TriStar Centennial Medical Center — Pricing

764 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 764 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 764
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 764 procedures

Procedures with negotiated rates only

These 764 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 $5,313 – $17,819 · median $9,092 15 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $5,695 – $19,204 · median $10,978 15 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $5,695 – $19,204 · median $10,978 15 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,695 – $19,204 · median $10,978 15 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $5,695 – $19,204 · median $10,978 15 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $5,695 – $19,204 · median $10,978 15 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $5,695 – $19,204 · median $10,978 15 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $5,313 – $17,819 · median $9,092 15 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $5,313 – $17,819 · median $9,092 15 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $5,313 – $17,819 · median $9,092 15 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $5,313 – $17,819 · median $9,092 15 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,313 – $17,819 · median $9,092 15 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,313 – $17,819 · median $9,092 15 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $7,449 – $39,312 · median $26,983 7 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $7,449 – $39,312 · median $26,983 7 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $7,449 – $39,312 · median $26,983 7 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $7,449 – $33,486 · median $15,650 7 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $62,324 – $87,699 · median $75,046 7 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $74,435 – $222,505 · median $87,699 7 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $74,435 – $150,867 · median $87,699 7 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $74,435 – $116,911 · median $87,683 7 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $74,435 – $177,161 · median $87,699 7 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $74,435 – $116,198 · median $87,149 7 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL $51,174 – $142,413 · median $66,035 7 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $51,174 – $86,737 · median $65,053 7 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY $51,174 – $109,392 · median $66,035 7 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $49,162 – $66,035 · median $52,439 7 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $74,435 – $124,429 · median $87,699 7 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $74,435 – $111,986 · median $85,280 7 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $74,435 – $111,986 · median $85,280 7 plans
471 CERVICAL SPINAL FUSION WITH MCC $32,566 – $73,411 · median $39,464 7 plans
472 CERVICAL SPINAL FUSION WITH CC $32,566 – $75,192 · median $39,464 7 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $32,566 – $73,411 · median $39,464 7 plans
603 CELLULITIS WITHOUT MCC $7,449 – $33,486 · median $15,650 7 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $18,507 – $85,332 · median $28,681 7 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $17,195 – $46,447 · median $21,031 7 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $11,547 – $32,079 · median $18,507 7 plans
683 RENAL FAILURE WITH CC $7,449 – $33,486 · median $15,650 7 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $7,449 – $39,312 · median $26,983 7 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $7,449 – $33,486 · median $15,650 7 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $14,857 – $44,963 · median $19,809 7 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $11,237 – $31,433 · median $18,507 7 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $18,507 – $82,962 · median $28,045 7 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $15,458 – $38,018 · median $20,610 7 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $11,671 – $27,598 · median $18,507 7 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $14,474 – $35,139 · median $19,299 7 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $10,362 – $22,928 · median $18,507 7 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,005 – $23,276 · median $18,507 7 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $7,449 – $39,312 · median $26,983 7 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,449 – $33,486 · median $15,650 7 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $14,831 – $19,806 · median $16,715 6 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $12,480 – $21,031 · median $16,640 5 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $12,480 – $21,031 · median $16,640 5 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $18,507 – $67,162 · median $50,372 5 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $18,507 – $67,162 · median $50,372 5 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $18,507 – $67,162 · median $50,372 5 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $18,507 – $100,480 · median $75,360 5 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $18,507 – $100,480 · median $75,360 5 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $18,507 – $85,836 · median $64,377 5 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $18,507 – $83,803 · median $62,852 5 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $18,507 – $85,836 · median $64,377 5 plans
