North Knoxville 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 $2,084 – $21,055 · median $8,113 35 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $1,882 – $14,858 · median $7,651 35 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $1,882 – $14,307 · median $7,369 35 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $1,882 – $33,367 · median $16,794 34 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $1,882 – $15,618 · median $8,045 34 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $1,882 – $14,316 · median $7,382 34 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $2,188 – $23,117 · median $11,766 34 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $2,188 – $16,339 · median $8,340 34 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $1,774 – $14,329 · median $7,388 34 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $1,882 – $19,473 · median $8,739 34 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $1,913 – $15,861 · median $8,098 34 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $1,913 – $11,723 · median $6,050 34 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $1,774 – $10,708 · median $5,542 34 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $2,324 – $272,182 · median $141,748 32 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $2,324 – $178,364 · median $92,923 32 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $2,324 – $71,524 · median $37,322 32 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $2,324 – $55,771 · median $29,124 32 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $2,324 – $38,796 · median $20,290 32 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC — 32 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC — 32 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $2,324 – $74,386 · median $22,519 32 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR — 32 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — 32 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — 32 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $2,324 – $42,408 · median $21,795 32 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $2,324 – $34,229 · median $17,913 32 plans
028 SPINAL PROCEDURES WITH MCC — 32 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $2,324 – $45,536 · median $23,798 32 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $2,324 – $30,060 · median $15,743 32 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC — 32 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $2,324 – $41,927 · median $15,318 32 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $2,324 – $30,880 · median $12,204 32 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $2,324 – $51,378 · median $26,580 32 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $2,324 – $32,545 · median $17,037 32 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $2,324 – $26,849 · median $14,072 32 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $2,324 – $44,016 · median $22,786 32 plans
038 EXTRACRANIAL PROCEDURES WITH CC $2,324 – $22,775 · median $11,922 32 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $2,324 – $17,086 · median $8,906 32 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $2,324 – $61,564 · median $26,775 32 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $2,324 – $30,105 · median $15,767 32 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $2,324 – $24,112 · median $12,648 32 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $1,913 – $26,568 · median $13,202 32 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $1,913 – $14,589 · median $7,618 32 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $1,913 – $22,094 · median $11,254 32 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $1,913 – $19,532 · median $7,883 32 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $1,913 – $23,880 · median $12,407 32 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $1,913 – $17,918 · median $9,334 32 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $1,874 – $13,833 · median $7,229 32 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $1,913 – $37,209 · median $19,464 32 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $1,913 – $27,701 · median $12,843 32 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $1,913 – $24,725 · median $10,403 32 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $1,913 – $27,716 · median $14,384 32 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $1,913 – $14,984 · median $7,822 32 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $1,913 – $10,838 · median $5,652 32 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $1,913 – $23,673 · median $10,848 32 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $1,913 – $13,128 · median $6,850 32 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $1,607 – $12,293 · median $6,350 32 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $1,913 – $23,312 · median $12,114 32 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $1,913 – $15,184 · median $7,925 32 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $1,913 – $11,751 · median $6,120 32 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $1,913 – $22,542 · median $11,795 32 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $1,911 – $15,245 · median $7,957 32 plans
075 VIRAL MENINGITIS WITH CC/MCC $1,913 – $26,527 · median $13,771 32 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $1,350 – $12,629 · median $6,524 32 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $1,913 – $25,159 · median $13,066 32 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $1,404 – $13,525 · median $7,028 32 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $1,913 – $31,573 · median $16,342 32 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $1,913 – $19,889 · median $10,350 32 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $1,913 – $14,291 · median $7,465 32 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $1,913 – $31,036 · median $16,117 32 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $1,913 – $18,705 · median $9,740 32 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $1,790 – $13,768 · median $7,195 32 plans
088 CONCUSSION WITH MCC $1,913 – $19,329 · median $10,062 32 plans
089 CONCUSSION WITH CC $1,913 – $16,108 · median $8,401 32 plans
090 CONCUSSION WITHOUT CC/MCC $1,530 – $12,604 · median $6,513 32 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $1,913 – $24,475 · median $12,837 32 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $1,913 – $15,146 · median $7,906 32 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,913 – $12,262 · median $6,381 32 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $1,913 – $54,077 · median $24,511 32 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $1,913 – $34,946 · median $18,286 32 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,913 – $34,946 · median $18,111 32 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $1,913 – $48,084 · median $24,882 32 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $1,913 – $31,329 · median $16,246 32 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $1,913 – $19,464 · median $10,106 32 plans
100 SEIZURES WITH MCC $1,913 – $26,772 · median $13,898 32 plans
101 SEIZURES WITHOUT MCC $1,547 – $13,614 · median $7,074 32 plans
102 HEADACHES WITH MCC $1,913 – $16,392 · median $8,548 32 plans
103 HEADACHES WITHOUT MCC $1,473 – $12,771 · median $6,612 32 plans
113 ORBITAL PROCEDURES WITH CC/MCC $2,324 – $32,044 · median $16,615 32 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $2,324 – $19,345 · median $10,070 32 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $2,324 – $21,659 · median $11,262 32 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $2,324 – $49,185 · median $13,328 32 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $2,324 – $15,934 · median $8,311 32 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $1,420 – $16,931 · median $8,773 32 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $1,125 – $12,128 · median $6,235 32 plans
