UPMC St. Margaret (Acute Care) — Pricing

770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770
Lowest published price —
Average published price —
Highest published price —

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 770 procedures

Procedures with negotiated rates only

These 770 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 $226,248 – $288,660 · median $241,067 5 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $91,651 – $116,723 · median $97,654 5 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $171,427 – $688,270 · median $218,630 5 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $111,968 – $457,894 · median $142,676 5 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $83,416 – $106,203 · median $88,879 5 plans
006 LIVER TRANSPLANT WITHOUT MCC $37,667 – $47,763 · median $40,135 5 plans
007 LUNG TRANSPLANT $104,701 – $133,394 · median $111,559 5 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $45,470 – $57,730 · median $48,448 5 plans
010 PANCREAS TRANSPLANT $31,622 – $63,952 · median $61,074 5 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $44,256 – $192,618 · median $56,180 5 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $34,273 – $156,611 · median $43,427 5 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $23,514 – $93,036 · median $29,684 5 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $97,183 – $123,790 · median $103,549 5 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $48,091 – $61,079 · median $51,241 5 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $44,080 – $49,837 · median $46,968 5 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $348,482 – $444,804 · median $371,308 5 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $57,807 – $68,263 · median $61,593 5 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $63,727 – $354,162 · median $81,053 5 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $42,963 – $267,812 · median $54,529 5 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $25,898 – $188,422 · median $31,675 5 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $46,483 – $197,320 · median $59,025 5 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $31,820 – $140,245 · median $40,295 5 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $36,939 – $144,486 · median $46,833 5 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $25,348 – $99,260 · median $32,026 5 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $20,620 – $85,567 · median $25,987 5 plans
028 SPINAL PROCEDURES WITH MCC $48,725 – $188,330 · median $61,888 5 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $27,786 – $109,264 · median $35,141 5 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $17,978 – $63,115 · median $22,612 5 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $36,405 – $127,013 · median $46,151 5 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $17,460 – $68,739 · median $21,950 5 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $13,686 – $57,490 · median $17,129 5 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $31,488 – $180,769 · median $39,870 5 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $19,553 – $84,737 · median $24,623 5 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $15,943 – $61,040 · median $20,012 5 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $26,823 – $130,425 · median $33,910 5 plans
038 EXTRACRANIAL PROCEDURES WITH CC $13,361 – $70,261 · median $16,714 5 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $9,755 – $46,794 · median $12,108 5 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $31,412 – $118,531 · median $39,772 5 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $18,006 – $84,138 · median $22,648 5 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $14,208 – $53,664 · median $17,796 5 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $14,882 – $87,734 · median $18,343 5 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $8,173 – $45,872 · median $10,086 5 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $12,589 – $40,202 · median $15,006 5 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,498 – $35,130 · median $10,502 5 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $19,009 – $80,357 · median $23,929 5 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $10,724 – $51,128 · median $13,345 5 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $14,061 – $75,839 · median $17,609 5 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $10,283 – $39,602 · median $12,782 5 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $7,694 – $35,223 · median $9,474 5 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $22,509 – $106,820 · median $28,400 5 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $14,446 – $79,435 · median $18,100 5 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $11,596 – $74,456 · median $14,460 5 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $16,493 – $64,728 · median $20,714 5 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,423 – $40,663 · median $10,407 5 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,795 – $31,765 · median $7,050 5 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $12,120 – $65,881 · median $15,128 5 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $7,247 – $35,038 · median $8,904 5 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,718 – $31,534 · median $8,228 5 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $13,701 – $71,828 · median $17,148 5 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $8,550 – $39,464 · median $10,568 5 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $6,374 – $30,520 · median $7,789 5 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $13,213 – $56,292 · median $16,525 5 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,589 – $36,467 · median $10,618 5 plans
075 VIRAL MENINGITIS WITH CC/MCC $15,739 – $52,696 · median $19,670 5 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,931 – $28,031 · median $7,713 5 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $14,872 – $96,171 · median $18,644 5 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,498 – $30,290 · median $9,225 5 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $18,707 – $80,588 · median $23,543 5 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $11,532 – $50,621 · median $14,377 5 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,984 – $31,580 · median $9,845 5 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $18,596 – $64,959 · median $23,402 5 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $10,781 – $40,340 · median $13,418 5 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $7,652 – $26,417 · median $9,422 5 plans
088 CONCUSSION WITH MCC $11,177 – $59,334 · median $13,924 5 plans
089 CONCUSSION WITH CC $9,135 – $33,471 · median $11,316 5 plans
090 CONCUSSION WITHOUT CC/MCC $6,915 – $27,155 · median $8,479 5 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $14,438 – $58,274 · median $18,090 5 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,526 – $41,446 · median $10,537 5 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,698 – $31,673 · median $8,202 5 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $28,656 – $131,163 · median $36,252 5 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $21,074 – $102,072 · median $26,567 5 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $21,074 – $93,958 · median $26,567 5 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $29,401 – $142,366 · median $37,203 5 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $18,782 – $76,254 · median $23,639 5 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $11,263 – $42,783 · median $14,033 5 plans
100 SEIZURES WITH MCC $15,894 – $56,660 · median $19,950 5 plans
101 SEIZURES WITHOUT MCC $7,555 – $25,126 · median $9,297 5 plans
102 HEADACHES WITH MCC $9,315 – $41,354 · median $11,546 5 plans
103 HEADACHES WITHOUT MCC $7,020 – $29,782 · median $8,614 5 plans
113 ORBITAL PROCEDURES WITH CC/MCC $19,235 – $107,696 · median $24,218 5 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $11,187 – $58,182 · median $13,937 5 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $12,653 – $70,169 · median $15,810 5 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $14,856 – $83,262 · median $18,624 5 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $9,025 – $50,713 · median $11,175 5 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $9,657 – $48,915 · median $11,983 5 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,613 – $28,123 · median $8,094 5 plans
