Berkeley Hospital | Roper St. Francis Healthcare — Pricing

469 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 469 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 469
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 469 procedures

Procedures with negotiated rates only

These 469 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
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $4,703 – $136,379 · median $42,789 52 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $1,185 – $40,853 · median $32,127 52 plans
139 SALIVARY GLAND PROCEDURES $10,158 – $30,691 · median $23,223 52 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $7,403 – $22,267 · median $15,145 52 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $6,965 – $23,386 · median $11,491 52 plans
199 PNEUMOTHORAX WITH MCC $6,738 – $34,712 · median $30,064 52 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $4,813 – $14,071 · median $7,127 52 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $12,892 – $56,089 · median $42,022 52 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $2,068 – $33,398 · median $20,462 52 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $9,174 – $32,618 · median $20,197 52 plans
304 DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,MODERATE $7,628 – $23,416 · median $20,982 52 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $6,965 – $41,030 · median $16,869 52 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $9,449 – $50,822 · median $38,246 52 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $4,735 – $31,135 · median $21,594 52 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $7,332 – $37,049 · median $29,141 52 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $5,430 – $36,869 · median $29,586 52 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $4,637 – $50,780 · median $37,590 52 plans
539 OSTEOMYELITIS WITH MCC $7,814 – $38,758 · median $33,222 52 plans
540 OSTEOMYELITIS WITH CC $6,211 – $25,507 · median $18,451 52 plans
542 VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,MAJOR $4,303 – $52,794 · median $33,198 52 plans
560 VAGINAL DELIVERY,MODERATE $4,319 – $40,108 · median $10,050 52 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $7,884 – $92,263 · median $14,830 52 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $10,964 – $62,990 · median $41,191 52 plans
639 DIABETES WITHOUT CC/MCC $2,815 – $12,223 · median $6,965 52 plans
640 NEONATE BIRTH WEIGHT > 2499 GRAMS NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM,MAJOR $1,187 – $26,281 · median $24,528 52 plans
694 URINARY STONES WITHOUT MCC $2,076 – $16,804 · median $14,690 52 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $2,048 – $56,869 · median $34,010 52 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $2,732 – $19,730 · median $17,801 52 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,905 – $18,067 · median $16,056 52 plans
813 COAGULATION DISORDERS $7,552 – $30,013 · median $28,665 52 plans
313 CHEST PAIN $6,821 – $20,171 · median $11,936 51 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $1,739 – $128,358 · median $107,111 51 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $10,792 – $38,610 · median $34,033 50 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $10,249 – $272,554 · median $95,748 48 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $38,880 – $150,008 · median $102,499 48 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $13,351 – $91,631 · median $49,750 48 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $23,001 – $63,202 · median $58,431 48 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $19,030 – $56,363 · median $47,413 48 plans
028 SPINAL PROCEDURES WITH MCC $42,634 – $120,983 · median $112,914 48 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $13,641 – $67,130 · median $33,602 48 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $16,811 – $44,714 · median $41,254 48 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $32,287 – $88,163 · median $62,407 48 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $16,376 – $46,275 · median $40,048 48 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $13,206 – $42,156 · median $31,251 48 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $10,078 – $81,454 · median $44,225 48 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $6,965 – $30,045 · median $13,893 48 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $7,659 – $59,328 · median $31,238 48 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $10,719 – $39,885 · median $24,348 48 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $20,616 – $62,316 · median $51,814 48 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $13,845 – $44,305 · median $33,023 48 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $15,564 – $41,838 · median $37,793 48 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,787 – $25,682 · median $18,987 48 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $6,580 – $20,084 · median $10,904 48 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,965 – $23,185 · median $12,588 48 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,965 – $20,334 · median $11,040 48 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $13,219 – $37,774 · median $31,287 48 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $5,843 – $29,215 · median $15,547 48 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,926 – $20,919 · median $19,372 48 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $14,202 – $35,615 · median $30,179 48 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $17,423 – $56,223 · median $42,953 48 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $6,965 – $28,681 · median $15,572 48 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,965 – $19,445 · median $10,558 48 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $9,282 – $57,443 · median $30,434 48 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $8,442 – $30,729 · median $16,684 48 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $8,139 – $22,679 · median $17,190 48 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $13,838 – $40,031 · median $33,004 48 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,965 – $19,011 · median $10,322 48 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $19,411 – $50,751 · median $48,471 48 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $26,404 – $79,916 · median $67,877 48 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $6,965 – $45,157 · median $21,066 48 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $11,171 – $26,808 · median $22,084 48 plans
100 SEIZURES WITH MCC $15,061 – $38,110 · median $32,324 48 plans
101 SEIZURES WITHOUT MCC $6,524 – $17,760 · median $8,815 48 plans
103 HEADACHES WITHOUT MCC $6,965 – $20,883 · median $11,338 48 plans
149 DYSEQUILIBRIUM $6,965 – $21,090 · median $11,450 48 plans
151 EPISTAXIS WITHOUT MCC $6,916 – $14,443 · median $13,487 48 plans
152 OTITIS MEDIA AND URI WITH MCC $7,244 – $23,262 · median $13,625 48 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,068 – $14,526 · median $9,533 48 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $8,152 – $18,034 · median $16,901 48 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $6,625 – $13,599 · median $12,625 48 plans
157 DENTAL AND ORAL DISEASES WITH MCC $13,571 – $33,781 · median $29,594 48 plans
158 DENTAL AND ORAL DISEASES WITH CC $8,106 – $18,246 · median $17,098 48 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $27,257 – $81,354 · median $70,243 48 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $14,158 – $43,522 · median $33,891 48 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $11,247 – $27,028 · median $25,814 48 plans
176 PULMONARY EMBOLISM WITHOUT MCC $7,396 – $16,035 · median $15,128 48 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $8,555 – $19,205 · median $17,194 48 plans
180 RESPIRATORY NEOPLASMS WITH MCC $13,904 – $34,750 · median $32,169 48 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,965 – $23,037 · median $12,292 48 plans
183 MAJOR CHEST TRAUMA WITH MCC $12,306 – $30,104 · median $27,554 48 plans
184 MAJOR CHEST TRAUMA WITH CC $9,151 – $30,246 · median $19,998 48 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $7,271 – $21,772 · median $14,781 48 plans
187 PLEURAL EFFUSION WITH CC $8,643 – $19,463 · median $18,588 48 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $6,802 – $22,558 · median $13,478 48 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $10,311 – $24,309 · median $23,079 48 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $9,446 – $21,796 · median $19,604 48 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,965 – $16,613 · median $9,020 48 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $10,846 – $25,863 · median $24,702 48 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,937 – $12,367 · median $11,168 48 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $7,389 – $37,134 · median $15,461 48 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,795 – $23,505 · median $13,460 48 plans
200 PNEUMOTHORAX WITH CC $9,389 – $22,359 · median $20,659 48 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,606 – $19,110 · median $14,307 48 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,149 – $15,887 · median $7,783 48 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $14,345 – $36,029 · median $28,236 48 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $8,318 – $19,763 · median $17,686 48 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $45,521 – $142,438 · median $120,927 48 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $20,559 – $54,086 · median $51,631 48 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $9,370 – $65,733 · median $31,704 48 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $26,028 – $80,636 · median $66,834 48 plans
291 HEART FAILURE AND SHOCK WITH MCC $10,639 – $25,261 · median $21,855 48 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,065 – $12,559 · median $6,819 48 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $12,522 – $36,460 · median $29,353 48 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $7,868 – $32,127 · median $15,384 48 plans
302 ATHEROSCLEROSIS WITH MCC $10,048 – $23,546 · median $20,171 48 plans
303 ATHEROSCLEROSIS WITHOUT MCC $6,504 – $14,493 · median $12,651 48 plans