123 NEUROLOGICAL EYE DISORDERS $1,568 – $12,291 · median $6,349 32 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $1,913 – $18,964 · median $9,873 32 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $1,357 – $11,899 · median $6,116 32 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $2,324 – $29,739 · median $15,427 32 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $2,324 – $15,048 · median $7,855 32 plans
137 MOUTH PROCEDURES WITH CC/MCC $2,324 – $21,128 · median $11,019 32 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $2,324 – $16,749 · median $7,007 32 plans
139 SALIVARY GLAND PROCEDURES $2,324 – $17,852 · median $9,300 32 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $1,913 – $41,298 · median $15,228 32 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $1,913 – $18,308 · median $9,535 32 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $1,913 – $12,272 · median $6,386 32 plans
149 DYSEQUILIBRIUM $1,296 – $11,693 · median $5,991 32 plans
150 EPISTAXIS WITH MCC $1,913 – $19,071 · median $9,929 32 plans
151 EPISTAXIS WITHOUT MCC $1,297 – $11,469 · median $5,878 32 plans
152 OTITIS MEDIA AND URI WITH MCC $1,913 – $17,171 · median $8,949 32 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $978 – $11,522 · median $5,905 32 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $1,913 – $22,023 · median $11,450 32 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $1,913 – $13,791 · median $7,207 32 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $1,670 – $10,923 · median $5,652 32 plans
157 DENTAL AND ORAL DISEASES WITH MCC $1,913 – $23,973 · median $12,576 32 plans
158 DENTAL AND ORAL DISEASES WITH CC $1,913 – $13,706 · median $7,163 32 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $1,913 – $11,145 · median $5,809 32 plans
163 MAJOR CHEST PROCEDURES WITH MCC $2,324 – $59,153 · median $31,180 32 plans
164 MAJOR CHEST PROCEDURES WITH CC $2,324 – $34,243 · median $17,921 32 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $2,324 – $26,485 · median $13,883 32 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $2,324 – $49,685 · median $25,957 32 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $2,324 – $25,793 · median $13,149 32 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,324 – $19,779 · median $10,157 32 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $1,913 – $19,607 · median $10,205 32 plans
176 PULMONARY EMBOLISM WITHOUT MCC $1,913 – $12,372 · median $6,438 32 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $1,913 – $22,013 · median $11,504 32 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $1,913 – $14,548 · median $7,597 32 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $1,913 – $11,736 · median $6,112 32 plans
180 RESPIRATORY NEOPLASMS WITH MCC $1,913 – $24,599 · median $12,902 32 plans
181 RESPIRATORY NEOPLASMS WITH CC $1,913 – $15,757 · median $8,220 32 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $1,913 – $14,198 · median $6,104 32 plans
183 MAJOR CHEST TRAUMA WITH MCC $1,913 – $21,595 · median $11,230 32 plans
184 MAJOR CHEST TRAUMA WITH CC $1,913 – $15,669 · median $8,175 32 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $1,285 – $12,137 · median $6,240 32 plans
186 PLEURAL EFFUSION WITH MCC $1,913 – $21,959 · median $11,475 32 plans
187 PLEURAL EFFUSION WITH CC $1,913 – $14,715 · median $7,683 32 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $1,913 – $11,255 · median $5,866 32 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $1,913 – $17,848 · median $9,298 32 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $1,913 – $16,224 · median $8,461 32 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $1,913 – $12,856 · median $6,665 32 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $1,427 – $10,298 · median $5,333 32 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $1,913 – $18,853 · median $9,816 32 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $1,809 – $12,384 · median $6,396 32 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $1,271 – $10,127 · median $5,246 32 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $1,913 – $26,141 · median $13,573 32 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $1,913 – $16,514 · median $7,462 32 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $1,913 – $11,645 · median $5,859 32 plans
199 PNEUMOTHORAX WITH MCC $1,913 – $24,575 · median $12,765 32 plans
200 PNEUMOTHORAX WITH CC $1,913 – $16,117 · median $8,406 32 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $1,716 – $11,229 · median $5,807 32 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $1,465 – $14,487 · median $7,521 32 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $991 – $10,655 · median $5,467 32 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $1,389 – $12,403 · median $6,390 32 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $1,913 – $25,426 · median $13,204 32 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $1,913 – $14,104 · median $7,368 32 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $1,913 – $84,000 · median $44,236 32 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $1,913 – $37,102 · median $19,408 32 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $2,324 – $159,177 · median $67,137 32 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $2,324 – $130,419 · median $65,984 32 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $2,324 – $85,789 · median $44,746 32 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $2,324 – $85,789 · median $44,746 32 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $2,324 – $144,295 · median $52,202 32 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $2,324 – $75,230 · median $36,519 32 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $2,324 – $66,257 · median $34,581 32 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $2,324 – $97,122 · median $34,293 32 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $2,324 – $63,928 · median $22,274 32 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $2,324 – $109,385 · median $56,478 32 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $2,324 – $79,266 · median $41,351 32 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $2,324 – $99,401 · median $51,332 32 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $2,324 – $71,633 · median $37,020 32 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $2,324 – $76,797 · median $40,066 32 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC — 32 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $2,324 – $92,756 · median $33,797 32 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $2,324 – $39,766 · median $20,082 32 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $2,324 – $32,772 · median $10,375 32 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $2,324 – $66,570 · median $22,563 32 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $2,324 – $54,388 · median $15,495 32 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $2,324 – $35,939 · median $13,176 32 plans
245 AICD GENERATOR PROCEDURES — 32 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $2,324 – $63,542 · median $15,841 32 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $2,324 – $34,055 · median $11,135 32 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $2,324 – $58,600 · median $24,306 32 plans
253 OTHER VASCULAR PROCEDURES WITH CC $2,324 – $35,154 · median $18,395 32 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $2,324 – $24,799 · median $13,006 32 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $2,324 – $61,097 · median $19,252 32 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $2,324 – $37,491 · median $12,567 32 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $2,324 – $27,275 · median $8,440 32 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $2,324 – $42,108 · median $21,802 32 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $2,324 – $27,858 · median $14,597 32 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $2,324 – $74,124 · median $22,965 32 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $2,324 – $48,261 · median $13,873 32 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $2,324 – $39,518 · median $12,088 32 plans