123 NEUROLOGICAL EYE DISORDERS $6,716 – $32,964 · median $8,226 5 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $10,946 – $62,008 · median $13,629 5 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,468 – $26,786 · median $7,909 5 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $17,775 – $113,598 · median $21,788 5 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,464 – $50,068 · median $10,458 5 plans
137 MOUTH PROCEDURES WITH CC/MCC $12,317 – $36,421 · median $13,595 5 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $7,423 – $27,477 · median $9,128 5 plans
139 SALIVARY GLAND PROCEDURES $10,241 – $57,721 · median $12,449 5 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $34,670 – $184,412 · median $43,935 5 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $17,864 – $85,152 · median $22,466 5 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $13,149 – $72,520 · median $16,444 5 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $30,488 – $110,877 · median $38,592 5 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $14,250 – $56,107 · median $17,850 5 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $9,972 – $41,032 · median $12,384 5 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $17,350 – $97,554 · median $21,810 5 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $10,530 – $56,015 · median $13,097 5 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,704 – $38,404 · median $8,211 5 plans
149 DYSEQUILIBRIUM $6,337 – $26,878 · median $7,742 5 plans
150 EPISTAXIS WITH MCC $11,013 – $62,054 · median $13,715 5 plans
151 EPISTAXIS WITHOUT MCC $6,195 – $27,016 · median $7,561 5 plans
152 OTITIS MEDIA AND URI WITH MCC $9,809 – $36,560 · median $12,177 5 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $6,229 – $18,165 · median $6,852 5 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $12,884 – $70,676 · median $16,105 5 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,667 – $27,662 · median $9,440 5 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,849 – $22,129 · median $7,119 5 plans
157 DENTAL AND ORAL DISEASES WITH MCC $14,120 – $64,129 · median $17,684 5 plans
158 DENTAL AND ORAL DISEASES WITH CC $7,613 – $28,445 · median $9,371 5 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,990 – $23,144 · median $7,298 5 plans
163 MAJOR CHEST PROCEDURES WITH MCC $36,416 – $151,356 · median $46,165 5 plans
164 MAJOR CHEST PROCEDURES WITH CC $20,629 – $91,745 · median $25,998 5 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $15,712 – $66,434 · median $19,717 5 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $30,416 – $121,850 · median $38,500 5 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $14,819 – $63,069 · median $18,576 5 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,295 – $48,731 · median $14,075 5 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $24,277 – $122,588 · median $30,658 5 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $11,353 – $45,457 · median $14,149 5 plans
176 PULMONARY EMBOLISM WITHOUT MCC $6,768 – $28,169 · median $8,292 5 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $12,878 – $49,883 · median $16,097 5 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $8,147 – $34,347 · median $10,053 5 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,365 – $25,725 · median $7,777 5 plans
180 RESPIRATORY NEOPLASMS WITH MCC $14,517 – $61,271 · median $18,191 5 plans
181 RESPIRATORY NEOPLASMS WITH CC $8,913 – $42,369 · median $11,032 5 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,355 – $36,375 · median $7,664 5 plans
183 MAJOR CHEST TRAUMA WITH MCC $12,613 – $48,639 · median $15,759 5 plans
184 MAJOR CHEST TRAUMA WITH CC $8,857 – $35,269 · median $10,961 5 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,619 – $27,570 · median $8,101 5 plans
186 PLEURAL EFFUSION WITH MCC $12,844 – $48,408 · median $16,053 5 plans
187 PLEURAL EFFUSION WITH CC $8,252 – $35,361 · median $10,188 5 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $6,060 – $27,477 · median $7,388 5 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $10,238 – $40,709 · median $12,725 5 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $9,209 – $33,655 · median $11,410 5 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,074 – $29,736 · median $8,683 5 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,454 – $23,743 · median $6,613 5 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $10,875 – $39,695 · median $13,539 5 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,775 – $28,169 · median $8,301 5 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,345 – $21,161 · median $6,474 5 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $15,494 – $64,959 · median $19,439 5 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,930 – $37,850 · median $9,776 5 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,052 – $29,091 · median $7,377 5 plans
199 PNEUMOTHORAX WITH MCC $14,502 – $48,316 · median $18,035 5 plans
200 PNEUMOTHORAX WITH CC $9,141 – $32,964 · median $11,323 5 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $6,043 – $20,055 · median $7,366 5 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,108 – $30,059 · median $10,004 5 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,679 – $19,133 · median $6,901 5 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,787 – $27,016 · median $8,317 5 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $15,041 – $51,912 · median $18,860 5 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,865 – $29,183 · median $9,694 5 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $52,163 – $260,758 · median $66,281 5 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $22,441 – $90,131 · median $28,313 5 plans
209 COMPLEX AORTIC ARCH PROCEDURES $91,546 – $116,589 · median $97,542 5 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $87,960 – $498,003 · median $112,009 5 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $46,295 – $58,784 · median $49,327 5 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $80,565 – $246,650 · median $92,068 5 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $79,161 – $316,174 · median $100,768 5 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $53,297 – $207,417 · median $67,729 5 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $53,297 – $188,376 · median $67,729 5 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $62,191 – $218,482 · median $79,090 5 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $43,278 – $171,641 · median $54,931 5 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $40,919 – $136,418 · median $50,921 5 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $40,170 – $236,185 · median $50,961 5 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $25,673 – $126,091 · median $32,441 5 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $68,252 – $326,501 · median $86,832 5 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $49,163 – $219,911 · median $62,448 5 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $61,924 – $225,443 · median $78,749 5 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $44,325 – $175,882 · median $56,269 5 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $47,598 – $172,286 · median $60,450 5 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $34,053 – $135,035 · median $43,147 5 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $39,963 – $147,022 · median $50,696 5 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $23,262 – $91,837 · median $29,362 5 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $11,440 – $68,509 · median $14,260 5 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $26,022 – $121,573 · median $32,887 5 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $17,459 – $89,855 · median $21,949 5 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $14,852 – $78,559 · median $18,618 5 plans