305 HYPERTENSION WITHOUT MCC $7,059 – $17,230 · median $14,191 48 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $10,099 – $24,259 · median $22,627 48 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,779 – $11,681 · median $6,965 48 plans
312 SYNCOPE AND COLLAPSE $7,848 – $17,755 · median $16,380 48 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,963 – $18,955 · median $10,264 48 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $6,564 – $17,651 · median $12,819 48 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $18,497 – $62,041 · median $45,934 48 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,796 – $41,944 · median $30,112 48 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $18,179 – $54,764 · median $45,051 48 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $13,342 – $42,586 · median $31,627 48 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $26,127 – $90,334 · median $67,108 48 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,135 – $33,616 · median $28,278 48 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,978 – $26,949 · median $22,292 48 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $12,269 – $41,006 · median $28,650 48 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $21,598 – $67,791 · median $54,537 48 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $11,053 – $36,776 · median $25,277 48 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $10,862 – $86,437 · median $36,808 48 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $17,693 – $52,449 · median $43,703 48 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $12,725 – $34,245 · median $29,917 48 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $13,917 – $34,889 · median $26,178 48 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,859 – $20,090 · median $18,585 48 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,871 – $14,313 · median $13,670 48 plans
375 DIGESTIVE MALIGNANCY WITH CC $10,136 – $24,445 · median $22,732 48 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $7,634 – $35,970 · median $17,144 48 plans
381 COMPLICATED PEPTIC ULCER WITH CC $9,282 – $21,320 · median $18,918 48 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $7,734 – $18,043 · median $16,064 48 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $8,557 – $19,879 · median $18,348 48 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $6,559 – $14,872 · median $8,074 48 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $6,167 – $29,059 · median $13,006 48 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,629 – $12,273 · median $10,223 48 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $10,534 – $24,956 · median $23,619 48 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,965 – $15,340 · median $8,312 48 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $12,776 – $31,469 · median $25,610 48 plans
398 APPENDIX PROCEDURES WITH CC $12,195 – $39,425 · median $28,445 48 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $9,697 – $35,062 · median $21,512 48 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $21,585 – $73,588 · median $54,503 48 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $16,690 – $59,521 · median $40,918 48 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $12,697 – $47,124 · median $29,838 48 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $15,941 – $53,275 · median $38,839 48 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $18,106 – $52,699 · median $44,848 48 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $11,194 – $36,094 · median $25,667 48 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $15,274 – $39,821 · median $36,988 48 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,770 – $14,020 · median $13,280 48 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $6,965 – $36,141 · median $18,770 48 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $7,642 – $19,371 · median $15,809 48 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $6,153 – $13,947 · median $11,678 48 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,683 – $14,699 · median $13,149 48 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $13,260 – $32,878 · median $30,373 48 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $9,356 – $25,026 · median $20,567 48 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,965 – $19,127 · median $10,385 48 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $38,037 – $146,009 · median $100,159 48 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $23,821 – $94,077 · median $60,709 48 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $30,202 – $132,827 · median $78,416 48 plans