263 VEIN LIGATION AND STRIPPING $2,324 – $41,030 · median $21,246 32 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $2,324 – $44,633 · median $23,328 32 plans
265 AICD LEAD PROCEDURES $2,324 – $48,165 · median $24,924 32 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 32 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $2,324 – $89,548 · median $32,731 32 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $2,324 – $89,639 · median $46,749 32 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $2,324 – $55,863 · median $29,172 32 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $2,324 – $69,261 · median $36,145 32 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $2,324 – $47,378 · median $24,756 32 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $2,324 – $34,612 · median $18,113 32 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $2,324 – $54,620 · median $28,525 32 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $2,324 – $44,011 · median $22,783 32 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $1,913 – $26,030 · median $11,793 32 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $1,913 – $19,729 · median $7,224 32 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $1,913 – $19,075 · median $5,939 32 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $1,913 – $27,332 · median $14,186 32 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $1,913 – $10,937 · median $5,703 32 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $1,799 – $9,750 · median $5,095 32 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $1,913 – $30,284 · median $15,860 32 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $1,913 – $16,715 · median $8,214 32 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $1,913 – $36,562 · median $19,127 32 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $1,913 – $23,847 · median $12,390 32 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $1,913 – $13,959 · median $7,294 32 plans
291 HEART FAILURE AND SHOCK WITH MCC $1,913 – $18,464 · median $9,616 32 plans
292 HEART FAILURE AND SHOCK WITH CC $1,913 – $12,932 · median $6,712 32 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $1,481 – $9,331 · median $4,840 32 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $1,913 – $22,002 · median $11,439 32 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $1,913 – $10,197 · median $5,323 32 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $1,752 – $9,559 · median $4,139 32 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $1,913 – $22,903 · median $11,993 32 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $1,913 – $15,712 · median $8,197 32 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $1,913 – $13,427 · median $5,882 32 plans
302 ATHEROSCLEROSIS WITH MCC $1,913 – $26,315 · median $9,131 32 plans
303 ATHEROSCLEROSIS WITHOUT MCC $1,913 – $16,926 · median $5,612 32 plans
304 HYPERTENSION WITH MCC $1,913 – $17,271 · median $9,001 32 plans
305 HYPERTENSION WITHOUT MCC $1,227 – $11,737 · median $6,014 32 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $1,913 – $46,017 · median $11,754 32 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $1,913 – $37,871 · median $7,269 32 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $1,913 – $18,425 · median $9,092 32 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $1,913 – $11,491 · median $5,986 32 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $1,749 – $9,333 · median $4,881 32 plans
311 ANGINA PECTORIS $1,058 – $11,061 · median $5,672 32 plans
312 SYNCOPE AND COLLAPSE $1,508 – $13,220 · median $6,861 32 plans
313 CHEST PAIN $1,263 – $11,291 · median $5,788 32 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $1,913 – $28,661 · median $14,871 32 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $1,913 – $14,386 · median $7,514 32 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $1,913 – $10,878 · median $5,637 32 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $2,324 – $60,612 · median $31,643 32 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $2,324 – $32,630 · median $17,081 32 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $2,324 – $23,542 · median $12,333 32 plans
332 RECTAL RESECTION WITH MCC $2,324 – $48,197 · median $25,182 32 plans
333 RECTAL RESECTION WITH CC $2,324 – $31,930 · median $16,717 32 plans
334 RECTAL RESECTION WITHOUT CC/MCC $2,324 – $22,969 · median $12,029 32 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $2,324 – $52,742 · median $24,852 32 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $2,324 – $28,959 · median $15,171 32 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $2,324 – $21,660 · median $11,311 32 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $2,324 – $49,755 · median $18,310 32 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $2,324 – $22,513 · median $11,100 32 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $2,324 – $17,222 · median $8,976 32 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $2,324 – $31,337 · median $16,566 32 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $2,324 – $18,782 · median $9,780 32 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $2,324 – $13,207 · median $6,895 32 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $2,324 – $33,835 · median $17,708 32 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $2,324 – $21,527 · median $11,238 32 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $2,324 – $16,988 · median $8,855 32 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $2,324 – $39,053 · median $20,423 32 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $2,324 – $23,536 · median $12,340 32 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $2,324 – $19,243 · median $10,017 32 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $2,324 – $58,020 · median $30,222 32 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $2,324 – $31,718 · median $16,447 32 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,324 – $19,916 · median $10,364 32 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $1,913 – $22,384 · median $11,636 32 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $1,913 – $14,856 · median $7,756 32 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $1,437 – $11,047 · median $5,715 32 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $1,913 – $24,690 · median $12,949 32 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $1,913 – $15,121 · median $7,892 32 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $1,913 – $11,385 · median $5,932 32 plans
374 DIGESTIVE MALIGNANCY WITH MCC $1,913 – $29,341 · median $15,369 32 plans
375 DIGESTIVE MALIGNANCY WITH CC $1,913 – $17,520 · median $9,129 32 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $1,913 – $15,864 · median $7,258 32 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $1,913 – $25,388 · median $13,184 32 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $1,913 – $14,608 · median $7,628 32 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $1,584 – $10,151 · median $5,258 32 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $1,913 – $27,096 · median $14,201 32 plans
