Baylor Surgical Hospital at Las Colinas — Pricing

782 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 782 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 782
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 782 procedures

Procedures with negotiated rates only

These 782 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
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $4,582 – $476,610 21 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 21 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $4,582 – $374,981 21 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $4,582 – $258,544 21 plans
006 LIVER TRANSPLANT WITHOUT MCC $4,582 – $85,071 · median $8,096 21 plans
007 LUNG TRANSPLANT $4,582 – $215,741 21 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $4,582 – $92,543 · median $8,096 21 plans
010 PANCREAS TRANSPLANT $4,582 – $84,662 · median $8,096 21 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $4,582 – $90,689 · median $8,096 21 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $4,582 – $70,438 · median $8,096 21 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $4,582 – $47,236 · median $8,096 21 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $4,582 – $201,574 21 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $4,582 – $108,641 · median $8,096 21 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $4,582 – $108,641 · median $8,096 21 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $4,582 – $647,989 21 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $4,582 – $140,590 · median $8,096 21 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $4,582 – $148,661 · median $8,096 21 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $4,582 – $108,015 · median $8,096 21 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $4,582 – $66,637 · median $8,096 21 plans
028 SPINAL PROCEDURES WITH MCC $4,582 – $105,987 · median $8,096 21 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $4,582 – $60,295 · median $8,096 21 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $4,582 – $40,787 · median $8,096 21 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $4,582 – $72,403 · median $8,096 21 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $4,582 – $28,544 · median $8,096 21 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $4,582 – $68,618 · median $8,096 21 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $4,582 – $40,444 · median $8,096 21 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $4,582 – $31,803 · median $8,096 21 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $4,582 – $59,370 · median $8,096 21 plans
038 EXTRACRANIAL PROCEDURES WITH CC $4,582 – $28,139 · median $8,096 21 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $4,582 – $20,068 · median $8,096 21 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $4,582 – $67,723 · median $8,096 21 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $4,582 – $39,234 · median $8,096 21 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $4,582 – $30,600 · median $8,096 21 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $4,582 – $30,390 · median $8,096 21 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $4,582 – $20,880 · median $8,096 21 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $4,582 – $15,783 · median $8,013 21 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $4,582 – $49,296 · median $8,096 21 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $4,582 – $26,150 · median $8,096 21 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $4,582 – $35,229 · median $8,096 21 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $4,582 – $17,876 · median $8,096 21 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,582 – $12,092 · median $7,849 21 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $4,582 – $24,920 · median $8,096 21 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $4,582 – $15,319 · median $7,947 21 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $4,582 – $14,048 · median $7,947 21 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $4,582 – $31,474 · median $8,096 21 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $4,582 – $18,675 · median $8,096 21 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $4,582 – $13,771 · median $7,947 21 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $4,582 – $26,611 · median $8,096 21 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $4,582 – $18,049 · median $8,096 21 plans
075 VIRAL MENINGITIS WITH CC/MCC $4,582 – $33,660 · median $8,096 21 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $4,582 – $16,225 · median $8,096 21 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $4,582 – $26,574 · median $8,096 21 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $4,582 – $17,885 · median $8,096 21 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $4,582 – $38,847 · median $8,096 21 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $4,582 – $15,996 · median $8,096 21 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $4,582 – $40,071 · median $8,096 21 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $4,582 – $23,856 · median $8,096 21 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $4,582 – $16,176 · median $8,096 21 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $4,582 – $39,974 · median $8,096 21 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $4,582 – $23,165 · median $8,096 21 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $4,582 – $15,586 · median $7,947 21 plans
