Newberry County Memorial Hospital — Pricing

792 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 792 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 792
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 792 procedures

Procedures with negotiated rates only

These 792 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
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $22,206 – $73,419 · median $52,615 20 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $22,206 – $55,027 · median $40,400 20 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $22,206 – $47,388 · median $26,089 20 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $27,220 – $105,813 · median $78,604 20 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $27,220 – $75,253 · median $54,415 20 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $27,220 – $58,089 · median $34,756 20 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $20,725 – $74,887 · median $55,630 20 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $22,595 – $57,036 · median $37,427 20 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $15,612 – $58,705 · median $43,609 20 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $16,310 – $40,148 · median $30,111 20 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $15,030 – $32,393 · median $24,295 20 plans
028 SPINAL PROCEDURES WITH MCC $18,516 – $79,802 · median $58,962 20 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $16,547 – $44,061 · median $33,046 20 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $14,276 – $30,467 · median $21,909 20 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $9,698 – $55,007 · median $40,470 20 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $9,643 – $28,033 · median $20,824 20 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $8,686 – $20,943 · median $15,707 20 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $9,800 – $44,471 · median $32,382 20 plans
038 EXTRACRANIAL PROCEDURES WITH CC $9,800 – $24,063 · median $15,863 20 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,538 – $18,220 · median $11,205 20 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $14,832 – $49,514 · median $36,782 20 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $14,615 – $31,189 · median $22,231 20 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $12,264 – $26,171 · median $17,303 20 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $4,157 – $26,417 · median $19,624 20 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $4,157 – $14,098 · median $8,985 20 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $6,140 – $19,678 · median $14,477 20 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $5,878 – $14,321 · median $10,741 20 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $5,237 – $32,870 · median $24,417 20 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $5,237 – $19,521 · median $13,012 20 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $5,936 – $24,230 · median $17,999 20 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,936 – $16,061 · median $12,046 20 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $5,936 – $12,669 · median $8,785 20 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $10,210 – $35,486 · median $26,361 20 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $10,210 – $23,377 · median $17,533 20 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,210 – $21,789 · median $13,830 20 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $8,120 – $26,111 · median $19,397 20 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,120 – $17,328 · median $10,011 20 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $6,453 – $17,328 · median $6,841 20 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $7,256 – $21,004 · median $14,323 20 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $7,256 – $15,485 · median $8,678 20 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,221 – $11,142 · median $7,877 20 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $7,735 – $22,824 · median $16,955 20 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $7,200 – $15,365 · median $10,375 20 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,026 – $10,725 · median $7,386 20 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $5,304 – $21,278 · median $15,071 20 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,173 – $13,683 · median $10,262 20 plans
075 VIRAL MENINGITIS WITH CC/MCC $3,525 – $22,609 · median $16,634 20 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $3,525 – $12,036 · median $8,855 20 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $4,961 – $22,447 · median $15,078 20 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $4,961 – $13,099 · median $9,824 20 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,961 – $11,003 · median $6,563 20 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $4,076 – $26,093 · median $19,197 20 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $4,076 – $11,877 · median $8,823 20 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $9,068 – $30,456 · median $22,624 20 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $9,068 – $19,351 · median $13,688 20 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $8,964 – $19,351 · median $9,413 20 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $8,239 – $29,744 · median $22,096 20 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $7,373 – $17,216 · median $12,912 20 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $4,910 – $11,604 · median $8,703 20 plans
088 CONCUSSION WITH MCC $5,276 – $22,696 · median $13,756 20 plans
089 CONCUSSION WITH CC $5,746 – $14,073 · median $10,555 20 plans
090 CONCUSSION WITHOUT CC/MCC $4,376 – $11,253 · median $8,440 20 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $7,488 – $23,928 · median $17,775 20 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,734 – $16,504 · median $10,423 20 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,963 – $10,592 · median $7,770 20 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $13,970 – $47,894 · median $35,236 20 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $13,970 – $31,466 · median $23,600 20 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $13,970 – $31,466 · median $23,600 20 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $12,733 – $47,053 · median $34,953 20 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $12,733 – $28,475 · median $21,356 20 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,809 – $27,173 · median $13,717 20 plans
100 SEIZURES WITH MCC $4,715 – $26,060 · median $19,173 20 plans
101 SEIZURES WITHOUT MCC $4,470 – $12,099 · median $9,074 20 plans
102 HEADACHES WITH MCC $4,157 – $15,220 · median $11,306 20 plans
103 HEADACHES WITHOUT MCC $3,991 – $11,160 · median $8,370 20 plans
113 ORBITAL PROCEDURES WITH CC/MCC $5,256 – $37,242 · median $22,004 20 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $5,256 – $18,508 · median $11,527 20 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $3,992 – $20,096 · median $14,929 20 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $3,595 – $27,124 · median $16,271 20 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $4,002 – $17,950 · median $10,517 20 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $3,786 – $15,269 · median $11,233 20 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,786 – $8,904 · median $6,678 20 plans
123 NEUROLOGICAL EYE DISORDERS $4,035 – $10,543 · median $7,907 20 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $4,013 – $17,115 · median $12,592 20 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $3,116 – $10,838 · median $8,051 20 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $8,740 – $31,649 · median $23,285 20 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,019 – $17,113 · median $9,630 20 plans
137 MOUTH PROCEDURES WITH CC/MCC $5,974 – $18,359 · median $13,507 20 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,797 – $13,028 · median $8,009 20 plans
139 SALIVARY GLAND PROCEDURES $6,688 – $18,022 · median $13,517 20 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $9,137 – $59,471 · median $41,239 20 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $11,637 – $32,532 · median $21,151 20 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,260 – $25,525 · median $15,480 20 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $8,699 – $43,342 · median $31,887 20 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $6,983 – $23,059 · median $17,130 20 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $6,265 – $15,552 · median $11,664 20 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $7,643 – $31,376 · median $22,370 20 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $7,643 – $16,340 · median $12,255 20 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $7,507 – $16,310 · median $7,883 20 plans