381 COMPLICATED PEPTIC ULCER WITH CC $1,913 – $15,916 · median $8,302 32 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $1,913 – $12,316 · median $6,362 32 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $1,913 – $19,697 · median $10,251 32 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $1,441 – $13,006 · median $6,740 32 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $1,913 – $22,262 · median $11,573 32 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $1,913 – $14,552 · median $7,599 32 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $1,637 – $10,798 · median $5,588 32 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $1,913 – $20,920 · median $10,905 32 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $1,913 – $12,179 · median $6,339 32 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $1,424 – $9,052 · median $4,697 32 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $1,913 – $18,267 · median $9,514 32 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $1,344 – $12,049 · median $6,190 32 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $1,913 – $22,478 · median $11,760 32 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $1,913 – $14,035 · median $7,333 32 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,913 – $10,387 · median $5,421 32 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $2,324 – $71,732 · median $37,071 32 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $2,324 – $39,030 · median $20,216 32 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $2,324 – $30,370 · median $15,905 32 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $2,324 – $108,039 · median $25,125 32 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $2,324 – $34,164 · median $15,625 32 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $2,324 – $22,331 · median $11,679 32 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $2,324 – $45,264 · median $23,081 32 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $2,324 – $34,990 · median $15,130 32 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $2,324 – $25,746 · median $12,187 32 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $2,324 – $72,770 · median $25,036 32 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $2,324 – $30,034 · median $14,893 32 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $2,324 – $24,132 · median $10,137 32 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $2,324 – $32,493 · median $17,009 32 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $2,324 – $24,473 · median $12,404 32 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $2,324 – $19,507 · median $10,153 32 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $2,324 – $45,479 · median $23,540 32 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $2,324 – $24,237 · median $12,591 32 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $2,324 – $19,936 · median $10,374 32 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $2,324 – $54,969 · median $28,431 32 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $2,324 – $29,967 · median $15,545 32 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $2,324 – $21,219 · median $11,035 32 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $1,913 – $27,172 · median $14,104 32 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $1,913 – $15,568 · median $8,123 32 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,348 – $11,195 · median $5,790 32 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $1,913 – $25,499 · median $13,242 32 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $1,913 – $16,521 · median $8,614 32 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $1,913 – $12,987 · median $6,769 32 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $1,913 – $22,871 · median $11,887 32 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $1,913 – $12,833 · median $6,682 32 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $1,445 – $10,036 · median $5,200 32 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $1,913 – $24,964 · median $12,966 32 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $1,913 – $14,412 · median $7,527 32 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,370 – $11,033 · median $5,707 32 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $1,913 – $23,389 · median $12,154 32 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $1,913 – $16,054 · median $8,374 32 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $1,913 – $12,656 · median $6,583 32 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC — 32 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC — 32 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC — 32 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC — 32 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $2,324 – $41,106 · median $18,821 32 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $2,324 – $74,646 · median $38,774 32 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $2,324 – $41,759 · median $21,832 32 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,324 – $29,691 · median $13,284 32 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC — 32 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $2,324 – $47,000 · median $24,559 32 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $2,324 – $37,093 · median $19,404 32 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $2,324 – $42,146 · median $21,292 32 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $2,324 – $35,463 · median $13,980 32 plans
471 CERVICAL SPINAL FUSION WITH MCC — 32 plans
472 CERVICAL SPINAL FUSION WITH CC $2,324 – $48,841 · median $20,715 32 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $2,324 – $33,191 · median $17,373 32 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $2,324 – $70,232 · median $29,633 32 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $2,324 – $42,487 · median $16,276 32 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,324 – $22,281 · median $8,936 32 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,324 – $56,353 · median $24,082 32 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $2,324 – $42,094 · median $17,492 32 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $2,324 – $25,781 · median $13,517 32 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $2,324 – $39,184 · median $20,492 32 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $2,324 – $32,445 · median $15,077 32 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $2,324 – $24,521 · median $11,981 32 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $2,324 – $37,398 · median $19,562 32 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $2,324 – $43,189 · median $22,576 32 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $2,324 – $28,736 · median $14,910 32 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $2,324 – $22,057 · median $11,468 32 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $2,324 – $26,238 · median $12,921 32 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $2,324 – $18,495 · median $8,521 32 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $2,324 – $48,844 · median $25,519 32 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $2,324 – $34,397 · median $18,001 32 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $2,324 – $27,659 · median $14,355 32 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $2,324 – $54,969 · median $25,215 32 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $2,324 – $28,997 · median $13,153 32 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $2,324 – $26,137 · median $9,209 32 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $2,324 – $40,513 · median $21,184 32 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $2,324 – $27,765 · median $14,549 32 plans
500 SOFT TISSUE PROCEDURES WITH MCC $2,324 – $42,396 · median $22,164 32 plans
501 SOFT TISSUE PROCEDURES WITH CC $2,324 – $24,372 · median $12,766 32 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $2,324 – $19,254 · median $10,023 32 plans
503 FOOT PROCEDURES WITH MCC $2,324 – $37,642 · median $19,500 32 plans
504 FOOT PROCEDURES WITH CC $2,324 – $25,912 · median $13,575 32 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $2,324 – $24,940 · median $12,954 32 plans
506 MAJOR THUMB OR JOINT PROCEDURES $2,324 – $20,406 · median $10,045 32 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $2,324 – $25,785 · median $13,169 32 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $2,324 – $21,398 · median $11,167 32 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $2,324 – $40,560 · median $21,004 32 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $2,324 – $28,587 · median $14,833 32 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $2,324 – $23,192 · median $12,053 32 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $2,324 – $22,160 · median $11,521 32 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $2,324 – $15,137 · median $7,901 32 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $2,324 – $62,279 · median $22,452 32 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $2,324 – $28,571 · median $14,968 32 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $2,324 – $21,682 · median $11,323 32 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $2,324 – $49,680 · median $25,954 32 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $2,324 – $27,579 · median $14,452 32 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $2,324 – $21,137 · median $10,994 32 plans
