LaFollette Medical Center — Pricing

766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 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 766
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 766 procedures

Procedures with negotiated rates only

These 766 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
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $1,865 – $22,871 · median $9,143 43 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $1,597 – $40,577 · median $18,110 43 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $1,597 – $20,280 · median $9,068 43 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $1,597 – $18,791 · median $8,405 43 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $1,958 – $28,856 · median $12,889 43 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $1,958 – $21,105 · median $9,436 43 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $1,506 – $18,806 · median $8,412 43 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $1,597 – $19,411 · median $8,681 43 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $1,597 – $18,781 · median $8,401 43 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $1,913 – $20,558 · median $9,192 43 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $1,913 – $15,826 · median $7,084 43 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $1,506 – $14,665 · median $6,567 43 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $1,597 – $21,835 · median $9,761 42 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $2,225 – $313,688 · median $141,166 40 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $2,225 – $269,373 · median $120,028 40 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $2,225 – $84,214 · median $37,914 40 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $2,225 – $46,786 · median $21,071 40 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC — 40 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC — 40 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $2,225 – $80,802 · median $25,659 40 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — 40 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — 40 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $2,225 – $50,095 · median $22,560 40 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $2,225 – $41,564 · median $18,610 40 plans
028 SPINAL PROCEDURES WITH MCC — 40 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $2,225 – $54,495 · median $24,540 40 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $2,225 – $36,796 · median $16,426 40 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC — 40 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $2,225 – $45,543 · median $16,009 40 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $2,225 – $33,544 · median $12,975 40 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC — 40 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $2,225 – $39,637 · median $17,691 40 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $2,225 – $33,123 · median $14,790 40 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $2,225 – $52,756 · median $23,758 40 plans
038 EXTRACRANIAL PROCEDURES WITH CC $2,225 – $28,464 · median $12,714 40 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $2,225 – $21,959 · median $9,816 40 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — 40 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $2,225 – $36,847 · median $16,448 40 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $2,225 – $29,994 · median $13,395 40 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $1,913 – $31,210 · median $13,937 40 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $1,913 – $19,103 · median $8,544 40 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $1,913 – $27,072 · median $12,094 40 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $1,913 – $21,217 · median $8,806 40 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $1,913 – $29,729 · median $13,278 40 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $1,913 – $22,910 · median $10,240 40 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $1,590 – $18,238 · median $8,159 40 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $1,913 – $44,972 · median $20,235 40 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $1,913 – $30,423 · median $13,587 40 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $1,913 – $26,858 · median $11,296 40 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $1,913 – $34,116 · median $15,232 40 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $1,913 – $19,555 · median $8,746 40 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $1,770 – $14,813 · median $6,633 40 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $1,913 – $26,225 · median $11,717 40 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $1,913 – $17,432 · median $7,800 40 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $1,364 – $16,478 · median $7,375 40 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $1,913 – $29,078 · median $12,988 40 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $1,913 – $19,784 · median $8,847 40 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $1,736 – $15,858 · median $7,099 40 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $1,913 – $28,198 · median $12,596 40 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $1,622 – $19,853 · median $8,879 40 plans
075 VIRAL MENINGITIS WITH CC/MCC $1,827 – $32,755 · median $14,626 40 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $1,146 – $16,862 · median $7,529 40 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $1,913 – $38,111 · median $17,012 40 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $1,913 – $25,164 · median $11,244 40 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $1,913 – $18,762 · median $8,392 40 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $1,913 – $37,912 · median $16,923 40 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $1,913 – $23,810 · median $10,641 40 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $1,519 – $18,164 · median $8,126 40 plans
088 CONCUSSION WITH MCC $1,913 – $24,524 · median $10,959 40 plans
089 CONCUSSION WITH CC $1,913 – $20,840 · median $9,318 40 plans
090 CONCUSSION WITHOUT CC/MCC $1,299 – $16,833 · median $7,516 40 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $1,913 – $30,408 · median $13,580 40 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $1,913 – $19,740 · median $8,828 40 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,913 – $16,441 · median $7,359 40 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $1,913 – $58,742 · median $25,246 40 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $1,913 – $42,383 · median $19,000 40 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,913 – $42,383 · median $18,914 40 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $1,913 – $57,408 · median $25,693 40 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $1,913 – $38,246 · median $17,072 40 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $1,760 – $24,678 · median $11,028 40 plans
100 SEIZURES WITH MCC $1,913 – $33,036 · median $14,751 40 plans
101 SEIZURES WITHOUT MCC $1,313 – $17,988 · median $8,030 40 plans
102 HEADACHES WITH MCC $1,913 – $21,164 · median $9,463 40 plans
113 ORBITAL PROCEDURES WITH CC/MCC $2,225 – $39,064 · median $17,436 40 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $2,225 – $24,542 · median $10,967 40 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $2,225 – $27,188 · median $12,146 40 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $2,225 – $53,427 · median $14,165 40 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $2,091 – $20,641 · median $9,229 40 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $1,205 – $21,781 · median $9,737 40 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $954 – $16,289 · median $7,273 40 plans
