St Francis-Downtown — Pricing

596 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 596 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 596
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 596 procedures

Procedures with negotiated rates only

These 596 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
030 SPINAL PROCEDURES WITHOUT CC/MCC $4,790 – $41,050 · median $34,184 41 plans
041 NERVOUS SYSTEM MALIGNANCY,EXTREME $4,790 – $41,116 · median $34,575 41 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $2,964 – $28,553 · median $22,178 41 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $3,192 – $19,067 · median $16,033 41 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $3,192 – $24,228 · median $19,127 41 plans
113 ORBITAL PROCEDURES WITH CC/MCC $4,790 – $43,966 · median $32,077 41 plans
137 MOUTH PROCEDURES WITH CC/MCC $1,966 – $27,923 · median $20,059 41 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $4,790 – $71,495 · median $27,821 41 plans
167 OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES,MAJOR $4,790 – $33,724 · median $28,358 41 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $3,192 – $38,604 · median $23,903 41 plans
180 RESPIRATORY NEOPLASMS WITH MCC $3,192 – $33,024 · median $27,770 41 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $3,192 – $20,714 · median $17,419 41 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $3,192 – $18,587 · median $13,402 41 plans
192 CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,MODERATE $3,192 – $23,432 · median $11,737 41 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $3,192 – $26,756 · median $12,673 41 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $3,192 – $17,762 · median $14,925 41 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $3,192 – $14,074 · median $11,245 41 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $4,790 – $53,304 · median $34,497 41 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $12,640 – $51,297 · median $33,508 41 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $4,982 – $65,231 · median $49,353 41 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $2,184 – $33,318 · median $27,383 41 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $4,790 – $60,827 · median $43,634 41 plans
263 CHOLECYSTECTOMY,MODERATE $4,982 – $57,173 · median $35,492 41 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $4,790 – $62,469 · median $48,715 41 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $2,191 – $29,997 · median $25,224 41 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $3,192 – $17,289 · median $14,579 41 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $3,192 – $37,041 · median $28,430 41 plans
304 HYPERTENSION WITH MCC $3,192 – $42,895 · median $17,243 41 plans
308 HIP AND FEMUR FRACTURE REPAIR,MODERATE $3,192 – $27,760 · median $18,763 41 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,192 – $30,303 · median $8,836 41 plans
313 CHEST PAIN $3,192 – $31,539 · median $10,762 41 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $3,192 – $38,993 · median $32,061 41 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,192 – $14,617 · median $11,725 41 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $17,686 – $62,158 · median $42,785 41 plans
347 OTHER BACK AND NECK DISORDERS FRACTURES AND INJURIES,MINOR $2,345 – $43,845 · median $34,856 41 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $4,790 – $28,508 · median $21,940 41 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $3,192 – $36,693 · median $30,856 41 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $3,192 – $18,051 · median $14,017 41 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,192 – $41,067 · median $10,215 41 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $3,192 – $15,843 · median $12,204 41 plans
466 MALFUNCTION REACTION COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE,MODERATE $6,553 – $97,341 · median $48,076 41 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $2,047 – $56,721 · median $44,649 41 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $2,020 – $36,070 · median $30,332 41 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,376 – $15,808 · median $8,364 41 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $4,790 – $24,716 · median $20,784 41 plans
662 MINOR BLADDER PROCEDURES WITH MCC $1,807 – $57,250 · median $48,142 41 plans
663 MINOR BLADDER PROCEDURES WITH CC $4,790 – $28,428 · median $23,905 41 plans
711 TESTES PROCEDURES WITH CC/MCC $2,737 – $38,967 · median $32,768 41 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $3,192 – $33,841 · median $28,458 41 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $1,231 – $18,840 · median $13,578 41 plans
813 COAGULATION DISORDERS $3,192 – $28,523 · median $23,806 41 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $1,871 – $18,962 · median $15,209 41 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,192 – $12,765 · median $9,938 41 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $3,192 – $34,103 · median $27,791 41 plans
950 AFTERCARE WITHOUT CC/MCC $1,376 – $37,803 · median $7,596 41 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,192 – $51,821 · median $8,807 41 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $2,577 – $42,741 · median $35,572 40 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $11,264 – $32,814 · median $27,250 40 plans
199 PNEUMOTHORAX WITH MCC $2,650 – $32,989 · median $24,068 40 plans
282 DISORDERS OF PANCREAS EXCEPT MALIGNANCY,MODERATE $2,197 – $29,024 · median $11,102 40 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,672 – $14,613 · median $11,400 40 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $1,376 – $43,957 · median $8,293 38 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $4,790 – $107,157 · median $84,509 37 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $4,982 – $58,142 · median $45,824 37 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $4,982 – $47,178 · median $36,058 37 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $4,790 – $63,797 · median $48,249 37 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $4,790 – $39,850 · median $32,980 37 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $4,982 – $44,702 · median $34,636 37 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $4,982 – $36,330 · median $26,344 37 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $4,982 – $61,562 · median $48,795 37 plans