028 SPINAL PROCEDURES WITH MCC $17,045 – $22,727 · median $18,507 5 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $17,045 – $22,727 · median $18,507 5 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $17,045 – $22,727 · median $18,507 5 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $18,507 – $60,409 · median $45,307 5 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $18,507 – $60,409 · median $45,307 5 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $18,507 – $60,409 · median $45,307 5 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $18,507 – $51,500 · median $38,625 5 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $18,507 – $51,500 · median $38,625 5 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $18,507 – $51,500 · median $38,625 5 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $12,224 – $21,031 · median $16,298 5 plans
038 EXTRACRANIAL PROCEDURES WITH CC $12,224 – $21,031 · median $16,298 5 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $12,224 – $21,031 · median $16,298 5 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $17,531 – $23,374 · median $18,699 5 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $17,531 – $23,374 · median $18,699 5 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $17,531 – $23,374 · median $18,699 5 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $7,449 – $19,806 · median $9,932 5 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $7,449 – $19,806 · median $9,932 5 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $7,449 – $19,806 · median $9,932 5 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $7,449 – $19,806 · median $9,932 5 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $7,449 – $19,806 · median $9,932 5 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $7,449 – $19,806 · median $9,932 5 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $7,449 – $19,806 · median $9,932 5 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,449 – $19,806 · median $9,932 5 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $7,449 – $19,806 · median $9,932 5 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $7,449 – $19,806 · median $9,932 5 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $7,449 – $19,806 · median $9,932 5 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
075 VIRAL MENINGITIS WITH CC/MCC $7,449 – $19,806 · median $9,932 5 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $7,449 – $19,806 · median $9,932 5 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $7,449 – $19,806 · median $9,932 5 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $7,449 – $19,806 · median $9,932 5 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $7,449 – $19,806 · median $9,932 5 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $7,449 – $19,806 · median $9,932 5 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
088 CONCUSSION WITH MCC $7,449 – $19,806 · median $9,932 5 plans
089 CONCUSSION WITH CC $7,449 – $19,806 · median $9,932 5 plans
090 CONCUSSION WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $7,449 – $19,806 · median $9,932 5 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,449 – $19,806 · median $9,932 5 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $7,449 – $19,806 · median $9,932 5 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $7,449 – $19,806 · median $9,932 5 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $7,449 – $19,806 · median $9,932 5 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
100 SEIZURES WITH MCC $7,449 – $19,806 · median $9,932 5 plans
101 SEIZURES WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
102 HEADACHES WITH MCC $7,449 – $19,806 · median $9,932 5 plans
103 HEADACHES WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
113 ORBITAL PROCEDURES WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $12,480 – $21,031 · median $16,640 5 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $7,449 – $19,806 · median $9,932 5 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
123 NEUROLOGICAL EYE DISORDERS $7,449 – $19,806 · median $9,932 5 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $7,449 – $19,806 · median $9,932 5 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
137 MOUTH PROCEDURES WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
139 SALIVARY GLAND PROCEDURES $12,480 – $21,031 · median $16,640 5 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $7,449 – $19,806 · median $9,932 5 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $7,449 – $19,806 · median $9,932 5 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
149 DYSEQUILIBRIUM $7,449 – $19,806 · median $9,932 5 plans
150 EPISTAXIS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
151 EPISTAXIS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
152 OTITIS MEDIA AND URI WITH MCC $7,449 – $19,806 · median $9,932 5 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $7,449 – $19,806 · median $9,932 5 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,449 – $19,806 · median $9,932 5 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
157 DENTAL AND ORAL DISEASES WITH MCC $7,449 – $19,806 · median $9,932 5 plans
158 DENTAL AND ORAL DISEASES WITH CC $7,449 – $19,806 · median $9,932 5 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
163 MAJOR CHEST PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
164 MAJOR CHEST PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $12,480 – $21,031 · median $16,640 5 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $7,449 – $19,806 · median $9,932 5 plans
176 PULMONARY EMBOLISM WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,449 – $19,806 · median $9,932 5 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