123 NEUROLOGICAL EYE DISORDERS $1,331 – $16,475 · median $7,374 40 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $1,913 – $24,106 · median $10,773 40 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $1,152 – $16,027 · median $7,157 40 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $2,225 – $36,429 · median $16,262 40 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $2,157 – $19,628 · median $8,778 40 plans
137 MOUTH PROCEDURES WITH CC/MCC $2,225 – $26,581 · median $11,876 40 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $2,225 – $18,193 · median $7,941 40 plans
139 SALIVARY GLAND PROCEDURES $2,225 – $22,835 · median $10,207 40 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $1,913 – $44,861 · median $15,921 40 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $1,913 – $23,356 · median $10,439 40 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $1,913 – $16,453 · median $7,364 40 plans
149 DYSEQUILIBRIUM $1,100 – $15,791 · median $7,052 40 plans
150 EPISTAXIS WITH MCC $1,913 – $24,229 · median $10,828 40 plans
151 EPISTAXIS WITHOUT MCC $1,101 – $15,535 · median $6,937 40 plans
152 OTITIS MEDIA AND URI WITH MCC $1,913 – $22,056 · median $9,860 40 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $830 – $15,596 · median $6,965 40 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $1,913 – $27,604 · median $12,331 40 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $1,885 – $18,190 · median $8,138 40 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $1,417 – $14,911 · median $6,677 40 plans
157 DENTAL AND ORAL DISEASES WITH MCC $1,913 – $29,835 · median $13,325 40 plans
158 DENTAL AND ORAL DISEASES WITH CC $1,913 – $18,093 · median $8,094 40 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $1,802 – $15,164 · median $6,790 40 plans
163 MAJOR CHEST PROCEDURES WITH MCC — 40 plans
164 MAJOR CHEST PROCEDURES WITH CC $2,225 – $41,580 · median $18,617 40 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $2,225 – $32,707 · median $14,604 40 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $2,225 – $59,240 · median $26,675 40 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $2,225 – $31,095 · median $13,886 40 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,225 – $24,736 · median $11,054 40 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $1,913 – $24,841 · median $11,100 40 plans
176 PULMONARY EMBOLISM WITHOUT MCC $1,913 – $16,568 · median $7,415 40 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $1,913 – $27,593 · median $12,326 40 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $1,913 – $19,056 · median $8,523 40 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $1,795 – $15,840 · median $7,091 40 plans
180 RESPIRATORY NEOPLASMS WITH MCC $1,913 – $30,551 · median $13,644 40 plans
181 RESPIRATORY NEOPLASMS WITH CC $1,913 – $20,438 · median $9,139 40 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $1,913 – $15,823 · median $7,083 40 plans
183 MAJOR CHEST TRAUMA WITH MCC $1,913 – $27,115 · median $12,113 40 plans
184 MAJOR CHEST TRAUMA WITH CC $1,710 – $20,338 · median $9,094 40 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $1,090 – $16,299 · median $7,278 40 plans
186 PLEURAL EFFUSION WITH MCC $1,913 – $27,532 · median $12,299 40 plans
187 PLEURAL EFFUSION WITH CC $1,913 – $19,247 · median $8,608 40 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $1,769 – $15,290 · median $6,846 40 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $1,913 – $22,830 · median $10,205 40 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $1,913 – $20,972 · median $9,377 40 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $1,627 – $17,121 · median $7,661 40 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $1,211 – $14,196 · median $6,359 40 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $1,913 – $23,980 · median $10,717 40 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $1,536 – $16,581 · median $7,421 40 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $1,078 – $14,000 · median $6,254 40 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $1,913 – $32,314 · median $14,429 40 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $1,913 – $31,651 · median $14,134 40 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $1,913 – $15,276 · median $6,839 40 plans
199 PNEUMOTHORAX WITH MCC $1,913 – $30,523 · median $13,631 40 plans
200 PNEUMOTHORAX WITH CC $1,877 – $20,850 · median $9,323 40 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $1,456 – $15,260 · median $6,832 40 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $1,243 – $18,986 · median $8,475 40 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $841 – $14,604 · median $6,523 40 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $1,179 – $16,603 · median $7,413 40 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $1,913 – $31,497 · median $14,065 40 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $1,637 – $18,548 · median $8,297 40 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $1,913 – $127,872 · median $56,996 40 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $1,913 – $44,849 · median $20,177 40 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $2,225 – $172,907 · median $67,397 40 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $2,225 – $147,198 · median $66,256 40 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $2,225 – $100,528 · median $45,255 40 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $2,225 – $100,528 · median $45,255 40 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $2,225 – $156,741 · median $52,989 40 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $2,225 – $82,449 · median $37,119 40 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC — 40 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $2,225 – $105,500 · median $34,928 40 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $2,225 – $69,442 · median $23,037 40 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $2,225 – $127,513 · median $57,398 40 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $2,225 – $93,068 · median $41,898 40 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $2,225 – $116,095 · median $52,260 40 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $2,225 – $84,339 · median $37,970 40 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $2,225 – $90,245 · median $40,628 40 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC — 40 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $2,225 – $100,757 · median $34,758 40 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $2,225 – $46,331 · median $20,866 40 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $2,225 – $35,598 · median $11,267 40 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $2,225 – $72,312 · median $23,323 40 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $2,225 – $59,079 · median $16,300 40 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $2,225 – $39,039 · median $13,913 40 plans
245 AICD GENERATOR PROCEDURES — 40 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $2,225 – $69,023 · median $16,641 40 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $2,225 – $36,993 · median $11,988 40 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $2,225 – $63,654 · median $25,042 40 plans
253 OTHER VASCULAR PROCEDURES WITH CC $2,225 – $42,622 · median $19,114 40 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $2,225 – $30,779 · median $13,745 40 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $2,225 – $66,367 · median $20,004 40 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $2,225 – $40,724 · median $13,319 40 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $2,225 – $29,628 · median $9,300 40 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $2,225 – $50,573 · median $22,775 40 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $2,225 – $34,277 · median $15,304 40 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $2,225 – $80,518 · median $23,720 40 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $2,225 – $52,424 · median $14,710 40 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $2,225 – $42,927 · median $12,874 40 plans
263 VEIN LIGATION AND STRIPPING $2,225 – $49,341 · median $22,221 40 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $2,225 – $53,462 · median $24,075 40 plans