245 AICD GENERATOR PROCEDURES $37,066 – $221,985 · median $46,995 5 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $17,875 – $84,092 · median $22,481 5 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $12,328 – $68,186 · median $15,394 5 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $28,405 – $135,957 · median $35,931 5 plans
253 OTHER VASCULAR PROCEDURES WITH CC $21,206 – $96,724 · median $26,736 5 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $14,644 – $66,941 · median $18,352 5 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $22,027 – $86,581 · median $27,785 5 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $13,968 – $45,965 · median $17,157 5 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $9,084 – $33,747 · median $11,250 5 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $25,613 – $131,024 · median $32,365 5 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $16,582 – $87,872 · median $20,829 5 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $26,506 – $133,422 · median $33,505 5 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $15,521 – $70,814 · median $19,473 5 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $13,420 – $62,930 · median $16,789 5 plans
263 VEIN LIGATION AND STRIPPING $24,930 – $123,832 · median $31,493 5 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $27,214 – $84,968 · median $31,716 5 plans
265 AICD LEAD PROCEDURES $29,452 – $160,115 · median $37,269 5 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $49,693 – $205,112 · median $63,126 5 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $38,666 – $184,734 · median $49,039 5 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $55,737 – $253,889 · median $70,846 5 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $34,331 – $134,897 · median $43,501 5 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $42,822 – $164,080 · median $54,349 5 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $28,953 – $133,145 · median $36,632 5 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $20,863 – $96,954 · median $26,297 5 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $33,543 – $169,059 · median $42,495 5 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $26,820 – $117,747 · median $33,906 5 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $57,773 – $285,469 · median $73,447 5 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $48,711 – $246,005 · median $61,871 5 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $37,518 – $189,852 · median $47,573 5 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $45,160 – $211,889 · median $57,335 5 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $29,357 – $147,621 · median $37,148 5 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $13,211 – $50,529 · median $16,523 5 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,688 – $34,854 · median $9,467 5 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $6,108 – $31,442 · median $7,448 5 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $16,249 – $71,736 · median $20,403 5 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,858 – $34,024 · median $7,130 5 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,106 – $24,020 · median $6,169 5 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $18,120 – $64,775 · median $22,793 5 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,906 – $39,510 · median $11,023 5 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $22,098 – $97,369 · median $27,875 5 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $14,040 – $47,993 · median $17,582 5 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,773 – $46,518 · median $9,576 5 plans
291 HEART FAILURE AND SHOCK WITH MCC $10,629 – $39,049 · median $13,224 5 plans
292 HEART FAILURE AND SHOCK WITH CC $7,123 – $26,647 · median $8,745 5 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,841 – $23,835 · median $5,830 5 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $12,871 – $68,555 · median $16,088 5 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,389 – $32,272 · median $6,422 5 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,946 – $21,161 · median $4,688 5 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $13,442 – $40,571 · median $15,144 5 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,885 – $32,549 · median $10,996 5 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,080 – $24,066 · median $7,413 5 plans
302 ATHEROSCLEROSIS WITH MCC $9,926 – $52,926 · median $12,326 5 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,705 – $22,959 · median $6,934 5 plans
304 HYPERTENSION WITH MCC $9,872 – $37,251 · median $12,258 5 plans
305 HYPERTENSION WITHOUT MCC $6,366 – $26,555 · median $7,778 5 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $12,983 – $66,711 · median $16,232 5 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,640 – $41,124 · median $9,406 5 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,985 – $36,237 · median $12,402 5 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,209 – $22,821 · median $7,578 5 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,842 – $17,842 · median $5,831 5 plans
311 ANGINA PECTORIS $5,937 – $22,637 · median $7,230 5 plans
312 SYNCOPE AND COLLAPSE $7,305 – $29,782 · median $8,978 5 plans
313 CHEST PAIN $6,083 – $21,484 · median $7,416 5 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $17,091 – $66,987 · median $21,479 5 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $8,044 – $34,854 · median $9,922 5 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,777 – $30,474 · median $7,026 5 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $54,194 – $285,192 · median $68,874 5 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $19,808 – $24,950 · median $21,106 5 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $36,263 – $200,133 · median $45,970 5 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $19,672 – $107,281 · median $24,776 5 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $22,216 – $113,736 · median $28,026 5 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $14,493 – $84,368 · median $18,160 5 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $35,171 – $179,986 · median $44,574 5 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $25,685 – $139,415 · median $32,457 5 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $26,164 – $124,432 · median $33,069 5 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $40,493 – $168,506 · median $51,373 5 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $19,986 – $90,961 · median $25,176 5 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $13,197 – $56,384 · median $16,504 5 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $37,341 – $132,776 · median $47,346 5 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $19,607 – $81,648 · median $24,692 5 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $13,847 – $61,363 · median $17,335 5 plans
332 RECTAL RESECTION WITH MCC $29,472 – $173,301 · median $37,295 5 plans
333 RECTAL RESECTION WITH CC $19,163 – $96,862 · median $24,126 5 plans
334 RECTAL RESECTION WITHOUT CC/MCC $13,484 – $57,168 · median $16,871 5 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $29,071 – $103,685 · median $36,782 5 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $17,280 – $68,878 · median $21,721 5 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,654 – $52,972 · median $15,811 5 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $21,103 – $125,630 · median $26,604 5 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,410 – $52,511 · median $15,499 5 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,842 – $44,489 · median $12,218 5 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $18,787 – $114,796 · median $23,646 5 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $10,830 – $44,167 · median $13,481 5 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $7,297 – $33,793 · median $8,968 5 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $20,370 – $110,970 · median $25,668 5 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $12,570 – $66,158 · median $15,703 5 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $9,693 – $39,648 · median $12,029 5 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $23,677 – $104,838 · median $29,892 5 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $13,843 – $56,568 · median $17,330 5 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $11,122 – $47,255 · median $13,854 5 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $35,698 – $128,673 · median $45,248 5 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $19,029 – $65,328 · median $23,954 5 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,549 – $48,362 · median $14,399 5 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $28,004 – $35,419 · median $29,838 5 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $19,745 – $24,869 · median $21,038 5 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $13,113 – $55,969 · median $16,397 5 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $8,342 – $37,113 · median $10,303 5 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,928 – $31,719 · median $7,219 5 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $14,574 – $57,075 · median $18,264 5 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,510 – $33,240 · median $10,517 5 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,142 – $24,573 · median $7,493 5 plans