088 CONCUSSION WITH MCC $4,582 – $26,976 · median $8,096 21 plans
089 CONCUSSION WITH CC $4,582 – $20,224 · median $8,096 21 plans
090 CONCUSSION WITHOUT CC/MCC $4,582 – $16,441 · median $8,096 21 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $4,582 – $31,468 · median $8,096 21 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $4,582 – $18,047 · median $8,096 21 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,582 – $13,620 · median $7,947 21 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $4,582 – $63,716 · median $8,096 21 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $4,582 – $41,933 · median $8,096 21 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,582 – $38,337 · median $8,096 21 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $4,582 – $63,966 · median $8,096 21 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $4,582 – $37,893 · median $8,096 21 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $4,582 – $23,220 · median $8,096 21 plans
100 SEIZURES WITH MCC $4,582 – $34,868 · median $8,096 21 plans
101 SEIZURES WITHOUT MCC $4,582 – $15,998 · median $8,096 21 plans
102 HEADACHES WITH MCC $4,582 – $21,222 · median $8,096 21 plans
103 HEADACHES WITHOUT MCC $4,582 – $14,816 · median $7,947 21 plans
113 ORBITAL PROCEDURES WITH CC/MCC $4,582 – $44,098 · median $8,096 21 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $4,582 – $21,665 · median $8,096 21 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $4,582 – $27,515 · median $8,096 21 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $4,582 – $32,200 · median $8,096 21 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $4,582 – $21,077 · median $8,096 21 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $4,582 – $22,534 · median $8,096 21 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,582 – $13,094 · median $7,947 21 plans
123 NEUROLOGICAL EYE DISORDERS $4,582 – $14,141 · median $7,947 21 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $4,582 – $23,250 · median $8,096 21 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,582 – $14,026 · median $7,947 21 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $4,582 – $46,645 · median $8,096 21 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $4,582 – $16,517 · median $8,096 21 plans
137 MOUTH PROCEDURES WITH CC/MCC $4,582 – $26,465 · median $8,096 21 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $4,582 – $15,226 · median $7,947 21 plans
139 SALIVARY GLAND PROCEDURES $4,582 – $20,889 · median $8,096 21 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $4,582 – $66,449 · median $8,096 21 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $4,582 – $36,437 · median $8,096 21 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $4,582 – $27,173 · median $8,096 21 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $4,582 – $58,491 · median $8,096 21 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $4,582 – $30,436 · median $8,096 21 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $4,582 – $21,477 · median $8,096 21 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $4,582 – $37,128 · median $8,096 21 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $4,582 – $21,735 · median $8,096 21 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $4,582 – $15,648 · median $7,947 21 plans
149 DYSEQUILIBRIUM $4,582 – $13,098 · median $7,947 21 plans
150 EPISTAXIS WITH MCC $4,582 – $23,119 · median $8,096 21 plans
151 EPISTAXIS WITHOUT MCC $4,582 – $13,555 · median $7,947 21 plans
152 OTITIS MEDIA AND URI WITH MCC $4,582 – $20,898 · median $8,096 21 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $4,582 – $12,924 · median $7,947 21 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $4,582 – $27,054 · median $8,096 21 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,582 – $16,649 · median $8,096 21 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,582 – $11,861 · median $7,483 21 plans
157 DENTAL AND ORAL DISEASES WITH MCC $4,582 – $30,023 · median $8,096 21 plans
158 DENTAL AND ORAL DISEASES WITH CC $4,582 – $16,506 · median $8,096 21 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,582 – $11,875 · median $7,708 21 plans
163 MAJOR CHEST PROCEDURES WITH MCC $4,582 – $82,903 · median $8,096 21 plans
164 MAJOR CHEST PROCEDURES WITH CC $4,582 – $44,856 · median $8,096 21 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $4,582 – $33,002 · median $8,096 21 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $4,582 – $71,369 · median $8,096 21 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $4,582 – $32,007 · median $8,096 21 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,582 – $23,844 · median $8,096 21 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $4,582 – $54,083 · median $8,096 21 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $4,582 – $24,676 · median $8,096 21 plans
176 PULMONARY EMBOLISM WITHOUT MCC $4,582 – $14,345 · median $7,947 21 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $4,582 – $29,836 · median $8,096 21 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $4,582 – $17,354 · median $8,096 21 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $4,582 – $13,425 · median $7,947 21 plans
180 RESPIRATORY NEOPLASMS WITH MCC $4,582 – $30,571 · median $8,096 21 plans
181 RESPIRATORY NEOPLASMS WITH CC $4,582 – $19,366 · median $8,096 21 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $4,582 – $13,349 · median $7,947 21 plans
183 MAJOR CHEST TRAUMA WITH MCC $4,582 – $27,692 · median $8,096 21 plans
