENERATOR PROCEDURES $28,066 – $84,404 · median $35,660 17 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $13,593 – $44,146 · median $17,271 17 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $9,409 – $27,648 · median $11,955 17 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $11,156 – $32,961 · median $14,174 17 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $16,724 – $49,902 · median $21,250 17 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $10,646 – $31,411 · median $13,527 17 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $6,963 – $20,206 · median $8,847 17 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $19,429 – $58,129 · median $24,686 17 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $12,618 – $37,409 · median $16,032 17 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $20,102 – $61,042 · median $25,541 17 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $11,817 – $34,974 · median $15,015 17 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $10,233 – $30,153 · median $13,001 17 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $20,636 – $61,801 · median $26,220 17 plans
265 AICD LEAD PROCEDURES $22,324 – $66,937 · median $28,364 17 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $37,589 – $140,720 · median $47,760 17 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $29,272 – $107,317 · median $37,193 17 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $32,407 – $97,612 · median $41,176 17 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $21,947 – $65,792 · median $27,886 17 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $25,409 – $76,322 · median $32,284 17 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $20,338 – $60,896 · median $25,842 17 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $43,682 – $131,912 · median $55,400 17 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $36,848 – $111,122 · median $46,732 17 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $28,407 – $85,442 · median $36,027 17 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $34,170 – $102,975 · median $43,336 17 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $22,252 – $66,718 · median $28,221 17 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,718 – $13,377 · median $5,995 17 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $12,366 – $36,645 · median $15,713 17 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,530 – $12,809 · median $5,756 17 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,963 – $11,080 · median $5,035 17 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $13,777 – $40,937 · median $17,505 17 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $16,778 – $50,065 · median $21,318 17 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $10,701 – $31,578 · median $13,596 17 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $5,974 – $17,259 · median $7,591 17 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,176 – $11,729 · median $5,306 17 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,088 – $8,419 · median $3,924 17 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $10,250 – $30,205 · median $13,023 17 plans
304 HYPERTENSION WITH MCC $7,557 – $22,015 · median $9,602 17 plans
305 HYPERTENSION WITHOUT MCC $4,913 – $13,969 · median $6,242 17 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,874 – $16,894 · median $7,464 17 plans
311 ANGINA PECTORIS $4,589 – $12,985 · median $5,831 17 plans
312 SYNCOPE AND COLLAPSE $5,621 – $16,125 · median $7,142 17 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,469 – $12,619 · median $5,678 17 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $40,983 – $123,700 · median $51,783 17 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $15,051 – $44,811 · median $19,017 17 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $27,461 – $82,564 · median $34,891 17 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $14,948 – $44,498 · median $18,993 17 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $16,867 – $50,335 · median $21,391 17 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $11,042 – $32,616 · median $14,004 17 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $26,637 – $80,057 · median $33,782 17 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $19,483 – $58,294 · median $24,709 17 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $19,844 – $59,392 · median $25,167 17 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $30,650 – $92,267 · median $38,944 17 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $15,184 – $45,218 · median $19,293 17 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $10,065 – $29,643 · median $12,788 17 plans
332 RECTAL RESECTION WITH MCC $22,339 – $74,578 · median $28,384 17 plans
333 RECTAL RESECTION WITH CC $14,564 – $43,331 · median $18,505 17 plans
334 RECTAL RESECTION WITHOUT CC/MCC $10,281 – $30,301 · median $13,063 17 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $9,471 – $27,837 · median $12,034 17 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $7,534 – $21,945 · median $9,573 17 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $8,280 – $24,213 · median $10,520 17 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $5,615 – $16,106 · median $7,134 17 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $15,475 – $46,100 · median $19,662 17 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $9,592 – $28,203 · median $12,187 17 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $7,422 – $21,604 · median $9,431 17 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $14,463 – $43,022 · median $18,376 17 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,822 – $25,861 · median $11,209 17 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $21,232 – $63,614 · median $26,827 17 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $15,003 – $44,665 · median $18,956 17 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $6,403 – $18,504 · median $8,136 17 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,582 – $12,965 · median $5,822 17 plans