374 DIGESTIVE MALIGNANCY WITH MCC $17,522 – $70,076 · median $22,030 5 plans
375 DIGESTIVE MALIGNANCY WITH CC $10,030 – $41,400 · median $12,459 5 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $7,730 – $34,531 · median $9,521 5 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $15,017 – $61,778 · median $18,829 5 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $8,185 – $35,499 · median $10,102 5 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,360 – $25,034 · median $6,493 5 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $16,099 – $63,207 · median $20,212 5 plans
381 COMPLICATED PEPTIC ULCER WITH CC $9,014 – $35,038 · median $11,161 5 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,732 – $27,708 · median $8,247 5 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $11,410 – $61,916 · median $14,222 5 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $7,169 – $29,321 · median $8,805 5 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $13,036 – $49,007 · median $16,298 5 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $8,149 – $34,208 · median $10,056 5 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,770 – $24,573 · median $7,018 5 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $12,185 – $42,184 · median $15,212 5 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,645 – $23,697 · median $8,135 5 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,663 – $18,533 · median $5,603 5 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $10,504 – $40,294 · median $13,064 5 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,563 – $23,927 · median $8,030 5 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $13,173 – $56,799 · median $16,474 5 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,822 – $30,520 · median $9,638 5 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,510 – $24,942 · median $6,685 5 plans
397 APPENDIX PROCEDURES WITH MCC $19,588 – $64,083 · median $23,920 5 plans
398 APPENDIX PROCEDURES WITH CC $12,482 – $56,983 · median $15,591 5 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $9,507 – $40,939 · median $11,791 5 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $32,696 – $121,527 · median $41,413 5 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $44,388 – $199,764 · median $56,349 5 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $23,663 – $104,654 · median $29,874 5 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $18,175 – $79,666 · median $22,863 5 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $29,028 – $156,842 · median $36,727 5 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $17,833 – $81,233 · median $22,427 5 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $13,079 – $67,817 · median $16,354 5 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $26,913 – $145,870 · median $34,026 5 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $17,230 – $100,043 · median $21,657 5 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $13,666 – $74,087 · median $17,104 5 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $29,004 – $143,011 · median $36,697 5 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $16,942 – $70,445 · median $21,288 5 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $11,270 – $53,387 · median $14,043 5 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $19,520 – $72,243 · median $24,581 5 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $13,917 – $58,827 · median $17,424 5 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $11,290 – $48,915 · median $14,068 5 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $27,750 – $154,076 · median $35,095 5 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $14,287 – $77,453 · median $17,897 5 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $11,562 – $65,651 · median $14,416 5 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $33,765 – $161,406 · median $42,778 5 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $17,919 – $97,969 · median $22,536 5 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $12,374 – $71,137 · median $15,454 5 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $88,747 – $237,753 · median $96,278 5 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $58,484 – $185,610 · median $69,283 5 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $45,610 – $163,250 · median $57,909 5 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $72,926 – $384,498 · median $92,803 5 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $46,780 – $173,209 · median $59,404 5 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $16,147 – $67,449 · median $20,273 5 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,793 – $36,744 · median $10,879 5 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,022 – $31,073 · median $7,339 5 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $15,087 – $58,966 · median $18,919 5 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $9,397 – $38,634 · median $11,651 5 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,157 – $36,606 · median $8,789 5 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $13,422 – $63,760 · median $16,792 5 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $7,060 – $30,151 · median $8,665 5 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,287 – $21,668 · median $6,401 5 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $14,748 – $69,846 · median $18,486 5 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $8,061 – $35,822 · median $9,943 5 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,919 – $29,598 · median $7,207 5 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $13,750 – $55,047 · median $17,211 5 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $9,102 – $38,219 · median $11,273 5 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,948 – $32,456 · median $8,522 5 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $54,154 – $194,554 · median $68,824 5 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $34,473 – $122,634 · median $43,682 5 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $43,252 – $163,665 · median $54,898 5 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $26,325 – $94,096 · median $33,275 5 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $68,038 – $314,237 · median $86,559 5 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $48,360 – $228,532 · median $61,423 5 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $33,923 – $206,587 · median $42,980 5 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $44,812 – $294,505 · median $55,217 5 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $21,726 – $87,964 · median $27,399 5 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $46,235 – $168,229 · median $58,708 5 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $25,392 – $97,093 · median $32,083 5 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $14,982 – $64,175 · median $18,785 5 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $42,251 – $148,590 · median $53,618 5 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $28,714 – $98,153 · median $36,326 5 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $22,435 – $79,712 · median $28,306 5 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $24,735 – $102,395 · median $31,243 5 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $15,831 – $55,600 · median $19,869 5 plans
