Memorial Healthcare System, Inc — Pricing

861 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 861 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 861
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 861 procedures

Procedures with negotiated rates only

These 861 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
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $34,224 – $164,600 · median $85,131 20 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $21,942 – $105,529 · median $56,388 20 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $19,947 – $95,936 · median $51,364 20 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $36,909 – $182,112 · median $68,008 20 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $19,742 – $94,947 · median $47,200 20 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $14,998 – $72,133 · median $43,820 20 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $21,139 – $128,905 · median $72,739 20 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $15,897 – $92,926 · median $52,956 20 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $18,156 – $118,903 · median $68,513 20 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $12,308 – $80,931 · median $46,211 20 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $16,669 – $89,510 · median $51,805 20 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $11,144 – $62,553 · median $37,121 20 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $12,950 – $80,195 · median $20,576 20 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $7,923 – $42,981 · median $15,868 20 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $12,355 – $59,483 · median $34,369 20 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $8,422 – $47,477 · median $27,530 20 plans
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $7,839 – $37,700 · median $19,189 20 plans
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $4,386 – $21,096 · median $9,778 20 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $9,615 – $46,241 · median $27,477 19 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $6,956 – $33,455 · median $17,127 19 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $5,950 – $28,619 · median $16,020 19 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,880 – $26,573 · median $7,736 19 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $58,043 – $326,017 · median $221,922 18 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $37,420 – $214,946 · median $148,996 18 plans
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $14,437 – $82,082 · median $55,136 18 plans
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $11,302 – $62,425 · median $42,271 18 plans
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $9,314 – $44,794 · median $28,203 18 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $26,825 – $129,012 · median $87,284 18 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $23,326 – $112,186 · median $61,674 18 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $19,520 – $93,881 · median $39,393 18 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $25,097 – $120,705 · median $60,120 18 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $15,558 – $74,825 · median $40,122 18 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $16,567 – $79,679 · median $46,982 18 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $11,129 – $53,523 · median $31,777 18 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,470 – $40,736 · median $25,904 18 plans
028 SPINAL PROCEDURES WITH MCC $10,781 – $92,481 · median $50,233 18 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $10,606 – $51,062 · median $35,863 18 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $6,395 – $33,853 · median $24,020 18 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $13,393 – $122,056 · median $43,910 18 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $8,578 – $52,915 · median $22,406 18 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $7,058 – $38,973 · median $17,012 18 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $8,853 – $59,155 · median $40,542 18 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $6,611 – $34,604 · median $24,178 18 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $5,909 – $28,418 · median $19,247 18 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $7,862 – $50,518 · median $35,301 18 plans
038 EXTRACRANIAL PROCEDURES WITH CC $5,726 – $27,541 · median $16,974 18 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,883 – $18,676 · median $12,047 18 plans
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $15,744 – $77,699 · median $40,291 18 plans
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $6,137 – $34,352 · median $23,728 18 plans
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $6,020 – $28,952 · median $18,487 18 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $6,972 – $41,626 · median $20,916 18 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $3,061 – $14,724 · median $10,070 18 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $5,798 – $27,884 · median $15,275 18 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $5,126 – $24,652 · median $11,115 18 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $3,721 – $38,092 · median $17,784 18 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $2,776 – $20,299 · median $12,936 18 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $3,743 – $28,080 · median $17,439 18 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $2,713 – $18,613 · median $12,297 18 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $2,207 – $13,575 · median $9,461 18 plans
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $8,889 – $42,753 · median $29,104 18 plans
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $7,269 – $34,961 · median $19,306 18 plans
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $6,488 – $31,205 · median $15,284 18 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $5,432 – $30,260 · median $21,102 18 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $3,137 – $15,469 · median $10,747 18 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $2,458 – $11,819 · median $7,272 18 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $6,008 – $29,877 · median $15,123 18 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $3,018 – $14,514 · median $9,263 18 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $1,894 – $12,171 · median $8,451 18 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $3,264 – $26,451 · median $15,206 18 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $2,964 – $16,032 · median $11,183 18 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $2,410 – $11,590 · median $8,104 18 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $4,586 – $23,512 · median $16,090 18 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $2,251 – $15,857 · median $10,489 18 plans
075 VIRAL MENINGITIS WITH CC/MCC $2,537 – $26,201 · median $12,177 18 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $1,591 – $13,948 · median $7,411 18 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $4,346 – $23,522 · median $16,160 18 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $2,609 – $15,180 · median $10,647 18 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $2,351 – $11,306 · median $7,439 18 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $2,929 – $30,238 · median $14,058 18 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $1,655 – $13,764 · median $7,710 18 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $8,285 – $39,847 · median $24,270 18 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $4,275 – $21,151 · median $14,447 18 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $2,899 – $14,544 · median $9,808 18 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $6,101 – $34,470 · median $23,991 18 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $3,920 – $19,952 · median $13,895 18 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $2,109 – $13,447 · median $9,357 18 plans
088 CONCUSSION WITH MCC $4,432 – $21,460 · median $15,563 18 plans
089 CONCUSSION WITH CC $2,741 – $16,309 · median $11,745 18 plans
090 CONCUSSION WITHOUT CC/MCC $1,803 – $13,041 · median $8,400 18 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $5,281 – $27,730 · median $18,781 18 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $3,218 – $16,105 · median $10,791 18 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,131 – $15,058 · median $8,222 18 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $14,191 – $68,250 · median $38,435 18 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $7,113 – $36,466 · median $25,273 18 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,398 – $36,466 · median $20,493 18 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $7,737 – $54,529 · median $36,048 18 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $4,723 – $32,999 · median $21,913 18 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $2,443 – $21,195 · median $11,384 18 plans
100 SEIZURES WITH MCC $3,378 – $30,200 · median $15,740 18 plans
101 SEIZURES WITHOUT MCC $1,822 – $14,021 · median $8,491 18 plans
102 HEADACHES WITH MCC $2,660 – $17,638 · median $12,135 18 plans