375 DIGESTIVE MALIGNANCY WITH CC $7,677 – $22,378 · median $9,754 17 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $5,942 – $17,100 · median $7,549 17 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $9,943 – $29,273 · median $12,634 17 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,258 – $18,062 · median $7,951 17 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $8,034 – $23,464 · median $10,207 17 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,062 – $14,423 · median $6,431 17 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,011 – $17,310 · median $7,637 17 plans
397 APPENDIX PROCEDURES WITH MCC $14,885 – $44,306 · median $18,877 17 plans
398 APPENDIX PROCEDURES WITH CC $9,525 – $28,002 · median $12,080 17 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $24,770 – $74,379 · median $31,298 17 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $33,588 – $101,204 · median $42,677 17 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $17,958 – $53,654 · median $22,817 17 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $13,819 – $41,063 · median $17,558 17 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $22,004 – $65,964 · median $27,958 17 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $13,561 – $40,338 · median $17,231 17 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $20,409 – $61,111 · median $25,931 17 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $13,107 – $40,883 · median $16,653 17 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $10,419 – $30,719 · median $13,238 17 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $21,986 – $65,908 · median $27,935 17 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $12,889 – $38,234 · median $16,376 17 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $8,611 – $25,221 · median $10,941 17 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $10,887 – $32,144 · median $13,833 17 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $8,831 – $25,891 · median $11,221 17 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $25,576 – $76,831 · median $32,497 17 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $13,626 – $40,476 · median $17,313 17 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $9,444 – $27,756 · median $12,000 17 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $67,343 – $203,892 · median $85,090 17 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $44,219 – $133,544 · median $55,872 17 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $34,509 – $104,007 · median $43,604 17 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $55,110 – $166,678 · median $69,633 17 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $35,392 – $106,691 · median $44,719 17 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $11,490 – $33,979 · median $14,599 17 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,510 – $15,786 · median $7,001 17 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,191 – $17,858 · median $7,866 17 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $32,731 – $98,598 · median $41,357 17 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $36,584 – $115,771 · median $46,483 17 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $33,907 – $102,176 · median $43,082 17 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $19,262 – $57,622 · median $24,474 17 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $31,976 – $96,300 · median $40,628 17 plans
471 CERVICAL SPINAL FUSION WITH MCC $29,685 – $89,331 · median $37,718 17 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $15,167 – $45,164 · median $19,271 17 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,498 – $21,834 · median $9,527 17 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $21,329 – $63,910 · median $27,100 17 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,276 – $45,495 · median $19,409 17 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $11,625 – $34,390 · median $14,771 17 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $18,031 – $53,878 · median $22,910 17 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $19,946 – $59,701 · median $25,343 17 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $11,078 – $32,725 · median $14,075 17 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $7,112 – $21,260 · median $9,037 17 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $22,649 – $67,925 · median $28,777 17 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $22,369 – $67,075 · median $28,422 17 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $11,291 – $33,372 · median $14,346 17 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $18,667 – $55,811 · median $23,718 17 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $12,573 – $37,274 · median $15,848 17 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $8,505 – $24,899 · median $10,807 17 plans
504 FOOT PROCEDURES WITH CC $11,688 – $34,580 · median $14,850 17 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $11,223 – $33,167 · median $14,260 17 plans
506 MAJOR THUMB OR JOINT PROCEDURES $8,526 – $24,960 · median $10,832 17 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $11,306 – $33,418 · median $14,365 17 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $9,530 – $28,016 · median $12,109 17 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $18,689 – $55,879 · median $23,746 17 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $12,966 – $38,469 · median $16,475 17 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $10,388 – $30,625 · median $13,198 17 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $9,894 – $29,125 · median $12,572 17 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $6,538 – $18,913 · median $8,307 17 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $23,048 – $69,140 · median $29,285 17 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $12,484 – $37,004 · median $15,863 17 plans