184 MAJOR CHEST TRAUMA WITH CC $4,582 – $18,501 · median $8,096 21 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,582 – $13,291 · median $7,947 21 plans
186 PLEURAL EFFUSION WITH MCC $4,582 – $27,298 · median $8,096 21 plans
187 PLEURAL EFFUSION WITH CC $4,582 – $17,523 · median $8,096 21 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,582 – $13,129 · median $7,947 21 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $4,582 – $21,668 · median $8,096 21 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $4,582 – $19,382 · median $8,096 21 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $4,582 – $14,932 · median $7,947 21 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,582 – $11,861 · median $7,433 21 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $4,582 – $23,332 · median $8,096 21 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $4,582 – $14,461 · median $7,947 21 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,582 – $11,861 · median $7,433 21 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $4,582 – $33,336 · median $8,096 21 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $4,582 – $17,544 · median $8,096 21 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,582 – $13,687 · median $7,947 21 plans
199 PNEUMOTHORAX WITH MCC $4,582 – $31,203 · median $8,096 21 plans
200 PNEUMOTHORAX WITH CC $4,582 – $18,942 · median $8,096 21 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $4,582 – $12,419 · median $7,947 21 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $4,582 – $16,841 · median $8,096 21 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,582 – $12,222 · median $7,933 21 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $4,582 – $14,473 · median $7,947 21 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $4,582 – $31,840 · median $8,096 21 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,582 – $16,067 · median $8,096 21 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $4,582 – $121,498 · median $8,096 21 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $4,582 – $47,554 · median $8,096 21 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES $4,582 – $189,435 21 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $4,582 – $179,658 21 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $4,582 – $84,542 · median $8,096 21 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $4,582 – $49,408 · median $8,096 21 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $4,582 – $24,444 · median $8,096 21 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $4,582 – $48,321 · median $8,096 21 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $4,582 – $28,839 · median $8,096 21 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $4,582 – $17,430 · median $8,096 21 plans
263 VEIN LIGATION AND STRIPPING $4,582 – $49,690 · median $8,096 21 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $4,582 – $57,442 · median $8,096 21 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $4,582 – $34,673 · median $8,096 21 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,582 – $13,010 · median $7,947 21 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,364 – $11,861 · median $7,318 21 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $4,582 – $45,606 · median $8,096 21 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $4,582 – $25,990 · median $8,096 21 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $4,582 – $18,031 · median $8,096 21 plans
291 HEART FAILURE AND SHOCK WITH MCC $4,582 – $22,581 · median $8,096 21 plans
292 HEART FAILURE AND SHOCK WITH CC $4,582 – $15,064 · median $7,947 21 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,582 – $11,861 · median $7,433 21 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $4,582 – $19,236 · median $8,096 21 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,582 – $11,861 · median $7,433 21 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $4,582 – $28,197 · median $8,096 21 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,582 – $12,815 · median $7,947 21 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,919 – $11,861 · median $7,318 21 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $4,582 – $27,722 · median $8,096 21 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $4,582 – $18,766 · median $8,096 21 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,582 – $12,484 · median $7,947 21 plans
302 ATHEROSCLEROSIS WITH MCC $4,582 – $19,718 · median $8,096 21 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,582 – $11,861 · median $7,513 21 plans
304 HYPERTENSION WITH MCC $4,582 – $20,209 · median $8,096 21 plans
305 HYPERTENSION WITHOUT MCC $4,582 – $13,253 · median $7,947 21 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $4,582 – $27,029 · median $8,096 21 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $4,582 – $16,578 · median $8,096 21 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $4,582 – $21,144 · median $8,096 21 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,582 – $13,098 · median $7,947 21 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,582 – $11,861 · median $7,433 21 plans
311 ANGINA PECTORIS $4,582 – $12,278 · median $7,947 21 plans
312 SYNCOPE AND COLLAPSE $4,582 – $15,187 · median $7,947 21 plans