103 HEADACHES WITHOUT MCC $1,736 – $12,933 · median $8,088 18 plans
113 ORBITAL PROCEDURES WITH CC/MCC $4,922 – $34,327 · median $22,932 18 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $3,582 – $17,982 · median $12,759 18 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $4,037 – $23,290 · median $16,313 18 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $6,822 – $62,075 · median $18,496 18 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $2,903 – $16,408 · median $11,074 18 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $1,672 – $17,695 · median $8,208 18 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $1,325 – $10,318 · median $6,174 18 plans
123 NEUROLOGICAL EYE DISORDERS $1,848 – $12,218 · median $8,411 18 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $2,712 – $19,835 · median $12,634 18 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $1,599 – $12,561 · median $7,450 18 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $4,026 – $36,678 · median $18,758 18 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $2,994 – $14,953 · median $10,690 18 plans
137 MOUTH PROCEDURES WITH CC/MCC $4,915 – $24,730 · median $15,346 18 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $3,634 – $21,138 · median $8,875 18 plans
139 SALIVARY GLAND PROCEDURES $3,781 – $20,886 · median $13,066 18 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $3,513 – $66,631 · median $42,328 18 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $2,950 – $36,951 · median $22,307 18 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $5,599 – $26,930 · median $16,478 18 plans
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $10,315 – $50,229 · median $34,622 18 plans
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $3,374 – $29,302 · median $18,433 18 plans
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $3,725 – $20,313 · median $12,717 18 plans
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $7,158 – $52,122 · median $22,030 18 plans
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $4,574 – $22,000 · median $13,070 18 plans
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $2,681 – $12,894 · median $8,656 18 plans
149 DYSEQUILIBRIUM $1,527 – $11,371 · median $7,114 18 plans
150 EPISTAXIS WITH MCC $3,596 – $21,026 · median $14,254 18 plans
151 EPISTAXIS WITHOUT MCC $1,528 – $11,531 · median $7,121 18 plans
152 OTITIS MEDIA AND URI WITH MCC $2,735 – $17,263 · median $12,171 18 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $1,153 – $10,826 · median $5,371 18 plans
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $3,832 – $24,739 · median $16,243 18 plans
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $2,616 – $14,202 · median $9,910 18 plans
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $1,967 – $10,229 · median $7,019 18 plans
157 DENTAL AND ORAL DISEASES WITH MCC $5,316 – $25,565 · median $17,678 18 plans
158 DENTAL AND ORAL DISEASES WITH CC $2,877 – $14,308 · median $9,933 18 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $2,502 – $12,032 · median $7,055 18 plans
163 MAJOR CHEST PROCEDURES WITH MCC $14,127 – $70,115 · median $49,277 18 plans
164 MAJOR CHEST PROCEDURES WITH CC $7,575 – $38,289 · median $26,785 18 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $5,634 – $28,355 · median $19,771 18 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $12,137 – $58,571 · median $40,190 18 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $6,768 – $32,552 · median $19,277 18 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $5,190 – $24,963 · median $14,322 18 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $4,447 – $21,435 · median $14,864 18 plans
176 PULMONARY EMBOLISM WITHOUT MCC $2,847 – $13,691 · median $8,616 18 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $5,530 – $28,408 · median $17,511 18 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $3,485 – $18,565 · median $10,460 18 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $2,492 – $13,410 · median $8,103 18 plans
180 RESPIRATORY NEOPLASMS WITH MCC $5,603 – $26,948 · median $18,331 18 plans
181 RESPIRATORY NEOPLASMS WITH CC $3,773 – $18,145 · median $11,689 18 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $3,726 – $17,919 · median $8,649 18 plans
183 MAJOR CHEST TRAUMA WITH MCC $3,119 – $24,146 · median $14,532 18 plans
184 MAJOR CHEST TRAUMA WITH CC $2,374 – $16,248 · median $10,906 18 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $1,514 – $11,830 · median $7,053 18 plans
186 PLEURAL EFFUSION WITH MCC $4,778 – $24,035 · median $16,445 18 plans
187 PLEURAL EFFUSION WITH CC $2,793 – $15,273 · median $10,573 18 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $2,455 – $11,809 · median $7,799 18 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $4,646 – $22,347 · median $13,027 18 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $3,171 – $17,083 · median $11,684 18 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $2,259 – $13,069 · median $9,029 18 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $1,681 – $9,845 · median $6,813 18 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $3,854 – $20,045 · median $13,977 18 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $2,132 – $12,474 · median $8,680 18 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $1,497 – $9,473 · median $6,598 18 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $4,675 – $28,661 · median $19,363 18 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $3,569 – $17,166 · median $10,506 18 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $3,056 – $14,697 · median $7,549 18 plans
199 PNEUMOTHORAX WITH MCC $4,256 – $26,854 · median $18,708 18 plans
200 PNEUMOTHORAX WITH CC $2,606 – $16,847 · median $11,479 18 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $2,021 – $10,300 · median $7,311 18 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $1,726 – $14,705 · median $8,040 18 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $1,168 – $10,597 · median $5,443 18 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $1,636 – $12,337 · median $7,625 18 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $3,393 – $28,717 · median $15,808 18 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $2,273 – $13,779 · median $9,616 18 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $20,842 – $100,242 · median $69,713 18 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $8,933 – $42,964 · median $28,256 18 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $41,770 – $200,895 · median $109,608 18 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $25,486 – $122,576 · median $52,974 18 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $16,776 – $80,682 · median $33,225 18 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $24,341 – $117,066 · median $50,507 18 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $10,435 – $50,189 · median $29,499 18 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $6,008 – $41,360 · median $15,350 18 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $17,469 – $84,016 · median $36,192 18 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $14,272 – $68,642 · median $23,947 18 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $9,431 – $45,358 · median $19,209 18 plans
245 AICD GENERATOR PROCEDURES $15,803 – $76,003 · median $49,785 18 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $15,377 – $73,958 · median $35,774 18 plans
253 OTHER VASCULAR PROCEDURES WITH CC $8,814 – $42,393 · median $26,979 18 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $6,265 – $30,130 · median $18,418 18 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $8,023 – $77,110 · median $27,714 18 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $7,840 – $47,316 · median $17,477 18 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $4,007 – $34,424 · median $9,952 18 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $7,979 – $42,677 · median $29,147 18 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $7,066 – $33,984 · median $19,157 18 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $15,134 – $93,551 · median $35,528 18 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $7,865 – $60,910 · median $19,977 18 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $7,163 – $49,876 · median $16,718 18 plans
263 VEIN LIGATION AND STRIPPING $7,700 – $40,800 · median $29,109 18 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $10,879 – $53,167 · median $35,129 18 plans
265 AICD LEAD PROCEDURES $7,690 – $54,264 · median $35,616 18 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $25,601 – $150,517 · median $64,679 18 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $2,923 – $113,017 · median $50,662 18 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $14,117 – $105,133 · median $71,474 18 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $2,380 – $65,351 · median $43,974 18 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $1,518 – $79,257 · median $53,862 18 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $2,853 – $52,604 · median $36,475 18 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $24,487 – $117,772 · median $49,870 18 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $19,000 – $103,953 · median $43,712 18 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $16,645 – $80,053 · median $40,150 18 plans