149 DYSEQUILIBRIUM $4,092 – $10,322 · median $7,359 20 plans
150 EPISTAXIS WITH MCC $3,229 – $19,526 · median $13,478 20 plans
151 EPISTAXIS WITHOUT MCC $3,229 – $9,950 · median $7,320 20 plans
152 OTITIS MEDIA AND URI WITH MCC $2,620 – $14,896 · median $10,959 20 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $2,037 – $9,342 · median $6,873 20 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $3,756 – $21,347 · median $15,858 20 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $3,583 – $12,255 · median $9,016 20 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,258 – $8,826 · median $6,620 20 plans
157 DENTAL AND ORAL DISEASES WITH MCC $4,143 – $21,494 · median $15,814 20 plans
158 DENTAL AND ORAL DISEASES WITH CC $3,948 – $12,347 · median $9,084 20 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,152 – $8,861 · median $6,494 20 plans
163 MAJOR CHEST PROCEDURES WITH MCC $19,914 – $60,502 · median $44,512 20 plans
164 MAJOR CHEST PROCEDURES WITH CC $19,914 – $42,498 · median $24,779 20 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $17,477 – $42,498 · median $18,525 20 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $15,021 – $50,540 · median $37,544 20 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $15,567 – $33,220 · median $17,988 20 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,694 – $27,578 · median $13,329 20 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $8,289 – $18,496 · median $13,872 20 plans
176 PULMONARY EMBOLISM WITHOUT MCC $7,637 – $17,689 · median $8,057 20 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,560 – $24,671 · median $15,914 20 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $8,416 – $24,704 · median $9,813 20 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,045 – $19,807 · median $7,614 20 plans
180 RESPIRATORY NEOPLASMS WITH MCC $9,910 – $22,942 · median $17,207 20 plans
181 RESPIRATORY NEOPLASMS WITH CC $8,618 – $22,217 · median $10,931 20 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $7,852 – $27,545 · median $8,323 20 plans
183 MAJOR CHEST TRAUMA WITH MCC $6,639 – $20,835 · median $15,329 20 plans
184 MAJOR CHEST TRAUMA WITH CC $6,639 – $14,803 · median $10,515 20 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $3,494 – $10,655 · median $7,583 20 plans
186 PLEURAL EFFUSION WITH MCC $7,932 – $20,740 · median $15,555 20 plans
187 PLEURAL EFFUSION WITH CC $7,932 – $16,928 · median $9,884 20 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,791 – $12,357 · median $7,228 20 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $7,634 – $16,290 · median $12,182 20 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $5,858 – $14,741 · median $11,056 20 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,858 – $12,501 · median $8,458 20 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,858 – $12,501 · median $6,372 20 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $6,459 – $17,297 · median $12,972 20 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,062 – $12,937 · median $8,073 20 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,431 – $9,457 · median $6,130 20 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $7,281 – $24,731 · median $18,195 20 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,281 – $15,539 · median $9,746 20 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,511 – $13,895 · median $6,895 20 plans
199 PNEUMOTHORAX WITH MCC $6,565 – $23,172 · median $17,048 20 plans
200 PNEUMOTHORAX WITH CC $6,222 – $14,537 · median $10,903 20 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $4,268 – $9,108 · median $6,666 20 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,017 – $12,689 · median $9,517 20 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $2,385 – $9,144 · median $6,727 20 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $3,713 – $10,645 · median $7,924 20 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $5,338 – $24,780 · median $18,231 20 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,917 – $11,890 · median $8,917 20 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $47,746 – $101,893 · median $63,668 20 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $15,602 – $35,228 · median $26,421 20 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $43,756 – $126,684 · median $94,195 20 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $43,756 – $93,378 · median $63,576 20 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $43,756 – $93,378 · median $58,569 20 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $31,801 – $101,565 · median $75,448 20 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $31,801 – $73,683 · median $52,145 20 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $31,801 – $67,864 · median $45,213 20 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $24,472 – $65,412 · median $49,059 20 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $24,472 – $52,225 · median $30,581 20 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $46,136 – $117,698 · median $83,423 20 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $46,136 – $98,457 · median $60,139 20 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $35,113 – $102,601 · median $76,218 20 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $33,279 – $71,019 · median $52,376 20 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $23,964 – $77,238 · median $57,377 20 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $24,380 – $56,755 · median $40,483 20 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $17,486 – $66,116 · median $48,643 20 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $17,486 – $38,227 · median $28,670 20 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $13,126 – $37,316 · median $14,935 20 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $19,228 – $44,525 · median $33,393 20 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $17,016 – $36,313 · median $22,178 20 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $16,738 – $35,719 · median $17,767 20 plans
245 AICD GENERATOR PROCEDURES $21,029 – $68,096 · median $47,651 20 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $21,683 – $47,931 · median $22,767 20 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $14,651 – $35,950 · median $15,530 20 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $19,731 – $45,029 · median $33,771 20 plans
253 OTHER VASCULAR PROCEDURES WITH CC $13,849 – $33,666 · median $25,134 20 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $10,836 – $23,296 · median $17,222 20 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $8,405 – $34,345 · median $25,268 20 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $8,405 – $22,232 · median $16,674 20 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,362 – $17,937 · median $8,781 20 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $8,311 – $40,449 · median $27,356 20 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $8,311 – $27,948 · median $17,304 20 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $6,777 – $44,711 · median $33,214 20 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $6,777 – $24,909 · median $18,503 20 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $6,777 – $24,521 · median $14,800 20 plans
263 VEIN LIGATION AND STRIPPING $6,371 – $42,286 · median $26,153 20 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $18,130 – $45,878 · median $34,408 20 plans