472 CERVICAL SPINAL FUSION WITH CC $21,896 – $70,199 · median $55,366 48 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $18,478 – $62,077 · median $45,879 48 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $17,356 – $44,779 · median $40,715 48 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $18,599 – $48,390 · median $45,845 48 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,586 – $50,519 · median $26,146 48 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $8,972 – $81,524 · median $40,630 48 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $16,129 – $59,610 · median $39,362 48 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $9,888 – $43,399 · median $22,903 48 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $23,799 – $63,500 · median $60,647 48 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $26,809 – $97,016 · median $69,000 48 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $11,348 – $62,454 · median $33,331 48 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $15,533 – $39,946 · median $37,708 48 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $10,128 – $37,761 · median $22,708 48 plans
500 SOFT TISSUE PROCEDURES WITH MCC $23,377 – $96,366 · median $59,476 48 plans
501 SOFT TISSUE PROCEDURES WITH CC $13,783 – $41,581 · median $32,852 48 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $11,059 – $28,423 · median $25,294 48 plans
503 FOOT PROCEDURES WITH MCC $20,846 – $81,306 · median $52,453 48 plans
504 FOOT PROCEDURES WITH CC $14,603 – $45,017 · median $35,128 48 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $10,710 – $89,864 · median $43,488 48 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $11,165 – $61,234 · median $30,301 48 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,868 – $22,700 · median $19,212 48 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $23,527 – $94,788 · median $59,891 48 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $16,018 – $51,904 · median $39,054 48 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $12,062 – $39,786 · median $28,075 48 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $16,286 – $58,320 · median $39,798 48 plans
533 FRACTURES OF FEMUR WITH MCC $6,852 – $49,490 · median $24,147 48 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $10,627 – $25,226 · median $23,871 48 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $7,414 – $18,218 · median $15,177 48 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,907 – $28,435 · median $19,319 48 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $8,480 – $59,082 · median $32,078 48 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $9,756 – $29,217 · median $21,676 48 plans
549 SEPTIC ARTHRITIS WITH CC $10,120 – $26,205 · median $22,687 48 plans
551 MEDICAL BACK PROBLEMS WITH MCC $7,000 – $33,836 · median $18,371 48 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,230 – $22,762 · median $12,359 48 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $7,566 – $16,334 · median $15,600 48 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,896 – $42,291 · median $24,841 48 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $7,570 – $21,893 · median $15,609 48 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $5,415 – $17,576 · median $8,393 48 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $11,594 – $38,248 · median $26,776 48 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $8,009 – $19,877 · median $16,829 48 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $8,544 – $23,240 · median $18,312 48 plans
570 SKIN DEBRIDEMENT WITH MCC $7,086 – $57,872 · median $22,955 48 plans
571 SKIN DEBRIDEMENT WITH CC $13,386 – $33,244 · median $31,751 48 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $7,921 – $45,707 · median $24,091 48 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,999 – $20,496 · median $15,046 48 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,042 – $12,360 · median $11,370 48 plans
603 CELLULITIS WITHOUT MCC $5,280 – $17,137 · median $8,235 48 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,914 – $40,427 · median $27,665 48 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $6,277 – $36,802 · median $18,401 48 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $12,160 – $36,670 · median $28,347 48 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $16,700 – $44,657 · median $40,946 48 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $11,829 – $42,541 · median $27,428 48 plans
638 DIABETES WITH CC $8,014 – $17,635 · median $15,196 48 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $11,576 – $48,961 · median $26,726 48 plans
643 ENDOCRINE DISORDERS WITH MCC $13,092 – $33,159 · median $30,935 48 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,965 – $16,401 · median $8,905 48 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $10,280 – $125,344 · median $65,812 48 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $14,338 – $52,804 · median $34,391 48 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $19,152 – $53,152 · median $47,751 48 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,896 – $35,192 · median $24,839 48 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $9,035 – $31,877 · median $19,674 48 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $21,719 – $85,306 · median $54,876 48 plans
669 TRANSURETHRAL PROCEDURES WITH CC $12,455 – $37,149 · median $29,167 48 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $8,563 – $31,534 · median $18,366 48 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $30,398 – $82,675 · median $62,085 48 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $17,782 – $46,523 · median $43,949 48 plans