180 RESPIRATORY NEOPLASMS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
181 RESPIRATORY NEOPLASMS WITH CC $7,449 – $19,806 · median $9,932 5 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
183 MAJOR CHEST TRAUMA WITH MCC $7,449 – $19,806 · median $9,932 5 plans
184 MAJOR CHEST TRAUMA WITH CC $7,449 – $19,806 · median $9,932 5 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
186 PLEURAL EFFUSION WITH MCC $7,449 – $19,806 · median $9,932 5 plans
187 PLEURAL EFFUSION WITH CC $7,449 – $19,806 · median $9,932 5 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $7,449 – $19,806 · median $9,932 5 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,449 – $19,806 · median $9,932 5 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,449 – $19,806 · median $9,932 5 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $7,449 – $19,806 · median $9,932 5 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,449 – $19,806 · median $9,932 5 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
199 PNEUMOTHORAX WITH MCC $7,449 – $19,806 · median $9,932 5 plans
200 PNEUMOTHORAX WITH CC $7,449 – $19,806 · median $9,932 5 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,449 – $19,806 · median $9,932 5 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $7,449 – $19,806 · median $9,932 5 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $7,449 – $19,806 · median $9,932 5 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $7,449 – $19,806 · median $9,932 5 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $7,449 – $19,806 · median $9,932 5 plans
209 COMPLEX AORTIC ARCH PROCEDURES $18,507 – $121,560 · median $91,170 5 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $12,480 – $21,031 · median $16,640 5 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $18,507 – $66,441 · median $49,831 5 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $18,507 – $461,974 · median $346,481 5 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $18,507 – $115,873 · median $86,905 5 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $18,507 – $115,873 · median $86,905 5 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $18,507 – $115,873 · median $86,905 5 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $18,507 – $121,560 · median $91,170 5 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $18,507 – $118,680 · median $89,010 5 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $18,507 – $118,680 · median $89,010 5 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $18,507 – $94,999 · median $71,249 5 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $18,507 – $94,999 · median $71,249 5 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $18,507 – $225,064 · median $168,798 5 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $18,507 – $225,064 · median $168,798 5 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $18,507 – $45,638 · median $34,229 5 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $18,507 – $45,638 · median $34,229 5 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $18,507 – $42,840 · median $32,130 5 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $18,507 – $43,879 · median $32,909 5 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $12,480 – $21,031 · median $16,640 5 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $12,480 – $21,031 · median $16,640 5 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $12,480 – $21,031 · median $16,640 5 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $18,507 – $77,250 · median $57,938 5 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $18,507 – $77,250 · median $57,938 5 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $18,507 – $77,250 · median $57,938 5 plans
245 AICD GENERATOR PROCEDURES $18,507 – $77,250 · median $57,938 5 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $18,507 – $27,441 · median $21,031 5 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $18,507 – $27,441 · median $21,031 5 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $18,507 – $108,683 · median $81,512 5 plans
253 OTHER VASCULAR PROCEDURES WITH CC $18,507 – $108,683 · median $81,512 5 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $18,507 – $108,683 · median $81,512 5 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $12,480 – $21,031 · median $16,640 5 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,480 – $21,031 · median $16,640 5 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $18,507 – $41,200 · median $30,900 5 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $18,507 – $41,200 · median $30,900 5 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $18,507 – $36,049 · median $27,037 5 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $18,507 – $36,049 · median $27,037 5 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $18,507 – $36,049 · median $27,037 5 plans
263 VEIN LIGATION AND STRIPPING $18,507 – $25,750 · median $20,600 5 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $18,507 – $38,622 · median $28,967 5 plans