265 AICD LEAD PROCEDURES $21,029 – $52,914 · median $35,118 20 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $43,756 – $93,378 · median $58,978 20 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $43,756 – $93,378 · median $46,317 20 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $20,619 – $110,704 · median $65,016 20 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $19,309 – $60,284 · median $40,961 20 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $20,619 – $67,377 · median $50,052 20 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $19,309 – $45,212 · median $33,909 20 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $19,309 – $41,206 · median $24,634 20 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $22,460 – $52,714 · median $38,496 20 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $16,846 – $48,668 · median $30,725 20 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $10,544 – $22,502 · median $16,159 20 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $8,643 – $19,532 · median $9,152 20 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $6,798 – $17,299 · median $7,206 20 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $6,289 – $25,667 · median $18,884 20 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $6,289 – $13,422 · median $7,295 20 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,264 – $13,422 · median $5,579 20 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $9,486 – $29,053 · median $21,374 20 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,485 – $18,108 · median $10,728 20 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $15,584 – $45,841 · median $26,891 20 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $14,783 – $45,841 · median $15,670 20 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $9,179 – $45,841 · median $9,730 20 plans
291 HEART FAILURE AND SHOCK WITH MCC $6,326 – $17,127 · median $12,845 20 plans
292 HEART FAILURE AND SHOCK WITH CC $6,326 – $13,499 · median $8,478 20 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,145 – $13,499 · median $5,453 20 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $3,645 – $16,127 · median $11,974 20 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $3,645 – $10,367 · median $7,775 20 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $8,276 – $21,506 · median $16,130 20 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $6,604 – $17,660 · median $7,001 20 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,141 – $17,660 · median $4,390 20 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $5,862 – $21,233 · median $15,622 20 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $5,862 – $14,053 · median $10,540 20 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,090 – $9,364 · median $7,023 20 plans
302 ATHEROSCLEROSIS WITH MCC $9,317 – $19,883 · median $11,452 20 plans
303 ATHEROSCLEROSIS WITHOUT MCC $6,304 – $19,452 · median $6,683 20 plans
304 HYPERTENSION WITH MCC $4,425 – $15,421 · median $11,345 20 plans
305 HYPERTENSION WITHOUT MCC $4,425 – $9,854 · median $7,390 20 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $5,231 – $15,829 · median $11,759 20 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,248 – $11,200 · median $7,278 20 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,024 – $8,587 · median $5,508 20 plans
311 ANGINA PECTORIS $3,107 – $9,166 · median $6,744 20 plans
312 SYNCOPE AND COLLAPSE $4,451 – $11,437 · median $8,578 20 plans
313 CHEST PAIN $3,670 – $9,364 · median $7,023 20 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $6,304 – $28,268 · median $20,797 20 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,298 – $13,440 · median $9,474 20 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,351 – $11,418 · median $6,721 20 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $41,187 – $93,378 · median $43,658 20 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $21,703 – $93,378 · median $23,006 20 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $23,627 – $66,669 · median $50,002 20 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $18,466 – $39,408 · median $23,904 20 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $10,238 – $21,849 · median $15,688 20 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $22,003 – $60,275 · median $45,206 20 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $22,162 – $49,827 · median $23,349 20 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,743 – $25,060 · median $16,254 20 plans
332 RECTAL RESECTION WITH MCC $16,347 – $54,182 · median $34,149 20 plans
333 RECTAL RESECTION WITH CC $16,347 – $34,884 · median $20,923 20 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,084 – $25,787 · median $16,329 20 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $22,353 – $47,702 · median $35,671 20 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $19,805 – $45,707 · median $20,993 20 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,842 – $27,405 · median $15,113 20 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $12,727 – $35,369 · median $26,527 20 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,497 – $26,670 · median $14,656 20 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $7,704 – $16,441 · median $12,260 20 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $7,062 – $37,817 · median $23,079 20 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $7,062 – $16,525 · median $12,394 20 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $4,709 – $16,298 · median $8,672 20 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $7,939 – $31,749 · median $23,585 20 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $8,217 – $20,071 · median $14,811 20 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $6,235 – $14,473 · median $10,855 20 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $11,944 – $38,500 · median $28,600 20 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $13,581 – $28,983 · median $16,747 20 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $8,381 – $17,999 · median $13,125 20 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $14,666 – $55,993 · median $41,195 20 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $13,917 – $29,700 · median $22,170 20 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,334 – $19,775 · median $13,341 20 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $5,605 – $21,921 · median $16,284 20 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,605 – $13,357 · median $10,018 20 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,605 – $11,962 · median $6,872 20 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $6,479 – $22,945 · median $16,881 20 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $6,479 – $13,827 · median $10,133 20 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,479 – $13,827 · median $7,141 20 plans
374 DIGESTIVE MALIGNANCY WITH MCC $11,796 – $27,715 · median $20,786 20 plans
375 DIGESTIVE MALIGNANCY WITH CC $11,520 – $25,173 · median $12,096 20 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,048 – $13,156 · median $8,693 20 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $6,070 – $23,866 · median $17,559 20 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $6,070 – $12,953 · median $9,706 20 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,297 – $11,304 · median $6,268 20 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $6,511 – $25,259 · median $18,583 20 plans
381 COMPLICATED PEPTIC ULCER WITH CC $6,511 – $14,296 · median $10,722 20 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,511 – $13,894 · median $7,377 20 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $6,546 – $20,830 · median $12,446 20 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,881 – $12,551 · median $8,561 20 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $6,444 – $21,328 · median $15,691 20 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,444 – $13,751 · median $9,771 20 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $6,285 – $13,751 · median $6,599 20 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $5,759 – $19,294 · median $14,195 20 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,484 – $11,703 · median $7,892 20 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,494 – $9,590 · median $5,387 20 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $4,901 – $16,861 · median $12,405 20 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,061 – $10,243 · median $7,682 20 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $4,830 – $21,737 · median $15,992 20 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $4,763 – $12,356 · median $9,267 20 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,066 – $8,676 · median $6,265 20 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $24,819 – $71,259 · median $53,204 20 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $24,882 – $53,099 · median $27,648 20 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $17,939 – $38,283 · median $21,026 20 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $12,801 – $55,267 · median $34,141 20 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $12,801 – $29,131 · median $20,640 20 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,884 – $25,361 · median $15,270 20 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $17,259 – $43,371 · median $26,939 20 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $17,259 – $36,832 · median $20,985 20 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $10,434 – $22,404 · median $16,367 20 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $14,451 – $45,992 · median $34,166 20 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $14,776 – $31,533 · median $19,474 20 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,537 – $23,228 · median $13,489 20 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $11,382 – $31,195 · median $23,396 20 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $11,186 – $23,872 · median $16,327 20 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $8,171 – $17,666 · median $12,971 20 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $12,764 – $47,492 · median $34,416 20 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $11,190 – $23,880 · median $16,122 20 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $12,764 – $27,239 · median $14,466 20 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $19,046 – $57,068 · median $40,043 20 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $19,046 – $40,646 · median $22,479 20 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $14,493 – $40,646 · median $15,363 20 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $7,736 – $25,716 · median $19,103 20 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,736 – $16,509 · median $10,532 20 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,499 – $16,509 · median $6,890 20 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $5,458 – $23,950 · median $17,621 20 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,458 – $14,803 · median $11,102 20 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,458 – $12,341 · median $7,730 20 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $7,159 – $21,838 · median $16,067 20 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $7,159 – $15,278 · median $8,468 20 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,767 – $15,278 · median $6,113 20 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $6,311 – $24,814 · median $18,256 20 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,273 – $13,387 · median $9,512 20 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,373 – $11,466 · median $6,918 20 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $5,597 – $22,110 · median $16,267 20 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,731 – $14,236 · median $10,677 20 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,769 – $10,466 · median $7,849 20 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $45,488 – $111,170 · median $83,377 20 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $45,488 – $97,073 · median $56,503 20 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $40,485 – $97,073 · median $42,914 20 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $17,080 – $102,788 · median $59,839 20 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $17,080 – $37,591 · median $28,193 20 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $19,322 – $70,895 · median $52,665 20 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $19,322 – $41,233 · median $29,028 20 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $16,278 – $41,233 · median $17,254 20 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $16,429 – $66,873 · median $49,200 20 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $16,429 – $44,960 · median $33,720 20 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $16,429 – $35,061 · median $25,826 20 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $16,429 – $42,906 · median $32,180 20 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $16,429 – $35,061 · median $18,562 20 plans
471 CERVICAL SPINAL FUSION WITH MCC $20,117 – $63,759 · median $47,364 20 plans
472 CERVICAL SPINAL FUSION WITH CC $19,082 – $40,722 · median $28,522 20 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $18,345 – $39,149 · median $23,306 20 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $10,798 – $58,868 · median $43,310 20 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $10,798 – $28,317 · median $21,238 20 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,798 – $23,044 · median $11,450 20 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,782 – $45,141 · median $33,211 20 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $13,782 – $30,697 · median $23,023 20 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,782 – $29,411 · median $17,482 20 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $17,409 – $39,901 · median $28,953 20 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $16,406 – $35,011 · median $20,427 20 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $10,661 – $22,751 · median $15,618 20 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $13,398 – $33,449 · median $25,086 20 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $9,889 – $42,258 · median $31,090 20 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $10,299 – $27,840 · median $20,880 20 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $7,602 – $20,742 · median $15,557 20 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $9,567 – $32,049 · median $19,349 20 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,066 – $21,481 · median $12,192 20 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $12,315 – $47,482 · median $34,628 20 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $11,616 – $31,516 · median $23,637 20 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $9,344 – $24,748 · median $18,561 20 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $11,854 – $53,382 · median $34,329 20 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $10,902 – $25,898 · median $19,424 20 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $8,577 – $18,482 · median $13,218 20 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $7,029 – $39,177 · median $24,620 20 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $7,029 – $19,262 · median $11,428 20 plans
500 SOFT TISSUE PROCEDURES WITH MCC $9,159 – $47,165 · median $30,898 20 plans
501 SOFT TISSUE PROCEDURES WITH CC $8,717 – $23,427 · median $17,570 20 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $7,533 – $18,340 · median $13,755 20 plans
503 FOOT PROCEDURES WITH MCC $9,035 – $39,794 · median $25,807 20 plans
504 FOOT PROCEDURES WITH CC $9,035 – $23,037 · median $17,278 20 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $9,035 – $23,037 · median $17,278 20 plans
506 MAJOR THUMB OR JOINT PROCEDURES $6,822 – $19,678 · median $14,558 20 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $8,443 – $31,653 · median $18,899 20 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $8,443 – $21,321 · median $12,706 20 plans
509 ARTHROSCOPY $6,378 – $23,059 · median $17,130 20 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $8,443 – $43,982 · median $27,869 20 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $8,050 – $29,970 · median $19,124 20 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $7,328 – $21,480 · median $15,734 20 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $5,407 – $19,763 · median $14,681 20 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $5,245 – $13,384 · median $10,038 20 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $16,949 – $46,392 · median $30,444 20 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $16,124 – $34,409 · median $19,805 20 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $10,413 – $22,223 · median $14,695 20 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $9,348 – $47,045 · median $34,948 20 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $9,348 – $25,884 · median $19,413 20 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $6,906 – $19,473 · median $14,110 20 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $16,429 – $41,830 · median $28,694 20 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $16,429 – $35,061 · median $20,754 20 plans
533 FRACTURES OF FEMUR WITH MCC $3,778 – $24,223 · median $14,869 20 plans
534 FRACTURES OF FEMUR WITHOUT MCC $3,778 – $10,685 · median $8,014 20 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $5,918 – $17,457 · median $12,843 20 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,918 – $12,628 · median $7,983 20 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $3,196 – $14,323 · median $8,961 20 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $3,196 – $10,502 · median $6,611 20 plans