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $6,831 – $32,852 · median $17,057 18 plans
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $5,177 – $24,899 · median $9,698 18 plans
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $4,652 – $24,074 · median $7,629 18 plans
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $5,236 – $29,746 · median $20,718 18 plans
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $2,285 – $11,272 · median $7,827 18 plans
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $2,120 – $10,194 · median $5,508 18 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $7,614 – $41,552 · median $28,145 18 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $4,416 – $23,985 · median $16,146 18 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $3,415 – $16,426 · median $10,909 18 plans
291 HEART FAILURE AND SHOCK WITH MCC $3,683 – $19,849 · median $13,683 18 plans
292 HEART FAILURE AND SHOCK WITH CC $2,362 – $13,101 · median $9,079 18 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $1,744 – $8,390 · median $5,868 18 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $3,989 – $19,186 · median $12,013 18 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $1,357 – $12,014 · median $6,322 18 plans
296 CARDIAC ARREST UNEXPLAINED WITH MCC $3,331 – $24,923 · median $15,523 18 plans
297 CARDIAC ARREST UNEXPLAINED WITH CC $2,538 – $12,206 · median $7,167 18 plans
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $2,508 – $12,064 · median $4,659 18 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $5,636 – $27,105 · median $16,633 18 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $3,614 – $17,382 · median $11,205 18 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $3,153 – $16,947 · median $7,523 18 plans
302 ATHEROSCLEROSIS WITH MCC $3,943 – $33,212 · median $12,075 18 plans
303 ATHEROSCLEROSIS WITHOUT MCC $3,787 – $21,362 · median $7,033 18 plans
304 HYPERTENSION WITH MCC $3,312 – $17,871 · median $12,003 18 plans
305 HYPERTENSION WITHOUT MCC $1,445 – $11,420 · median $6,733 18 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $4,769 – $58,078 · median $15,901 18 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $3,704 – $47,797 · median $9,895 18 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $4,835 – $23,254 · median $12,684 18 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $2,839 – $13,654 · median $7,844 18 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $2,061 – $9,911 · median $5,881 18 plans
311 ANGINA PECTORIS $1,246 – $10,623 · median $5,806 18 plans
312 SYNCOPE AND COLLAPSE $1,777 – $13,254 · median $8,280 18 plans
313 CHEST PAIN $1,488 – $10,852 · median $6,935 18 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $4,850 – $32,759 · median $21,986 18 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $3,534 – $16,995 · median $10,200 18 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $2,855 – $13,729 · median $7,270 18 plans
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $16,937 – $81,457 · median $53,693 18 plans
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $7,600 – $36,936 · median $26,035 18 plans
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $5,073 – $24,397 · median $16,866 18 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $12,651 – $69,852 · median $48,147 18 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $6,887 – $35,957 · median $25,032 18 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $4,700 – $25,115 · median $17,564 18 plans
332 RECTAL RESECTION WITH MCC $10,363 – $52,766 · median $37,649 18 plans
333 RECTAL RESECTION WITH CC $6,907 – $33,220 · median $22,226 18 plans
334 RECTAL RESECTION WITHOUT CC/MCC $4,745 – $25,231 · median $17,252 18 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $13,840 – $66,564 · median $38,049 18 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $6,679 – $32,132 · median $22,293 18 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $4,341 – $23,352 · median $16,024 18 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $13,056 – $62,795 · median $28,488 18 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $5,908 – $28,413 · median $16,012 18 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $4,272 – $20,547 · median $13,350 18 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $6,354 – $36,004 · median $25,983 18 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $3,948 – $19,150 · median $13,533 18 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $3,017 – $14,509 · median $9,813 18 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $8,315 – $39,991 · median $25,408 18 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $4,971 – $23,908 · median $15,630 18 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $3,193 – $16,773 · median $11,690 18 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $8,112 – $44,617 · median $30,937 18 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $5,000 – $25,877 · median $18,072 18 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $4,076 – $20,281 · median $14,249 18 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $11,507 – $64,890 · median $45,164 18 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $6,151 – $34,257 · median $23,516 18 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,947 – $20,614 · median $13,935 18 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $4,354 – $25,404 · median $17,560 18 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $2,543 – $15,480 · median $10,603 18 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $1,693 – $10,618 · median $7,510 18 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $5,124 – $26,591 · median $18,370 18 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $3,220 – $15,658 · median $10,950 18 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $2,671 – $12,846 · median $7,622 18 plans
374 DIGESTIVE MALIGNANCY WITH MCC $7,361 – $35,405 · median $21,854 18 plans
375 DIGESTIVE MALIGNANCY WITH CC $4,534 – $21,806 · median $12,829 18 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $4,163 – $20,022 · median $9,379 18 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $3,957 – $27,658 · median $18,372 18 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $2,377 – $14,998 · median $10,411 18 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $1,867 – $9,685 · median $6,712 18 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $6,139 – $29,524 · median $20,470 18 plans
381 COMPLICATED PEPTIC ULCER WITH CC $3,152 – $16,567 · median $11,369 18 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $2,343 – $11,398 · median $7,962 18 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $4,355 – $20,946 · median $14,041 18 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $1,698 – $13,228 · median $7,911 18 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $3,883 – $24,716 · median $16,871 18 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $2,569 – $15,098 · median $10,382 18 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $1,929 – $10,197 · median $7,159 18 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $4,884 – $23,488 · median $15,452 18 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $2,438 – $12,194 · median $8,446 18 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $1,677 – $8,324 · median $5,847 18 plans
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $2,545 – $19,540 · median $11,858 18 plans
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $1,584 – $11,870 · median $7,379 18 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $4,598 – $25,191 · median $17,259 18 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $2,980 – $14,332 · median $9,928 18 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,455 – $11,809 · median $6,786 18 plans
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $10,511 – $82,581 · median $48,975 18 plans
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $7,528 – $42,721 · median $30,106 18 plans