533 FRACTURES OF FEMUR WITH MCC $9,854 – $29,002 · median $12,521 17 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,124 – $17,655 · median $7,781 17 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,701 – $13,326 · median $5,973 17 plans
540 OSTEOMYELITIS WITH CC $8,204 – $23,982 · median $10,424 17 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $11,063 – $32,680 · median $14,057 17 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $6,572 – $19,018 · median $8,351 17 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $4,910 – $13,960 · median $6,238 17 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $7,335 – $21,338 · median $9,320 17 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,406 – $15,470 · median $6,869 17 plans
549 SEPTIC ARTHRITIS WITH CC $7,662 – $22,333 · median $9,735 17 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,636 – $16,171 · median $7,161 17 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,167 – $17,784 · median $7,835 17 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $8,204 – $23,982 · median $10,424 17 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,372 – $15,366 · median $6,825 17 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $9,363 – $27,508 · median $11,896 17 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,169 – $20,833 · median $9,109 17 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,246 – $18,026 · median $7,936 17 plans
570 SKIN DEBRIDEMENT WITH MCC $18,206 – $54,410 · median $23,133 17 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $7,292 – $21,207 · median $9,265 17 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $40,161 – $121,201 · median $51,029 17 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,249 – $33,245 · median $14,292 17 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $30,126 – $90,672 · median $38,278 17 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $16,440 – $49,038 · median $20,889 17 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $10,090 – $29,718 · median $12,820 17 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $9,097 – $26,697 · median $11,558 17 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $12,037 – $35,642 · median $15,294 17 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $10,807 – $31,901 · median $13,732 17 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $13,339 – $39,603 · median $16,948 17 plans
592 SKIN ULCERS WITH MCC $12,090 – $35,803 · median $15,361 17 plans
594 SKIN ULCERS WITHOUT CC/MCC $5,592 – $16,036 · median $7,105 17 plans
595 MAJOR SKIN DISORDERS WITH MCC $13,217 – $39,233 · median $16,794 17 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $10,459 – $30,841 · median $13,289 17 plans
598 MALIGNANT BREAST DISORDERS WITH CC $7,200 – $20,929 · median $9,149 17 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,000 – $14,234 · median $6,352 17 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $6,655 – $19,270 · median $8,456 17 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,000 – $11,193 · median $5,082 17 plans
603 CELLULITIS WITHOUT MCC $5,617 – $16,112 · median $7,137 17 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $9,273 – $27,234 · median $11,782 17 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,891 – $16,946 · median $7,485 17 plans
606 MINOR SKIN DISORDERS WITH MCC $9,523 – $27,994 · median $12,100 17 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,833 – $16,768 · median $7,411 17 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $13,650 – $40,548 · median $17,343 17 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $8,830 – $25,887 · median $11,220 17 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $17,880 – $53,417 · median $22,718 17 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $10,053 – $30,124 · median $12,773 17 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $9,494 – $27,905 · median $12,063 17 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,934 – $23,160 · median $10,081 17 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $18,687 – $55,872 · median $23,743 17 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $9,439 – $27,739 · median $11,993 17 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $8,398 – $24,574 · median $10,671 17 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $9,196 – $27,001 · median $11,685 17 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $8,969 – $26,309 · median $11,396 17 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $28,911 – $86,976 · median $36,734 17 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $22,857 – $68,557 · median $29,041 17 plans
652 KIDNEY TRANSPLANT $19,960 – $59,746 · median $25,361 17 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $31,921 – $98,939 · median $40,559 17 plans
654 MAJOR BLADDER PROCEDURES WITH CC $17,344 – $51,787 · median $22,037 17 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $13,192 – $39,157 · median $16,762 17 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $19,682 – $58,900 · median $25,008 17 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $11,449 – $33,855 · median $14,547 17 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $9,758 – $28,708 · median $12,398 17 plans
662 MINOR BLADDER PROCEDURES WITH MCC $18,938 – $56,638 · median $24,063 17 plans
663 MINOR BLADDER PROCEDURES WITH CC $9,565 – $28,124 · median $12,154 17 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $6,687 – $21,254 · median $8,497 17 plans
665 PROSTATECTOMY WITH MCC $19,301 – $57,742 · median $24,524 17 plans
666 PROSTATECTOMY WITH CC $10,959 – $32,362 · median $13,924 17 plans
667 PROSTATECTOMY WITHOUT CC/MCC $7,048 – $20,465 · median $8,955 17 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $18,078 – $54,020 · median $22,970 17 plans