539 OSTEOMYELITIS WITH MCC $5,927 – $26,547 · median $19,531 20 plans
540 OSTEOMYELITIS WITH CC $5,927 – $16,987 · median $12,649 20 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,594 – $12,649 · median $8,613 20 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $6,643 – $25,840 · median $18,187 20 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $6,643 – $14,177 · median $10,444 20 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,643 – $14,177 · median $7,440 20 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $9,918 – $33,169 · median $24,640 20 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $9,382 – $20,022 · median $11,397 20 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,018 – $12,842 · median $7,346 20 plans
548 SEPTIC ARTHRITIS WITH MCC $4,239 – $28,809 · median $19,644 20 plans
549 SEPTIC ARTHRITIS WITH CC $4,239 – $15,819 · median $11,751 20 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $4,239 – $11,316 · median $8,487 20 plans
551 MEDICAL BACK PROBLEMS WITH MCC $4,570 – $22,399 · median $16,520 20 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $4,602 – $12,651 · median $9,488 20 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,073 – $19,878 · median $12,735 20 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,215 – $10,955 · median $8,216 20 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,747 – $20,699 · median $13,131 20 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $3,747 – $10,718 · median $8,017 20 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $4,051 – $20,342 · median $15,111 20 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,051 – $11,339 · median $8,504 20 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,653 – $24,366 · median $18,275 20 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,653 – $19,631 · median $11,210 20 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $7,666 – $18,466 · median $8,126 20 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $4,450 – $19,210 · median $14,271 20 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $4,093 – $11,732 · median $8,767 20 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $5,352 – $20,598 · median $15,301 20 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,352 – $13,385 · median $10,039 20 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,352 – $11,421 · median $7,365 20 plans
570 SKIN DEBRIDEMENT WITH MCC $9,247 – $39,513 · median $29,070 20 plans
571 SKIN DEBRIDEMENT WITH CC $8,824 – $21,977 · median $16,483 20 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $6,159 – $14,996 · median $11,247 20 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $8,706 – $92,669 · median $60,049 20 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $8,447 – $50,517 · median $33,786 20 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $5,933 – $30,558 · median $19,470 20 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $15,741 – $84,449 · median $52,610 20 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $14,846 – $41,483 · median $26,215 20 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $8,348 – $24,982 · median $16,642 20 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $9,172 – $42,784 · median $31,477 20 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $9,270 – $23,273 · median $17,455 20 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $7,279 – $21,481 · median $14,169 20 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $10,490 – $37,890 · median $17,240 20 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $8,523 – $62,206 · median $16,172 20 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $9,285 – $55,063 · median $19,986 20 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $8,186 – $51,983 · median $19,357 20 plans
592 SKIN ULCERS WITH MCC $8,753 – $30,812 · median $20,051 20 plans
593 SKIN ULCERS WITH CC $8,753 – $18,680 · median $12,037 20 plans
594 SKIN ULCERS WITHOUT CC/MCC $7,957 – $18,680 · median $8,435 20 plans
595 MAJOR SKIN DISORDERS WITH MCC $6,938 – $32,237 · median $20,624 20 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $4,232 – $14,191 · median $10,440 20 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $4,840 – $25,752 · median $17,130 20 plans
598 MALIGNANT BREAST DISORDERS WITH CC $4,840 – $17,781 · median $10,520 20 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,518 – $11,222 · median $8,416 20 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $2,431 – $12,557 · median $9,238 20 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,431 – $7,869 · median $5,846 20 plans
602 CELLULITIS WITH MCC $5,613 – $19,285 · median $14,188 20 plans
603 CELLULITIS WITHOUT MCC $4,223 – $11,562 · median $8,671 20 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $5,135 – $19,786 · median $14,487 20 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $4,604 – $12,125 · median $9,094 20 plans
606 MINOR SKIN DISORDERS WITH MCC $3,671 – $21,137 · median $15,551 20 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $3,671 – $11,344 · median $8,346 20 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $11,754 – $30,830 · median $22,436 20 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $11,754 – $25,083 · median $14,108 20 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $9,516 – $50,733 · median $37,325 20 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $9,516 – $25,355 · median $19,016 20 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,516 – $20,308 · median $12,258 20 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $13,957 – $35,789 · median $26,842 20 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $13,957 – $29,786 · median $15,722 20 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $13,706 – $29,786 · median $14,391 20 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $9,010 – $56,576 · median $36,488 20 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $9,010 – $25,108 · median $18,831 20 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,010 – $19,229 · median $9,875 20 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $6,259 – $43,478 · median $27,957 20 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $6,399 – $25,267 · median $14,717 20 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $6,365 – $19,864 · median $12,472 20 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $9,800 – $51,793 · median $38,105 20 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $9,800 – $29,522 · median $21,788 20 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $7,102 – $20,820 · median $13,795 20 plans
637 DIABETES WITH MCC $4,382 – $19,116 · median $14,064 20 plans
638 DIABETES WITH CC $4,294 – $12,039 · median $9,030 20 plans
639 DIABETES WITHOUT CC/MCC $3,767 – $8,225 · median $6,169 20 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $4,568 – $17,432 · median $12,825 20 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $1,446 – $10,257 · median $7,546 20 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $4,498 – $23,963 · median $12,102 20 plans
643 ENDOCRINE DISORDERS WITH MCC $5,245 – $21,754 · median $16,117 20 plans
644 ENDOCRINE DISORDERS WITH CC $5,601 – $13,565 · median $10,174 20 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $3,817 – $10,222 · median $7,666 20 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $15,613 – $73,174 · median $54,358 20 plans
654 MAJOR BLADDER PROCEDURES WITH CC $15,613 – $38,406 · median $27,783 20 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $15,613 – $33,487 · median $20,451 20 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $13,005 – $42,766 · median $31,463 20 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $13,005 – $27,753 · median $17,997 20 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $13,005 – $27,753 · median $14,807 20 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $12,529 – $33,922 · median $25,442 20 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $12,377 – $26,413 · median $13,192 20 plans
662 MINOR BLADDER PROCEDURES WITH MCC $8,671 – $44,256 · median $30,419 20 plans
663 MINOR BLADDER PROCEDURES WITH CC $8,671 – $20,049 · median $15,037 20 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,387 – $15,764 · median $10,630 20 plans
665 PROSTATECTOMY WITH MCC $5,669 – $45,933 · median $33,481 20 plans
666 PROSTATECTOMY WITH CC $5,669 – $25,502 · median $16,063 20 plans
667 PROSTATECTOMY WITHOUT CC/MCC $5,412 – $15,564 · median $10,118 20 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $6,397 – $41,752 · median $28,437 20 plans