533 FRACTURES OF FEMUR WITH MCC $1,913 – $34,179 · median $11,650 32 plans
534 FRACTURES OF FEMUR WITHOUT MCC $1,913 – $16,304 · median $6,445 32 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $1,913 – $26,647 · median $9,604 32 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $1,913 – $16,455 · median $6,455 32 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $1,913 – $14,272 · median $7,455 32 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $1,292 – $11,295 · median $5,816 32 plans
539 OSTEOMYELITIS WITH MCC $1,913 – $27,191 · median $14,114 32 plans
540 OSTEOMYELITIS WITH CC $1,913 – $18,623 · median $9,698 32 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $1,893 – $12,148 · median $6,276 32 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $1,913 – $28,830 · median $12,905 32 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $1,913 – $15,210 · median $7,938 32 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $1,913 – $11,731 · median $6,109 32 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $1,913 – $33,705 · median $17,471 32 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $1,913 – $16,805 · median $8,761 32 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,913 – $12,769 · median $6,646 32 plans
548 SEPTIC ARTHRITIS WITH MCC $1,913 – $26,697 · median $13,859 32 plans
549 SEPTIC ARTHRITIS WITH CC $1,913 – $17,490 · median $9,113 32 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $1,913 – $13,251 · median $6,911 32 plans
551 MEDICAL BACK PROBLEMS WITH MCC $1,913 – $23,455 · median $12,296 32 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $1,913 – $14,361 · median $7,501 32 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $1,913 – $31,815 · median $9,792 32 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $1,913 – $23,499 · median $6,641 32 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,913 – $18,948 · median $9,865 32 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $1,344 – $12,698 · median $6,566 32 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $1,913 – $21,048 · median $10,948 32 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $1,845 – $13,494 · median $7,054 32 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,913 – $31,157 · median $13,556 32 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,913 – $27,830 · median $8,665 32 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,913 – $21,981 · median $6,469 32 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $1,913 – $20,904 · median $10,542 32 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $1,913 – $13,524 · median $7,069 32 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $1,913 – $25,740 · median $11,371 32 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $1,913 – $14,878 · median $7,587 32 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,913 – $12,873 · median $6,075 32 plans
570 SKIN DEBRIDEMENT WITH MCC $2,324 – $58,635 · median $30,561 32 plans
571 SKIN DEBRIDEMENT WITH CC $2,324 – $23,626 · median $12,389 32 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $2,324 – $16,715 · median $8,714 32 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $2,324 – $85,485 · median $44,159 32 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $2,324 – $46,297 · median $23,961 32 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $2,324 – $24,994 · median $12,981 32 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $2,324 – $64,489 · median $33,338 32 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $2,324 – $35,855 · median $18,579 32 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $2,324 – $22,569 · median $11,731 32 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $2,324 – $43,334 · median $22,652 32 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $2,324 – $24,116 · median $12,529 32 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $2,324 – $20,491 · median $10,660 32 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $2,324 – $26,643 · median $13,831 32 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $2,324 – $24,070 · median $12,505 32 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $2,324 – $29,367 · median $15,235 32 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $2,324 – $26,674 · median $13,847 32 plans
592 SKIN ULCERS WITH MCC $1,913 – $26,753 · median $13,888 32 plans
593 SKIN ULCERS WITH CC $1,913 – $17,224 · median $8,976 32 plans
594 SKIN ULCERS WITHOUT CC/MCC $1,903 – $13,159 · median $6,853 32 plans
595 MAJOR SKIN DISORDERS WITH MCC $1,913 – $29,112 · median $15,104 32 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $1,434 – $15,903 · median $8,246 32 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $1,913 – $23,341 · median $12,129 32 plans
598 MALIGNANT BREAST DISORDERS WITH CC $1,913 – $16,524 · median $8,616 32 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,700 – $11,919 · median $6,160 32 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $1,913 – $15,383 · median $8,027 32 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,470 – $9,828 · median $5,093 32 plans
602 CELLULITIS WITH MCC $1,913 – $20,214 · median $10,517 32 plans
603 CELLULITIS WITHOUT MCC $1,379 – $13,211 · median $6,856 32 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $1,913 – $20,860 · median $10,872 32 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $1,445 – $13,785 · median $7,161 32 plans
606 MINOR SKIN DISORDERS WITH MCC $1,913 – $21,383 · median $11,120 32 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $1,340 – $13,662 · median $7,099 32 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $2,324 – $30,017 · median $15,721 32 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $2,324 – $21,887 · median $10,373 32 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $2,324 – $46,501 · median $24,300 32 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $2,324 – $29,273 · median $13,592 32 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $2,324 – $23,282 · median $10,498 32 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $2,324 – $71,992 · median $25,013 32 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $2,324 – $24,954 · median $13,086 32 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $2,324 – $21,295 · median $9,407 32 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $2,324 – $43,302 · median $21,205 32 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $2,324 – $21,207 · median $11,063 32 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $2,146 – $19,030 · median $9,868 32 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $2,324 – $76,644 · median $26,133 32 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $2,324 – $29,851 · median $15,635 32 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $2,324 – $20,700 · median $10,784 32 plans
637 DIABETES WITH MCC $1,913 – $20,410 · median $10,618 32 plans
638 DIABETES WITH CC $1,731 – $13,533 · median $7,074 32 plans
639 DIABETES WITHOUT CC/MCC $1,198 – $10,034 · median $5,198 32 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $1,913 – $19,123 · median $9,919 32 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $1,341 – $12,031 · median $6,180 32 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $1,765 – $20,224 · median $10,523 32 plans
643 ENDOCRINE DISORDERS WITH MCC $1,913 – $23,074 · median $11,992 32 plans
644 ENDOCRINE DISORDERS WITH CC $1,913 – $15,171 · median $7,919 32 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $1,913 – $11,905 · median $6,199 32 plans