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $6,414 – $32,490 · median $22,659 18 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $16,391 – $136,354 · median $38,180 18 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $8,965 – $43,118 · median $21,428 18 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $5,022 – $24,151 · median $16,472 18 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $11,878 – $57,127 · median $30,533 18 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $9,182 – $44,161 · median $22,189 18 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $6,756 – $32,494 · median $16,727 18 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $19,096 – $91,842 · median $37,153 18 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $7,881 – $37,905 · median $20,899 18 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $4,985 – $30,457 · median $14,321 18 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $7,706 – $37,063 · median $24,813 18 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $6,422 – $30,887 · median $17,407 18 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $3,701 – $20,043 · median $13,906 18 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $5,004 – $53,691 · median $24,907 18 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $4,366 – $24,911 · median $17,692 18 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $3,261 – $22,353 · median $14,802 18 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $10,567 – $61,873 · median $41,896 18 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $4,997 – $34,734 · median $22,520 18 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $3,376 – $23,515 · median $15,343 18 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $3,800 – $29,802 · median $17,707 18 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $2,362 – $16,274 · median $10,769 18 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,588 – $10,595 · median $6,927 18 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $4,452 – $27,756 · median $18,739 18 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $3,252 – $17,155 · median $11,758 18 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $2,751 – $13,229 · median $8,543 18 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $4,462 – $25,308 · median $17,615 18 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $2,614 – $13,085 · median $9,067 18 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $1,702 – $9,357 · median $6,505 18 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $3,828 – $28,757 · median $17,835 18 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $2,295 – $14,698 · median $10,136 18 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,615 – $10,689 · median $7,163 18 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $4,224 – $25,623 · median $17,536 18 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,403 – $16,497 · median $11,477 18 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $2,584 – $12,429 · median $8,451 18 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $43,032 – $206,961 · median $89,322 18 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $26,973 – $129,726 · median $62,447 18 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $22,616 – $108,770 · median $46,772 18 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $13,346 – $93,351 · median $62,183 18 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $10,787 – $51,879 · median $30,182 18 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $14,734 – $82,160 · median $56,913 18 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $9,779 – $47,033 · median $31,450 18 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,791 – $37,472 · median $19,064 18 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $12,323 – $77,499 · median $54,343 18 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $10,647 – $52,104 · median $36,532 18 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $9,592 – $46,134 · median $27,977 18 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $11,060 – $53,192 · median $34,764 18 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $9,306 – $44,757 · median $19,913 18 plans
471 CERVICAL SPINAL FUSION WITH MCC $17,956 – $101,726 · median $51,675 18 plans
472 CERVICAL SPINAL FUSION WITH CC $12,817 – $61,641 · median $30,935 18 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $8,500 – $40,882 · median $25,519 18 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $18,430 – $88,638 · median $44,856 18 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $11,149 – $53,622 · median $22,740 18 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,094 – $28,120 · median $12,369 18 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $14,788 – $71,122 · median $35,986 18 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $11,046 – $53,126 · median $24,961 18 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,172 – $29,683 · median $18,956 18 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $9,577 – $46,059 · median $31,132 18 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $8,514 – $40,949 · median $21,935 18 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $6,435 – $30,947 · median $16,781 18 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $8,424 – $40,517 · median $25,856 18 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $8,791 – $48,972 · median $34,427 18 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $5,069 – $32,263 · median $21,827 18 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,999 – $24,038 · median $16,519 18 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $6,885 – $33,115 · median $21,522 18 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $4,853 – $23,343 · median $13,088 18 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $10,924 – $54,021 · median $37,071 18 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $7,241 – $36,524 · median $25,386 18 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $4,943 – $28,681 · median $19,846 18 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $13,623 – $69,375 · median $37,538 18 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $7,609 – $36,596 · median $20,934 18 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $6,082 – $32,988 · median $14,641 18 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $8,134 – $39,119 · median $27,147 18 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $5,301 – $30,050 · median $12,953 18 plans
500 SOFT TISSUE PROCEDURES WITH MCC $10,561 – $50,793 · median $33,889 18 plans
501 SOFT TISSUE PROCEDURES WITH CC $4,866 – $27,149 · median $18,609 18 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $3,905 – $21,254 · median $14,694 18 plans
503 FOOT PROCEDURES WITH MCC $6,459 – $40,260 · median $27,698 18 plans
504 FOOT PROCEDURES WITH CC $5,177 – $26,697 · median $18,406 18 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $3,194 – $26,697 · median $14,881 18 plans
506 MAJOR THUMB OR JOINT PROCEDURES $5,355 – $25,755 · median $15,341 18 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $6,766 – $32,542 · median $20,282 18 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $4,357 – $20,954 · median $14,401 18 plans
509 ARTHROSCOPY $4,417 – $26,723 · median $15,415 18 plans
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $5,343 – $43,477 · median $24,896 18 plans
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $4,023 – $29,834 · median $18,746 18 plans
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $3,576 – $24,458 · median $16,571 18 plans
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $3,963 – $22,903 · median $16,526 18 plans
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $3,203 – $15,510 · median $10,894 18 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $16,343 – $78,601 · median $33,056 18 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $7,497 – $36,059 · median $21,420 18 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $5,589 – $26,881 · median $15,789 18 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $10,660 – $54,520 · median $38,246 18 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $5,732 – $29,997 · median $20,828 18 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $3,966 – $21,802 · median $15,142 18 plans
533 FRACTURES OF FEMUR WITH MCC $4,831 – $43,136 · median $15,779 18 plans
534 FRACTURES OF FEMUR WITHOUT MCC $2,547 – $20,577 · median $8,578 18 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $4,532 – $33,630 · median $13,815 18 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $3,867 – $20,768 · median $8,355 18 plans
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $2,583 – $13,980 · median $9,969 18 plans
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $1,522 – $10,215 · median $6,986 18 plans
539 OSTEOMYELITIS WITH MCC $4,973 – $30,765 · median $21,179 18 plans
540 OSTEOMYELITIS WITH CC $3,410 – $19,686 · median $13,702 18 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $2,231 – $13,309 · median $8,950 18 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $7,565 – $36,386 · median $19,499 18 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $3,863 – $18,580 · median $11,373 18 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $3,043 – $14,637 · median $8,051 18 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $6,008 – $38,439 · median $26,535 18 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $3,178 – $17,611 · median $12,458 18 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,007 – $14,461 · median $8,295 18 plans
548 SEPTIC ARTHRITIS WITH MCC $4,848 – $30,646 · median $20,777 18 plans
549 SEPTIC ARTHRITIS WITH CC $2,908 – $18,332 · median $12,746 18 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $2,392 – $13,509 · median $9,543 18 plans
551 MEDICAL BACK PROBLEMS WITH MCC $5,399 – $25,966 · median $18,016 18 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $3,414 – $16,419 · median $10,202 18 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $4,520 – $40,154 · median $14,047 18 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,232 – $29,658 · median $8,756 18 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,488 – $20,484 · median $14,321 18 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $1,583 – $12,421 · median $7,377 18 plans