669 TRANSURETHRAL PROCEDURES WITH CC $6,380 – $20,313 · median $15,090 20 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $5,967 – $15,434 · median $9,409 20 plans
671 URETHRAL PROCEDURES WITH CC/MCC $4,570 – $25,515 · median $16,808 20 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $4,252 – $14,365 · median $10,671 20 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $16,319 – $54,994 · median $40,460 20 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $16,319 – $34,826 · median $22,726 20 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $14,676 – $34,826 · median $15,493 20 plans
682 RENAL FAILURE WITH MCC $7,482 – $19,714 · median $14,786 20 plans
683 RENAL FAILURE WITH CC $7,482 – $15,967 · median $8,751 20 plans
684 RENAL FAILURE WITHOUT CC/MCC $5,695 – $15,967 · median $6,015 20 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $6,873 – $24,752 · median $18,211 20 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $6,873 – $14,666 · median $10,364 20 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,790 – $14,666 · median $7,130 20 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $5,004 – $15,362 · median $11,302 20 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $3,587 – $10,535 · median $7,751 20 plans
693 URINARY STONES WITH MCC $5,525 – $19,301 · median $14,200 20 plans
694 URINARY STONES WITHOUT MCC $4,199 – $10,257 · median $7,693 20 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $3,446 – $17,735 · median $10,997 20 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $2,495 – $9,081 · median $6,681 20 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $4,630 – $22,064 · median $16,233 20 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $4,540 – $13,388 · median $9,849 20 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,206 – $9,112 · median $6,834 20 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $10,702 – $26,518 · median $19,105 20 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $9,419 – $21,521 · median $14,595 20 plans
709 PENIS PROCEDURES WITH CC/MCC $7,571 – $31,383 · median $21,911 20 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $7,571 – $19,708 · median $14,781 20 plans
711 TESTES PROCEDURES WITH CC/MCC $7,251 – $31,509 · median $18,630 20 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $4,100 – $17,474 · median $10,430 20 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $6,012 – $18,981 · median $13,964 20 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $5,220 – $14,264 · median $9,251 20 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $11,542 – $32,862 · median $22,232 20 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $11,542 – $24,632 · median $13,973 20 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $4,582 – $24,356 · median $18,093 20 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $4,582 – $16,170 · median $11,983 20 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $4,680 – $27,834 · median $16,858 20 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $4,680 – $16,427 · median $10,949 20 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,587 – $12,297 · median $7,173 20 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $6,979 – $39,411 · median $7,398 20 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $3,903 – $23,981 · median $14,328 20 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $2,206 – $14,854 · median $10,735 20 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,206 – $9,004 · median $5,918 20 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $7,196 – $32,263 · median $20,504 20 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $7,196 – $18,801 · median $11,951 20 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $12,066 – $57,574 · median $38,396 20 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $12,066 – $26,232 · median $19,674 20 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,066 – $25,750 · median $14,934 20 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $9,195 – $53,870 · median $38,818 20 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $9,195 – $23,868 · median $17,901 20 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $7,186 – $18,030 · median $13,523 20 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $7,631 – $23,978 · median $17,812 20 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $6,546 – $15,735 · median $11,801 20 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $5,379 – $25,649 · median $18,870 20 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $5,692 – $15,406 · median $10,089 20 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $6,414 – $21,981 · median $16,172 20 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,414 – $16,128 · median $9,404 20 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $5,850 – $21,158 · median $13,284 20 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $8,956 – $33,979 · median $24,999 20 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,956 – $20,365 · median $12,695 20 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $6,612 – $23,749 · median $17,642 20 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,612 – $14,572 · median $10,929 20 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,570 – $14,847 · median $9,402 20 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $4,284 – $22,011 · median $13,801 20 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,284 – $13,380 · median $9,844 20 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,284 – $9,141 · median $6,301 20 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $3,290 – $12,937 · median $9,518 20 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,290 – $8,321 · median $6,241 20 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $5,162 – $14,390 · median $10,587 20 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $7,967 – $18,239 · median $13,679 20 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,684 – $14,124 · median $10,391 20 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,286 – $9,366 · median $7,013 20 plans
779 ABORTION WITHOUT D&C $2,420 – $12,271 · median $9,028 20 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $5,959 – $24,180 · median $17,531 20 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $5,959 – $14,216 · median $10,560 20 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,047 – $11,466 · median $8,599 20 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $5,959 – $21,211 · median $15,378 20 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $5,959 – $13,938 · median $10,354 20 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $5,047 – $11,875 · median $8,907 20 plans
795 NORMAL NEWBORN $669 – $3,004 · median $2,210 20 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $5,162 – $16,757 · median $12,149 20 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $5,162 – $12,709 · median $9,441 20 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $5,162 – $12,709 · median $9,441 20 plans
799 SPLENIC PROCEDURES WITH MCC $12,886 – $72,575 · median $46,364 20 plans
800 SPLENIC PROCEDURES WITH CC $11,954 – $42,019 · median $28,412 20 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $11,210 – $26,779 · median $16,162 20 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $8,450 – $50,311 · median $34,955 20 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $8,450 – $27,751 · median $17,524 20 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,450 – $18,033 · median $10,884 20 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $4,552 – $13,100 · median $9,677 20 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,502 – $10,357 · median $7,056 20 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,157 – $10,027 · median $6,214 20 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $9,256 – $30,063 · median $22,118 20 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,256 – $19,753 · median $12,193 20 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $8,491 – $19,753 · median $9,370 20 plans
811 RED BLOOD CELL DISORDERS WITH MCC $4,658 – $18,467 · median $13,719 20 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,685 – $12,114 · median $9,086 20 plans