653 MAJOR BLADDER PROCEDURES WITH MCC — 32 plans
654 MAJOR BLADDER PROCEDURES WITH CC $2,324 – $37,746 · median $19,743 32 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $2,324 – $29,060 · median $15,077 32 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $2,324 – $56,729 · median $22,289 32 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $2,324 – $27,285 · median $13,325 32 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $2,324 – $23,209 · median $11,428 32 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $2,324 – $40,524 · median $18,032 32 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $2,324 – $18,946 · median $9,864 32 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $2,324 – $15,304 · median $7,987 32 plans
662 MINOR BLADDER PROCEDURES WITH MCC $2,324 – $41,082 · median $21,273 32 plans
663 MINOR BLADDER PROCEDURES WITH CC $2,324 – $21,472 · median $11,208 32 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $2,324 – $15,450 · median $8,062 32 plans
665 PROSTATECTOMY WITH MCC $2,324 – $41,842 · median $21,665 32 plans
666 PROSTATECTOMY WITH CC $2,324 – $24,387 · median $12,791 32 plans
667 PROSTATECTOMY WITHOUT CC/MCC $1,744 – $16,205 · median $8,401 32 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $2,324 – $39,282 · median $20,543 32 plans
669 TRANSURETHRAL PROCEDURES WITH CC $2,324 – $21,876 · median $11,430 32 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $2,224 – $14,565 · median $7,606 32 plans
671 URETHRAL PROCEDURES WITH CC/MCC $2,324 – $24,968 · median $12,968 32 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $2,324 – $15,865 · median $8,276 32 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $2,324 – $55,588 · median $29,029 32 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $2,324 – $31,885 · median $16,533 32 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $2,324 – $23,014 · median $11,961 32 plans
682 RENAL FAILURE WITH MCC $1,913 – $20,973 · median $10,934 32 plans
683 RENAL FAILURE WITH CC $1,913 – $13,273 · median $6,932 32 plans
684 RENAL FAILURE WITHOUT CC/MCC $1,708 – $9,768 · median $5,104 32 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $1,913 – $25,079 · median $13,151 32 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $1,913 – $15,461 · median $8,068 32 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $1,913 – $13,023 · median $6,342 32 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $1,913 – $16,893 · median $8,806 32 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $1,269 – $12,430 · median $6,405 32 plans
693 URINARY STONES WITH MCC $1,913 – $19,236 · median $10,014 32 plans
694 URINARY STONES WITHOUT MCC $1,766 – $12,076 · median $6,239 32 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $1,913 – $18,782 · median $8,698 32 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $1,471 – $10,896 · median $5,638 32 plans
697 URETHRAL STRICTURE $1,656 – $15,843 · median $8,216 32 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $1,913 – $23,179 · median $12,046 32 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $1,913 – $15,044 · median $7,853 32 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $1,913 – $10,908 · median $5,688 32 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $2,324 – $27,580 · median $14,314 32 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $2,324 – $21,650 · median $11,258 32 plans
709 PENIS PROCEDURES WITH CC/MCC $2,324 – $31,738 · median $16,457 32 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $2,324 – $19,958 · median $10,386 32 plans
711 TESTES PROCEDURES WITH CC/MCC $2,324 – $28,643 · median $14,862 32 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $2,124 – $16,122 · median $8,408 32 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $2,324 – $21,258 · median $11,056 32 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $1,822 – $15,584 · median $8,131 32 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $2,324 – $30,596 · median $15,868 32 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $2,324 – $20,846 · median $10,843 32 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $2,324 – $26,183 · median $13,726 32 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $1,815 – $19,219 · median $9,972 32 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $1,913 – $25,155 · median $13,191 32 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $1,913 – $19,172 · median $8,690 32 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,913 – $13,841 · median $5,465 32 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $1,913 – $17,019 · median $8,871 32 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $1,492 – $11,316 · median $5,852 32 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $1,805 – $20,997 · median $10,921 32 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $1,298 – $12,451 · median $6,417 32 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $1,913 – $15,600 · median $8,140 32 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,913 – $10,680 · median $5,571 32 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $2,324 – $29,231 · median $15,165 32 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $2,324 – $19,249 · median $10,020 32 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $2,324 – $47,609 · median $24,637 32 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $2,324 – $28,348 · median $14,710 32 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $2,324 – $20,814 · median $10,827 32 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $2,324 – $47,715 · median $24,692 32 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $2,324 – $25,154 · median $13,064 32 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $2,324 – $20,275 · median $10,549 32 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $2,324 – $25,475 · median $13,229 32 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $2,095 – $17,916 · median $9,333 32 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $2,324 – $28,201 · median $14,634 32 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $2,117 – $16,603 · median $8,656 32 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $2,324 – $24,232 · median $12,588 32 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $2,324 – $13,068 · median $6,816 32 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $2,324 – $19,781 · median $10,294 32 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $2,324 – $34,798 · median $18,035 32 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,139 – $20,907 · median $10,875 32 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,913 – $25,562 · median $13,403 32 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,913 – $15,970 · median $8,330 32 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,913 – $14,351 · median $7,496 32 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,913 – $20,348 · median $10,592 32 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,913 – $14,586 · median $7,617 32 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,348 – $10,573 · median $5,473 32 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $1,913 – $14,949 · median $7,804 32 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $1,778 – $9,389 · median $4,910 32 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $2,324 – $23,630 · median $12,278 32 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $2,167 – $14,888 · median $7,772 32 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $1,111 – $10,460 · median $5,368 32 plans
779 ABORTION WITHOUT D&C $1,213 – $12,834 · median $6,643 32 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $1,049 – $25,060 · median $13,015 32 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,913 – $77,750 · median $40,173 32 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,913 – $53,773 · median $27,815 32 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $1,066 – $33,292 · median $17,258 32 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $1,840 – $55,181 · median $28,540 32 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $469 – $20,908 · median $10,875 32 plans