669 TRANSURETHRAL PROCEDURES WITH CC $9,759 – $28,712 · median $12,399 17 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $6,264 – $18,080 · median $7,959 17 plans
671 URETHRAL PROCEDURES WITH CC/MCC $11,237 – $33,208 · median $14,277 17 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $6,885 – $19,971 · median $8,749 17 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $10,302 – $30,366 · median $13,090 17 plans
682 RENAL FAILURE WITH MCC $9,327 – $27,399 · median $11,851 17 plans
684 RENAL FAILURE WITHOUT CC/MCC $3,971 – $11,106 · median $5,046 17 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $11,289 – $33,368 · median $14,344 17 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,127 – $14,621 · median $6,514 17 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $7,377 – $21,466 · median $9,373 17 plans
693 URINARY STONES WITH MCC $8,497 – $24,873 · median $10,796 17 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $7,276 – $21,160 · median $9,245 17 plans
697 URETHRAL STRICTURE $6,875 – $19,939 · median $8,735 17 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $10,382 – $30,606 · median $13,191 17 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $12,485 – $37,006 · median $15,863 17 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $9,651 – $28,383 · median $12,262 17 plans
709 PENIS PROCEDURES WITH CC/MCC $14,472 – $43,051 · median $18,388 17 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $8,842 – $25,922 · median $11,234 17 plans
711 TESTES PROCEDURES WITH CC/MCC $12,993 – $38,550 · median $16,509 17 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $7,008 – $20,344 · median $8,905 17 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $9,463 – $27,813 · median $12,024 17 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $6,751 – $19,562 · median $8,578 17 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $13,926 – $41,390 · median $17,695 17 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $9,266 – $27,214 · median $11,774 17 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $8,488 – $24,847 · median $10,785 17 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $11,326 – $33,479 · median $14,391 17 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $7,270 – $21,140 · median $9,237 17 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,308 – $12,130 · median $5,474 17 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $7,437 – $21,649 · median $9,449 17 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,711 – $13,357 · median $5,986 17 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $9,339 – $27,434 · median $11,866 17 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,254 – $15,007 · median $6,675 17 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $6,759 – $19,586 · median $8,588 17 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,407 – $12,432 · median $5,600 17 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $13,274 – $41,331 · median $16,866 17 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $8,503 – $24,892 · median $10,804 17 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $22,058 – $70,840 · median $28,027 17 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $12,852 – $38,121 · median $16,329 17 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,251 – $27,167 · median $11,754 17 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $22,109 – $66,282 · median $28,091 17 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $11,325 – $33,478 · median $14,390 17 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $8,993 – $26,383 · median $11,427 17 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $11,479 – $33,944 · median $14,585 17 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $7,866 – $22,953 · median $9,994 17 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $12,782 – $37,908 · median $16,240 17 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $7,238 – $21,044 · median $9,197 17 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $10,884 – $32,136 · median $13,830 17 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $5,549 – $15,904 · median $7,050 17 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $8,757 – $25,665 · median $11,127 17 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $15,935 – $47,501 · median $20,247 17 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,295 – $27,302 · median $11,811 17 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,521 – $34,071 · median $14,638 17 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,936 – $20,124 · median $8,813 17 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,162 – $17,769 · median $7,829 17 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,028 – $26,490 · median $11,471 17 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,274 – $18,112 · median $7,972 17 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,356 – $12,430 · median $5,535 17 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $6,448 – $18,639 · median $8,192 17 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,790 – $10,554 · median $4,816 17 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $6,837 – $20,650 · median $8,688 17 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $10,597 – $35,574 · median $13,464 17 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $6,418 – $18,550 · median $8,155 17 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,302 – $12,112 · median $5,466 17 plans
779 ABORTION WITHOUT D&C $5,437 – $15,564 · median $6,908 17 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $15,251 – $45,419 · median $19,342 17 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,767 – $19,612 · median $8,599 17 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,145 – $17,719 · median $7,808 17 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $10,352 – $30,516 · median $13,153 17 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,112 – $20,661 · median $9,037 17 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,151 – $17,738 · median $7,816 17 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $11,280 – $33,341 · median $14,333 17 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $36,465 – $109,955 · median $46,331 17 plans