682 RENAL FAILURE WITH MCC $11,974 – $29,142 · median $25,254 48 plans
683 RENAL FAILURE WITH CC $7,876 – $17,233 · median $16,283 48 plans
684 RENAL FAILURE WITHOUT CC/MCC $6,010 – $12,246 · median $11,281 48 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $9,041 – $26,966 · median $19,691 48 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $7,427 – $15,929 · median $14,626 48 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $13,149 – $32,554 · median $28,757 48 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $5,961 – $19,972 · median $10,625 48 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $15,491 – $54,181 · median $37,592 48 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $12,126 – $29,582 · median $28,039 48 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $14,748 – $37,899 · median $35,528 48 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $6,834 – $21,355 · median $13,569 48 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $14,370 – $38,379 · median $34,481 48 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $10,347 – $28,821 · median $23,316 48 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $15,822 – $40,320 · median $36,856 48 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,575 – $19,264 · median $16,323 48 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,190 – $13,058 · median $11,644 48 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $8,768 – $19,825 · median $16,670 48 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,808 – $11,947 · median $6,965 48 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $13,388 – $33,250 · median $29,791 48 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,341 – $12,883 · median $6,965 48 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $9,124 – $23,723 · median $19,922 48 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $9,508 – $23,723 · median $20,988 48 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $1,956 – $19,458 · median $11,513 48 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,799 – $12,537 · median $3,384 48 plans
795 NORMAL NEWBORN $1,370 – $5,772 · median $2,577 48 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $9,253 – $21,235 · median $20,281 48 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,354 – $13,266 · median $10,071 48 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $16,897 – $43,445 · median $38,517 48 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $10,518 – $24,909 · median $23,520 48 plans
811 RED BLOOD CELL DISORDERS WITH MCC $11,455 – $28,395 · median $26,391 48 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $6,965 – $20,402 · median $11,077 48 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $6,225 – $14,734 · median $7,999 48 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $17,396 – $44,895 · median $42,878 48 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,795 – $23,899 · median $21,785 48 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $33,623 – $133,271 · median $87,910 48 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $23,345 – $62,179 · median $52,910 48 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $4,941 – $23,662 · median $9,294 48 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,803 – $14,199 · median $9,035 48 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,042 – $10,289 · median $5,721 48 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $23,852 – $63,653 · median $59,021 48 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $7,665 – $40,737 · median $22,118 48 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $6,965 – $32,294 · median $16,273 48 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $15,454 – $39,252 · median $31,578 48 plans
849 RADIOTHERAPY $20,294 – $81,867 · median $50,920 48 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $35,390 – $101,083 · median $92,811 48 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $15,476 – $42,787 · median $37,550 48 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $7,453 – $42,138 · median $20,506 48 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $11,378 – $33,794 · median $26,177 48 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $5,683 – $19,636 · median $9,428 48 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,965 – $17,467 · median $8,354 48 plans
865 VIRAL ILLNESS WITH MCC $6,965 – $29,482 · median $14,024 48 plans
866 VIRAL ILLNESS WITHOUT MCC $5,883 – $17,111 · median $8,226 48 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $16,120 – $41,188 · median $31,007 48 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $7,605 – $39,154 · median $21,258 48 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $8,875 – $20,553 · median $19,231 48 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,188 – $31,658 · median $12,841 48 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $1,188 – $12,139 · median $6,123 48 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $1,188 – $34,338 · median $13,763 48 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,188 – $17,371 · median $7,923 48 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,866 – $37,915 · median $21,980 48 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $27,945 – $86,253 · median $72,152 48 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $15,457 – $41,402 · median $37,496 48 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $10,835 – $25,830 · median $24,670 48 plans