313 CHEST PAIN $4,582 – $12,727 · median $7,947 21 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $4,582 – $36,820 · median $8,096 21 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $4,582 – $17,013 · median $8,096 21 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,582 – $12,183 · median $7,908 21 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $4,582 – $89,329 · median $8,096 21 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $4,582 – $43,924 · median $8,096 21 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $4,582 – $28,093 · median $8,096 21 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $4,582 – $79,441 · median $8,096 21 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $4,582 – $41,721 · median $8,096 21 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $4,582 – $29,407 · median $8,096 21 plans
332 RECTAL RESECTION WITH MCC $4,582 – $63,802 · median $8,096 21 plans
333 RECTAL RESECTION WITH CC $4,582 – $36,574 · median $8,096 21 plans
334 RECTAL RESECTION WITHOUT CC/MCC $4,582 – $28,231 · median $8,096 21 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $4,582 – $62,877 · median $8,096 21 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $4,582 – $37,028 · median $8,096 21 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $4,582 – $26,319 · median $8,096 21 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $4,582 – $48,198 · median $8,096 21 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $4,582 – $27,096 · median $8,096 21 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $4,582 – $22,650 · median $8,096 21 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $4,582 – $44,834 · median $8,096 21 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $4,582 – $22,889 · median $8,096 21 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $4,582 – $17,162 · median $8,096 21 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $4,582 – $42,211 · median $8,096 21 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $4,582 – $25,601 · median $8,096 21 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $4,582 – $19,505 · median $8,096 21 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $4,582 – $51,433 · median $8,096 21 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $4,582 – $30,213 · median $8,096 21 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $4,582 – $23,965 · median $8,096 21 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $4,582 – $75,254 · median $8,096 21 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $4,582 – $38,637 · median $8,096 21 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,582 – $22,532 · median $8,096 21 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $4,582 – $29,055 · median $8,096 21 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $4,582 – $17,382 · median $8,096 21 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,582 – $13,080 · median $7,947 21 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $4,582 – $30,739 · median $8,096 21 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $4,582 – $18,332 · median $8,096 21 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,582 – $12,602 · median $7,947 21 plans
374 DIGESTIVE MALIGNANCY WITH MCC $4,582 – $36,917 · median $8,096 21 plans
375 DIGESTIVE MALIGNANCY WITH CC $4,582 – $21,076 · median $8,096 21 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $4,582 – $15,678 · median $7,959 21 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $4,582 – $31,488 · median $8,096 21 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $4,582 – $17,303 · median $8,096 21 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,582 – $11,861 · median $7,433 21 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $4,582 – $34,270 · median $8,096 21 plans
381 COMPLICATED PEPTIC ULCER WITH CC $4,582 – $18,872 · median $8,096 21 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,582 – $13,316 · median $7,947 21 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $4,582 – $24,592 · median $8,096 21 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $4,582 – $15,402 · median $7,947 21 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $4,582 – $27,559 · median $8,096 21 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $4,582 – $17,089 · median $8,096 21 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,582 – $12,032 · median $7,810 21 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $4,582 – $25,564 · median $8,096 21 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,582 – $14,007 · median $7,947 21 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,582 – $11,861 · median $7,433 21 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $4,582 – $22,437 · median $8,096 21 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,582 – $13,817 · median $7,947 21 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $4,582 – $28,486 · median $8,096 21 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $4,582 – $16,478 · median $8,096 21 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,582 – $11,861 · median $7,433 21 plans
397 APPENDIX PROCEDURES WITH MCC $4,582 – $39,513 · median $8,096 21 plans