265 AICD LEAD PROCEDURES $18,507 – $77,250 · median $57,938 5 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $18,507 – $179,672 · median $134,754 5 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $18,507 – $134,910 · median $101,183 5 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $18,507 – $64,867 · median $48,650 5 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $18,507 – $64,867 · median $48,650 5 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $18,507 – $66,441 · median $49,831 5 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $18,507 – $64,867 · median $48,650 5 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $18,507 – $64,867 · median $48,650 5 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $18,507 – $42,069 · median $31,552 5 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $18,507 – $28,677 · median $21,508 5 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $18,507 – $264,336 · median $198,252 5 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $18,507 – $171,901 · median $128,926 5 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $18,507 – $171,901 · median $128,926 5 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $18,507 – $108,683 · median $81,512 5 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $18,507 – $108,683 · median $81,512 5 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $13,715 – $19,806 · median $17,429 5 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $13,715 – $19,806 · median $17,429 5 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $13,715 – $19,806 · median $17,429 5 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $14,485 – $19,806 · median $17,429 5 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $14,485 – $19,806 · median $17,429 5 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $14,485 – $19,806 · median $17,429 5 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $16,571 – $22,095 · median $17,676 5 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $16,571 – $22,095 · median $17,676 5 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $14,831 – $19,806 · median $17,429 5 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $14,831 – $19,806 · median $17,429 5 plans
291 HEART FAILURE AND SHOCK WITH MCC $17,429 – $23,807 · median $19,046 5 plans
292 HEART FAILURE AND SHOCK WITH CC $17,429 – $23,243 · median $18,594 5 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $17,429 – $23,243 · median $18,594 5 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $7,449 – $19,806 · median $9,932 5 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $7,449 – $19,806 · median $9,932 5 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $12,312 – $19,806 · median $16,416 5 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $12,611 – $19,806 · median $16,815 5 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $12,312 – $19,806 · median $16,416 5 plans
302 ATHEROSCLEROSIS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
303 ATHEROSCLEROSIS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
304 HYPERTENSION WITH MCC $7,449 – $19,806 · median $9,932 5 plans
305 HYPERTENSION WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $7,449 – $19,806 · median $9,932 5 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
311 ANGINA PECTORIS $7,449 – $19,806 · median $9,932 5 plans
312 SYNCOPE AND COLLAPSE $7,449 – $19,806 · median $9,932 5 plans
313 CHEST PAIN $8,129 – $19,806 · median $10,838 5 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $7,449 – $19,806 · median $9,932 5 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,449 – $19,806 · median $9,932 5 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $18,507 – $60,763 · median $45,572 5 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $18,507 – $32,041 · median $24,031 5 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $18,507 – $70,699 · median $53,024 5 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $18,507 – $40,476 · median $30,357 5 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $18,507 – $31,282 · median $23,462 5 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $18,507 – $32,041 · median $24,031 5 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $12,480 – $21,031 · median $16,640 5 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $12,480 – $21,031 · median $16,640 5 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $12,480 – $21,031 · median $16,640 5 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
332 RECTAL RESECTION WITH MCC $12,480 – $21,031 · median $16,640 5 plans
333 RECTAL RESECTION WITH CC $12,480 – $21,031 · median $16,640 5 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $12,480 – $21,031 · median $16,640 5 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $12,480 – $21,031 · median $16,640 5 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $12,480 – $21,031 · median $16,640 5 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,480 – $21,031 · median $16,640 5 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $18,507 – $32,041 · median $24,031 5 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $18,507 – $32,041 · median $24,031 5 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,449 – $19,806 · median $9,932 5 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,449 – $19,806 · median $9,932 5 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
374 DIGESTIVE MALIGNANCY WITH MCC $7,449 – $19,806 · median $9,932 5 plans
375 DIGESTIVE MALIGNANCY WITH CC $7,449 – $19,806 · median $9,932 5 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $7,449 – $19,806 · median $9,932 5 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,449 – $19,806 · median $9,932 5 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $7,449 – $19,806 · median $9,932 5 plans
381 COMPLICATED PEPTIC ULCER WITH CC $7,449 – $19,806 · median $9,932 5 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $7,449 – $19,806 · median $9,932 5 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $7,449 – $19,806 · median $9,932 5 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,449 – $19,806 · median $9,932 5 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $7,449 – $19,806 · median $9,932 5 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $7,449 – $19,806 · median $9,932 5 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $7,449 – $19,806 · median $9,932 5 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,449 – $19,806 · median $9,932 5 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