913 TRAUMATIC INJURY WITH MCC $13,015 – $42,838 · median $30,719 48 plans
915 ALLERGIC REACTIONS WITH MCC $13,333 – $33,089 · median $27,385 48 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,140 – $13,111 · median $6,965 48 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $12,566 – $30,861 · median $27,590 48 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,711 – $16,865 · median $8,137 48 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $14,343 – $36,025 · median $29,244 48 plans
920 COMPLICATIONS OF TREATMENT WITH CC $8,733 – $20,732 · median $18,836 48 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,919 – $13,546 · median $11,134 48 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $6,965 – $34,423 · median $14,646 48 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $26,517 – $97,675 · median $68,190 48 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,965 – $21,196 · median $11,508 48 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,079 – $10,940 · median $5,791 48 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $12,324 – $34,154 · median $28,802 48 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $21,489 – $68,943 · median $54,237 48 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,733 – $45,157 · median $24,388 48 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $25,162 – $75,579 · median $64,430 48 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $12,809 – $43,475 · median $30,150 47 plans
163 MAJOR CHEST PROCEDURES WITH MCC $32,296 – $88,188 · median $84,226 47 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $14,908 – $49,717 · median $35,974 47 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $33,073 – $90,445 · median $86,382 47 plans
374 DIGESTIVE MALIGNANCY WITH MCC $16,428 – $42,083 · median $35,475 47 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $24,315 – $88,615 · median $62,079 47 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $76,581 – $216,864 · median $177,295 47 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $50,830 – $142,040 · median $134,743 47 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $40,018 – $118,905 · median $105,654 47 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $41,000 – $133,157 · median $108,381 47 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $47,193 – $156,647 · median $125,567 47 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $30,664 – $94,077 · median $79,697 47 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $42,327 – $160,549 · median $112,065 47 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $21,382 – $85,467 · median $53,940 47 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $3,054 – $14,857 · median $6,663 47 plans
791 PREMATURITY WITH MAJOR PROBLEMS $3,048 – $30,904 47 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $27,428 – $148,260 · median $74,045 47 plans
999 UNGROUPABLE $10,228 – $161,307 · median $68,474 46 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $12,528 – $29,918 · median $29,368 45 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $6,340 – $15,076 · median $8,356 45 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $35,720 – $105,092 · median $93,728 44 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $62,959 – $177,295 · median $169,317 44 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,965 – $21,405 · median $11,250 43 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,103 – $15,494 · median $9,535 42 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $1,920 – $21,167 · median $7,994 41 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $1,604 – $43,888 · median $27,120 41 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $8,957 – $28,984 · median $19,458 41 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $6,214 – $15,319 · median $11,847 39 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $29,172 – $124,455 · median $75,557 39 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $6,427 – $13,416 · median $12,089 39 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $12,612 – $23,723 · median $19,500 39 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $8,431 – $20,142 · median $19,006 39 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $12,612 – $23,723 · median $19,006 39 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $8,438 – $20,142 · median $19,006 39 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $8,720 – $20,929 · median $13,416 39 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,354 – $13,416 · median $10,071 39 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,188 – $18,894 · median $8,447 39 plans
885 PSYCHOSES $2,070 – $27,485 · median $11,404 39 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,873 – $26,766 · median $20,130 37 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $9,648 – $31,477 · median $22,383 37 plans