265 AICD LEAD PROCEDURES $2,225 – $57,501 · median $25,649 40 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 40 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $2,225 – $97,272 · median $33,694 40 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $2,225 – $123,893 · median $55,223 40 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $2,225 – $66,304 · median $29,854 40 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $2,225 – $81,627 · median $36,749 40 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $2,225 – $56,600 · median $25,487 40 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $2,225 – $42,002 · median $18,818 40 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC — 40 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $2,225 – $52,750 · median $23,755 40 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $1,913 – $28,275 · median $12,594 40 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $1,913 – $21,430 · median $8,155 40 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $1,913 – $20,720 · median $6,884 40 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $1,913 – $33,676 · median $15,036 40 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $1,646 – $14,927 · median $6,684 40 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $1,527 – $13,569 · median $6,079 40 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $1,913 – $37,052 · median $16,540 40 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $1,913 – $20,425 · median $9,133 40 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $1,913 – $44,231 · median $19,882 40 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $1,913 – $29,691 · median $13,261 40 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $1,913 – $18,382 · median $8,223 40 plans
291 HEART FAILURE AND SHOCK WITH MCC $1,913 – $23,535 · median $10,518 40 plans
292 HEART FAILURE AND SHOCK WITH CC $1,702 – $17,208 · median $7,700 40 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $1,257 – $13,090 · median $5,866 40 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $1,913 – $27,581 · median $12,321 40 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $1,828 – $14,080 · median $6,307 40 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $1,757 – $11,477 · median $5,147 40 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $1,913 – $28,611 · median $12,780 40 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $1,913 – $20,387 · median $9,116 40 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $1,913 – $15,327 · median $6,862 40 plans
303 ATHEROSCLEROSIS WITHOUT MCC $1,913 – $18,386 · median $6,561 40 plans
304 HYPERTENSION WITH MCC $1,913 – $22,170 · median $9,910 40 plans
305 HYPERTENSION WITHOUT MCC $1,041 – $15,842 · median $7,074 40 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $1,913 – $49,987 · median $12,629 40 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $1,913 – $41,138 · median $8,181 40 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $1,913 – $22,374 · median $10,001 40 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $1,913 – $15,560 · median $6,966 40 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $1,484 – $13,092 · median $5,867 40 plans
311 ANGINA PECTORIS $898 – $15,068 · median $6,729 40 plans
312 SYNCOPE AND COLLAPSE $1,280 – $17,537 · median $7,829 40 plans
313 CHEST PAIN $1,072 – $15,331 · median $6,847 40 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $1,913 – $35,195 · median $15,713 40 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $1,913 – $18,871 · median $8,441 40 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $1,913 – $14,780 · median $6,618 40 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $2,225 – $77,423 · median $34,858 40 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $2,225 – $40,419 · median $18,063 40 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $2,225 – $28,169 · median $12,583 40 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $2,225 – $71,735 · median $32,298 40 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $2,225 – $39,735 · median $17,737 40 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $2,225 – $29,342 · median $13,105 40 plans
332 RECTAL RESECTION WITH MCC $2,225 – $57,537 · median $25,909 40 plans
333 RECTAL RESECTION WITH CC $2,225 – $38,935 · median $17,378 40 plans
334 RECTAL RESECTION WITHOUT CC/MCC $2,225 – $28,687 · median $12,813 40 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $2,225 – $57,291 · median $25,583 40 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $2,225 – $35,537 · median $15,865 40 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $2,225 – $27,190 · median $12,146 40 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $2,225 – $54,046 · median $19,040 40 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $2,225 – $26,749 · median $11,950 40 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $2,225 – $22,115 · median $9,886 40 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $2,225 – $38,257 · median $17,076 40 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $2,225 – $23,898 · median $10,680 40 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $2,173 – $17,522 · median $7,840 40 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $2,225 – $41,113 · median $18,394 40 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $2,225 – $27,037 · median $12,078 40 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $2,225 – $21,847 · median $9,766 40 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $2,225 – $47,080 · median $21,203 40 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $2,225 – $29,334 · median $13,102 40 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $2,225 – $24,425 · median $10,915 40 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $2,225 – $68,772 · median $30,965 40 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $2,225 – $38,692 · median $17,270 40 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,225 – $25,195 · median $11,258 40 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $1,913 – $28,018 · median $12,515 40 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $1,832 – $19,408 · median $8,680 40 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $1,219 – $15,052 · median $6,740 40 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $1,913 – $30,654 · median $13,690 40 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $1,913 – $19,711 · median $8,815 40 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $1,913 – $15,439 · median $6,912 40 plans
374 DIGESTIVE MALIGNANCY WITH MCC $1,913 – $35,974 · median $16,059 40 plans
375 DIGESTIVE MALIGNANCY WITH CC $1,913 – $22,455 · median $10,037 40 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $1,913 – $18,304 · median $8,188 40 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $1,913 – $31,453 · median $14,046 40 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $1,712 – $19,124 · median $8,554 40 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $1,345 – $14,027 · median $6,283 40 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $1,913 – $33,406 · median $14,915 40 plans