791 PREMATURITY WITH MAJOR PROBLEMS $25,004 – $75,092 · median $31,770 17 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $15,215 – $45,310 · median $19,332 17 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $25,677 – $77,138 · median $32,625 17 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $9,296 – $27,304 · median $11,811 17 plans
795 NORMAL NEWBORN $1,536 – $3,696 · median $1,951 17 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,418 – $21,590 · median $9,425 17 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $6,404 – $21,218 · median $8,137 17 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,141 – $21,218 · median $7,803 17 plans
799 SPLENIC PROCEDURES WITH MCC $27,862 – $83,785 · median $35,401 17 plans
800 SPLENIC PROCEDURES WITH CC $17,405 – $51,974 · median $22,115 17 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $11,929 – $35,315 · median $15,157 17 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $24,549 – $73,706 · median $31,192 17 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $11,625 – $34,390 · median $14,771 17 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,567 – $25,086 · median $10,885 17 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $6,884 – $19,965 · median $8,746 17 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,906 – $13,949 · median $6,233 17 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,421 – $12,473 · median $5,617 17 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $13,748 – $40,846 · median $17,467 17 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $6,685 – $19,362 · median $8,494 17 plans
811 RED BLOOD CELL DISORDERS WITH MCC $8,861 – $25,980 · median $11,258 17 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,905 – $16,987 · median $7,502 17 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $6,487 – $18,759 · median $8,242 17 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $14,196 – $42,210 · median $18,037 17 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $7,370 – $22,233 · median $9,364 17 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,550 – $15,908 · median $7,052 17 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $35,986 – $108,499 · median $45,723 17 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $13,934 – $41,414 · median $17,705 17 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $7,643 – $22,274 · median $9,711 17 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $28,202 – $84,819 · median $35,833 17 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $14,098 – $41,914 · median $17,913 17 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $8,527 – $24,964 · median $10,834 17 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $28,768 – $86,539 · median $36,552 17 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $10,682 – $31,520 · median $13,572 17 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $19,537 – $58,460 · median $24,824 17 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $9,473 – $27,843 · median $12,036 17 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $7,633 – $22,246 · median $9,699 17 plans
834 ACUTE LEUKEMIA WITH MCC $33,706 – $101,563 · median $42,827 17 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $7,737 – $22,561 · median $9,830 17 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $29,537 – $100,399 · median $37,529 17 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $13,015 – $45,344 · median $16,536 17 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,101 – $26,712 · median $11,564 17 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $19,993 – $59,846 · median $25,403 17 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $10,242 – $30,181 · median $13,013 17 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $6,465 – $18,692 · median $8,215 17 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $12,452 – $36,904 · median $15,821 17 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $7,724 – $22,522 · median $9,814 17 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,500 – $15,755 · median $6,988 17 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $16,086 – $47,961 · median $20,439 17 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $8,276 – $24,202 · median $10,516 17 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,486 – $15,714 · median $6,971 17 plans
849 RADIOTHERAPY $16,798 – $50,126 · median $21,343 17 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $52,981 – $160,201 · median $66,943 17 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $30,354 – $91,364 · median $38,567 17 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $9,426 – $27,698 · median $11,976 17 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $13,344 – $39,618 · median $16,954 17 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $8,791 – $25,769 · median $11,170 17 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $6,389 – $18,461 · median $8,118 17 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,719 – $16,422 · median $7,267 17 plans