887 OTHER MENTAL DISORDER DIAGNOSES $2,070 – $21,072 · median $6,965 37 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $13,252 – $89,343 · median $49,517 35 plans
292 HEART FAILURE AND SHOCK WITH CC $5,502 – $16,706 · median $15,550 34 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $9,098 – $21,455 · median $19,849 34 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $12,782 – $43,754 · median $30,074 34 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $18,594 – $59,495 · median $46,203 34 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $9,853 – $26,529 · median $21,946 33 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $8,282 – $20,910 · median $18,412 33 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $14,295 – $42,768 · median $34,273 33 plans
947 SIGNS AND SYMPTOMS WITH MCC $10,541 – $30,414 · median $24,978 33 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $6,965 – $35,702 · median $15,906 32 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $12,985 – $32,077 · median $29,242 32 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $7,438 – $15,962 · median $14,626 32 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $4,303 – $82,045 · median $31,465 32 plans
471 CERVICAL SPINAL FUSION WITH MCC $34,645 – $111,338 · median $95,014 31 plans
181 RESPIRATORY NEOPLASMS WITH CC $9,198 – $21,074 · median $17,609 30 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $25,340 – $67,976 · median $62,359 30 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $13,076 – $42,425 · median $32,341 29 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,340 – $38,926 · median $28,847 28 plans
602 CELLULITIS WITH MCC $11,570 – $28,349 · median $26,710 28 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $7,145 – $17,952 · median $14,429 27 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $13,401 – $39,885 · median $31,790 27 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $3,054 – $44,304 · median $42,195 27 plans
164 MAJOR CHEST PROCEDURES WITH CC $19,038 – $77,059 · median $48,549 26 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,118 – $16,423 · median $8,917 26 plans
506 MAJOR THUMB OR JOINT PROCEDURES $11,082 – $26,548 · median $19,762 26 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $7,055 – $23,208 · median $14,181 26 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,093 – $33,713 · median $32,097 26 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $6,293 – $12,754 · median $11,012 25 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $16,225 – $53,705 · median $39,629 25 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $7,215 – $15,313 · median $14,625 25 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $6,855 – $35,885 · median $15,261 25 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $8,169 – $23,859 · median $17,273 24 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $9,803 – $22,831 · median $22,418 23 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $8,148 – $18,024 · median $17,132 22 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,764 – $13,707 · median $6,224 21 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,965 – $20,069 · median $8,209 21 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $8,586 – $20,845 · median $18,430 20 plans
397 APPENDIX PROCEDURES WITH MCC $18,163 – $51,559 · median $45,007 20 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,335 – $18,229 · median $7,435 19 plans
637 DIABETES WITH MCC $9,959 – $28,656 · median $11,455 19 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,056 – $14,547 · median $6,965 17 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $12,616 – $31,007 · median $29,614 16 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,607 – $19,012 · median $11,568 16 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,138 – $29,171 · median $19,748 16 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $11,633 – $33,473 · median $13,140 15 plans
186 PLEURAL EFFUSION WITH MCC $10,805 – $31,090 · median $16,409 14 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,316 – $26,806 · median $24,781 14 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $25,779 – $67,889 · median $66,140 13 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $34,721 – $101,002 · median $36,457 13 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $6,965 – $19,681 · median $8,958 12 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $10,208 – $29,372 · median $23,781 12 plans
592 SKIN ULCERS WITH MCC $15,116 – $38,644 · median $15,872 11 plans
644 ENDOCRINE DISORDERS WITH CC $7,067 – $20,334 · median $13,950 10 plans
021 OPEN CRANIOTOMY EXCEPT TRAUMA,EXTREME $32,401 – $66,079 · median $62,933 4 plans
041 NERVOUS SYSTEM MALIGNANCY,MODERATE $9,705 – $12,460 · median $11,083 4 plans
045 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,EXTREME $10,747 – $21,475 · median $17,928 4 plans
047 TRANSIENT ISCHEMIA,MODERATE $3,318 – $3,484 · median $3,401 4 plans
053 SEIZURE,MINOR $2,119 – $21,939 · median $2,172 4 plans
111 VERTIGO AND OTHER LABYRINTH DISORDERS,MODERATE $2,611 – $2,742 · median $2,676 4 plans