038 EXTRACRANIAL PROCEDURES WITH CC $4,982 – $30,343 · median $25,203 37 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $4,982 – $21,982 · median $17,020 37 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $3,192 – $43,442 · median $34,633 37 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $3,192 – $23,205 · median $17,226 37 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $3,192 – $51,558 · median $43,355 37 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $3,192 – $32,860 · median $27,632 37 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $3,192 – $26,551 · median $22,075 37 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $3,192 – $37,606 · median $29,616 37 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $3,192 – $13,591 · median $10,762 37 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $3,192 – $27,465 · median $23,095 37 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $3,192 – $16,427 · median $13,593 37 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $1,376 – $29,040 · median $12,626 37 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $3,192 – $30,000 · median $22,363 37 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $3,192 – $19,276 · median $15,609 37 plans
075 VIRAL MENINGITIS WITH CC/MCC $3,192 – $35,857 · median $25,405 37 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $3,192 – $33,847 · median $28,462 37 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $3,192 – $26,101 · median $20,705 37 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $3,192 – $42,485 · median $35,477 37 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $3,192 – $24,360 · median $19,554 37 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $3,192 – $17,220 · median $13,258 37 plans
089 CONCUSSION WITH CC $3,192 – $20,544 · median $15,581 37 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $3,192 – $32,841 · median $24,725 37 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $3,192 – $19,130 · median $15,262 37 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $3,192 – $65,813 · median $55,343 37 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $3,192 – $25,477 · median $20,258 37 plans
101 SEIZURES WITHOUT MCC $3,192 – $17,029 · median $13,948 37 plans
102 HEADACHES WITH MCC $3,192 – $20,961 · median $17,626 37 plans
103 HEADACHES WITHOUT MCC $3,192 – $15,984 · median $12,630 37 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $4,790 – $33,811 · median $28,432 37 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $3,192 – $24,742 · median $20,806 37 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $3,192 – $14,905 · median $11,854 37 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $3,192 – $39,595 · median $31,918 37 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $3,192 – $23,777 · median $19,994 37 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $3,192 – $14,439 · median $10,608 37 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $3,192 – $29,237 · median $21,579 37 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $3,192 – $17,248 · median $13,531 37 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,192 – $13,696 · median $9,829 37 plans
157 DENTAL AND ORAL DISEASES WITH MCC $3,192 – $32,104 · median $23,470 37 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,192 – $13,970 · median $10,104 37 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $4,790 – $69,895 · median $56,128 37 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,790 – $25,552 · median $19,960 37 plans
176 PULMONARY EMBOLISM WITHOUT MCC $3,192 – $15,491 · median $12,659 37 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $3,192 – $20,575 · median $15,348 37 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $3,192 – $14,703 · median $11,872 37 plans
183 MAJOR CHEST TRAUMA WITH MCC $3,192 – $28,609 · median $24,058 37 plans
184 MAJOR CHEST TRAUMA WITH CC $3,192 – $19,899 · median $16,733 37 plans
186 PLEURAL EFFUSION WITH MCC $3,192 – $29,144 · median $24,507 37 plans
187 PLEURAL EFFUSION WITH CC $3,192 – $18,496 · median $15,554 37 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $3,192 – $23,102 · median $19,427 37 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $3,192 – $24,579 · median $20,669 37 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,192 – $12,710 · median $9,883 37 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $3,192 – $35,291 · median $27,726 37 plans
200 PNEUMOTHORAX WITH CC $3,192 – $20,557 · median $17,286 37 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $3,192 – $17,636 · median $14,440 37 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $3,192 – $51,401 · median $43,223 37 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $27,229 – $78,331 · median $65,869 37 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $4,790 – $92,036 · median $70,255 37 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $11,375 – $59,705 · median $50,207 37 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $11,749 – $51,297 · median $31,289 37 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $14,187 – $41,841 · median $34,320 37 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $4,790 – $50,441 · median $39,863 37 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $4,790 – $31,751 · median $25,825 37 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $4,790 – $37,813 · median $31,333 37 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $16,595 – $78,047 · median $40,146 37 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $4,982 – $104,088 · median $49,353 37 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $12,767 – $41,379 · median $18,490 37 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $6,956 – $20,011 · median $16,827 37 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $3,192 – $31,919 · median $26,283 37 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $3,192 – $17,593 · median $14,620 37 plans
291 HEART FAILURE AND SHOCK WITH MCC $3,192 – $24,007 · median $20,188 37 plans
292 HEART FAILURE AND SHOCK WITH CC $3,192 – $16,185 · median $13,351 37 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $3,192 – $30,531 · median $21,768 37 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $3,192 – $19,962 · median $15,432 37 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $3,192 – $14,147 · median $10,899 37 plans
302 ATHEROSCLEROSIS WITH MCC $3,192 – $22,376 · median $17,413 37 plans
303 ATHEROSCLEROSIS WITHOUT MCC $3,192 – $13,414 · median $10,586 37 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $3,192 – $29,467 · median $22,345 37 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $3,192 – $17,196 · median $13,936 37 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $3,192 – $14,399 · median $11,569 37 plans