398 APPENDIX PROCEDURES WITH CC $4,582 – $26,616 · median $8,096 21 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $4,582 – $19,577 · median $8,096 21 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $4,582 – $96,825 · median $8,096 21 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $4,582 – $50,784 · median $8,096 21 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $4,582 – $37,832 · median $8,096 21 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $4,582 – $65,466 · median $8,096 21 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $4,582 – $34,425 · median $8,096 21 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $4,582 – $27,529 · median $8,096 21 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $4,582 – $50,662 · median $8,096 21 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $4,582 – $35,976 · median $8,096 21 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $4,582 – $26,551 · median $8,096 21 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $4,582 – $62,001 · median $8,096 21 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $4,582 – $34,750 · median $8,096 21 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $4,582 – $23,554 · median $8,096 21 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $4,582 – $40,765 · median $8,096 21 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $4,582 – $28,751 · median $8,096 21 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $4,582 – $23,097 · median $8,096 21 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $4,582 – $56,296 · median $8,096 21 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $4,582 – $30,068 · median $8,096 21 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $4,582 – $24,817 · median $8,096 21 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $4,582 – $68,785 · median $8,096 21 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $4,582 – $36,711 · median $8,096 21 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $4,582 – $28,174 · median $8,096 21 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $4,582 – $33,699 · median $8,096 21 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $4,582 – $18,133 · median $8,096 21 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,582 – $11,861 · median $7,643 21 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $4,582 – $30,953 · median $8,096 21 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $4,582 – $19,359 · median $8,096 21 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $4,582 – $14,617 · median $7,947 21 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $4,582 – $29,351 · median $8,096 21 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $4,582 – $15,041 · median $7,947 21 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,582 – $11,861 · median $7,433 21 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $4,582 – $32,154 · median $8,096 21 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $4,582 – $16,735 · median $8,096 21 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,582 – $12,570 · median $7,947 21 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $4,582 – $28,725 · median $8,096 21 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $4,582 – $19,115 · median $8,096 21 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,582 – $14,097 · median $7,947 21 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $4,582 – $20,043 · median $8,096 21 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $4,582 – $109,364 · median $8,096 21 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $4,582 – $59,901 · median $8,096 21 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $4,582 – $35,985 · median $8,096 21 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $4,582 – $99,954 · median $8,096 21 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $4,582 – $46,592 · median $8,096 21 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $4,582 – $28,325 · median $8,096 21 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $4,582 – $58,783 · median $8,096 21 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $4,582 – $30,719 · median $8,096 21 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $4,582 – $23,686 · median $8,096 21 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $4,582 – $29,321 · median $8,096 21 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $4,582 – $26,767 · median $8,096 21 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $4,582 – $34,448 · median $8,096 21 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $4,582 – $29,618 · median $8,096 21 plans
592 SKIN ULCERS WITH MCC $4,582 – $36,761 · median $8,096 21 plans
593 SKIN ULCERS WITH CC $4,582 – $21,280 · median $8,096 21 plans
594 SKIN ULCERS WITHOUT CC/MCC $4,582 – $13,849 · median $7,947 21 plans
595 MAJOR SKIN DISORDERS WITH MCC $4,582 – $38,254 · median $8,096 21 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $4,582 – $17,746 · median $8,096 21 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $4,582 – $28,150 · median $8,096 21 plans
598 MALIGNANT BREAST DISORDERS WITH CC $4,582 – $21,084 · median $8,096 21 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,582 – $11,861 · median $7,433 21 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $4,582 – $18,036 · median $8,096 21 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,582 – $11,861 · median $7,433 21 plans
602 CELLULITIS WITH MCC $4,582 – $26,162 · median $8,096 21 plans
603 CELLULITIS WITHOUT MCC $4,582 – $15,560 · median $7,947 21 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $4,582 – $26,491 · median $8,096 21 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $4,582 – $15,984 · median $8,096 21 plans