397 APPENDIX PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
398 APPENDIX PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $12,480 – $21,031 · median $16,640 5 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $12,480 – $21,031 · median $16,640 5 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $12,480 – $21,031 · median $16,640 5 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $12,480 – $21,031 · median $16,640 5 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $12,480 – $21,031 · median $16,640 5 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $12,480 – $21,031 · median $16,640 5 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $12,480 – $21,031 · median $16,640 5 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $12,480 – $21,031 · median $16,640 5 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,480 – $21,031 · median $16,640 5 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,449 – $19,806 · median $9,932 5 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $7,449 – $19,806 · median $9,932 5 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $7,449 – $19,806 · median $9,932 5 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $7,449 – $19,806 · median $9,932 5 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,449 – $19,806 · median $9,932 5 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $7,449 – $19,806 · median $9,932 5 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $7,449 – $19,806 · median $9,932 5 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,449 – $19,806 · median $9,932 5 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $18,507 – $48,787 · median $36,590 5 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $18,507 – $48,787 · median $36,590 5 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $18,507 – $58,457 · median $43,843 5 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $18,507 – $58,457 · median $43,843 5 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $18,507 – $58,457 · median $43,843 5 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $18,507 – $41,082 · median $30,812 5 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $18,507 – $42,079 · median $31,559 5 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $18,507 – $42,079 · median $31,559 5 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $18,507 – $34,585 · median $25,939 5 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $18,507 – $34,585 · median $25,939 5 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $12,480 – $21,031 · median $16,640 5 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $12,480 – $21,031 · median $16,640 5 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $12,480 – $21,031 · median $16,640 5 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,480 – $21,031 · median $16,640 5 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $12,480 – $21,031 · median $16,640 5 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $18,507 – $30,583 · median $22,937 5 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $18,507 – $30,583 · median $22,937 5 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $18,507 – $30,583 · median $22,937 5 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $12,480 – $21,031 · median $16,640 5 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $11,402 – $21,031 · median $15,202 5 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $11,402 – $21,031 · median $15,202 5 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,402 – $21,031 · median $15,202 5 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $13,211 – $21,031 · median $17,614 5 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $13,211 – $21,031 · median $17,614 5 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $13,780 – $21,031 · median $18,373 5 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $14,114 – $21,031 · median $18,507 5 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $14,114 – $21,031 · median $18,507 5 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $10,306 – $21,031 · median $13,741 5 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $10,306 – $21,031 · median $13,741 5 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $10,306 – $21,031 · median $13,741 5 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $12,480 – $21,031 · median $16,640 5 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $12,480 – $21,031 · median $16,640 5 plans
500 SOFT TISSUE PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
501 SOFT TISSUE PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
503 FOOT PROCEDURES WITH MCC $18,507 – $27,530 · median $21,031 5 plans
504 FOOT PROCEDURES WITH CC $18,507 – $27,530 · median $21,031 5 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $18,507 – $27,530 · median $21,031 5 plans
506 MAJOR THUMB OR JOINT PROCEDURES $12,480 – $21,031 · median $16,640 5 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $18,507 – $27,689 · median $21,031 5 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $18,507 – $27,689 · median $21,031 5 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $18,507 – $27,689 · median $21,031 5 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $18,507 – $27,689 · median $21,031 5 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $18,507 – $27,689 · median $21,031 5 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $18,507 – $52,119 · median $39,089 5 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $18,507 – $52,119 · median $39,089 5 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $18,507 – $52,119 · median $39,089 5 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $4,307 – $21,031 · median $5,742 5 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $4,307 – $21,031 · median $5,742 5 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $4,307 – $21,031 · median $5,742 5 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $18,507 – $34,585 · median $25,939 5 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $18,507 – $34,585 · median $25,939 5 plans