795 NORMAL NEWBORN $343 – $5,043 · median $2,435 32 plans
799 SPLENECTOMY WITH MCC $2,324 – $59,752 · median $31,196 32 plans
800 SPLENECTOMY WITH CC $2,324 – $37,875 · median $19,810 32 plans
801 SPLENECTOMY WITHOUT CC/MCC $2,324 – $30,839 · median $13,848 32 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $2,324 – $52,821 · median $27,323 32 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $2,324 – $25,781 · median $13,387 32 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $2,324 – $19,383 · median $10,089 32 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $1,913 – $30,222 · median $15,676 32 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $1,913 – $18,236 · median $9,498 32 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $1,913 – $15,446 · median $8,060 32 plans
811 RED BLOOD CELL DISORDERS WITH MCC $1,913 – $19,997 · median $10,406 32 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $1,617 – $13,813 · median $7,218 32 plans
813 COAGULATION DISORDERS $1,913 – $21,537 · median $11,199 32 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $1,913 – $29,189 · median $15,143 32 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $1,913 – $15,031 · median $7,846 32 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $1,862 – $10,171 · median $5,310 32 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $2,324 – $33,578 · median $16,316 32 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $2,324 – $18,018 · median $8,799 32 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — 32 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $2,324 – $30,612 · median $16,031 32 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,324 – $21,206 · median $9,092 32 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC — 32 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $2,324 – $30,956 · median $16,054 32 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $2,324 – $19,299 · median $10,046 32 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — 32 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $2,324 – $33,578 · median $16,512 32 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,324 – $23,808 · median $12,370 32 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $2,324 – $42,335 · median $21,919 32 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $2,324 – $21,279 · median $11,066 32 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $1,913 – $17,430 · median $9,083 32 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $1,913 – $11,311 · median $5,894 32 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,419 – $8,783 · median $4,561 32 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $1,913 – $75,192 · median $37,559 32 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $1,913 – $46,978 · median $15,163 32 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,913 – $17,646 · median $9,194 32 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $1,913 – $89,102 · median $33,336 32 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $1,913 – $28,688 · median $15,030 32 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,913 – $20,501 · median $10,666 32 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $1,913 – $43,288 · median $22,410 32 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $1,913 – $22,887 · median $11,895 32 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $1,913 – $14,986 · median $7,823 32 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $1,913 – $27,510 · median $14,417 32 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $1,913 – $17,619 · median $9,180 32 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $1,913 – $12,965 · median $6,733 32 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $1,913 – $35,115 · median $18,374 32 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $1,913 – $18,775 · median $9,776 32 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,913 – $12,937 · median $6,741 32 plans
849 RADIOTHERAPY $1,913 – $36,604 · median $18,965 32 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $2,324 – $69,488 · median $33,909 32 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $2,324 – $52,666 · median $14,603 32 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,324 – $44,646 · median $11,228 32 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $2,324 – $60,004 · median $31,327 32 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $2,324 – $29,377 · median $15,240 32 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $2,324 – $19,852 · median $10,331 32 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $1,913 – $25,333 · median $13,156 32 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $1,913 – $14,827 · median $7,741 32 plans
864 FEVER AND INFLAMMATORY CONDITIONS $1,339 – $13,425 · median $6,977 32 plans
865 VIRAL ILLNESS WITH MCC $1,913 – $21,193 · median $11,022 32 plans
866 VIRAL ILLNESS WITHOUT MCC $1,052 – $13,194 · median $6,847 32 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $1,913 – $28,762 · median $15,068 32 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $1,913 – $15,249 · median $7,959 32 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $1,244 – $11,414 · median $5,850 32 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $1,913 – $99,471 · median $46,974 32 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $1,913 – $26,845 · median $13,935 32 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $1,913 – $15,150 · median $7,907 32 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC — 32 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $2,324 – $26,489 · median $13,885 32 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $2,324 – $17,011 · median $8,867 32 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $2,324 – $48,864 · median $25,284 32 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $2,324 – $21,004 · median $10,925 32 plans
906 HAND PROCEDURES FOR INJURIES $2,324 – $27,122 · median $14,215 32 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $2,324 – $50,978 · median $26,374 32 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $2,324 – $27,941 · median $14,419 32 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $2,324 – $18,832 · median $9,805 32 plans
913 TRAUMATIC INJURY WITH MCC $1,913 – $22,927 · median $11,916 32 plans
914 TRAUMATIC INJURY WITHOUT MCC $1,471 – $13,397 · median $6,961 32 plans
915 ALLERGIC REACTIONS WITH MCC $1,710 – $23,525 · median $12,224 32 plans
916 ALLERGIC REACTIONS WITHOUT MCC $926 – $10,608 · median $5,443 32 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $1,913 – $22,085 · median $11,482 32 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $1,106 – $13,035 · median $6,757 32 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $1,913 – $25,424 · median $13,203 32 plans
920 COMPLICATIONS OF TREATMENT WITH CC $1,913 – $14,883 · median $7,770 32 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,486 – $10,889 · median $5,634 32 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $1,913 – $24,388 · median $12,669 32 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $1,341 – $15,079 · median $7,824 32 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $2,324 – $273,776 · median $141,207 32 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $2,324 – $93,390 · median $48,233 32 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $2,324 – $43,109 · median $22,318 32 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $1,913 – $51,677 · median $26,734 32 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $1,913 – $30,256 · median $15,693 32 plans
935 NON-EXTENSIVE BURNS $1,807 – $28,340 · median $14,706 32 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $2,324 – $48,296 · median $24,992 32 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $2,324 – $31,863 · median $16,522 32 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $2,324 – $27,929 · median $14,494 32 plans