866 VIRAL ILLNESS WITHOUT MCC $5,609 – $16,088 · median $7,127 17 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $6,591 – $19,075 · median $8,375 17 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,758 – $13,499 · median $6,046 17 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $12,134 – $35,936 · median $15,417 17 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,374 – $71,501 · median $30,215 17 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,374 – $17,764 · median $7,812 17 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $1,374 – $36,377 · median $15,572 17 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,374 – $38,393 · median $16,291 17 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,374 – $19,812 · median $8,666 17 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,072 – $11,413 · median $5,174 17 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $8,929 – $26,189 · median $11,346 17 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $11,963 – $35,418 · median $15,200 17 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $7,433 – $21,638 · median $9,445 17 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $22,658 – $67,952 · median $28,789 17 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $9,342 – $27,443 · median $11,869 17 plans
906 HAND PROCEDURES FOR INJURIES $12,266 – $36,340 · median $15,585 17 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $8,304 – $24,285 · median $10,550 17 plans
913 TRAUMATIC INJURY WITH MCC $10,261 – $30,240 · median $13,038 17 plans
914 TRAUMATIC INJURY WITHOUT MCC $5,706 – $16,382 · median $7,250 17 plans
920 COMPLICATIONS OF TREATMENT WITH CC $6,416 – $18,543 · median $8,152 17 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $130,158 – $394,984 · median $165,378 17 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $43,940 – $132,695 · median $55,829 17 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $19,907 – $59,585 · median $25,294 17 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $24,002 – $72,043 · median $30,497 17 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $13,764 – $40,896 · median $17,488 17 plans
935 NON-EXTENSIVE BURNS $12,848 – $38,110 · median $16,325 17 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $22,387 – $67,127 · median $28,444 17 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $14,532 – $43,233 · median $18,464 17 plans
945 REHABILITATION WITH CC/MCC $9,738 – $28,649 · median $12,373 17 plans
946 REHABILITATION WITHOUT CC/MCC $7,295 – $21,216 · median $9,269 17 plans
947 SIGNS AND SYMPTOMS WITH MCC $8,040 – $23,484 · median $10,216 17 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,189 – $14,809 · median $6,593 17 plans
949 AFTERCARE WITH CC/MCC $7,556 – $22,009 · median $9,600 17 plans
950 AFTERCARE WITHOUT CC/MCC $4,138 – $11,612 · median $5,258 17 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,702 – $16,177 · median $4,704 17 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $41,254 – $124,525 · median $52,417 17 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $46,659 – $140,968 · median $59,285 17 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $25,946 – $77,957 · median $32,967 17 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $18,225 – $54,466 · median $23,156 17 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $16,946 – $50,575 · median $21,531 17 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $9,641 – $28,353 · median $12,250 17 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $37,546 – $113,244 · median $47,705 17 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $16,359 – $48,792 · median $20,786 17 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $8,196 – $23,958 · median $10,414 17 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $5,810 – $16,700 · median $7,382 17 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $8,212 – $24,007 · median $10,435 17 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,271 – $45,482 · median $19,404 17 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,744 – $31,709 · median $13,651 17 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $10,316 – $30,407 · median $13,107 17 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $7,613 – $22,185 · median $9,673 17 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $17,817 – $25,281 · median $18,738 2 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $11,426 – $15,835 · median $12,011 2 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $8,530 – $11,230 · median $8,962 2 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $13,234 – $16,081 · median $13,914 2 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $10,228 – $12,155 · median $10,750 2 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $102,719 – $187,064 · median $108,111 2 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $68,449 – $132,066 · median $72,036 2 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $81,048 – $107,120 · median $85,313 2 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $52,262 – $64,999 · median $55,010 2 plans
509 ARTHROSCOPY $17,299 – $27,105 · median $18,193 2 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $85,961 – $90,471 · median $88,216 1 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $58,693 – $61,767 · median $60,230 1 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $79,615 – $83,790 · median $81,702 1 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $56,892 – $59,871 · median $58,382 1 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $71,916 – $75,686 · median $73,801 1 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $56,478 – $59,435 · median $57,957 1 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $21,679 – $22,804 · median $22,242 1 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $33,986 – $35,759 · median $34,873 1 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $20,641 – $21,711 · median $21,176 1 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $30,034 – $31,599 · median $30,817 1 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $18,535 – $19,494 · median $19,015 1 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,742 – $14,449 · median $14,096 1 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $25,588 – $26,919 · median $26,254 1 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $16,575 – $17,431 · median $17,003 1 plans
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