813 COAGULATION DISORDERS $6,346 – $20,320 · median $14,949 20 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $6,683 – $27,441 · median $20,188 20 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $6,683 – $14,262 · median $10,003 20 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,834 – $8,656 · median $6,492 20 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $5,249 – $33,277 · median $24,482 20 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $4,461 – $16,907 · median $12,439 20 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,749 – $10,718 · median $8,001 20 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $26,157 – $88,393 · median $56,773 20 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $20,931 – $50,125 · median $22,187 20 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $10,723 – $25,931 · median $11,367 20 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $17,802 – $61,425 · median $45,630 20 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $17,802 – $37,991 · median $21,653 20 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $8,728 – $19,229 · median $12,117 20 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $13,176 – $65,227 · median $46,566 20 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $13,176 – $30,977 · median $23,233 20 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,514 – $23,314 · median $15,780 20 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $12,271 – $40,479 · median $29,781 20 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $12,271 – $26,186 · median $14,398 20 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $2,260 – $15,108 · median $11,115 20 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,289 – $9,811 · median $7,218 20 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,207 – $6,823 · median $5,020 20 plans
834 ACUTE LEUKEMIA WITH MCC $41,981 – $89,589 · median $54,415 20 plans
835 ACUTE LEUKEMIA WITH CC $20,026 – $65,047 · median $21,228 20 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $11,914 – $60,594 · median $12,629 20 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $7,789 – $65,726 · median $48,356 20 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $7,789 – $26,623 · median $19,587 20 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,789 – $17,988 · median $13,491 20 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $11,389 – $41,860 · median $30,797 20 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $10,633 – $22,692 · median $15,437 20 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,509 – $16,024 · median $10,356 20 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $8,811 – $24,852 · median $18,639 20 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $8,811 – $18,804 · median $11,766 20 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $4,537 – $12,796 · median $8,238 20 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $10,033 – $33,522 · median $24,663 20 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,033 – $21,410 · median $12,510 20 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,859 – $21,410 · median $8,100 20 plans
849 RADIOTHERAPY $9,969 – $40,068 · median $26,046 20 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $21,663 – $65,649 · median $48,768 20 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $18,734 – $46,229 · median $19,858 20 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $15,242 – $46,229 · median $16,156 20 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $12,459 – $59,221 · median $43,570 20 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $12,304 – $28,601 · median $21,451 20 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $12,080 – $26,257 · median $12,684 20 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $6,315 – $24,135 · median $17,757 20 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $6,315 – $13,477 · median $9,844 20 plans
864 FEVER AND INFLAMMATORY CONDITIONS $3,763 – $11,787 · median $8,672 20 plans
865 VIRAL ILLNESS WITH MCC $3,128 – $19,373 · median $14,253 20 plans
866 VIRAL ILLNESS WITHOUT MCC $2,769 – $11,614 · median $8,545 20 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $4,478 – $28,147 · median $20,708 20 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $4,478 – $13,784 · median $10,141 20 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,478 – $10,233 · median $7,084 20 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $47,252 – $100,838 · median $68,485 20 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $10,123 – $25,755 · median $19,316 20 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,359 – $19,973 · median $10,150 20 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $8,085 – $67,933 · median $43,202 20 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $8,085 – $24,909 · median $18,503 20 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,085 – $18,558 · median $12,002 20 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $6,742 – $56,355 · median $37,650 20 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $6,742 – $23,560 · median $16,072 20 plans
906 HAND PROCEDURES FOR INJURIES $3,526 – $28,648 · median $21,077 20 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $12,336 – $52,291 · median $38,845 20 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $12,084 – $26,477 · median $19,858 20 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $6,646 – $16,648 · median $12,486 20 plans
913 TRAUMATIC INJURY WITH MCC $4,611 – $21,242 · median $15,780 20 plans
914 TRAUMATIC INJURY WITHOUT MCC $3,633 – $12,029 · median $8,936 20 plans
915 ALLERGIC REACTIONS WITH MCC $2,577 – $22,812 · median $16,783 20 plans
916 ALLERGIC REACTIONS WITHOUT MCC $919 – $8,717 · median $6,413 20 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $5,286 – $21,523 · median $15,835 20 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,054 – $11,612 · median $8,651 20 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $5,572 – $23,937 · median $17,611 20 plans
920 COMPLICATIONS OF TREATMENT WITH CC $5,306 – $13,335 · median $10,001 20 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,068 – $9,027 · median $6,641 20 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $3,663 – $22,176 · median $16,315 20 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $3,306 – $13,388 · median $9,849 20 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $13,394 – $47,805 · median $30,950 20 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $13,394 – $28,584 · median $20,786 20 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $13,394 – $28,584 · median $19,240 20 plans
947 SIGNS AND SYMPTOMS WITH MCC $6,162 – $16,883 · median $12,662 20 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,035 – $10,746 · median $7,822 20 plans
949 AFTERCARE WITH CC/MCC $2,221 – $18,648 · median $10,521 20 plans
950 AFTERCARE WITHOUT CC/MCC $2,221 – $11,344 · median $5,715 20 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $2,032 – $7,443 · median $5,476 20 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $33,967 – $89,631 · median $67,223 20 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $35,839 – $80,527 · median $37,735 20 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $32,827 – $97,978 · median $72,783 20 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $32,827 – $70,055 · median $40,460 20 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $24,789 – $70,055 · median $26,276 20 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $7,724 – $40,207 · median $26,491 20 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $7,724 – $19,691 · median $14,768 20 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,724 – $16,484 · median $8,984 20 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $12,869 – $83,015 · median $61,075 20 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $12,869 – $35,640 · median $26,121 20 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $8,258 – $39,198 · median $29,118 20 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $8,258 – $18,658 · median $13,993 20 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $8,258 – $17,623 · median $9,874 20 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $7,397 – $22,102 · median $14,195 20 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $14,436 – $62,401 · median $46,355 20 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $14,436 – $32,137 · median $24,103 20 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $14,436 – $30,807 · median $16,423 20 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $10,938 – $45,978 · median $34,155 20 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $10,938 – $23,342 · median $16,894 20 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,834 – $23,342 · median $11,376 20 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $28,771 – $40,279 · median $30,353 18 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $79,601 – $160,575 · median $107,248 18 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $66,260 – $92,764 · median $69,904 18 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $42,571 – $81,310 · median $60,982 18 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $43,616 – $61,062 · median $46,015 18 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $42,107 – $66,265 · median $49,256 18 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $28,140 – $63,320 · median $31,547 18 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $44,088 – $81,205 · median $60,324 18 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $26,691 – $43,230 · median $28,160 18 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $16,963 – $37,192 · median $17,896 18 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $39,790 – $61,836 · median $41,933 18 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $29,957 – $52,226 · median $31,605 18 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $26,835 – $47,931 · median $28,311 18 plans