533 FRACTURES OF FEMUR WITH MCC $7,449 – $19,806 · median $9,932 5 plans
534 FRACTURES OF FEMUR WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,449 – $19,806 · median $9,932 5 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
539 OSTEOMYELITIS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
540 OSTEOMYELITIS WITH CC $7,449 – $19,806 · median $9,932 5 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $7,449 – $19,806 · median $9,932 5 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $7,449 – $19,806 · median $9,932 5 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $7,449 – $19,806 · median $9,932 5 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $7,449 – $19,806 · median $9,932 5 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
548 SEPTIC ARTHRITIS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
549 SEPTIC ARTHRITIS WITH CC $7,449 – $19,806 · median $9,932 5 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
551 MEDICAL BACK PROBLEMS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $7,449 – $19,806 · median $9,932 5 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $7,449 – $19,806 · median $9,932 5 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $7,449 – $19,806 · median $9,932 5 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,449 – $19,806 · median $9,932 5 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $7,449 – $19,806 · median $9,932 5 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $7,449 – $19,806 · median $9,932 5 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $7,449 – $19,806 · median $9,932 5 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,449 – $19,806 · median $9,932 5 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
570 SKIN DEBRIDEMENT WITH MCC $12,480 – $21,031 · median $16,640 5 plans
571 SKIN DEBRIDEMENT WITH CC $12,480 – $21,031 · median $16,640 5 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $12,480 – $21,031 · median $16,640 5 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $12,480 – $21,031 · median $16,640 5 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $12,480 – $21,031 · median $16,640 5 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $12,480 – $21,031 · median $16,640 5 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
592 SKIN ULCERS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
593 SKIN ULCERS WITH CC $7,449 – $19,806 · median $9,932 5 plans
594 SKIN ULCERS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
595 MAJOR SKIN DISORDERS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
598 MALIGNANT BREAST DISORDERS WITH CC $7,449 – $19,806 · median $9,932 5 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,449 – $19,806 · median $9,932 5 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
602 CELLULITIS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $7,449 – $19,806 · median $9,932 5 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
606 MINOR SKIN DISORDERS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $12,480 – $21,031 · median $16,640 5 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $12,480 – $21,031 · median $16,640 5 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $12,480 – $21,031 · median $16,640 5 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $12,480 – $21,031 · median $16,640 5 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $12,480 – $21,031 · median $16,640 5 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $12,480 – $21,031 · median $16,640 5 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
637 DIABETES WITH MCC $7,449 – $19,806 · median $9,932 5 plans
638 DIABETES WITH CC $7,449 – $19,806 · median $9,932 5 plans
639 DIABETES WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $7,449 – $19,806 · median $9,932 5 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $7,449 – $19,806 · median $9,932 5 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $7,449 – $19,806 · median $9,932 5 plans
643 ENDOCRINE DISORDERS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
644 ENDOCRINE DISORDERS WITH CC $7,449 – $19,806 · median $9,932 5 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
654 MAJOR BLADDER PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $12,480 – $21,031 · median $16,640 5 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $12,480 – $21,031 · median $16,640 5 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $13,823 – $21,031 · median $18,430 5 plans
662 MINOR BLADDER PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
663 MINOR BLADDER PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
665 PROSTATECTOMY WITH MCC $12,480 – $21,031 · median $16,640 5 plans
666 PROSTATECTOMY WITH CC $12,480 – $21,031 · median $16,640 5 plans
667 PROSTATECTOMY WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
669 TRANSURETHRAL PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
671 URETHRAL PROCEDURES WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
682 RENAL FAILURE WITH MCC $7,449 – $19,806 · median $9,932 5 plans
684 RENAL FAILURE WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,449 – $19,806 · median $9,932 5 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