381 COMPLICATED PEPTIC ULCER WITH CC $1,913 – $20,620 · median $9,220 40 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $1,688 – $16,504 · median $7,386 40 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $1,913 – $24,945 · median $11,146 40 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $1,223 – $17,293 · median $7,720 40 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $1,913 – $27,878 · median $12,453 40 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $1,851 – $19,060 · median $8,525 40 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $1,389 – $14,768 · median $6,613 40 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $1,913 – $26,343 · median $11,769 40 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $1,756 – $16,347 · median $7,316 40 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $1,208 – $12,770 · median $5,723 40 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $1,833 – $23,309 · median $10,418 40 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $1,141 – $16,198 · median $7,233 40 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $1,913 – $28,125 · median $12,563 40 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $1,913 – $18,470 · median $8,262 40 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,769 – $14,298 · median $6,404 40 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $2,225 – $84,452 · median $37,654 40 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $2,225 – $47,054 · median $21,192 40 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $2,225 – $37,151 · median $16,584 40 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $2,225 – $117,358 · median $25,801 40 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $2,225 – $37,111 · median $16,310 40 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $2,225 – $27,956 · median $12,488 40 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $2,225 – $52,919 · median $23,831 40 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $2,225 – $38,009 · median $15,825 40 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $2,225 – $29,016 · median $12,960 40 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $2,225 – $79,047 · median $25,769 40 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $2,225 – $34,926 · median $15,593 40 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $2,225 – $26,214 · median $11,034 40 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $2,225 – $39,578 · median $17,665 40 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $2,225 – $29,468 · median $13,162 40 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $2,225 – $24,728 · median $11,050 40 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $2,225 – $54,429 · median $24,280 40 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $2,225 – $30,136 · median $13,459 40 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $2,225 – $25,218 · median $11,268 40 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $2,225 – $65,282 · median $29,394 40 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,144 – $15,222 · median $6,798 40 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $1,913 – $31,580 · median $14,102 40 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $1,913 – $21,313 · median $9,529 40 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $1,913 – $17,271 · median $7,728 40 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $1,913 – $28,575 · median $12,764 40 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $1,883 – $17,095 · median $7,650 40 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $1,226 – $13,897 · median $6,225 40 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $1,913 – $30,968 · median $13,830 40 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $1,653 – $18,900 · median $8,454 40 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,163 – $15,036 · median $6,715 40 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $1,913 – $29,167 · median $13,027 40 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $1,913 – $20,779 · median $9,291 40 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $1,862 – $16,892 · median $7,560 40 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC — 40 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC — 40 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC — 40 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC — 40 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $2,225 – $44,652 · median $19,561 40 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $2,225 – $87,784 · median $39,520 40 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $2,225 – $50,175 · median $22,596 40 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,225 – $32,252 · median $14,018 40 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC — 40 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $2,225 – $56,168 · median $25,293 40 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $2,225 – $44,839 · median $20,172 40 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $2,225 – $48,989 · median $22,062 40 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $2,225 – $38,521 · median $14,700 40 plans
471 CERVICAL SPINAL FUSION WITH MCC — 40 plans
472 CERVICAL SPINAL FUSION WITH CC $2,225 – $53,054 · median $21,492 40 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $2,225 – $40,377 · median $18,043 40 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $2,225 – $76,289 · median $30,310 40 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $2,225 – $46,151 · median $16,947 40 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,225 – $24,202 · median $9,847 40 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,225 – $61,214 · median $24,822 40 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $2,225 – $45,725 · median $18,167 40 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $2,225 – $31,903 · median $14,246 40 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $2,225 – $28,587 · median $12,769 40 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $2,225 – $45,187 · median $20,338 40 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $2,225 – $51,810 · median $23,332 40 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $2,225 – $35,281 · median $15,751 40 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $2,225 – $27,644 · median $12,349 40 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $2,225 – $30,593 · median $13,663 40 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $2,225 – $21,105 · median $9,436 40 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $2,225 – $58,278 · median $26,242 40 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $2,225 – $41,756 · median $18,701 40 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $2,225 – $34,050 · median $15,203 40 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $2,225 – $31,498 · median $13,889 40 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $2,225 – $28,392 · median $10,029 40 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $2,225 – $48,750 · median $21,955 40 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $2,225 – $34,171 · median $15,256 40 plans
500 SOFT TISSUE PROCEDURES WITH MCC $2,225 – $50,904 · median $22,924 40 plans
501 SOFT TISSUE PROCEDURES WITH CC $2,225 – $30,290 · median $13,528 40 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $2,225 – $24,438 · median $10,921 40 plans
503 FOOT PROCEDURES WITH MCC $2,225 – $45,466 · median $20,471 40 plans
504 FOOT PROCEDURES WITH CC $2,225 – $32,052 · median $14,313 40 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $2,225 – $30,941 · median $13,817 40 plans
506 MAJOR THUMB OR JOINT PROCEDURES $2,225 – $24,486 · median $10,942 40 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $2,225 – $31,139 · median $13,906 40 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $2,225 – $26,890 · median $12,013 40 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $2,225 – $48,804 · median $21,775 40 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $2,225 – $35,111 · median $15,675 40 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $2,225 – $19,730 · median $8,823 40 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $2,225 – $67,651 · median $23,284 40 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $2,225 – $35,092 · median $15,667 40 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $2,225 – $27,214 · median $12,158 40 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $2,225 – $59,234 · median $26,673 40 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $2,225 – $33,958 · median $15,162 40 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $2,225 – $26,592 · median $11,880 40 plans
533 FRACTURES OF FEMUR WITH MCC $1,913 – $37,127 · median $12,467 40 plans
534 FRACTURES OF FEMUR WITHOUT MCC $1,913 – $17,711 · median $7,422 40 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $1,913 – $28,945 · median $10,507 40 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $1,913 – $17,875 · median $7,432 40 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $1,861 – $18,740 · median $8,383 40 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $1,097 – $15,336 · median $6,849 40 plans