397 APPENDIX PROCEDURES WITH MCC $22,596 – $32,524 · median $24,393 18 plans
398 APPENDIX PROCEDURES WITH CC $14,188 – $22,548 · median $14,968 18 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $10,537 – $17,161 · median $11,116 18 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $36,681 – $103,492 · median $38,698 18 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $86,773 – $137,504 · median $103,128 18 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $65,947 – $103,492 · median $69,924 18 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $51,606 – $103,492 · median $54,445 18 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $78,201 – $109,482 · median $82,502 18 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $51,291 – $103,492 · median $54,112 18 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $62,863 – $88,008 · median $66,320 18 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $38,287 – $61,310 · median $40,392 18 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $48,287 – $71,462 · median $50,943 18 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $28,934 – $61,310 · median $30,526 18 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $44,476 – $120,918 · median $89,825 18 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $36,460 – $51,044 · median $38,283 16 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $21,328 – $29,860 · median $22,395 16 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $17,187 – $24,062 · median $18,046 16 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $99,336 – $139,071 · median $104,303 16 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $14,040 – $22,679 · median $14,742 16 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,858 – $12,160 · median $9,120 16 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $9,625 – $14,186 · median $10,107 16 plans
697 URETHRAL STRICTURE $9,393 – $16,508 · median $9,862 16 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $11,838 – $18,481 · median $12,430 16 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $7,159 – $10,726 · median $8,044 16 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $5,634 – $32,156 · median $24,117 16 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,656 – $19,377 · median $14,533 16 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $40,569 – $56,796 · median $42,597 16 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $264,105 – $369,747 · median $277,310 15 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $103,320 – $144,648 · median $108,486 15 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $200,942 – $281,318 · median $210,989 15 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $132,482 – $185,475 · median $139,106 15 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $99,848 – $139,788 · median $104,841 15 plans
006 LIVER TRANSPLANT WITHOUT MCC $45,466 – $63,652 · median $47,739 15 plans
007 LUNG TRANSPLANT $122,532 – $171,545 · median $128,659 15 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $51,016 – $71,422 · median $53,566 15 plans
010 PANCREAS TRANSPLANT $74,754 – $104,656 · median $78,492 15 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $122,842 – $171,979 · median $128,984 15 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $56,592 – $79,229 · median $59,422 15 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $56,592 – $79,229 · median $59,422 15 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $353,593 – $495,031 · median $371,273 15 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $74,326 – $104,056 · median $78,042 15 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $43,198 – $60,477 · median $45,358 15 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $32,558 – $45,581 · median $34,186 15 plans
652 KIDNEY TRANSPLANT $28,797 – $40,316 · median $30,237 15 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $16,901 – $23,662 · median $17,746 15 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $55,738 – $78,033 · median $58,525 15 plans
791 PREMATURITY WITH MAJOR PROBLEMS $38,065 – $53,292 · median $39,969 15 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $39,102 – $54,743 · median $41,058 15 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $36,844 – $51,581 · median $38,686 15 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $8,988 – $12,583 · median $9,437 15 plans
881 DEPRESSIVE NEUROSES $8,571 – $11,999 · median $8,999 15 plans
882 NEUROSES EXCEPT DEPRESSIVE $9,020 – $12,628 · median $9,471 15 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $17,382 – $24,335 · median $18,251 15 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $15,660 – $21,924 · median $16,443 15 plans
885 PSYCHOSES $13,216 – $18,503 · median $13,877 15 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $16,844 – $23,581 · median $17,686 15 plans
887 OTHER MENTAL DISORDER DIAGNOSES $11,152 – $15,612 · median $11,709 15 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,852 – $8,192 · median $6,144 15 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $13,575 – $19,006 · median $14,254 15 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $16,697 – $23,375 · median $17,532 15 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $8,271 – $11,580 · median $8,685 15 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $222,424 – $311,393 · median $233,545 15 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $62,621 – $87,670 · median $65,752 15 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $29,819 – $41,747 · median $31,310 15 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $20,119 – $28,166 · median $21,125 15 plans
935 NON-EXTENSIVE BURNS $20,593 – $28,831 · median $21,623 15 plans
945 REHABILITATION WITH CC/MCC $1,484 – $20,037 · median $14,742 15 plans
946 REHABILITATION WITHOUT CC/MCC $1,484 – $14,656 · median $10,782 15 plans
222 Other Inpatient Services: MS-DRG $41,249 – $41,249 · median $41,249 2 plans
223 Other Inpatient Services: MS-DRG $41,249 – $41,249 · median $41,249 2 plans
224 Other Inpatient Services: MS-DRG $30,094 – $30,094 · median $30,094 2 plans
225 Other Inpatient Services: MS-DRG $30,094 – $30,094 · median $30,094 2 plans
226 Other Inpatient Services: MS-DRG $19,212 – $19,212 · median $19,212 2 plans
227 Other Inpatient Services: MS-DRG $19,212 – $19,212 · median $19,212 2 plans
246 Other Inpatient Services: MS-DRG $18,645 – $18,645 · median $18,645 2 plans
247 Other Inpatient Services: MS-DRG $17,420 – $17,420 · median $17,420 2 plans
248 Other Inpatient Services: MS-DRG $21,844 – $21,844 · median $21,844 2 plans
249 Other Inpatient Services: MS-DRG $18,220 – $18,220 · median $18,220 2 plans
338 Other Inpatient Services: MS-DRG $12,583 – $12,583 · median $12,583 2 plans
339 Other Inpatient Services: MS-DRG $12,583 – $12,583 · median $12,583 2 plans
340 Other Inpatient Services: MS-DRG $8,873 – $8,873 · median $8,873 2 plans
341 Other Inpatient Services: MS-DRG $8,341 – $8,341 · median $8,341 2 plans
342 Other Inpatient Services: MS-DRG $8,098 – $8,098 · median $8,098 2 plans
343 Other Inpatient Services: MS-DRG $6,531 – $6,531 · median $6,531 2 plans
453 Other Inpatient Services: MS-DRG $48,496 – $48,496 · median $48,496 2 plans
454 Other Inpatient Services: MS-DRG $48,496 – $48,496 · median $48,496 2 plans
455 Other Inpatient Services: MS-DRG $48,496 – $48,496 · median $48,496 2 plans
459 Other Inpatient Services: MS-DRG $31,828 – $31,828 · median $31,828 2 plans
460 Other Inpatient Services: MS-DRG $28,729 – $28,729 · median $28,729 2 plans
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