471 CERVICAL SPINAL FUSION WITH MCC $39,213 – $137,940 · median $49,738 5 plans
472 CERVICAL SPINAL FUSION WITH CC $24,033 – $88,564 · median $30,346 5 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $19,962 – $71,552 · median $25,147 5 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $34,893 – $131,808 · median $44,219 5 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $18,627 – $72,013 · median $23,441 5 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,793 – $54,355 · median $12,157 5 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $28,133 – $112,491 · median $35,584 5 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $20,107 – $74,733 · median $25,331 5 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $15,266 – $57,767 · median $19,148 5 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $23,760 – $117,516 · median $29,998 5 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $17,166 – $82,432 · median $21,574 5 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $13,428 – $59,703 · median $16,800 5 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $22,628 – $68,094 · median $25,418 5 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $26,299 – $151,356 · median $33,241 5 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $17,138 – $64,959 · median $21,539 5 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,906 – $48,869 · median $16,133 5 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $14,540 – $85,383 · median $15,994 5 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,282 – $50,621 · median $11,504 5 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $29,883 – $107,143 · median $37,819 5 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $20,727 – $87,181 · median $26,123 5 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $16,456 – $61,271 · median $20,668 5 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $29,513 – $164,864 · median $37,347 5 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $14,823 – $61,455 · median $18,581 5 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $10,020 – $48,823 · median $11,863 5 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $24,603 – $118,069 · median $31,075 5 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $16,523 – $57,352 · median $20,753 5 plans
500 SOFT TISSUE PROCEDURES WITH MCC $25,796 – $98,384 · median $32,599 5 plans
501 SOFT TISSUE PROCEDURES WITH CC $14,373 – $59,842 · median $18,006 5 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $11,129 – $44,766 · median $13,863 5 plans
503 FOOT PROCEDURES WITH MCC $22,783 – $111,200 · median $28,750 5 plans
504 FOOT PROCEDURES WITH CC $15,349 – $56,614 · median $19,254 5 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $14,733 – $52,742 · median $18,467 5 plans
506 MAJOR THUMB OR JOINT PROCEDURES $11,156 – $67,080 · median $12,356 5 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $14,843 – $92,897 · median $18,607 5 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $12,488 – $64,728 · median $15,599 5 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $24,633 – $128,535 · median $31,113 5 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $17,044 – $68,555 · median $21,419 5 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $13,625 – $50,114 · median $17,051 5 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $12,971 – $43,014 · median $16,056 5 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,520 – $33,609 · median $10,530 5 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $25,974 – $116,410 · median $32,827 5 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $17,034 – $76,392 · median $21,405 5 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $12,668 – $48,454 · median $15,829 5 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $30,413 – $97,231 · median $36,294 5 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $16,405 – $63,438 · median $20,603 5 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $12,323 – $43,383 · median $15,388 5 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $23,421 – $123,187 · median $29,565 5 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $17,353 – $76,346 · median $21,813 5 plans
533 FRACTURES OF FEMUR WITH MCC $12,918 – $70,445 · median $16,148 5 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,777 – $32,687 · median $8,303 5 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $10,614 – $53,157 · median $13,205 5 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,789 – $27,708 · median $8,319 5 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,972 – $43,982 · median $9,830 5 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $6,085 – $32,272 · median $7,419 5 plans
539 OSTEOMYELITIS WITH MCC $16,160 – $54,125 · median $20,203 5 plans
540 OSTEOMYELITIS WITH CC $10,730 – $36,375 · median $13,353 5 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,626 – $25,818 · median $7,947 5 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $14,521 – $69,892 · median $18,196 5 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,566 – $44,028 · median $10,589 5 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,362 – $35,407 · median $7,773 5 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $20,288 – $110,140 · median $25,563 5 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $9,577 – $45,089 · median $11,881 5 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,020 – $37,620 · median $8,613 5 plans
548 SEPTIC ARTHRITIS WITH MCC $15,847 – $88,103 · median $19,889 5 plans
549 SEPTIC ARTHRITIS WITH CC $10,011 – $41,400 · median $12,435 5 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $7,325 – $35,453 · median $9,004 5 plans
551 MEDICAL BACK PROBLEMS WITH MCC $13,792 – $56,707 · median $17,265 5 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $8,028 – $29,137 · median $9,902 5 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $10,730 – $60,902 · median $13,353 5 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,970 – $27,938 · median $8,550 5 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,935 – $62,930 · median $13,615 5 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,974 – $30,428 · median $8,556 5 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $12,266 – $44,535 · median $15,316 5 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,479 – $21,346 · median $8,216 5 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $15,314 – $65,189 · median $19,209 5 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $9,357 – $37,943 · median $11,599 5 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,759 – $30,566 · median $8,281 5 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $11,766 – $54,816 · median $14,676 5 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $7,498 – $28,215 · median $9,224 5 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $12,724 – $66,158 · median $15,900 5 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $8,134 – $33,932 · median $10,037 5 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $6,319 – $29,829 · median $7,718 5 plans
570 SKIN DEBRIDEMENT WITH MCC $23,992 – $90,408 · median $30,295 5 plans
571 SKIN DEBRIDEMENT WITH CC $13,900 – $46,518 · median $17,364 5 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $9,520 – $39,925 · median $11,807 5 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $53,104 – $269,978 · median $67,483 5 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $28,269 – $150,065 · median $35,757 5 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $14,767 – $86,720 · median $16,827 5 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $39,798 – $252,321 · median $50,485 5 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $21,651 – $107,420 · median $27,304 5 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,230 – $74,963 · median $16,547 5 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $26,391 – $84,460 · median $31,527 5 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $14,211 – $61,640 · median $17,799 5 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $11,913 – $51,681 · median $14,865 5 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $15,812 – $96,908 · median $19,845 5 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $14,182 – $87,503 · median $17,762 5 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $17,538 – $105,576 · median $22,050 5 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $15,832 – $92,067 · median $19,871 5 plans