539 OSTEOMYELITIS WITH MCC $1,913 – $33,515 · median $14,964 40 plans
540 OSTEOMYELITIS WITH CC $1,913 – $23,717 · median $10,599 40 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $1,607 – $16,312 · median $7,301 40 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $1,913 – $31,317 · median $13,647 40 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $1,913 – $19,813 · median $8,860 40 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $1,913 – $15,835 · median $7,088 40 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $1,913 – $40,964 · median $18,324 40 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $1,913 – $21,637 · median $9,673 40 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,913 – $17,022 · median $7,617 40 plans
548 SEPTIC ARTHRITIS WITH MCC $1,913 – $32,950 · median $14,713 40 plans
549 SEPTIC ARTHRITIS WITH CC $1,913 – $22,420 · median $10,022 40 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $1,723 – $17,573 · median $7,863 40 plans
551 MEDICAL BACK PROBLEMS WITH MCC $1,913 – $29,243 · median $13,061 40 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $1,913 – $18,842 · median $8,428 40 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $1,913 – $34,560 · median $10,690 40 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $1,913 – $25,526 · median $7,578 40 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,913 – $24,088 · median $10,765 40 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $1,140 – $16,940 · median $7,564 40 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $1,913 – $26,490 · median $11,835 40 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $1,566 – $17,851 · median $7,987 40 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,913 – $33,845 · median $14,285 40 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,913 – $30,230 · median $9,554 40 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,913 – $23,877 · median $7,408 40 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $1,913 – $25,586 · median $11,432 40 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $1,913 – $17,885 · median $8,002 40 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $1,913 – $27,960 · median $12,202 40 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $1,913 – $19,033 · median $8,513 40 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,913 – $15,758 · median $7,054 40 plans
570 SKIN DEBRIDEMENT WITH MCC $2,225 – $118,815 · median $52,944 40 plans
571 SKIN DEBRIDEMENT WITH CC $2,225 – $29,438 · median $13,148 40 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $2,225 – $21,534 · median $9,627 40 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $2,225 – $100,180 · median $45,098 40 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $2,225 – $55,365 · median $24,697 40 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $2,225 – $31,002 · median $13,845 40 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $2,225 – $76,169 · median $33,965 40 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $2,225 – $43,423 · median $19,497 40 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $2,225 – $28,229 · median $12,609 40 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $2,225 – $51,976 · median $23,407 40 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $2,225 – $29,998 · median $13,397 40 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $2,225 – $25,853 · median $11,551 40 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $2,225 – $32,888 · median $14,685 40 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $2,225 – $29,946 · median $13,374 40 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $2,225 – $36,003 · median $16,072 40 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $2,225 – $32,924 · median $14,701 40 plans
592 SKIN ULCERS WITH MCC $1,913 – $33,014 · median $14,741 40 plans
593 SKIN ULCERS WITH CC $1,706 – $22,116 · median $9,886 40 plans
594 SKIN ULCERS WITHOUT CC/MCC $1,615 – $17,467 · median $7,816 40 plans
595 MAJOR SKIN DISORDERS WITH MCC $1,913 – $35,712 · median $15,943 40 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $1,217 – $20,606 · median $9,214 40 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $1,913 – $29,112 · median $13,003 40 plans
598 MALIGNANT BREAST DISORDERS WITH CC $1,724 – $21,316 · median $9,530 40 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,442 – $16,050 · median $7,184 40 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $1,913 – $20,011 · median $8,949 40 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,247 – $13,658 · median $6,119 40 plans
602 CELLULITIS WITH MCC $1,913 – $25,535 · median $11,410 40 plans
603 CELLULITIS WITHOUT MCC $1,171 – $17,527 · median $7,825 40 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $1,913 – $26,274 · median $11,739 40 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $1,226 – $18,183 · median $8,117 40 plans
606 MINOR SKIN DISORDERS WITH MCC $1,734 – $26,872 · median $12,005 40 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $1,137 – $18,043 · median $8,055 40 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $2,225 – $36,746 · median $16,404 40 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $2,225 – $25,215 · median $11,267 40 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $2,225 – $55,598 · median $25,036 40 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $2,225 – $32,068 · median $14,320 40 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $2,225 – $25,492 · median $11,390 40 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $2,225 – $46,867 · median $21,108 40 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $2,225 – $28,794 · median $12,570 40 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $2,225 – $26,803 · median $11,974 40 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $2,225 – $78,201 · median $25,747 40 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $2,225 – $30,957 · median $13,825 40 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $2,225 – $23,132 · median $10,312 40 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $2,225 – $48,798 · median $21,977 40 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $2,225 – $26,672 · median $11,916 40 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $1,821 – $24,182 · median $10,807 40 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $2,225 – $83,255 · median $26,855 40 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $2,225 – $36,557 · median $16,319 40 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $2,225 – $26,091 · median $11,657 40 plans
637 DIABETES WITH MCC $1,913 – $25,759 · median $11,509 40 plans
638 DIABETES WITH CC $1,469 – $17,895 · median $8,006 40 plans
639 DIABETES WITHOUT CC/MCC $1,016 – $13,894 · median $6,206 40 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $1,839 – $24,288 · median $10,854 40 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $1,138 – $16,178 · median $7,224 40 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $1,498 – $25,547 · median $11,415 40 plans
643 ENDOCRINE DISORDERS WITH MCC $1,913 – $28,806 · median $12,867 40 plans
644 ENDOCRINE DISORDERS WITH CC $1,913 – $19,769 · median $8,841 40 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $1,731 – $16,034 · median $7,177 40 plans
653 MAJOR BLADDER PROCEDURES WITH MCC — 40 plans
654 MAJOR BLADDER PROCEDURES WITH CC $2,225 – $45,586 · median $20,528 40 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $2,225 – $35,652 · median $15,916 40 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $2,225 – $61,622 · median $23,048 40 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $2,225 – $31,482 · median $14,059 40 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $2,225 – $27,434 · median $12,255 40 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $2,225 – $44,019 · median $18,734 40 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $2,225 – $24,086 · median $10,764 40 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $2,225 – $19,920 · median $8,908 40 plans