312 SYNCOPE AND COLLAPSE $3,192 – $16,541 · median $12,900 37 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $3,192 – $18,014 · median $15,148 37 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $4,790 – $45,707 · median $38,435 37 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $4,790 – $29,963 · median $23,696 37 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $4,790 – $31,470 · median $26,464 37 plans
333 RECTAL RESECTION WITH CC $4,790 – $43,799 · median $34,050 37 plans
334 RECTAL RESECTION WITHOUT CC/MCC $4,790 – $30,629 · median $23,174 37 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $4,790 – $39,433 · median $33,159 37 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $4,790 – $21,838 · median $16,200 37 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $4,790 – $25,152 · median $20,648 37 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $4,790 – $43,487 · median $33,857 37 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,790 – $26,141 · median $20,637 37 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $3,192 – $31,504 · median $25,033 37 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $3,192 – $18,704 · median $15,728 37 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $3,192 – $33,157 · median $27,882 37 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,192 – $14,268 · median $11,438 37 plans
374 DIGESTIVE MALIGNANCY WITH MCC $3,192 – $39,994 · median $33,058 37 plans
375 DIGESTIVE MALIGNANCY WITH CC $3,192 – $22,620 · median $19,021 37 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $3,192 – $34,184 · median $28,745 37 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $3,192 – $18,339 · median $15,422 37 plans
381 COMPLICATED PEPTIC ULCER WITH CC $3,192 – $20,261 · median $17,038 37 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $3,192 – $16,276 · median $13,442 37 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,192 – $13,542 · median $10,713 37 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $3,192 – $27,616 · median $23,223 37 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $3,192 – $15,252 · median $12,420 37 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,192 – $11,378 · median $8,554 37 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $3,192 – $23,717 · median $18,580 37 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $3,192 – $29,907 · median $25,149 37 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $3,192 – $17,551 · median $14,714 37 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,192 – $13,033 · median $10,206 37 plans
397 APPENDIX PROCEDURES WITH MCC $4,790 – $44,785 · median $37,660 37 plans
398 APPENDIX PROCEDURES WITH CC $4,790 – $28,304 · median $23,801 37 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $4,790 – $21,406 · median $17,830 37 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $4,790 – $54,234 · median $41,989 37 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $4,790 – $41,507 · median $31,388 37 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $4,790 – $66,677 · median $53,614 37 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $4,790 – $40,716 · median $34,238 37 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $4,790 – $38,647 · median $30,868 37 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $4,790 – $44,626 · median $36,269 37 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $4,790 – $31,633 · median $25,108 37 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $4,790 – $32,491 · median $27,322 37 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $3,192 – $36,805 · median $27,382 37 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,192 – $14,034 · median $9,609 37 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $3,192 – $21,152 · median $17,787 37 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $3,192 – $30,485 · median $24,601 37 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,192 – $12,598 · median $9,245 37 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $3,192 – $33,561 · median $27,789 37 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $3,192 – $31,246 · median $24,419 37 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,192 – $20,465 · median $16,136 37 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $1,991 – $105,589 · median $78,652 37 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $17,863 – $51,388 · median $43,212 37 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $15,869 – $45,652 · median $35,386 37 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $4,790 – $80,277 · median $58,298 37 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,790 – $64,601 · median $48,976 37 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $4,790 – $45,987 · median $34,861 37 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $18,931 – $54,460 · median $45,796 37 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $13,615 – $50,753 · median $33,825 37 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $10,602 – $50,753 · median $25,647 37 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $4,790 – $60,347 · median $49,332 37 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $4,790 – $39,104 · median $32,356 37 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $4,790 – $68,659 · median $51,834 37 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $4,790 – $37,522 · median $27,252 37 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $4,790 – $33,733 · median $28,366 37 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $4,790 – $22,595 · median $19,001 37 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $4,790 – $56,414 · median $36,831 37 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $4,790 – $37,677 · median $17,315 37 plans
500 SOFT TISSUE PROCEDURES WITH MCC $4,790 – $59,182 · median $45,363 37 plans
501 SOFT TISSUE PROCEDURES WITH CC $4,790 – $32,689 · median $25,245 37 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $4,790 – $33,525 · median $25,298 37 plans