592 SKIN ULCERS WITH MCC $15,882 – $51,635 · median $19,274 5 plans
593 SKIN ULCERS WITH CC $9,843 – $31,534 · median $11,771 5 plans
594 SKIN ULCERS WITHOUT CC/MCC $7,266 – $21,438 · median $8,002 5 plans
595 MAJOR SKIN DISORDERS WITH MCC $17,377 – $97,969 · median $21,844 5 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $9,006 – $28,953 · median $10,807 5 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $13,719 – $76,116 · median $17,172 5 plans
598 MALIGNANT BREAST DISORDERS WITH CC $9,399 – $39,372 · median $11,653 5 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,481 – $33,932 · median $7,552 5 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $8,676 – $29,368 · median $10,729 5 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,155 – $16,367 · median $6,109 5 plans
602 CELLULITIS WITH MCC $11,737 – $49,699 · median $14,640 5 plans
603 CELLULITIS WITHOUT MCC $7,299 – $22,683 · median $8,467 5 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $12,147 – $67,495 · median $15,163 5 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,663 – $27,477 · median $9,435 5 plans
606 MINOR SKIN DISORDERS WITH MCC $12,479 – $65,697 · median $15,587 5 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $7,586 – $24,204 · median $9,035 5 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $17,950 – $85,060 · median $22,577 5 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $11,560 – $63,161 · median $14,413 5 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $28,398 – $105,437 · median $35,922 5 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $15,358 – $53,433 · median $19,265 5 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $11,713 – $33,701 · median $12,885 5 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $23,559 – $100,873 · median $29,742 5 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $13,181 – $58,873 · median $16,484 5 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $12,440 – $47,532 · median $15,537 5 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $28,976 – $92,621 · median $34,573 5 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,742 – $52,603 · median $18,478 5 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,372 – $40,063 · median $12,895 5 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $24,629 – $132,961 · median $31,109 5 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $12,367 – $60,810 · median $15,445 5 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $10,988 – $43,752 · median $13,682 5 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $30,328 – $105,253 · median $38,388 5 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $17,846 – $60,902 · median $22,443 5 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $12,046 – $39,556 · median $14,765 5 plans
637 DIABETES WITH MCC $11,862 – $40,893 · median $14,799 5 plans
638 DIABETES WITH CC $7,503 – $25,264 · median $9,231 5 plans
639 DIABETES WITHOUT CC/MCC $5,286 – $19,502 · median $6,399 5 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $11,046 – $44,535 · median $13,757 5 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,552 – $24,481 · median $8,016 5 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $11,744 – $35,545 · median $13,268 5 plans
643 ENDOCRINE DISORDERS WITH MCC $13,550 – $54,033 · median $16,956 5 plans
644 ENDOCRINE DISORDERS WITH CC $8,542 – $31,212 · median $10,558 5 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,472 – $21,392 · median $7,914 5 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $38,187 – $48,427 · median $40,688 5 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $30,159 – $38,172 · median $32,134 5 plans
652 KIDNEY TRANSPLANT $26,318 – $33,265 · median $28,042 5 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $42,178 – $252,552 · median $53,526 5 plans
654 MAJOR BLADDER PROCEDURES WITH CC $22,849 – $99,167 · median $28,834 5 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $17,344 – $81,648 · median $21,802 5 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $25,949 – $111,477 · median $32,795 5 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $15,033 – $65,927 · median $18,850 5 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $12,790 – $56,845 · median $15,984 5 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $20,765 – $73,304 · median $26,173 5 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,934 – $40,663 · median $13,614 5 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $8,626 – $33,286 · median $10,665 5 plans
662 MINOR BLADDER PROCEDURES WITH MCC $24,963 – $139,784 · median $31,535 5 plans
663 MINOR BLADDER PROCEDURES WITH CC $12,535 – $69,800 · median $15,659 5 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,718 – $50,759 · median $10,784 5 plans
665 PROSTATECTOMY WITH MCC $25,445 – $145,777 · median $32,150 5 plans
666 PROSTATECTOMY WITH CC $14,382 – $78,652 · median $18,019 5 plans
667 PROSTATECTOMY WITHOUT CC/MCC $9,197 – $47,117 · median $11,394 5 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $23,822 – $115,442 · median $30,077 5 plans
669 TRANSURETHRAL PROCEDURES WITH CC $12,791 – $45,780 · median $15,986 5 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $8,157 – $37,251 · median $10,067 5 plans
671 URETHRAL PROCEDURES WITH CC/MCC $14,751 – $80,588 · median $18,489 5 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,981 – $47,532 · median $11,119 5 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $34,156 – $111,846 · median $41,749 5 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $19,134 – $73,949 · median $24,089 5 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $13,512 – $68,693 · median $16,907 5 plans
682 RENAL FAILURE WITH MCC $12,219 – $40,985 · median $15,255 5 plans
683 RENAL FAILURE WITH CC $7,339 – $23,466 · median $8,759 5 plans
684 RENAL FAILURE WITHOUT CC/MCC $5,117 – $17,473 · median $6,183 5 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $14,821 – $70,860 · median $18,579 5 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,726 – $37,067 · median $10,793 5 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,649 – $28,492 · median $8,140 5 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $9,633 – $42,046 · median $11,952 5 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,804 – $23,005 · median $8,338 5 plans
693 URINARY STONES WITH MCC $11,118 – $65,051 · median $13,849 5 plans
694 URINARY STONES WITHOUT MCC $6,580 – $21,807 · median $8,052 5 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $9,500 – $53,525 · median $11,782 5 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,833 – $22,821 · median $7,097 5 plans
697 URETHRAL STRICTURE $8,968 – $47,947 · median $11,102 5 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $13,617 – $55,877 · median $17,041 5 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,461 – $32,733 · median $10,455 5 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,840 – $28,860 · median $7,106 5 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $16,406 – $67,310 · median $20,604 5 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $12,648 – $62,193 · median $15,803 5 plans
709 PENIS PROCEDURES WITH CC/MCC $19,041 – $104,193 · median $23,970 5 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $11,575 – $65,973 · median $14,433 5 plans