606 MINOR SKIN DISORDERS WITH MCC $4,582 – $27,891 · median $8,096 21 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $4,582 – $15,715 · median $7,978 21 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $4,582 – $39,615 · median $8,096 21 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $4,582 – $25,874 · median $8,096 21 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $4,582 – $69,608 · median $8,096 21 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $4,582 – $34,903 · median $8,096 21 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $4,582 – $20,428 · median $8,096 21 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $4,582 – $67,285 · median $8,096 21 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $4,582 – $32,738 · median $8,096 21 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $4,582 – $19,602 · median $8,096 21 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $4,582 – $51,378 · median $8,096 21 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $4,582 – $26,240 · median $8,096 21 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $4,582 – $21,739 · median $8,096 21 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $4,582 – $70,607 · median $8,096 21 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $4,582 – $39,798 · median $8,096 21 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $4,582 – $24,558 · median $8,096 21 plans
637 DIABETES WITH MCC $4,582 – $25,490 · median $8,096 21 plans
638 DIABETES WITH CC $4,582 – $15,819 · median $8,031 21 plans
639 DIABETES WITHOUT CC/MCC $4,582 – $11,861 · median $7,433 21 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $4,582 – $23,132 · median $8,096 21 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,582 – $13,743 · median $7,947 21 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $4,582 – $22,922 · median $8,096 21 plans
643 ENDOCRINE DISORDERS WITH MCC $4,582 – $28,934 · median $8,096 21 plans
644 ENDOCRINE DISORDERS WITH CC $4,582 – $18,673 · median $8,096 21 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $4,582 – $13,383 · median $7,947 21 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $4,582 – $95,214 · median $8,096 21 plans
654 MAJOR BLADDER PROCEDURES WITH CC $4,582 – $48,147 · median $8,096 21 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $4,582 – $37,072 · median $8,096 21 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $4,582 – $55,184 · median $8,096 21 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $4,582 – $32,436 · median $8,096 21 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $4,582 – $26,037 · median $8,096 21 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $4,582 – $45,534 · median $8,096 21 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $4,582 – $23,672 · median $8,096 21 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $4,582 – $18,439 · median $8,096 21 plans
662 MINOR BLADDER PROCEDURES WITH MCC $4,582 – $52,706 · median $8,096 21 plans
663 MINOR BLADDER PROCEDURES WITH CC $4,582 – $25,661 · median $8,096 21 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $4,582 – $18,671 · median $8,096 21 plans
665 PROSTATECTOMY WITH MCC $4,582 – $54,331 · median $8,096 21 plans
666 PROSTATECTOMY WITH CC $4,582 – $30,206 · median $8,096 21 plans
667 PROSTATECTOMY WITHOUT CC/MCC $4,582 – $18,460 · median $8,096 21 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $4,582 – $49,563 · median $8,096 21 plans
669 TRANSURETHRAL PROCEDURES WITH CC $4,582 – $26,991 · median $8,096 21 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $4,582 – $16,930 · median $8,096 21 plans
671 URETHRAL PROCEDURES WITH CC/MCC $4,582 – $30,109 · median $8,096 21 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $4,582 – $16,228 · median $8,096 21 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $4,582 – $65,040 · median $8,096 21 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $4,582 – $41,898 · median $8,096 21 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $4,582 – $27,903 · median $8,096 21 plans
682 RENAL FAILURE WITH MCC $4,582 – $26,396 · median $8,096 21 plans
683 RENAL FAILURE WITH CC $4,582 – $15,843 · median $8,043 21 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,582 – $11,861 · median $7,433 21 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $4,582 – $32,351 · median $8,096 21 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $4,582 – $18,385 · median $8,096 21 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,582 – $13,734 · median $7,947 21 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $4,582 – $20,655 · median $8,096 21 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $4,582 – $14,192 · median $7,947 21 plans
693 URINARY STONES WITH MCC $4,582 – $24,910 · median $8,096 21 plans
694 URINARY STONES WITHOUT MCC $4,582 – $13,766 · median $7,947 21 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $4,582 – $21,035 · median $8,096 21 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,582 – $12,173 · median $7,901 21 plans
697 URETHRAL STRICTURE $4,582 – $19,577 · median $8,096 21 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $4,582 – $29,098 · median $8,096 21 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $4,582 – $17,954 · median $8,096 21 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,582 – $12,458 · median $7,947 21 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $4,582 – $34,506 · median $8,096 21 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $4,582 – $25,652 · median $8,096 21 plans
709 PENIS PROCEDURES WITH CC/MCC $4,582 – $37,287 · median $8,096 21 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $4,582 – $21,709 · median $8,096 21 plans