506 MAJOR THUMB OR JOINT PROCEDURES $4,790 – $25,230 · median $20,139 37 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $4,790 – $56,483 · median $41,945 37 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $4,790 – $29,439 · median $23,727 37 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $4,790 – $19,117 · median $16,050 37 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $4,790 – $59,595 · median $47,452 37 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $1,376 – $35,553 · median $15,458 37 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $4,790 – $28,736 · median $21,293 37 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $13,002 – $37,404 · median $22,300 37 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $18,657 – $53,673 · median $45,134 37 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $13,766 – $39,601 · median $33,301 37 plans
533 FRACTURES OF FEMUR WITH MCC $3,192 – $29,316 · median $21,957 37 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $3,192 – $23,973 · median $18,462 37 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $3,192 – $15,532 · median $11,412 37 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $3,192 – $17,845 · median $13,704 37 plans
539 OSTEOMYELITIS WITH MCC $3,192 – $36,833 · median $28,310 37 plans
540 OSTEOMYELITIS WITH CC $3,192 – $24,241 · median $19,522 37 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $3,192 – $15,214 · median $12,382 37 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $3,192 – $33,034 · median $27,454 37 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $3,192 – $19,224 · median $15,892 37 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $3,192 – $46,408 · median $37,963 37 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $3,192 – $21,569 · median $18,072 37 plans
551 MEDICAL BACK PROBLEMS WITH MCC $3,192 – $31,343 · median $23,867 37 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $3,192 – $17,976 · median $13,694 37 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $3,192 – $24,241 · median $19,304 37 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $3,192 – $15,887 · median $11,821 37 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,192 – $24,718 · median $19,751 37 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $3,192 – $27,805 · median $21,938 37 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $3,192 – $16,881 · median $12,960 37 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,376 – $32,194 · median $13,997 37 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,376 – $22,759 · median $8,935 37 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $3,192 – $26,644 · median $20,267 37 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $3,192 – $16,917 · median $12,848 37 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $3,192 – $28,865 · median $22,748 37 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $3,192 – $18,221 · median $14,752 37 plans
570 SKIN DEBRIDEMENT WITH MCC $4,790 – $54,999 · median $43,227 37 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $4,790 – $21,436 · median $16,876 37 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $4,790 – $64,915 · median $46,967 37 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $4,790 – $60,560 · median $44,926 37 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $4,790 – $32,314 · median $24,203 37 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $4,790 – $63,839 · median $27,508 37 plans
592 SKIN ULCERS WITH MCC $3,192 – $36,190 · median $26,793 37 plans
593 SKIN ULCERS WITH CC $3,192 – $22,184 · median $17,237 37 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $3,192 – $20,243 · median $14,628 37 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $3,192 – $31,175 · median $26,215 37 plans
598 MALIGNANT BREAST DISORDERS WITH CC $3,192 – $21,155 · median $17,790 37 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $3,192 – $19,478 · median $14,404 37 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,192 – $12,339 · median $9,292 37 plans
602 CELLULITIS WITH MCC $3,192 – $26,578 · median $21,472 37 plans
603 CELLULITIS WITHOUT MCC $3,192 – $16,530 · median $12,668 37 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $3,192 – $27,528 · median $21,993 37 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $3,192 – $17,089 · median $12,406 37 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $4,790 – $65,214 · median $54,839 37 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $4,790 – $34,975 · median $29,410 37 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $4,790 – $26,522 · median $18,874 37 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $4,790 – $66,557 · median $55,968 37 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $4,790 – $33,546 · median $28,209 37 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $4,790 – $29,294 · median $23,578 37 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $4,790 – $69,691 · median $55,505 37 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $4,790 – $40,744 · median $34,262 37 plans
637 DIABETES WITH MCC $3,192 – $26,866 · median $19,805 37 plans
638 DIABETES WITH CC $3,192 – $16,928 · median $12,636 37 plans
639 DIABETES WITHOUT CC/MCC $3,192 – $12,595 · median $8,764 37 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $3,192 – $24,976 · median $18,233 37 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $3,192 – $15,069 · median $11,360 37 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $3,192 – $27,782 · median $18,259 37 plans
643 ENDOCRINE DISORDERS WITH MCC $3,192 – $30,782 · median $24,409 37 plans
644 ENDOCRINE DISORDERS WITH CC $3,192 – $19,168 · median $15,439 37 plans
654 MAJOR BLADDER PROCEDURES WITH CC $4,790 – $52,347 · median $44,019 37 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $4,790 – $39,580 · median $33,284 37 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $4,790 – $59,537 · median $49,055 37 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $4,790 – $34,221 · median $28,777 37 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $4,790 – $29,019 · median $23,619 37 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $4,790 – $47,515 · median $39,956 37 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $4,790 – $19,362 · median $16,282 37 plans
665 PROSTATECTOMY WITH MCC $4,790 – $58,366 · median $49,081 37 plans
666 PROSTATECTOMY WITH CC $4,790 – $32,712 · median $27,508 37 plans
669 TRANSURETHRAL PROCEDURES WITH CC $4,790 – $29,022 · median $24,405 37 plans
671 URETHRAL PROCEDURES WITH CC/MCC $4,790 – $33,567 · median $28,226 37 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $4,790 – $43,732 · median $36,774 37 plans
682 RENAL FAILURE WITH MCC $3,192 – $27,695 · median $22,196 37 plans