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $3,743 – $23,574 · median $15,940 18 plans
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $2,174 – $13,140 · median $9,209 18 plans
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,176 – $39,323 · median $19,416 18 plans
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,303 – $35,123 · median $11,898 18 plans
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,245 – $27,742 · median $8,389 18 plans
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $5,141 – $26,382 · median $15,651 18 plans
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $2,938 – $14,131 · median $9,383 18 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $6,023 – $32,485 · median $16,551 18 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $3,904 – $18,778 · median $10,613 18 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $3,084 – $16,247 · median $7,921 18 plans
570 SKIN DEBRIDEMENT WITH MCC $8,708 – $45,791 · median $31,192 18 plans
571 SKIN DEBRIDEMENT WITH CC $5,369 – $25,823 · median $17,771 18 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $3,436 – $17,378 · median $12,062 18 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $14,723 – $93,679 · median $64,319 18 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $5,388 – $52,708 · median $25,182 18 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $4,475 – $30,374 · median $20,657 18 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $8,620 – $82,073 · median $40,162 18 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $6,541 – $40,507 · median $28,077 18 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,245 – $25,714 · median $15,119 18 plans
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $9,056 – $49,582 · median $34,284 18 plans
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $3,853 – $26,971 · median $17,908 18 plans
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $3,339 – $21,893 · median $14,638 18 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $4,042 – $26,639 · median $18,305 18 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $3,848 – $24,989 · median $16,199 18 plans
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $5,234 – $31,145 · median $21,175 18 plans
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $4,078 – $30,197 · median $18,085 18 plans
592 SKIN ULCERS WITH MCC $3,691 – $31,280 · median $17,196 18 plans
593 SKIN ULCERS WITH CC $2,368 – $18,600 · median $11,036 18 plans
594 SKIN ULCERS WITHOUT CC/MCC $2,241 – $12,910 · median $8,339 18 plans
595 MAJOR SKIN DISORDERS WITH MCC $4,982 – $32,175 · median $22,427 18 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $1,689 – $16,446 · median $7,877 18 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $3,768 – $26,723 · median $16,944 18 plans
598 MALIGNANT BREAST DISORDERS WITH CC $2,393 – $16,412 · median $11,107 18 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,002 – $13,005 · median $7,592 18 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $2,709 – $14,552 · median $10,476 18 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,732 – $9,120 · median $6,517 18 plans
602 CELLULITIS WITH MCC $3,141 – $22,349 · median $14,637 18 plans
603 CELLULITIS WITHOUT MCC $1,625 – $13,399 · median $7,572 18 plans
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $5,052 – $24,298 · median $15,814 18 plans
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $1,703 – $14,051 · median $7,934 18 plans
606 MINOR SKIN DISORDERS WITH MCC $2,407 – $24,496 · median $11,470 18 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $1,579 – $13,146 · median $7,356 18 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $7,649 – $36,789 · median $23,952 18 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $5,743 – $27,623 · median $15,350 18 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $10,946 – $58,794 · median $40,801 18 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $7,682 – $36,945 · median $20,699 18 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $6,110 – $29,384 · median $12,471 18 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $17,580 – $90,859 · median $39,375 18 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $5,925 – $29,098 · median $19,950 18 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,853 – $26,876 · median $10,654 18 plans
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $9,998 – $54,651 · median $30,595 18 plans
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $4,376 – $22,959 · median $15,864 18 plans
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $2,528 – $19,272 · median $11,779 18 plans
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $12,839 – $96,731 · median $40,581 18 plans
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $6,376 – $34,213 · median $23,849 18 plans
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $4,266 – $21,317 · median $14,787 18 plans
637 DIABETES WITH MCC $3,024 – $22,153 · median $14,091 18 plans
638 DIABETES WITH CC $2,040 – $13,952 · median $9,334 18 plans
639 DIABETES WITHOUT CC/MCC $1,411 – $9,532 · median $6,428 18 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $2,553 – $20,202 · median $11,897 18 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $1,579 – $11,887 · median $7,359 18 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $2,080 – $18,880 · median $9,690 18 plans
643 ENDOCRINE DISORDERS WITH MCC $4,143 – $25,211 · median $17,456 18 plans
644 ENDOCRINE DISORDERS WITH CC $2,955 – $15,720 · median $10,977 18 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $2,403 – $11,846 · median $8,031 18 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $7,735 – $75,545 · median $48,127 18 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $12,855 – $61,827 · median $37,544 18 plans
652 KIDNEY TRANSPLANT $10,669 – $73,365 · median $32,929 18 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $15,909 – $84,801 · median $58,082 18 plans
654 MAJOR BLADDER PROCEDURES WITH CC $8,581 – $42,930 · median $29,388 18 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $5,591 – $31,600 · median $22,121 18 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $14,455 – $71,596 · median $33,807 18 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $7,160 – $34,435 · median $19,411 18 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $6,090 – $29,292 · median $15,775 18 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $10,634 – $51,144 · median $27,344 18 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $4,641 – $22,320 · median $14,197 18 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $3,440 – $16,547 · median $10,968 18 plans
662 MINOR BLADDER PROCEDURES WITH MCC $7,091 – $47,455 · median $31,808 18 plans
663 MINOR BLADDER PROCEDURES WITH CC $4,637 – $23,235 · median $15,786 18 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $3,652 – $17,563 · median $11,319 18 plans
665 PROSTATECTOMY WITH MCC $7,446 – $52,232 · median $32,847 18 plans
666 PROSTATECTOMY WITH CC $5,113 – $25,059 · median $17,784 18 plans
667 PROSTATECTOMY WITHOUT CC/MCC $2,054 – $15,635 · median $9,573 18 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $8,296 – $44,363 · median $30,133 18 plans
669 TRANSURETHRAL PROCEDURES WITH CC $4,524 – $23,541 · median $16,291 18 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $2,620 – $14,538 · median $10,140 18 plans
671 URETHRAL PROCEDURES WITH CC/MCC $3,983 – $26,221 · median $18,018 18 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $3,045 – $16,648 · median $10,579 18 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $12,146 – $63,732 · median $38,405 18 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $5,883 – $35,115 · median $24,793 18 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $4,462 – $23,811 · median $16,659 18 plans
682 RENAL FAILURE WITH MCC $4,783 – $23,004 · median $15,871 18 plans
683 RENAL FAILURE WITH CC $2,894 – $13,920 · median $9,460 18 plans
684 RENAL FAILURE WITHOUT CC/MCC $2,012 – $9,675 · median $6,427 18 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $5,457 – $28,685 · median $18,886 18 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $3,751 – $18,040 · median $11,089 18 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $2,793 – $16,436 · median $7,955 18 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $2,491 – $17,803 · median $11,608 18 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $1,495 – $12,209 · median $6,967 18 plans
693 URINARY STONES WITH MCC $3,734 – $22,368 · median $15,210 18 plans
694 URINARY STONES WITHOUT MCC $2,081 – $11,887 · median $8,268 18 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $4,929 – $23,704 · median $12,175 18 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $1,733 – $10,524 · median $7,315 18 plans
697 URETHRAL STRICTURE $1,950 – $15,239 · median $9,088 18 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $3,867 – $25,570 · median $17,380 18 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $3,041 – $15,515 · median $10,787 18 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $2,732 – $13,138 · median $7,413 18 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $4,082 – $29,520 · median $19,020 18 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $3,654 – $22,552 · median $15,546 18 plans