662 MINOR BLADDER PROCEDURES WITH MCC $2,225 – $49,401 · median $22,248 40 plans
663 MINOR BLADDER PROCEDURES WITH CC $2,225 – $26,974 · median $12,051 40 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $2,225 – $20,088 · median $8,983 40 plans
665 PROSTATECTOMY WITH MCC $2,225 – $50,269 · median $22,639 40 plans
666 PROSTATECTOMY WITH CC $2,225 – $30,308 · median $13,535 40 plans
667 PROSTATECTOMY WITHOUT CC/MCC $1,480 – $20,951 · median $9,367 40 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $2,225 – $47,342 · median $21,321 40 plans
669 TRANSURETHRAL PROCEDURES WITH CC $2,225 – $27,437 · median $12,257 40 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $1,888 – $19,075 · median $8,532 40 plans
671 URETHRAL PROCEDURES WITH CC/MCC $2,225 – $30,973 · median $13,832 40 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $2,193 – $20,562 · median $9,194 40 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $2,225 – $65,989 · median $29,713 40 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $2,225 – $38,882 · median $17,355 40 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $2,225 – $28,738 · median $12,836 40 plans
682 RENAL FAILURE WITH MCC $1,913 – $26,404 · median $11,796 40 plans
683 RENAL FAILURE WITH CC $1,913 – $17,598 · median $7,874 40 plans
684 RENAL FAILURE WITHOUT CC/MCC $1,449 – $13,590 · median $6,088 40 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $1,913 – $31,099 · median $13,888 40 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $1,913 – $20,101 · median $8,989 40 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $1,913 – $16,354 · median $7,320 40 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $1,795 – $21,738 · median $9,718 40 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $1,077 – $16,633 · median $7,427 40 plans
693 URINARY STONES WITH MCC $1,913 – $24,418 · median $10,912 40 plans
694 URINARY STONES WITHOUT MCC $1,499 – $16,229 · median $7,264 40 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $1,913 – $21,498 · median $9,611 40 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $1,248 – $14,880 · median $6,663 40 plans
697 URETHRAL STRICTURE $1,405 – $20,537 · median $9,183 40 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $1,913 – $28,927 · median $12,920 40 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $1,913 – $19,624 · median $8,776 40 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $1,913 – $14,893 · median $6,669 40 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $2,225 – $33,960 · median $15,162 40 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $2,225 – $27,178 · median $12,141 40 plans
709 PENIS PROCEDURES WITH CC/MCC $2,225 – $38,715 · median $17,280 40 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $2,225 – $25,243 · median $11,279 40 plans
711 TESTES PROCEDURES WITH CC/MCC $2,225 – $35,175 · median $15,704 40 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $1,803 – $20,856 · median $9,325 40 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $2,225 – $26,730 · median $11,942 40 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $1,547 – $20,240 · median $9,038 40 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $2,225 – $37,408 · median $16,698 40 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $2,225 – $26,258 · median $11,732 40 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $2,225 – $32,362 · median $14,451 40 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $1,540 – $24,397 · median $10,903 40 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $1,913 – $31,187 · median $13,927 40 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $1,913 – $21,482 · median $9,604 40 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,913 – $15,035 · median $6,447 40 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $1,913 – $21,882 · median $9,782 40 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $1,267 – $15,360 · median $6,877 40 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $1,532 – $26,432 · median $11,809 40 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $1,101 – $16,658 · median $7,438 40 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $1,865 – $20,259 · median $9,059 40 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,863 – $14,633 · median $6,553 40 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $2,225 – $35,847 · median $16,003 40 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $2,225 – $24,432 · median $10,918 40 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $2,225 – $56,865 · median $25,607 40 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $2,225 – $34,837 · median $15,553 40 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $2,225 – $26,222 · median $11,715 40 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $2,225 – $56,986 · median $25,419 40 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $2,225 – $31,185 · median $13,926 40 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,991 – $25,605 · median $11,441 40 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $2,225 – $31,552 · median $14,090 40 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $1,778 – $22,908 · median $10,239 40 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $2,225 – $34,670 · median $15,479 40 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $1,797 – $21,406 · median $9,570 40 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $2,225 – $30,130 · median $13,456 40 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $2,172 – $17,364 · median $7,770 40 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $2,116 – $25,041 · median $11,189 40 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $2,225 – $42,214 · median $18,839 40 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,815 – $26,328 · median $11,763 40 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,913 – $31,652 · median $14,134 40 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,913 – $20,683 · median $9,248 40 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,676 – $18,831 · median $8,423 40 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,913 – $25,690 · median $11,478 40 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,723 – $19,100 · median $8,543 40 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,144 – $14,511 · median $6,499 40 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $1,780 – $19,514 · median $8,728 40 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $1,509 – $13,156 · median $5,895 40 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $2,225 – $29,442 · median $13,150 40 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $1,839 – $19,445 · median $8,696 40 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $943 – $14,381 · median $6,423 40 plans
779 ABORTION WITHOUT D&C $1,030 – $17,096 · median $7,633 40 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $891 – $31,078 · median $13,878 40 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,913 – $91,335 · median $40,720 40 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,913 – $63,915 · median $28,506 40 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $904 – $40,492 · median $18,072 40 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $1,561 – $65,524 · median $29,223 40 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $398 – $26,330 · median $11,763 40 plans
795 NORMAL NEWBORN $291 – $7,762 · median $3,475 40 plans
799 SPLENECTOMY WITH MCC $2,225 – $70,752 · median $31,856 40 plans
800 SPLENECTOMY WITH CC $2,225 – $45,733 · median $20,597 40 plans
801 SPLENECTOMY WITHOUT CC/MCC $2,225 – $33,499 · median $14,570 40 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $2,225 – $62,825 · median $28,289 40 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $2,225 – $31,903 · median $14,246 40 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $2,225 – $24,585 · median $10,986 40 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $1,913 – $36,981 · median $16,508 40 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $1,913 – $23,274 · median $10,402 40 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $1,637 – $20,083 · median $8,981 40 plans