683 RENAL FAILURE WITH CC $3,192 – $16,607 · median $13,474 37 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $3,192 – $33,729 · median $28,363 37 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $3,192 – $19,594 · median $16,477 37 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $3,192 – $21,698 · median $15,988 37 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $3,192 – $15,562 · median $11,303 37 plans
693 URINARY STONES WITH MCC $3,192 – $19,136 · median $15,480 37 plans
697 URETHRAL STRICTURE $3,192 – $20,155 · median $13,920 37 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $3,192 – $30,937 · median $23,135 37 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $3,192 – $18,981 · median $14,761 37 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $4,790 – $37,406 · median $28,132 37 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $4,790 – $28,690 · median $21,845 37 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $4,790 – $28,114 · median $23,641 37 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $4,790 – $19,773 · median $15,149 37 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $4,790 – $41,838 · median $32,143 37 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $4,790 – $35,352 · median $29,198 37 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $3,192 – $21,368 · median $17,969 37 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $3,192 – $21,883 · median $17,943 37 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,192 – $14,183 · median $10,930 37 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $3,192 – $19,798 · median $15,349 37 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $4,790 – $34,311 · median $21,364 37 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $4,790 – $48,014 · median $38,999 37 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,192 – $13,123 · median $10,295 37 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $3,192 – $41,288 · median $31,981 37 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $3,192 – $17,275 · median $13,076 37 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $3,192 – $39,769 · median $26,265 37 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $4,790 – $41,862 · median $33,585 37 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $4,790 – $42,367 · median $34,981 37 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $4,790 – $31,861 · median $24,842 37 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $4,790 – $28,144 · median $20,744 37 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $3,192 – $22,487 · median $16,226 37 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,192 – $11,046 · median $8,005 37 plans
835 ACUTE LEUKEMIA WITH CC $3,192 – $39,004 · median $32,799 37 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $3,192 – $22,805 · median $19,177 37 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $3,192 – $39,034 · median $32,824 37 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,192 – $27,001 · median $21,120 37 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $3,192 – $60,493 · median $50,869 37 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $3,192 – $30,507 · median $25,654 37 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $3,192 – $18,976 · median $15,889 37 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $3,192 – $22,765 · median $19,144 37 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $3,192 – $16,225 · median $13,391 37 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $3,192 – $48,480 · median $40,767 37 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $3,192 – $24,463 · median $20,571 37 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $4,790 – $37,364 · median $31,420 37 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $4,790 – $27,998 · median $23,543 37 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $4,790 – $40,046 · median $30,591 37 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $4,790 – $26,047 · median $20,708 37 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $3,192 – $18,661 · median $14,837 37 plans
864 FEVER AND INFLAMMATORY CONDITIONS $3,192 – $16,794 · median $12,725 37 plans
866 VIRAL ILLNESS WITHOUT MCC $3,192 – $16,509 · median $12,293 37 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $3,192 – $39,143 · median $32,814 37 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $3,192 – $19,282 · median $16,214 37 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $3,192 – $14,305 · median $11,150 37 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $3,192 – $36,325 · median $27,797 37 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $3,192 – $19,136 · median $15,480 37 plans
881 DEPRESSIVE NEUROSES $2,401 – $17,633 · median $12,326 37 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $2,401 – $29,806 · median $21,635 37 plans
885 PSYCHOSES $2,401 – $24,817 · median $18,286 37 plans
887 OTHER MENTAL DISORDER DIAGNOSES $2,401 – $20,026 · median $16,370 37 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $2,401 – $30,306 · median $23,285 37 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $4,790 – $21,872 · median $17,211 37 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $4,790 – $68,687 · median $53,220 37 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $4,790 – $71,795 · median $60,023 37 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $4,790 – $37,310 · median $31,039 37 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $4,790 – $24,547 · median $19,840 37 plans
915 ALLERGIC REACTIONS WITH MCC $3,192 – $31,446 · median $25,515 37 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $3,192 – $29,329 · median $21,972 37 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $3,192 – $16,312 · median $11,723 37 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $3,192 – $34,236 · median $27,410 37 plans
920 COMPLICATIONS OF TREATMENT WITH CC $3,192 – $18,743 · median $15,129 37 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,192 – $13,654 · median $10,370 37 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $3,192 – $19,031 · median $12,997 37 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC — 37 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $4,790 – $43,700 · median $34,179 37 plans
947 SIGNS AND SYMPTOMS WITH MCC $1,376 – $22,809 · median $9,917 37 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $3,192 – $15,420 · median $11,706 37 plans