115 OTHER EAR NOSE MOUTH THROAT AND CRANIAL OR FACIAL DIAGNOSES,MINOR $4,811 – $5,051 · median $4,931 4 plans
130 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,MAJOR $45,448 – $47,721 · median $46,585 4 plans
134 PULMONARY EMBOLISM,MAJOR $2,326 – $2,443 · median $2,385 4 plans
136 RESPIRATORY MALIGNANCY,MAJOR $12,418 – $13,039 · median $12,728 4 plans
137 MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,EXTREME $7,131 – $18,846 · median $7,487 4 plans
138 BRONCHIOLITIS AND RSV PNEUMONIA,MODERATE $4,858 – $5,101 · median $4,980 4 plans
140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE,MAJOR $2,032 – $9,391 · median $4,131 4 plans
141 ASTHMA,MODERATE $2,101 – $8,882 · median $3,210 4 plans
220 MAJOR STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES,MINOR $15,220 – $15,981 · median $15,601 4 plans
227 HERNIA PROCEDURES EXCEPT INGUINAL FEMORAL AND UMBILICAL,EXTREME $3,586 – $42,217 · median $21,986 4 plans
229 OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,EXTREME $3,363 – $43,070 · median $42,045 4 plans
231 MAJOR LARGE BOWEL PROCEDURES,EXTREME $43,311 – $45,476 · median $44,393 4 plans
241 PEPTIC ULCER AND GASTRITIS,MODERATE $8,663 – $9,096 · median $8,879 4 plans
242 MAJOR ESOPHAGEAL DISORDERS,EXTREME $23,025 – $24,176 · median $23,601 4 plans
243 OTHER ESOPHAGEAL DISORDERS,EXTREME $20,146 – $21,153 · median $20,650 4 plans
244 DIVERTICULITIS AND DIVERTICULOSIS,MAJOR $1,867 – $11,621 · median $6,514 4 plans
248 MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,MAJOR $11,268 – $11,831 · median $11,549 4 plans
254 OTHER DIGESTIVE SYSTEM DIAGNOSES,MINOR $5,523 – $10,956 · median $5,799 4 plans
261 MAJOR BILIARY TRACT PROCEDURES,MODERATE $22,379 – $23,498 · median $22,939 4 plans
263 CHOLECYSTECTOMY,MODERATE $11,806 – $21,728 · median $18,288 4 plans
283 OTHER DISORDERS OF THE LIVER,MAJOR — 4 plans
284 DISORDERS OF GALLBLADDER AND BILIARY TRACT,MODERATE $9,372 – $9,841 · median $9,606 4 plans
321 SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,MINOR $5,303 – $23,286 · median $5,568 4 plans
347 OTHER BACK AND NECK DISORDERS FRACTURES AND INJURIES,MODERATE — 4 plans
383 CELLULITIS AND OTHER SKIN INFECTIONS,MODERATE $6,487 – $6,812 · median $6,650 4 plans
403 PROCEDURES FOR OBESITY,MINOR $11,101 – $15,014 · median $13,057 4 plans
420 DIABETES,MINOR $5,146 – $10,364 · median $5,275 4 plans
422 HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,MODERATE — 4 plans
425 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,MODERATE $6,118 – $6,424 · median $6,271 4 plans
531 FEMALE REPRODUCTIVE SYSTEM INFECTIONS,MODERATE $6,877 – $7,220 · median $7,048 4 plans
532 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,MINOR $2,433 – $2,697 · median $2,568 4 plans
547 ANTEPARTUM WITH O.R. PROCEDURE,MAJOR $15,235 – $15,997 · median $15,616 4 plans
561 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,MAJOR $1,349 – $2,074 · median $1,712 4 plans
566 ANTEPARTUM WITHOUT O.R. PROCEDURE,MINOR $2,614 – $7,288 · median $2,679 4 plans
611 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,MINOR $10,964 – $11,512 · median $11,238 4 plans
622 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MODERATE $14,455 – $22,038 · median $20,988 4 plans
625 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,MINOR $9,296 – $14,740 · median $9,529 4 plans
626 NEONATE BIRTH WEIGHT 2000-2499 GRAMS NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM,MAJOR $1,505 – $7,400 · median $4,945 4 plans
633 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,MAJOR $6,627 – $23,435 · median $22,877 4 plans
634 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR $5,638 – $22,128 · median $13,497 4 plans
662 SICKLE CELL ANEMIA CRISIS,MODERATE $7,676 – $8,060 · median $7,868 4 plans
691 LYMPHOMA MYELOMA AND NON-ACUTE LEUKEMIA,MAJOR $19,073 – $20,026 · median $19,550 4 plans
710 INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,MINOR $12,750 – $46,782 · median $22,159 4 plans
711 POST-OPERATIVE POST-TRAUMA OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE,MODERATE $15,930 – $16,727 · median $16,329 4 plans
720 SEPTICEMIA AND DISSEMINATED INFECTIONS,MODERATE $2,046 – $26,099 · median $24,856 4 plans
721 POST-OPERATIVE POST-TRAUMATIC OTHER DEVICE INFECTIONS,MAJOR $1,865 – $1,958 · median $1,912 4 plans
773 OPIOID ABUSE AND DEPENDENCE,MODERATE $4,674 – $4,908 · median $4,791 4 plans
774 COCAINE ABUSE AND DEPENDENCE,MAJOR $7,555 – $7,933 · median $7,744 4 plans
775 ALCOHOL ABUSE AND DEPENDENCE,EXTREME $24,471 – $25,695 · median $25,083 4 plans
890 HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,EXTREME $31,308 – $32,874 · median $32,091 4 plans
952 NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,EXTREME $38,387 – $40,306 · median $39,346 4 plans
612 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MODERATE — 3 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $161,307 – $161,307 · median $161,307 3 plans
055 HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,MODERATE $9,649 – $9,649 · median $9,649 2 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $98,982 – $98,982 · median $98,982 1 plans
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