811 RED BLOOD CELL DISORDERS WITH MCC $1,913 – $25,288 · median $11,299 40 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $1,372 – $18,215 · median $8,131 40 plans
813 COAGULATION DISORDERS $1,913 – $27,049 · median $12,084 40 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $1,913 – $35,799 · median $15,982 40 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $1,913 – $19,609 · median $8,770 40 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $1,580 – $14,051 · median $6,294 40 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $2,225 – $38,053 · median $16,986 40 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $2,225 – $21,722 · median $9,711 40 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — 40 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $2,225 – $37,427 · median $16,707 40 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,225 – $23,035 · median $10,001 40 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC — 40 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $2,225 – $37,820 · median $16,882 40 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $2,225 – $24,489 · median $10,944 40 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — 40 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $2,225 – $38,484 · median $17,177 40 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,225 – $29,646 · median $13,241 40 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $2,225 – $50,834 · median $22,893 40 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $2,225 – $26,753 · median $11,952 40 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $1,913 – $22,352 · median $9,991 40 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $1,802 – $15,354 · median $6,874 40 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,204 – $12,463 · median $5,587 40 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $1,913 – $84,735 · median $38,148 40 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $1,913 – $51,030 · median $15,859 40 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,913 – $22,599 · median $10,102 40 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $1,913 – $96,788 · median $42,640 40 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $1,913 – $35,227 · median $15,727 40 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,856 – $25,864 · median $11,556 40 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $1,913 – $51,924 · median $23,383 40 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $1,913 – $28,592 · median $12,771 40 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $1,913 – $19,557 · median $8,746 40 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $1,913 – $33,880 · median $15,127 40 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $1,913 – $22,569 · median $10,088 40 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $1,813 – $17,246 · median $7,717 40 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $1,913 – $42,577 · median $19,093 40 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $1,913 – $23,890 · median $10,676 40 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,913 – $17,214 · median $7,703 40 plans
849 RADIOTHERAPY $1,913 – $44,279 · median $19,759 40 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $2,225 – $76,713 · median $34,538 40 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $2,225 – $57,209 · median $15,422 40 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,225 – $48,497 · median $12,109 40 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $2,225 – $71,040 · median $31,985 40 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $2,225 – $36,014 · median $16,078 40 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $2,225 – $25,122 · median $11,225 40 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $1,913 – $31,390 · median $14,018 40 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $1,645 – $19,375 · median $8,665 40 plans
864 FEVER AND INFLAMMATORY CONDITIONS $1,136 – $17,771 · median $7,934 40 plans
865 VIRAL ILLNESS WITH MCC $1,776 – $26,656 · median $11,909 40 plans
866 VIRAL ILLNESS WITHOUT MCC $893 – $17,508 · median $7,816 40 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $1,913 – $35,312 · median $15,764 40 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $1,877 – $19,858 · median $8,880 40 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $1,056 – $15,472 · median $6,910 40 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $1,913 – $108,051 · median $47,458 40 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $1,913 – $33,119 · median $14,788 40 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $1,763 – $19,744 · median $8,830 40 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC — 40 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $2,225 – $32,712 · median $14,606 40 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $2,225 – $21,873 · median $9,778 40 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $2,225 – $58,300 · median $26,005 40 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $2,225 – $26,439 · median $11,812 40 plans
906 HAND PROCEDURES FOR INJURIES $2,225 – $33,436 · median $14,929 40 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $2,225 – $60,718 · median $27,340 40 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $2,225 – $33,886 · median $15,129 40 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $2,225 – $23,955 · median $10,706 40 plans
913 TRAUMATIC INJURY WITH MCC $1,913 – $28,639 · median $12,792 40 plans
914 TRAUMATIC INJURY WITHOUT MCC $1,249 – $17,739 · median $7,919 40 plans
915 ALLERGIC REACTIONS WITH MCC $1,451 – $29,323 · median $13,097 40 plans
916 ALLERGIC REACTIONS WITHOUT MCC $786 – $14,550 · median $6,499 40 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $1,913 – $31,494 · median $14,064 40 plans
920 COMPLICATIONS OF TREATMENT WITH CC $1,841 – $19,439 · median $8,694 40 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,261 – $14,871 · median $6,659 40 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $1,913 – $30,309 · median $13,536 40 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $1,138 – $19,663 · median $8,776 40 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $2,225 – $315,511 · median $140,581 40 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $2,225 – $109,220 · median $48,687 40 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $2,225 – $51,719 · median $23,073 40 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $1,913 – $61,517 · median $27,700 40 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $1,913 – $37,020 · median $16,525 40 plans
935 NON-EXTENSIVE BURNS $1,533 – $34,829 · median $15,549 40 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $2,225 – $57,651 · median $25,716 40 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $2,225 – $38,858 · median $17,344 40 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $2,225 – $34,359 · median $15,340 40 plans
949 AFTERCARE WITH CC/MCC $1,567 – $22,165 · median $9,908 40 plans