711 TESTES PROCEDURES WITH CC/MCC $17,080 – $94,834 · median $21,464 5 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $9,144 – $52,742 · median $11,327 5 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $12,399 – $55,001 · median $15,486 5 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,803 – $38,450 · median $10,892 5 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $18,317 – $101,288 · median $23,045 5 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $12,138 – $63,668 · median $15,152 5 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $15,521 – $52,880 · median $19,473 5 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $11,107 – $35,499 · median $13,251 5 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $14,869 – $81,879 · median $18,641 5 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,491 – $51,635 · median $11,770 5 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,564 – $34,669 · median $6,301 5 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,713 – $57,905 · median $12,054 5 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $6,099 – $34,347 · median $7,437 5 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $12,234 – $69,661 · median $15,275 5 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,818 – $24,896 · median $8,356 5 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,814 – $48,224 · median $10,905 5 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,695 – $28,492 · median $6,922 5 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $17,452 – $68,048 · median $21,940 5 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $11,126 – $54,816 · median $13,859 5 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $29,100 – $185,841 · median $36,819 5 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $16,892 – $69,846 · median $21,225 5 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,118 – $50,851 · median $15,126 5 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $29,167 – $174,822 · median $36,323 5 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $14,869 – $68,278 · median $18,640 5 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,776 – $47,855 · median $14,690 5 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $15,072 – $57,536 · median $18,899 5 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $10,281 – $40,248 · median $12,780 5 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $16,800 – $46,979 · median $18,144 5 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $9,449 – $31,350 · median $11,702 5 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $14,284 – $47,716 · median $17,811 5 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $7,209 – $34,024 · median $8,647 5 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $11,463 – $62,147 · median $14,290 5 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $20,981 – $76,024 · median $26,448 5 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,177 – $62,884 · median $15,201 5 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $15,127 – $59,196 · median $18,970 5 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,048 – $35,545 · median $11,205 5 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,022 – $31,304 · median $9,894 5 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,823 – $66,987 · median $14,749 5 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,171 – $28,722 · median $10,084 5 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,628 – $22,590 · median $6,835 5 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $8,401 – $27,570 · median $10,291 5 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,877 – $20,562 · median $5,867 5 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $8,918 – $24,250 · median $9,631 5 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $13,903 – $49,192 · median $17,406 5 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $8,362 – $25,725 · median $9,603 5 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,556 – $15,859 · median $6,104 5 plans
779 ABORTION WITHOUT D&C $6,316 – $16,920 · median $7,421 5 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $14,301 – $38,311 · median $21,077 5 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,825 – $33,517 · median $10,920 5 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $8,000 – $27,984 · median $9,866 5 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $13,578 – $37,620 · median $14,664 5 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $9,282 – $33,286 · median $11,504 5 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $8,008 – $27,938 · median $9,876 5 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $14,809 – $52,557 · median $18,564 5 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $48,202 – $300,821 · median $61,221 5 plans
791 PREMATURITY WITH MAJOR PROBLEMS $33,007 – $88,656 · median $35,647 5 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $10,997 – $29,460 · median $21,027 5 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $14,283 – $42,949 · median $35,593 5 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $3,906 – $15,203 · median $12,178 5 plans
795 NORMAL NEWBORN $1,888 – $7,192 · median $2,077 5 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $9,687 – $53,940 · median $12,021 5 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $8,344 – $35,545 · median $10,305 5 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,994 – $30,243 · median $9,859 5 plans
799 SPLENIC PROCEDURES WITH MCC $36,796 – $139,277 · median $46,650 5 plans
800 SPLENIC PROCEDURES WITH CC $22,930 – $102,395 · median $28,938 5 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $15,669 – $74,133 · median $19,663 5 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $32,403 – $164,587 · median $41,038 5 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $15,266 – $71,506 · median $19,148 5 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $11,211 – $48,592 · median $13,967 5 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $8,828 – $23,651 · median $9,697 5 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $6,357 – $21,530 · median $7,767 5 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,713 – $18,349 · median $6,849 5 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $18,080 – $74,641 · median $22,742 5 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $10,484 – $40,063 · median $13,039 5 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $8,716 – $33,148 · median $10,781 5 plans
811 RED BLOOD CELL DISORDERS WITH MCC $11,600 – $47,486 · median $14,465 5 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,681 – $32,917 · median $9,458 5 plans
813 COAGULATION DISORDERS $12,576 – $63,115 · median $15,711 5 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $17,425 – $62,930 · median $21,906 5 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $8,453 – $34,485 · median $10,445 5 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,373 – $25,910 · median $6,510 5 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $17,387 – $54,816 · median $20,461 5 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,624 – $36,790 · median $10,859 5 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $7,211 – $24,665 · median $8,857 5 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $47,568 – $219,450 · median $60,410 5 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $18,328 – $95,940 · median $23,059 5 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,985 – $54,724 · median $12,402 5 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $37,246 – $165,233 · median $47,226 5 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $18,546 – $92,390 · median $23,337 5 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $11,158 – $56,199 · median $13,899 5 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $37,996 – $222,723 · median $48,184 5 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $18,913 – $96,632 · median $23,807 5 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $14,015 – $64,406 · median $17,550 5 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $25,758 – $74,133 · median $28,333 5 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $12,412 – $62,930 · median $15,502 5 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $9,973 – $28,630 · median $10,970 5 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,095 – $18,672 · median $6,970 5 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,493 – $13,278 · median $4,956 5 plans
834 ACUTE LEUKEMIA WITH MCC $44,545 – $313,915 · median $56,549 5 plans