697 URETHRAL STRICTURE $7,449 – $19,806 · median $9,932 5 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $7,449 – $19,806 · median $9,932 5 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,449 – $19,806 · median $9,932 5 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
709 PENIS PROCEDURES WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
711 TESTES PROCEDURES WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $7,449 – $19,806 · median $9,932 5 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $7,449 – $19,806 · median $9,932 5 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $7,449 – $19,806 · median $9,932 5 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $7,449 – $19,806 · median $9,932 5 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,449 – $19,806 · median $9,932 5 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $12,480 – $21,031 · median $16,640 5 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $12,480 – $21,031 · median $16,640 5 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $7,449 – $19,806 · median $9,932 5 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,449 – $19,806 · median $9,932 5 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $7,449 – $19,806 · median $9,932 5 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,449 – $19,806 · median $9,932 5 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,449 – $19,806 · median $9,932 5 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $12,480 – $21,031 · median $16,640 5 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $12,480 – $21,031 · median $16,640 5 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $7,449 – $19,806 · median $9,932 5 plans
779 ABORTION WITHOUT D&C $7,449 – $19,806 · median $9,932 5 plans
799 SPLENIC PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
800 SPLENIC PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $12,480 – $21,031 · median $16,640 5 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,480 – $21,031 · median $16,640 5 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $7,449 – $19,806 · median $9,932 5 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $7,449 – $19,806 · median $9,932 5 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $7,449 – $19,806 · median $9,932 5 plans
811 RED BLOOD CELL DISORDERS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
813 COAGULATION DISORDERS $7,449 – $19,806 · median $9,932 5 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,449 – $19,806 · median $9,932 5 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $12,480 – $21,031 · median $16,640 5 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $12,480 – $21,031 · median $16,640 5 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $12,480 – $21,031 · median $16,640 5 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $12,480 – $21,031 · median $16,640 5 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $12,480 – $21,031 · median $16,640 5 plans
834 ACUTE LEUKEMIA WITH MCC $7,449 – $19,806 · median $9,932 5 plans
835 ACUTE LEUKEMIA WITH CC $7,449 – $19,806 · median $9,932 5 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $7,449 – $19,806 · median $9,932 5 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $7,449 – $19,806 · median $9,932 5 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $7,449 – $19,806 · median $9,932 5 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $7,449 – $19,806 · median $9,932 5 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $7,449 – $19,806 · median $9,932 5 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $7,449 – $19,806 · median $9,932 5 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $7,449 – $19,806 · median $9,932 5 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $7,449 – $19,806 · median $9,932 5 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
849 RADIOTHERAPY $7,449 – $19,806 · median $9,932 5 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $12,480 – $21,031 · median $16,640 5 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $12,480 – $21,031 · median $16,640 5 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
864 FEVER AND INFLAMMATORY CONDITIONS $7,449 – $19,806 · median $9,932 5 plans
865 VIRAL ILLNESS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
866 VIRAL ILLNESS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $7,449 – $19,806 · median $9,932 5 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,449 – $19,806 · median $9,932 5 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $7,449 – $19,806 · median $9,932 5 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $12,480 – $21,031 · median $16,640 5 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,449 – $19,806 · median $9,932 5 plans
881 DEPRESSIVE NEUROSES $7,449 – $19,806 · median $9,932 5 plans
882 NEUROSES EXCEPT DEPRESSIVE $7,449 – $19,806 · median $9,932 5 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $7,449 – $19,806 · median $9,932 5 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $7,449 – $19,806 · median $9,932 5 plans
885 PSYCHOSES $7,449 – $19,806 · median $9,932 5 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $7,449 – $19,806 · median $9,932 5 plans
887 OTHER MENTAL DISORDER DIAGNOSES $7,449 – $19,806 · median $9,932 5 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $7,449 – $19,806 · median $9,932 5 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $7,449 – $19,806 · median $9,932 5 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $7,449 – $19,806 · median $9,932 5 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,480 – $21,031 · median $16,640 5 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