949 AFTERCARE WITH CC/MCC $1,376 – $21,620 · median $9,371 37 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $4,790 – $84,127 · median $59,026 37 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $4,790 – $142,492 · median $113,344 37 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $3,192 – $28,660 · median $22,427 37 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,192 – $17,626 · median $13,772 37 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $4,790 – $49,319 · median $41,473 37 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $3,192 – $53,968 · median $40,153 37 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $3,192 – $24,217 · median $20,153 37 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $4,790 – $45,974 · median $31,450 37 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,790 – $32,052 · median $21,116 37 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $4,790 – $64,111 · median $50,155 37 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $4,790 – $30,735 · median $25,846 37 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,790 – $22,425 · median $17,338 37 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $3,192 – $17,873 · median $14,175 36 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $10,377 – $29,853 · median $23,481 36 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $24,354 – $70,061 · median $34,063 36 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $7,815 – $22,483 · median $18,820 36 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $12,642 – $95,286 · median $75,753 36 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $20,483 – $67,198 · median $49,549 36 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $20,869 – $59,476 · median $41,841 36 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $32,420 – $93,264 · median $78,427 36 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $18,864 – $54,267 · median $44,637 36 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $20,999 – $59,846 · median $50,798 36 plans
472 CERVICAL SPINAL FUSION WITH CC $19,151 – $57,010 · median $46,327 36 plans
548 SEPTIC ARTHRITIS WITH MCC $1,376 – $33,400 · median $14,449 36 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $4,982 – $40,605 · median $34,466 36 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $4,790 – $77,839 · median $59,158 36 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,192 – $11,796 · median $8,506 36 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $4,790 – $91,493 · median $76,708 36 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $4,790 – $94,577 · median $59,873 34 plans
694 URINARY STONES WITHOUT MCC $3,192 – $15,267 · median $10,583 34 plans
181 RESPIRATORY NEOPLASMS WITH CC $3,192 – $28,180 · median $18,642 33 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $14,810 – $85,952 · median $78,047 33 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,192 – $15,422 · median $12,589 33 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $4,790 – $18,276 · median $16,197 33 plans
865 VIRAL ILLNESS WITH MCC $9,739 – $28,018 · median $20,923 33 plans
123 NEUROLOGICAL EYE DISORDERS $3,192 – $15,390 · median $10,476 32 plans
220 MAJOR STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES,MINOR $6,243 – $108,716 · median $57,199 32 plans
233 APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,MINOR $12,663 – $141,635 · median $97,988 32 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $27,567 – $78,565 · median $53,552 32 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $3,192 – $15,269 · median $11,892 32 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $3,192 – $17,240 · median $13,151 32 plans
684 RENAL FAILURE WITHOUT CC/MCC $3,192 – $11,358 · median $9,239 32 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $2,401 – $17,937 · median $12,892 32 plans
914 TRAUMATIC INJURY WITHOUT MCC $3,192 – $16,760 · median $12,940 32 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $2,351 – $15,166 · median $9,771 31 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $39,837 – $134,601 · median $99,380 31 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $30,947 – $134,601 · median $77,829 31 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $27,452 – $78,239 · median $69,357 31 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $26,817 – $76,429 · median $41,841 31 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $21,397 – $60,982 · median $48,345 31 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $30,022 – $116,222 · median $75,586 31 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $26,135 – $95,776 · median $66,163 31 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $46,923 – $133,732 · median $95,776 31 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $36,545 – $104,153 · median $91,400 31 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $34,644 – $98,736 · median $65,539 31 plans
465 URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,MINOR $3,852 – $33,786 · median $22,070 31 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $22,924 – $65,334 · median $48,076 31 plans
471 CERVICAL SPINAL FUSION WITH MCC $31,388 – $89,457 · median $65,041 31 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $15,398 – $69,237 · median $26,132 31 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $3,192 – $17,300 · median $13,929 30 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $4,982 – $61,758 · median $34,371 30 plans
253 OTHER VASCULAR PROCEDURES WITH CC $2,502 – $48,538 · median $35,314 30 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,401 – $12,527 · median $7,859 30 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $1,990 – $72,204 · median $46,728 29 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,192 – $15,354 · median $12,025 29 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $14,918 – $42,915 · median $27,773 29 plans
139 OTHER PNEUMONIA,EXTREME $4,790 – $23,108 · median $17,415 29 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $35,509 – $101,202 · median $88,890 29 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $23,117 – $78,047 · median $58,848 29 plans
305 AMPUTATION OF LOWER LIMB EXCEPT TOES,EXTREME $3,192 – $45,295 · median $11,556 29 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $11,460 – $69,148 · median $27,723 29 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $9,711 – $27,936 · median $19,913 29 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $4,790 – $26,735 · median $18,878 29 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $6,805 – $19,577 · median $16,463 29 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,311 – $15,280 · median $11,470 29 plans