709 PENIS PROCEDURES WITH CC/MCC $5,615 – $34,183 · median $23,352 18 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $4,520 – $22,839 · median $14,639 18 plans
711 TESTES PROCEDURES WITH CC/MCC $5,586 – $29,064 · median $21,155 18 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $2,503 – $16,271 · median $11,304 18 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $3,428 – $21,997 · median $15,311 18 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $2,147 – $14,295 · median $9,814 18 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $4,701 – $34,353 · median $21,904 18 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $3,731 – $21,590 · median $14,611 18 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $5,392 – $28,226 · median $19,142 18 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $2,138 – $18,740 · median $9,962 18 plans
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $6,086 – $29,271 · median $18,325 18 plans
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $4,338 – $24,196 · median $11,825 18 plans
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,632 – $17,469 · median $7,991 18 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $3,494 – $19,207 · median $13,233 18 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $1,758 – $11,324 · median $7,798 18 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $2,127 – $22,353 · median $10,369 18 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $1,529 – $12,430 · median $7,123 18 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $2,588 – $16,747 · median $11,125 18 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,587 – $12,440 · median $6,494 18 plans
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $5,331 – $31,988 · median $22,604 18 plans
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $4,347 – $20,909 · median $13,077 18 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $8,214 – $59,899 · median $38,274 18 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $4,928 – $30,400 · median $20,996 18 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,213 – $23,075 · median $14,447 18 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $5,192 – $60,557 · median $28,092 18 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $3,353 – $27,660 · median $15,623 18 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $2,764 – $20,895 · median $12,878 18 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $3,155 – $27,788 · median $14,702 18 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $2,468 – $18,235 · median $11,498 18 plans
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $3,526 – $29,724 · median $16,431 18 plans
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $2,494 – $15,589 · median $10,892 18 plans
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $3,541 – $25,474 · median $16,433 18 plans
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $3,015 – $14,531 · median $9,739 18 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $2,937 – $20,723 · median $13,685 18 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $4,000 – $39,378 · median $18,751 18 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,519 – $19,616 · median $11,739 18 plans
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $6,170 – $29,677 · median $18,963 18 plans
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $3,165 – $16,887 · median $11,569 18 plans
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,326 – $14,527 · median $10,279 18 plans
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $4,017 – $21,530 · median $14,907 18 plans
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $2,391 – $15,506 · median $10,404 18 plans
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,588 – $9,736 · median $6,740 18 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $2,470 – $14,993 · median $10,440 18 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,095 – $10,074 · median $6,255 18 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $4,113 – $21,409 · median $15,504 18 plans
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $2,553 – $16,368 · median $8,896 18 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $1,309 – $10,854 · median $6,098 18 plans
779 ABORTION WITHOUT D&C $1,429 – $14,220 · median $6,736 18 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $2,723 – $18,097 · median $7,493 18 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $2,090 – $15,077 · median $6,384 18 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,217 – $24,576 · median $9,009 18 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,217 – $14,379 · median $6,832 18 plans
799 SPLENIC PROCEDURES WITH MCC $13,752 – $72,330 · median $51,320 18 plans
800 SPLENIC PROCEDURES WITH CC $9,612 – $46,228 · median $29,243 18 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $7,463 – $38,922 · median $18,137 18 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $9,724 – $54,532 · median $37,084 18 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $4,305 – $27,077 · median $19,127 18 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $3,650 – $17,554 · median $12,241 18 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $5,049 – $34,840 · median $22,945 18 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $3,075 – $18,840 · median $12,913 18 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $2,272 – $14,479 · median $10,111 18 plans
811 RED BLOOD CELL DISORDERS WITH MCC $2,743 – $21,402 · median $12,782 18 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $1,905 – $14,039 · median $8,875 18 plans
813 COAGULATION DISORDERS $2,939 – $23,548 · median $13,695 18 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $4,485 – $31,801 · median $20,268 18 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $2,878 – $15,457 · median $10,626 18 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $2,193 – $10,549 · median $7,239 18 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $15,651 – $88,569 · median $59,554 18 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $7,617 – $36,632 · median $23,470 18 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,565 – $26,764 · median $12,566 18 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $19,414 – $93,372 · median $47,148 18 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $6,003 – $33,457 · median $23,428 18 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $3,765 – $18,723 · median $13,332 18 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $20,935 – $117,126 · median $49,704 18 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $8,811 – $42,378 · median $24,722 18 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $4,197 – $24,383 · median $17,143 18 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $7,778 – $46,911 · median $32,970 18 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $3,488 – $22,248 · median $15,604 18 plans
834 ACUTE LEUKEMIA WITH MCC $19,731 – $94,898 · median $58,810 18 plans
835 ACUTE LEUKEMIA WITH CC $12,328 – $59,290 · median $22,638 18 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $3,032 – $20,217 · median $13,562 18 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $23,382 – $112,454 · median $52,072 18 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $6,104 – $30,853 · median $21,301 18 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $2,576 – $20,847 · median $12,004 18 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $7,702 – $48,511 · median $33,290 18 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $4,452 – $23,852 · median $16,605 18 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $3,318 – $16,002 · median $11,197 18 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $6,100 – $29,337 · median $19,842 18 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $3,036 – $18,181 · median $12,274 18 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $2,516 – $12,729 · median $8,995 18 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $7,444 – $38,848 · median $25,922 18 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $3,516 – $19,330 · median $12,985 18 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,167 – $15,232 · median $8,749 18 plans
849 RADIOTHERAPY $3,094 – $40,633 · median $18,849 18 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $18,235 – $87,699 · median $52,861 18 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $12,302 – $66,469 · median $21,335 18 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $7,761 – $56,347 · median $16,860 18 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $13,763 – $68,630 · median $47,226 18 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $5,405 – $33,145 · median $22,673 18 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $4,206 – $20,231 · median $13,594 18 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $4,704 – $27,970 · median $19,455 18 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $2,284 – $15,210 · median $10,442 18 plans
864 FEVER AND INFLAMMATORY CONDITIONS $1,578 – $13,660 · median $7,351 18 plans
865 VIRAL ILLNESS WITH MCC $2,465 – $22,451 · median $11,485 18 plans