950 AFTERCARE WITHOUT CC/MCC $1,362 – $13,988 · median $6,266 40 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,338 – $12,945 · median $5,801 40 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $2,225 – $102,794 · median $46,275 40 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA — 40 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $2,225 – $115,727 · median $52,094 40 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — 40 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $2,225 – $47,693 · median $21,479 40 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $1,913 – $52,581 · median $20,073 40 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $1,913 – $27,155 · median $12,131 40 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $1,913 – $18,736 · median $8,293 40 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC — 40 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $2,225 – $53,088 · median $19,404 40 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $1,913 – $46,847 · median $21,099 40 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $1,913 – $23,698 · median $10,591 40 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $1,913 – $17,990 · median $8,048 40 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $1,913 – $23,737 · median $10,608 40 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $2,225 – $73,122 · median $32,922 40 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $2,225 – $40,627 · median $18,163 40 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,225 – $29,794 · median $13,307 40 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $2,225 – $54,739 · median $24,650 40 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $2,225 – $28,770 · median $12,850 40 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,225 – $22,304 · median $9,970 40 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $2,225 – $66,199 · median $30,090 39 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR — 39 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $1,317 – $31,191 · median $13,894 39 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $1,154 – $17,886 · median $7,645 39 plans
103 HEADACHES WITHOUT MCC $1,250 – $17,023 · median $7,583 39 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $2,225 – $66,916 · median $30,417 39 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $2,225 – $36,591 · median $16,334 39 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $2,225 – $28,083 · median $12,544 39 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $2,225 – $59,369 · median $26,986 39 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $2,225 – $30,069 · median $13,429 39 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $2,225 – $22,349 · median $9,990 39 plans
302 ATHEROSCLEROSIS WITH MCC $1,913 – $28,585 · median $10,032 39 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 39 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $2,225 – $39,853 · median $17,799 39 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $2,225 – $36,690 · median $16,378 39 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $2,225 – $26,685 · median $11,922 39 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $1,913 – $33,493 · median $14,954 39 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $1,702 – $20,223 · median $9,043 39 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $2,225 – $47,230 · median $21,468 39 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $2,225 – $35,331 · median $15,773 39 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $2,225 – $59,710 · median $26,186 39 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $2,225 – $28,942 · median $12,927 39 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $2,225 – $27,761 · median $12,401 39 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,103 – $17,367 · median $7,771 39 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $1,412 – $27,676 · median $12,363 39 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $938 – $17,326 · median $7,316 39 plans
947 SIGNS AND SYMPTOMS WITH MCC $1,462 – $23,325 · median $10,390 39 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,137 – $16,503 · median $6,833 39 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $1,757 – $38,657 · median $17,237 38 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $1,317 – $23,706 · median $10,595 38 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $2,225 – $46,617 · median $21,190 38 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $2,225 – $35,668 · median $16,068 38 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $2,225 – $48,162 · median $21,892 37 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $2,225 – $163,076 · median $74,126 37 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $2,225 – $108,604 · median $49,366 37 plans
276 NON-MALIGANT BREAST DISORDERS $2,225 – $92,253 · median $41,933 37 plans
277 CELLULITIS AGE >17 W CC — 37 plans
278 CELLULITIS AGE >17 W/O CC $2,225 – $85,845 · median $39,020 37 plans
279 CELLULITIS AGE 0-17 $2,225 – $57,329 · median $26,059 37 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $2,225 – $44,443 · median $20,202 37 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $2,225 – $30,507 · median $13,867 37 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY — 37 plans
324 URINARY STONES W/O CC $2,225 – $50,703 · median $23,047 37 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $2,225 – $51,567 · median $23,440 37 plans
397 COAGULATION DISORDERS $2,225 – $39,701 · median $18,046 37 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $2,225 – $26,878 · median $12,217 37 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $2,225 – $21,511 · median $9,771 37 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 34 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $2,225 – $61,090 · median $27,768 34 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,176 – $18,826 · median $8,291 34 plans
881 DEPRESSIVE NEUROSES $1,154 – $18,545 · median $8,146 34 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,133 – $20,479 · median $9,157 34 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $1,325 – $33,465 · median $14,942 34 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,176 – $28,265 · median $12,625 34 plans
885 PSYCHOSES $1,154 – $25,179 · median $11,251 34 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,165 – $35,051 · median $15,648 34 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,143 – $20,437 · median $9,140 34 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $894 – $13,831 · median $5,713 34 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $1,913 – $53,509 · median $11,471 34 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $1,913 – $31,081 · median $13,749 34 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,148 – $17,700 · median $7,710 34 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 33 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 33 plans
652 KIDNEY TRANSPLANT $2,225 – $78,812 · median $23,129 33 plans
945 REHABILITATION WITH CC/MCC $1,913 – $27,388 · median $12,449 32 plans
946 REHABILITATION WITHOUT CC/MCC $1,913 – $21,541 · median $9,791 32 plans
509 ARTHROSCOPY $3,182 – $30,415 · median $13,840 30 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC — 29 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 29 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 29 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC — 29 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 29 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 28 plans
006 LIVER TRANSPLANT WITHOUT MCC — 28 plans
007 LUNG TRANSPLANT — 28 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 28 plans
010 PANCREAS TRANSPLANT $2,225 – $109,264 · median $49,186 28 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 28 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $3,131 – $27,354 · median $12,463 25 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $1,879 – $19,375 · median $8,838 25 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $1,693 – $14,556 · median $6,648 25 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $2,874 – $22,723 · median $10,359 25 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $977 – $16,347 · median $7,462 25 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $21,138 – $133,791 · median $60,824 25 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $16,499 – $93,849 · median $42,676 25 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $14,296 – $71,868 · median $32,689 25 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $21,876 – $101,357 · median $46,088 25 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $9,489 – $58,079 · median $26,423 25 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,676 – $10,240 · median $3,413 3 plans
999 UNGROUPABLE $1,676 – $19,589 · median $6,530 3 plans
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