916 ALLERGIC REACTIONS WITHOUT MCC $3,192 – $12,419 · median $9,510 29 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $4,790 – $32,867 · median $16,748 28 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $3,192 – $34,240 · median $27,045 28 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $42,742 – $134,601 · median $114,118 28 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $49,911 – $142,248 · median $108,716 28 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $46,350 – $134,601 · median $123,634 28 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,192 – $10,352 · median $7,739 28 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $28,129 – $80,169 · median $62,208 28 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $66,131 – $204,179 · median $95,776 28 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $37,488 – $106,841 · median $94,731 28 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $3,192 – $19,751 · median $15,496 28 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $17,291 – $49,279 · median $44,382 28 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $8,634 – $24,839 · median $17,177 28 plans
667 PROSTATECTOMY WITHOUT CC/MCC $7,191 – $20,493 · median $15,353 28 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $3,192 – $18,110 · median $15,272 27 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $4,790 – $35,023 · median $29,315 27 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $3,192 – $15,091 · median $11,457 27 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,555 – $13,849 · median $11,323 26 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $4,790 – $44,481 · median $34,633 26 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $3,192 – $14,697 · median $11,410 26 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $9,487 – $27,293 · median $21,797 26 plans
709 PENIS PROCEDURES WITH CC/MCC $4,790 – $43,517 · median $36,594 26 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $8,731 – $24,882 · median $20,180 26 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $2,401 – $16,717 · median $10,905 26 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $4,916 – $14,722 · median $11,666 25 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $63,591 – $181,236 · median $134,601 25 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $2,655 – $48,345 · median $24,572 25 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $39,045 – $111,278 · median $97,461 25 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $4,982 – $45,295 · median $29,313 25 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $4,790 – $40,914 · median $16,535 25 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $36,045 – $155,681 · median $58,796 25 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,050 – $22,943 · median $18,942 25 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,062 – $14,562 · median $11,491 25 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,479 – $13,663 · median $9,710 25 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $4,790 – $78,067 · median $63,052 25 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $3,192 – $18,257 · median $15,352 24 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $4,790 – $25,168 · median $19,870 24 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $35,453 – $101,043 · median $66,006 23 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $8,249 – $19,186 · median $15,992 23 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $16,766 – $47,782 · median $31,213 23 plans
164 MAJOR CHEST PROCEDURES WITH CC $16,407 – $46,760 · median $30,545 23 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,285 – $29,589 · median $26,649 23 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $18,018 – $51,352 · median $33,546 23 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $7,148 – $20,373 · median $16,883 23 plans
799 SPLENIC PROCEDURES WITH MCC $29,439 – $84,140 · median $54,809 23 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $38,123 – $108,651 · median $70,976 23 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,858 – $13,976 · median $10,765 23 plans
906 HAND PROCEDURES FOR INJURIES $12,769 – $36,732 · median $26,192 23 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $8,435 – $25,624 · median $15,705 23 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $30,498 – $86,920 · median $56,780 23 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $3,192 – $14,962 · median $12,326 22 plans
100 SEIZURES WITH MCC $3,192 – $36,218 · median $26,096 22 plans
149 DYSEQUILIBRIUM $4,886 – $14,650 · median $10,969 22 plans
152 OTITIS MEDIA AND URI WITH MCC $3,192 – $21,221 · median $14,954 22 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $7,424 – $25,579 · median $10,787 22 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $3,192 – $28,882 · median $20,922 22 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,468 – $16,062 · median $12,722 22 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $4,790 – $35,574 · median $25,165 22 plans
549 SEPTIC ARTHRITIS WITH CC $3,192 – $22,575 · median $12,145 22 plans
710 INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,MAJOR $9,108 – $56,215 · median $15,920 22 plans
811 RED BLOOD CELL DISORDERS WITH MCC $9,128 – $26,016 · median $20,127 22 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $29,568 – $84,269 · median $49,052 22 plans
158 DENTAL AND ORAL DISEASES WITH CC $5,914 – $17,143 · median $13,012 21 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $23,212 – $66,154 · median $43,215 21 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $4,790 – $31,811 · median $25,909 21 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,229 – $23,452 · median $18,260 21 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $6,637 – $19,093 · median $16,489 20 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $4,790 – $25,540 · median $19,661 20 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $3,192 – $18,726 · median $14,573 19 plans
163 CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,MODERATE $29,133 – $83,030 · median $32,566 19 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,508 – $31,298 · median $25,419 19 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $12,098 – $123,874 · median $47,033 19 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $28,555 – $81,381 · median $31,944 19 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $12,524 – $35,692 · median $23,751 19 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $64,724 – $184,463 · median $70,482 18 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,038 – $11,731 · median $10,463 18 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $11,209 – $72,120 · median $13,230 18 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $4,790 – $44,411 · median $36,399 17 plans