866 VIRAL ILLNESS WITHOUT MCC $1,239 – $13,460 · median $6,244 18 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $6,065 – $32,619 · median $22,394 18 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $2,606 – $15,974 · median $11,263 18 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $1,466 – $10,947 · median $6,830 18 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $26,103 – $125,541 · median $73,469 18 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $4,733 – $29,847 · median $20,850 18 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $2,447 – $15,684 · median $10,894 18 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $8,573 – $59,777 · median $36,603 18 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,715 – $14,582 · median $7,990 18 plans
881 DEPRESSIVE NEUROSES $1,555 – $13,905 · median $7,246 18 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,728 – $14,634 · median $8,050 18 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $2,982 – $28,202 · median $13,893 18 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $2,391 – $25,407 · median $11,786 18 plans
885 PSYCHOSES $2,437 – $21,443 · median $11,357 18 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $2,091 – $27,328 · median $12,677 18 plans
887 OTHER MENTAL DISORDER DIAGNOSES $3,161 – $18,093 · median $13,134 18 plans
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $768 – $9,494 · median $4,404 18 plans
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $2,347 – $22,025 · median $12,255 18 plans
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $3,430 – $27,090 · median $15,983 18 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $9,931 – $67,397 · median $45,237 18 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $6,941 – $33,381 · median $19,993 18 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $3,975 – $19,118 · median $13,006 18 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $7,455 – $58,735 · median $33,998 18 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $3,927 – $25,072 · median $16,791 18 plans
906 HAND PROCEDURES FOR INJURIES $5,589 – $33,200 · median $19,595 18 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $9,435 – $60,600 · median $40,527 18 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $7,332 – $35,264 · median $21,255 18 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $3,716 – $19,293 · median $13,873 18 plans
913 TRAUMATIC INJURY WITH MCC $3,540 – $24,618 · median $15,872 18 plans
914 TRAUMATIC INJURY WITHOUT MCC $1,733 – $13,940 · median $8,076 18 plans
915 ALLERGIC REACTIONS WITH MCC $2,014 – $26,437 · median $12,264 18 plans
916 ALLERGIC REACTIONS WITHOUT MCC $1,091 – $10,102 · median $5,082 18 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $3,547 – $24,943 · median $16,226 18 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $1,303 – $13,457 · median $6,254 18 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $4,366 – $27,741 · median $19,284 18 plans
920 COMPLICATIONS OF TREATMENT WITH CC $2,556 – $15,454 · median $10,834 18 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,751 – $10,461 · median $7,323 18 plans
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $2,949 – $25,699 · median $13,739 18 plans
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $1,580 – $15,515 · median $7,398 18 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $30,330 – $360,871 · median $167,405 18 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $11,879 – $101,599 · median $64,909 18 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $4,216 – $48,380 · median $22,443 18 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $9,267 – $65,821 · median $32,398 18 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $5,107 – $32,642 · median $21,186 18 plans
935 NON-EXTENSIVE BURNS $2,128 – $33,412 · median $15,499 18 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $7,543 – $48,283 · median $33,537 18 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $5,542 – $32,119 · median $22,612 18 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $3,387 – $29,729 · median $15,782 18 plans
945 REHABILITATION WITH CC/MCC $6,558 – $31,541 · median $16,214 18 plans
946 REHABILITATION WITHOUT CC/MCC $4,296 – $21,394 · median $11,255 18 plans
947 SIGNS AND SYMPTOMS WITH MCC $2,240 – $19,566 · median $10,439 18 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,579 – $12,086 · median $7,357 18 plans
949 AFTERCARE WITH CC/MCC $2,175 – $16,414 · median $10,895 18 plans
950 AFTERCARE WITHOUT CC/MCC $1,891 – $9,143 · median $6,473 18 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,857 – $8,934 · median $6,077 18 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $21,819 – $104,938 · median $68,289 18 plans
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $24,521 – $142,554 · median $40,703 18 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $22,188 – $113,545 · median $77,685 18 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $14,963 – $71,966 · median $43,104 18 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $10,007 – $48,126 · median $27,251 18 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $12,702 – $61,092 · median $28,813 18 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $5,923 – $28,486 · median $15,839 18 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $4,526 – $21,769 · median $9,747 18 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $17,888 – $96,205 · median $69,752 18 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $12,825 – $61,682 · median $28,716 18 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $7,491 – $45,426 · median $30,923 18 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $3,929 – $21,622 · median $14,632 18 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $2,983 – $15,258 · median $9,450 18 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $3,021 – $21,934 · median $13,836 18 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $13,860 – $72,316 · median $49,780 18 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $6,257 – $37,244 · median $26,081 18 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,823 – $25,377 · median $17,251 18 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $129,920 – $624,850 · median $390,693 17 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $7,834 – $38,063 · median $26,486 17 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $14,272 – $68,642 · median $46,498 17 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $8,171 – $39,298 · median $24,502 17 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $10,005 – $48,120 · median $20,089 17 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $6,346 – $30,522 · median $15,196 17 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $14,409 – $69,299 · median $30,057 17 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $10,332 – $49,691 · median $22,547 17 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $10,662 – $51,278 · median $31,613 17 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $7,619 – $36,643 · median $22,314 17 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $2,217 – $29,218 · median $12,999 17 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $2,217 – $18,448 · median $7,642 17 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $2,217 – $14,153 · median $6,164 17 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $2,723 – $26,026 · median $11,403 17 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,217 – $14,379 · median $6,832 17 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,723 – $17,127 · median $7,043 17 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,723 – $11,841 · median $5,106 17 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,090 – $10,278 · median $4,497 17 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $8,811 – $42,378 · median $29,740 17 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $4,728 – $22,740 · median $15,110 17 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,920 – $14,044 · median $9,578 17 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $3,578 – $17,509 · median $12,183 17 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,502 – $12,032 · median $7,789 17 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,672 – $8,040 · median $5,448 17 plans
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,726 – $13,420 · median $8,301 17 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $8,578 – $53,283 · median $35,651 17 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $4,748 – $26,104 · median $17,917 17 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,269 – $17,577 · median $11,406 17 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $88,235 – $428,496 · median $242,441 16 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $53,159 – $173,628 · median $97,203 16 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $36,271 – $163,070 · median $111,000 16 plans
006 LIVER TRANSPLANT WITHOUT MCC $16,580 – $74,301 · median $51,199 16 plans
007 LUNG TRANSPLANT $31,995 – $198,803 · median $110,866 16 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $17,934 – $82,770 · median $51,322 16 plans