947 SIGNS AND SYMPTOMS WITH MCC $1,902 – $18,281 · median $9,465 32 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,340 – $12,315 · median $6,340 32 plans
949 AFTERCARE WITH CC/MCC $1,846 – $17,267 · median $8,945 32 plans
950 AFTERCARE WITHOUT CC/MCC $1,605 – $10,116 · median $5,240 32 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,577 – $9,204 · median $4,815 32 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $2,324 – $87,771 · median $45,777 32 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $2,324 – $112,952 · median $26,450 32 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $2,324 – $99,079 · median $51,662 32 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — 32 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $2,324 – $39,588 · median $20,702 32 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $1,913 – $48,406 · median $19,310 32 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $1,913 – $22,571 · median $11,294 32 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $1,913 – $17,249 · median $7,365 32 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC — 32 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $2,324 – $48,873 · median $18,671 32 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $1,913 – $38,849 · median $20,122 32 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $1,913 – $18,607 · median $9,689 32 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $1,913 – $13,615 · median $7,117 32 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $1,913 – $18,641 · median $9,707 32 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $2,324 – $61,825 · median $32,274 32 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $2,324 – $33,410 · median $17,319 32 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,324 – $23,938 · median $12,437 32 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $2,324 – $45,750 · median $23,679 32 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $2,324 – $23,042 · median $12,069 32 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,324 – $17,388 · median $9,061 32 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $1,913 – $31,687 · median $16,431 31 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $1,913 – $18,614 · median $9,693 31 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $2,324 – $56,398 · median $29,733 31 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $2,324 – $29,881 · median $15,800 31 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $2,324 – $22,441 · median $11,813 31 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $2,324 – $49,799 · median $26,266 31 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $2,324 – $24,178 · median $12,804 31 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $2,324 – $17,427 · median $9,081 31 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 31 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $2,324 – $32,733 · median $17,299 31 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $2,324 – $65,586 · median $33,903 31 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $2,324 – $33,228 · median $17,225 31 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $2,324 – $22,516 · median $11,704 31 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $2,324 – $40,630 · median $20,407 31 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $2,324 – $29,074 · median $15,376 31 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $2,324 – $38,867 · median $20,132 31 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $2,324 – $26,507 · median $11,691 31 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $2,324 – $22,676 · median $11,089 31 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,324 – $13,071 · median $6,836 31 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $2,324 – $40,784 · median $21,117 30 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $2,324 – $142,852 · median $73,913 30 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $2,324 – $93,316 · median $48,886 30 plans
276 NON-MALIGANT BREAST DISORDERS $2,324 – $82,366 · median $41,374 30 plans
277 CELLULITIS AGE >17 W CC — 30 plans
278 CELLULITIS AGE >17 W/O CC $2,324 – $72,950 · median $38,430 30 plans
279 CELLULITIS AGE 0-17 $2,324 – $48,015 · median $25,328 30 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $2,324 – $38,127 · median $19,408 30 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $2,324 – $24,561 · median $13,005 30 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY — 30 plans
324 URINARY STONES W/O CC $2,324 – $42,221 · median $22,284 30 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $2,324 – $42,977 · median $22,681 30 plans
397 COAGULATION DISORDERS $2,324 – $32,601 · median $17,230 30 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $2,324 – $21,388 · median $11,269 30 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $2,324 – $16,694 · median $8,788 30 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $2,324 – $51,304 · median $27,057 27 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,913 – $14,347 · median $7,494 27 plans
881 DEPRESSIVE NEUROSES $1,913 – $14,101 · median $7,367 27 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,913 – $15,792 · median $8,239 27 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $1,913 – $27,148 · median $14,364 27 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,913 – $22,600 · median $11,906 27 plans
885 PSYCHOSES $1,913 – $19,902 · median $10,357 27 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,913 – $28,535 · median $15,093 27 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,913 – $15,755 · median $8,379 27 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $1,913 – $9,979 · median $5,242 27 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $1,913 – $20,141 · median $10,480 27 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $1,913 – $24,333 · median $12,886 27 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,913 – $13,362 · median $6,986 27 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 26 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 26 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 26 plans
652 KIDNEY TRANSPLANT $2,324 – $43,220 · median $22,375 26 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC — 25 plans
509 ARTHROSCOPY $3,749 – $24,481 · median $12,717 25 plans
945 REHABILITATION WITH CC/MCC $1,913 – $24,991 · median $11,572 25 plans
946 REHABILITATION WITHOUT CC/MCC $1,913 – $16,951 · median $8,886 25 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 24 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 21 plans
006 LIVER TRANSPLANT WITHOUT MCC — 21 plans
007 LUNG TRANSPLANT — 21 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 21 plans
010 PANCREAS TRANSPLANT $2,324 – $93,428 · median $48,253 21 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 21 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 21 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC — 21 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 21 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $3,689 – $21,804 · median $11,337 21 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $2,215 – $14,827 · median $7,741 21 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $1,995 – $10,613 · median $5,569 21 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $3,386 – $17,754 · median $9,250 21 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $1,152 – $12,179 · median $6,376 21 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $24,908 – $114,875 · median $59,307 21 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $19,442 – $79,949 · median $41,306 21 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $16,846 – $60,728 · median $31,399 21 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $21,815 – $86,514 · median $44,690 21 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $11,182 – $48,670 · median $25,184 21 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,676 – $3,413 · median $2,545 2 plans
999 UNGROUPABLE $1,676 – $6,530 · median $4,103 2 plans
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