906 HAND PROCEDURES FOR INJURIES $12,480 – $21,031 · median $16,640 5 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $12,480 – $21,031 · median $16,640 5 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
913 TRAUMATIC INJURY WITH MCC $7,449 – $19,806 · median $9,932 5 plans
914 TRAUMATIC INJURY WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
915 ALLERGIC REACTIONS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
916 ALLERGIC REACTIONS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $7,449 – $19,806 · median $9,932 5 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,449 – $19,806 · median $9,932 5 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $7,449 – $19,806 · median $9,932 5 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT — 5 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $12,480 – $21,031 · median $16,640 5 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $7,449 – $19,806 · median $9,932 5 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $7,449 – $19,806 · median $9,932 5 plans
935 NON-EXTENSIVE BURNS $7,449 – $19,806 · median $9,932 5 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $12,480 – $21,031 · median $16,640 5 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $12,480 – $21,031 · median $16,640 5 plans
947 SIGNS AND SYMPTOMS WITH MCC $7,449 – $19,806 · median $9,932 5 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $7,449 – $19,806 · median $9,932 5 plans
949 AFTERCARE WITH CC/MCC $7,449 – $19,806 · median $9,932 5 plans
950 AFTERCARE WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $7,449 – $19,806 · median $9,932 5 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $12,480 – $21,031 · median $16,640 5 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $12,480 – $21,031 · median $16,640 5 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $12,480 – $21,031 · median $16,640 5 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $12,480 – $21,031 · median $16,640 5 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $7,449 – $19,806 · median $9,932 5 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $7,449 – $19,806 · median $9,932 5 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $12,480 – $21,031 · median $16,640 5 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $12,480 – $21,031 · median $16,640 5 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $7,449 – $19,806 · median $9,932 5 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $7,449 – $19,806 · median $9,932 5 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,449 – $19,806 · median $9,932 5 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $7,449 – $19,806 · median $9,932 5 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $12,480 – $21,031 · median $16,640 5 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,480 – $21,031 · median $16,640 5 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $12,480 – $21,031 · median $16,640 5 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,480 – $21,031 · median $16,640 5 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,480 – $21,031 · median $16,640 5 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $410,350 – $547,133 · median $437,706 3 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $410,350 – $547,133 · median $437,706 3 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH $184,856 – $246,474 · median $197,179 3 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC $151,838 – $202,450 · median $161,960 3 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $17,429 – $124,436 · median $19,806 3 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $17,429 – $64,425 · median $19,806 3 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $17,429 – $64,425 · median $19,806 3 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $18,507 – $35,143 · median $21,031 3 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $18,507 – $35,143 · median $21,031 3 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $18,507 – $35,143 · median $21,031 3 plans
652 KIDNEY TRANSPLANT $18,507 – $58,000 · median $21,031 3 plans
693 URINARY STONES WITH MCC $11,613 – $15,484 · median $12,387 3 plans
694 URINARY STONES WITHOUT MCC $11,613 – $15,484 · median $12,387 3 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $18,507 – $21,031 · median $19,769 2 plans
006 LIVER TRANSPLANT WITHOUT MCC $18,507 – $21,031 · median $19,769 2 plans
007 LUNG TRANSPLANT — 2 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $18,507 – $21,031 · median $19,769 2 plans
010 PANCREAS TRANSPLANT $18,507 – $21,031 · median $19,769 2 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 2 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $18,507 – $21,031 · median $19,769 2 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $18,507 – $21,031 · median $19,769 2 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $18,507 – $21,031 · median $19,769 2 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $18,507 – $21,031 · median $19,769 2 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $18,507 – $21,031 · median $19,769 2 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $18,507 – $21,031 · median $19,769 2 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $17,429 – $19,806 · median $18,618 2 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $17,429 – $19,806 · median $18,618 2 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $17,429 – $19,806 · median $18,618 2 plans
774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES $6,897 – $6,897 · median $6,897 1 plans
775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES $6,897 – $6,897 · median $6,897 1 plans
795 NORMAL NEWBORN $375 – $375 · median $375 1 plans
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