835 ACUTE LEUKEMIA WITH CC $17,096 – $120,052 · median $21,485 5 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $10,110 – $74,041 · median $12,561 5 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $39,016 – $145,408 · median $49,487 5 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $17,109 – $48,316 · median $18,597 5 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $11,920 – $39,049 · median $14,576 5 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $26,361 – $144,348 · median $33,321 5 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $13,432 – $72,520 · median $16,804 5 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $8,424 – $49,422 · median $10,408 5 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $16,362 – $81,694 · median $20,547 5 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $10,093 – $46,287 · median $12,540 5 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $7,144 – $39,326 · median $8,772 5 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $21,181 – $70,169 · median $26,192 5 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,826 – $34,254 · median $12,786 5 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,126 – $21,945 · median $8,191 5 plans
849 RADIOTHERAPY $22,125 – $118,023 · median $27,909 5 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $70,103 – $424,654 · median $89,197 5 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $40,099 – $156,381 · median $50,870 5 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $16,389 – $64,129 · median $20,581 5 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,349 – $50,713 · median $15,422 5 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $36,955 – $126,552 · median $46,854 5 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $17,545 – $59,381 · median $22,059 5 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $11,508 – $42,184 · median $14,348 5 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $14,982 – $46,011 · median $17,175 5 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $8,323 – $29,321 · median $10,279 5 plans
864 FEVER AND INFLAMMATORY CONDITIONS $7,435 – $29,091 · median $9,144 5 plans
865 VIRAL ILLNESS WITH MCC $12,358 – $43,890 · median $15,433 5 plans
866 VIRAL ILLNESS WITHOUT MCC $7,289 – $24,711 · median $8,957 5 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $17,155 – $76,162 · median $21,561 5 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,591 – $34,946 · median $10,621 5 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,161 – $28,169 · median $7,516 5 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $56,010 – $239,735 · median $71,195 5 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $15,940 – $64,636 · median $20,009 5 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $8,528 – $33,010 · median $10,541 5 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $31,442 – $166,201 · median $39,810 5 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $8,019 – $27,108 · median $9,891 5 plans
881 DEPRESSIVE NEUROSES $6,298 – $16,874 · median $8,437 5 plans
882 NEUROSES EXCEPT DEPRESSIVE $6,161 – $16,505 · median $9,382 5 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $16,132 – $46,380 · median $17,745 5 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $10,773 – $28,860 · median $14,310 5 plans
885 PSYCHOSES $9,241 – $24,757 · median $12,379 5 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $17,011 – $56,753 · median $21,184 5 plans
887 OTHER MENTAL DISORDER DIAGNOSES $8,912 – $47,578 · median $11,031 5 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,251 – $15,721 · median $5,868 5 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $11,692 – $68,878 · median $14,581 5 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $14,348 – $52,373 · median $17,975 5 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $7,395 – $22,913 · median $8,553 5 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $34,116 – $147,852 · median $43,227 5 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $15,714 – $55,001 · median $19,720 5 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,708 – $36,744 · median $12,047 5 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $29,895 – $134,713 · median $37,835 5 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $12,238 – $74,087 · median $14,748 5 plans
906 HAND PROCEDURES FOR INJURIES $16,116 – $59,611 · median $18,154 5 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $31,235 – $126,645 · median $39,547 5 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $16,365 – $64,913 · median $20,552 5 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $10,862 – $44,167 · median $13,521 5 plans
913 TRAUMATIC INJURY WITH MCC $13,457 – $71,321 · median $16,837 5 plans
914 TRAUMATIC INJURY WITHOUT MCC $7,417 – $27,616 · median $9,121 5 plans
915 ALLERGIC REACTIONS WITH MCC $13,836 – $48,224 · median $17,321 5 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,650 – $21,069 · median $6,863 5 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $12,924 – $45,734 · median $16,155 5 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $7,188 – $22,729 · median $8,484 5 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $15,039 – $51,128 · median $18,858 5 plans
920 COMPLICATIONS OF TREATMENT WITH CC $8,359 – $31,442 · median $10,324 5 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,828 – $22,544 · median $7,091 5 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $14,383 – $68,555 · median $18,020 5 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $8,483 – $25,587 · median $9,551 5 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $172,437 – $1,000,248 · median $189,840 5 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $40,527 – $108,572 · median $61,020 5 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $19,687 – $52,742 · median $27,560 5 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $31,678 – $149,834 · median $39,314 5 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $18,102 – $93,082 · median $22,770 5 plans
935 NON-EXTENSIVE BURNS $15,041 – $40,294 · median $18,239 5 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $29,535 – $148,405 · median $37,375 5 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $19,120 – $79,020 · median $24,071 5 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $16,627 – $52,926 · median $19,756 5 plans
945 REHABILITATION WITH CC/MCC $12,764 – $69,385 · median $15,951 5 plans
946 REHABILITATION WITHOUT CC/MCC $9,524 – $49,607 · median $11,813 5 plans
947 SIGNS AND SYMPTOMS WITH MCC $10,513 – $41,124 · median $13,075 5 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,732 – $27,938 · median $8,246 5 plans
949 AFTERCARE WITH CC/MCC $9,870 – $48,131 · median $12,255 5 plans
950 AFTERCARE WITHOUT CC/MCC $5,338 – $30,105 · median $6,466 5 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,760 – $15,491 · median $5,727 5 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $54,553 – $275,787 · median $69,334 5 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $30,620 – $219,358 · median $38,761 5 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $61,720 – $264,492 · median $78,489 5 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $34,256 – $152,831 · median $43,405 5 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $24,017 – $119,729 · median $30,326 5 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $22,321 – $110,970 · median $28,160 5 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $12,635 – $50,713 · median $15,787 5 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,861 – $34,854 · median $9,688 5 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $49,636 – $304,602 · median $63,052 5 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $21,544 – $130,609 · median $27,167 5 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $23,548 – $118,438 · median $29,727 5 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,719 – $62,147 · median $13,339 5 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,556 – $42,000 · median $9,214 5 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,741 – $63,530 · median $13,057 5 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $38,109 – $180,723 · median $48,328 5 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $20,101 – $90,961 · median $25,324 5 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $14,098 – $56,522 · median $17,655 5 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $27,922 – $119,084 · median $35,314 5 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $13,530 – $55,554 · median $16,930 5 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,947 – $42,783 · median $12,352 5 plans
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