010 PANCREAS TRANSPLANT $14,462 – $121,285 · median $54,084 16 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $36,947 – $199,305 · median $120,995 16 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $20,988 – $91,818 · median $53,242 16 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $14,933 – $91,818 · median $44,915 16 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $6,246 – $51,472 · median $27,060 16 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $2,904 – $180,291 · median $95,296 16 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $15,524 – $76,110 · median $41,200 16 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $11,139 – $53,575 · median $28,202 16 plans
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $1,236 – $26,771 · median $12,547 16 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $3,789 – $88,287 · median $45,989 16 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,994 – $59,584 · median $31,977 16 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $1,255 – $36,381 · median $17,051 16 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $2,168 – $61,205 · median $29,029 16 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $552 – $22,705 · median $10,417 16 plans
795 NORMAL NEWBORN $404 – $2,967 · median $1,616 16 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $23,186 – $120,590 · median $77,118 15 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $21,530 – $103,547 · median $43,656 15 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $9,203 – $44,263 · median $27,919 15 plans
397 APPENDIX PROCEDURES WITH MCC $7,819 – $37,692 · median $23,720 15 plans
398 APPENDIX PROCEDURES WITH CC $5,267 – $25,331 · median $15,977 15 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $3,874 – $18,632 · median $11,752 15 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $13,675 – $65,771 · median $34,509 14 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $36,480 – $175,452 · median $92,402 14 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $24,706 – $118,825 · median $62,652 14 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $19,160 – $92,152 · median $48,551 14 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $29,027 – $139,603 · median $73,571 14 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $19,038 – $91,564 · median $48,255 14 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $23,333 – $112,222 · median $59,141 14 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $14,211 – $68,349 · median $36,020 14 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $17,923 – $86,201 · median $45,428 14 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $10,740 – $51,653 · median $27,221 14 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $32,059 – $154,188 · median $81,257 14 plans
453 NO ACTIVE CODE DESCRIPTION $48,490 – $117,978 · median $96,257 4 plans
454 NO ACTIVE CODE DESCRIPTION $28,324 – $78,493 · median $65,207 4 plans
455 NO ACTIVE CODE DESCRIPTION $26,070 – $61,703 · median $50,190 4 plans
459 NO ACTIVE CODE DESCRIPTION $47,791 – $85,479 · median $70,860 4 plans
460 NO ACTIVE CODE DESCRIPTION $21,343 – $48,532 · median $39,664 4 plans
112 NO ACTIVE CODE DESCRIPTION $2,404 – $15,196 · median $15,196 3 plans
222 NO ACTIVE CODE DESCRIPTION $34,893 – $98,671 · median $82,760 3 plans
223 NO ACTIVE CODE DESCRIPTION $24,586 – $67,253 · median $56,409 3 plans
224 NO ACTIVE CODE DESCRIPTION $28,414 – $91,359 · median $76,627 3 plans
225 NO ACTIVE CODE DESCRIPTION $23,213 – $65,179 · median $54,669 3 plans
226 NO ACTIVE CODE DESCRIPTION $34,902 – $82,488 · median $69,187 3 plans
227 NO ACTIVE CODE DESCRIPTION $27,653 – $64,702 · median $54,269 3 plans
246 NO ACTIVE CODE DESCRIPTION $16,205 – $38,602 · median $32,377 3 plans
247 NO ACTIVE CODE DESCRIPTION $11,812 – $24,608 · median $20,640 3 plans
248 NO ACTIVE CODE DESCRIPTION $15,779 – $38,787 · median $32,533 3 plans
249 NO ACTIVE CODE DESCRIPTION $10,906 – $23,412 · median $19,637 3 plans
338 NO ACTIVE CODE DESCRIPTION $11,911 – $34,234 · median $28,714 3 plans
339 NO ACTIVE CODE DESCRIPTION $8,977 – $20,985 · median $17,601 3 plans
340 NO ACTIVE CODE DESCRIPTION $7,030 – $15,463 · median $12,970 3 plans
341 NO ACTIVE CODE DESCRIPTION $10,560 – $29,112 · median $24,418 3 plans
342 NO ACTIVE CODE DESCRIPTION $5,900 – $18,727 · median $15,708 3 plans
343 NO ACTIVE CODE DESCRIPTION $4,696 – $14,082 · median $11,811 3 plans
765 NO ACTIVE CODE DESCRIPTION $2,880 – $5,330 · median $4,105 2 plans
766 NO ACTIVE CODE DESCRIPTION $2,880 – $4,343 · median $3,612 2 plans
767 NO ACTIVE CODE DESCRIPTION $2,880 – $4,673 · median $3,777 2 plans
774 NO ACTIVE CODE DESCRIPTION $2,880 – $3,889 · median $3,385 2 plans
775 NO ACTIVE CODE DESCRIPTION $2,880 – $3,403 · median $3,142 2 plans
104 NO ACTIVE CODE DESCRIPTION $14,810 – $14,810 · median $14,810 1 plans
105 NO ACTIVE CODE DESCRIPTION $3,941 – $3,941 · median $3,941 1 plans
106 NO ACTIVE CODE DESCRIPTION $2,778 – $2,778 · median $2,778 1 plans
107 NO ACTIVE CODE DESCRIPTION $4,032 – $4,032 · median $4,032 1 plans
108 NO ACTIVE CODE DESCRIPTION $5,785 – $5,785 · median $5,785 1 plans
109 NO ACTIVE CODE DESCRIPTION $2,670 – $2,670 · median $2,670 1 plans
110 NO ACTIVE CODE DESCRIPTION $5,975 – $5,975 · median $5,975 1 plans
111 NO ACTIVE CODE DESCRIPTION $11,714 – $11,714 · median $11,714 1 plans
118 NO ACTIVE CODE DESCRIPTION $4,017 – $4,017 · median $4,017 1 plans
119 NO ACTIVE CODE DESCRIPTION $3,380 – $3,380 · median $3,380 1 plans
120 NO ACTIVE CODE DESCRIPTION $13,127 – $13,127 · median $13,127 1 plans
129 NO ACTIVE CODE DESCRIPTION $11,885 – $11,885 · median $11,885 1 plans
130 NO ACTIVE CODE DESCRIPTION $7,339 – $7,339 · median $7,339 1 plans
131 NO ACTIVE CODE DESCRIPTION $10,696 – $10,696 · median $10,696 1 plans
132 NO ACTIVE CODE DESCRIPTION $8,770 – $8,770 · median $8,770 1 plans
133 NO ACTIVE CODE DESCRIPTION $7,979 – $7,979 · median $7,979 1 plans
134 NO ACTIVE CODE DESCRIPTION $3,624 – $3,624 · median $3,624 1 plans
160 NO ACTIVE CODE DESCRIPTION $5,957 – $5,957 · median $5,957 1 plans
161 NO ACTIVE CODE DESCRIPTION $9,441 – $9,441 · median $9,441 1 plans
162 NO ACTIVE CODE DESCRIPTION $7,312 – $7,312 · median $7,312 1 plans
169 NO ACTIVE CODE DESCRIPTION $2,351 – $2,351 · median $2,351 1 plans
170 NO ACTIVE CODE DESCRIPTION $2,720 – $2,720 · median $2,720 1 plans
171 NO ACTIVE CODE DESCRIPTION $2,567 – $2,567 · median $2,567 1 plans
172 NO ACTIVE CODE DESCRIPTION $4,154 – $4,154 · median $4,154 1 plans
174 NO ACTIVE CODE DESCRIPTION $3,080 – $3,080 · median $3,080 1 plans
209 NO ACTIVE CODE DESCRIPTION — 1 plans
210 NO ACTIVE CODE DESCRIPTION $4,224 – $4,224 · median $4,224 1 plans
211 NO ACTIVE CODE DESCRIPTION $4,475 – $4,475 · median $4,475 1 plans
213 NO ACTIVE CODE DESCRIPTION $9,019 – $9,019 · median $9,019 1 plans
214 NO ACTIVE CODE DESCRIPTION $4,344 – $4,344 · median $4,344 1 plans
318 NO ACTIVE CODE DESCRIPTION $24,912 – $24,912 · median $24,912 1 plans
608 NO ACTIVE CODE DESCRIPTION $18,375 – $18,375 · median $18,375 1 plans
609 NO ACTIVE CODE DESCRIPTION $5,594 – $5,594 · median $5,594 1 plans
610 NO ACTIVE CODE DESCRIPTION $1,220 – $1,220 · median $1,220 1 plans
611 NO ACTIVE CODE DESCRIPTION $1,390 – $1,390 · median $1,390 1 plans
612 NO ACTIVE CODE DESCRIPTION $106,007 – $106,007 · median $106,007 1 plans
613 NO ACTIVE CODE DESCRIPTION $28,311 – $28,311 · median $28,311 1 plans
631 NO ACTIVE CODE DESCRIPTION $65,243 – $65,243 · median $65,243 1 plans
632 NO ACTIVE CODE DESCRIPTION $32,573 – $32,573 · median $32,573 1 plans
633 NO ACTIVE CODE DESCRIPTION $73,884 – $73,884 · median $73,884 1 plans
634 NO ACTIVE CODE DESCRIPTION $32,758 – $32,758 · median $32,758 1 plans
635 NO ACTIVE CODE DESCRIPTION $40,188 – $40,188 · median $40,188 1 plans
636 NO ACTIVE CODE DESCRIPTION $53,972 – $53,972 · median $53,972 1 plans
646 NO ACTIVE CODE DESCRIPTION $40,813 – $40,813 · median $40,813 1 plans
647 NO ACTIVE CODE DESCRIPTION $20,208 – $20,208 · median $20,208 1 plans
648 NO ACTIVE CODE DESCRIPTION $14,043 – $14,043 · median $14,043 1 plans
649 NO ACTIVE CODE DESCRIPTION $11,897 – $11,897 · median $11,897 1 plans
676 NO ACTIVE CODE DESCRIPTION $22,661 – $22,661 · median $22,661 1 plans
677 NO ACTIVE CODE DESCRIPTION $12,417 – $12,417 · median $12,417 1 plans
678 NO ACTIVE CODE DESCRIPTION $7,725 – $7,725 · median $7,725 1 plans
679 NO ACTIVE CODE DESCRIPTION $5,176 – $5,176 · median $5,176 1 plans
680 NO ACTIVE CODE DESCRIPTION $3,103 – $3,103 · median $3,103 1 plans
681 NO ACTIVE CODE DESCRIPTION $52,415 – $52,415 · median $52,415 1 plans
685 NO ACTIVE CODE DESCRIPTION $2,744 – $2,744 · median $2,744 1 plans
691 NO ACTIVE CODE DESCRIPTION $6,496 – $6,496 · median $6,496 1 plans
692 NO ACTIVE CODE DESCRIPTION $6,055 – $6,055 · median $6,055 1 plans
777 NO ACTIVE CODE DESCRIPTION $4,663 – $4,663 · median $4,663 1 plans
778 NO ACTIVE CODE DESCRIPTION $3,581 – $3,581 · median $3,581 1 plans
780 NO ACTIVE CODE DESCRIPTION $3,442 – $3,442 · median $3,442 1 plans
781 NO ACTIVE CODE DESCRIPTION $4,187 – $4,187 · median $4,187 1 plans
782 NO ACTIVE CODE DESCRIPTION $4,187 – $4,187 · median $4,187 1 plans
898 NO ACTIVE CODE DESCRIPTION $3,810 – $3,810 · median $3,810 1 plans
899 NO ACTIVE CODE DESCRIPTION $2,664 – $2,664 · median $2,664 1 plans
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