504 FOOT PROCEDURES WITH CC $11,408 – $32,513 · median $22,621 17 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $16,766 – $47,782 · median $19,080 16 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $11,582 – $119,209 · median $45,307 16 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $9,438 – $84,693 · median $37,007 16 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $31,229 – $89,004 · median $34,478 16 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $23,443 – $73,412 · median $26,189 15 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $16,198 – $46,165 · median $18,476 15 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $22,352 – $63,704 · median $25,027 15 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $4,790 – $47,197 · median $37,694 15 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $11,292 – $32,182 · median $13,253 15 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $29,803 – $84,938 · median $32,959 15 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $8,754 – $76,521 · median $33,270 15 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $15,024 – $43,219 · median $34,847 15 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $20,541 – $58,542 · median $23,099 15 plans
834 ACUTE LEUKEMIA WITH MCC $35,686 – $101,706 · median $39,222 15 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $17,248 – $444,422 · median $193,227 14 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $17,554 – $337,284 · median $146,645 14 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $23,478 – $66,912 · median $26,226 14 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $29,879 – $85,155 · median $33,040 14 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $29,555 – $74,455 · median $32,695 12 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $26,996 – $76,938 · median $29,971 11 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $44,929 – $128,048 · median $49,062 11 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $26,624 – $101,346 · median $37,131 10 plans
571 SKIN DEBRIDEMENT WITH CC $10,982 – $31,594 · median $22,803 10 plans
021 OPEN CRANIOTOMY EXCEPT TRAUMA,MAJOR $49,073 – $51,526 · median $49,563 4 plans
024 OPEN EXTRACRANIAL VASCULAR PROCEDURES,MINOR $9,455 – $9,928 · median $9,549 4 plans
043 MULTIPLE SCLEROSIS OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES,MODERATE $15,866 – $24,817 · median $16,263 4 plans
044 INTRACRANIAL HEMORRHAGE,MAJOR $15,416 – $16,186 · median $15,570 4 plans
045 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,MAJOR $2,586 – $12,299 · median $2,612 4 plans
048 PERIPHERAL CRANIAL AND AUTONOMIC NERVE DISORDERS,MODERATE $2,241 – $2,353 · median $2,263 4 plans
049 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,MAJOR $22,660 – $23,793 · median $22,887 4 plans
053 SEIZURE,MINOR $2,425 – $12,938 · median $2,503 4 plans
058 OTHER DISORDERS OF NERVOUS SYSTEM,MODERATE $12,481 – $18,398 · median $15,126 4 plans
114 DENTAL DISEASES AND DISORDERS,EXTREME $22,947 – $24,094 · median $23,176 4 plans
120 MAJOR RESPIRATORY AND CHEST PROCEDURES,MINOR $23,226 – $24,388 · median $23,459 4 plans
121 OTHER RESPIRATORY AND CHEST PROCEDURES,MAJOR $33,846 – $35,539 · median $34,185 4 plans
133 RESPIRATORY FAILURE,MAJOR $9,319 – $22,272 · median $11,479 4 plans
134 PULMONARY EMBOLISM,MAJOR $13,712 – $14,397 · median $13,849 4 plans
136 RESPIRATORY MALIGNANCY,MAJOR $14,211 – $14,922 · median $14,353 4 plans
140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE,MINOR $6,813 – $8,423 · median $8,022 4 plans
141 ASTHMA,MAJOR $9,680 – $10,164 · median $9,777 4 plans
169 MAJOR ABDOMINAL VASCULAR PROCEDURES,MAJOR $49,010 – $51,460 · median $49,500 4 plans
174 PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,MAJOR $29,636 – $34,175 · median $32,311 4 plans
182 OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,MODERATE $22,218 – $23,328 · median $22,440 4 plans
224 PERITONEAL ADHESIOLYSIS,MODERATE $20,005 – $21,006 · median $20,206 4 plans
227 HERNIA PROCEDURES EXCEPT INGUINAL FEMORAL AND UMBILICAL,MAJOR $3,305 – $3,470 · median $3,338 4 plans
231 MAJOR LARGE BOWEL PROCEDURES,MAJOR $32,692 – $34,327 · median $33,019 4 plans
241 PEPTIC ULCER AND GASTRITIS,MAJOR $9,914 – $14,325 · median $10,261 4 plans
245 INFLAMMATORY BOWEL DISEASE,MODERATE $8,990 – $9,440 · median $9,080 4 plans
247 INTESTINAL OBSTRUCTION,MAJOR $7,493 – $11,538 · median $9,590 4 plans
248 MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,MINOR $6,663 – $6,996 · median $6,729 4 plans
249 OTHER GASTROENTERITIS NAUSEA AND VOMITING,MODERATE $7,158 – $7,516 · median $7,230 4 plans
344 OSTEOMYELITIS SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS,MODERATE $10,813 – $16,737 · median $10,921 4 plans
346 CONNECTIVE TISSUE DISORDERS,MINOR $8,038 – $8,440 · median $8,118 4 plans
364 OTHER SKIN SUBCUTANEOUS TISSUE AND RELATED PROCEDURES,MINOR $9,129 – $12,561 · median $10,951 4 plans
404 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES,MINOR $7,224 – $7,586 · median $7,297 4 plans
420 DIABETES,MODERATE $2,528 – $21,196 · median $16,039 4 plans
422 HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,MAJOR $9,422 – $9,893 · median $9,516 4 plans
425 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,MODERATE — 4 plans
532 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,MAJOR $10,005 – $10,505 · median $10,105 4 plans
720 SEPTICEMIA AND DISSEMINATED INFECTIONS,MAJOR $7,523 – $29,868 · median $11,648 4 plans
756 ACUTE ANXIETY AND STRESS SYNDROMES,MAJOR $10,198 – $10,708 · median $10,300 4 plans
773 OPIOID ABUSE AND DEPENDENCE,MAJOR $9,971 – $10,470 · median $10,071 4 plans
775 ALCOHOL ABUSE AND DEPENDENCE,MODERATE $6,886 – $7,230 · median $6,955 4 plans
861 SIGNS SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,MODERATE $7,871 – $11,111 · median $9,607 4 plans
890 HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,MAJOR $19,062 – $20,015 · median $19,253 4 plans
892 HIV WITH MAJOR HIV RELATED CONDITION,EXTREME $22,792 – $23,932 · median $23,020 4 plans
284 DISORDERS OF GALLBLADDER AND BILIARY TRACT,MODERATE $10,725 – $11,262 · median $10,940 3 plans
223 OTHER SMALL AND LARGE BOWEL PROCEDURES,MINOR $4,241 – $4,241 · median $4,241 1 plans
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