711 TESTES PROCEDURES WITH CC/MCC $4,582 – $37,338 · median $8,096 21 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $4,582 – $20,902 · median $8,096 21 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $4,582 – $25,515 · median $8,096 21 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $4,582 – $16,858 · median $8,096 21 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $4,582 – $38,826 · median $8,096 21 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $4,582 – $25,014 · median $8,096 21 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $4,582 – $31,899 · median $8,096 21 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $4,582 – $20,680 · median $8,096 21 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $4,582 – $32,974 · median $8,096 21 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $4,582 – $19,598 · median $8,096 21 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,582 – $14,237 · median $7,947 21 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $4,582 – $21,825 · median $8,096 21 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,582 – $12,855 · median $7,947 21 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $4,582 – $28,510 · median $8,096 21 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,582 – $14,072 · median $7,947 21 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $4,582 – $17,657 · median $8,096 21 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,582 – $11,861 · median $7,433 21 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $4,582 – $38,229 · median $8,096 21 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $4,582 – $22,164 · median $8,096 21 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $4,582 – $68,368 · median $8,096 21 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $4,582 – $34,715 · median $8,096 21 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $4,582 – $24,001 · median $8,096 21 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $4,582 – $63,603 · median $8,096 21 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $4,582 – $31,430 · median $8,096 21 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $4,582 – $22,852 · median $8,096 21 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $4,582 – $31,340 · median $8,096 21 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $4,582 – $20,437 · median $8,096 21 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $4,582 – $33,108 · median $8,096 21 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $4,582 – $18,219 · median $8,096 21 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $4,582 – $29,479 · median $8,096 21 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $4,582 – $15,604 · median $7,947 21 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $4,582 – $24,709 · median $8,096 21 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $4,582 – $44,273 · median $8,096 21 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,582 – $23,920 · median $8,096 21 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $4,582 – $32,582 · median $8,096 21 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,582 – $19,078 · median $8,096 21 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,582 – $17,407 · median $8,096 21 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $4,582 – $26,234 · median $8,096 21 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,582 – $17,458 · median $8,096 21 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,582 – $11,861 · median $7,433 21 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $4,582 – $17,507 · median $8,096 21 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,582 – $11,861 · median $7,433 21 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $4,582 – $27,154 · median $8,096 21 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $4,582 – $14,048 · median $7,947 21 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,582 – $12,605 · median $7,947 21 plans
779 ABORTION WITHOUT D&C $4,582 – $17,398 · median $8,096 21 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $4,582 – $31,162 · median $8,096 21 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $4,582 – $18,012 · median $8,096 21 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $4,582 – $15,236 · median $7,947 21 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $4,582 – $30,770 · median $8,096 21 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $4,582 – $18,487 · median $8,096 21 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $4,582 – $15,038 · median $7,947 21 plans
799 SPLENECTOMY WITH MCC $4,582 – $87,142 · median $8,096 21 plans
800 SPLENECTOMY WITH CC $4,582 – $49,558 · median $8,096 21 plans
801 SPLENECTOMY WITHOUT CC/MCC $4,582 – $31,477 · median $8,096 21 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $4,582 – $59,629 · median $8,096 21 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $4,582 – $32,682 · median $8,096 21 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $4,582 – $21,289 · median $8,096 21 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $4,582 – $38,519 · median $8,096 21 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $4,582 – $21,183 · median $8,096 21 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $4,582 – $17,667 · median $8,096 21 plans
811 RED BLOOD CELL DISORDERS WITH MCC $4,582 – $24,687 · median $8,096 21 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,582 – $15,842 · median $8,042 21 plans
813 COAGULATION DISORDERS $4,582 – $27,437 · median $8,096 21 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $4,582 – $37,429 · median $8,096 21 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $4,582 – $17,486 · median $8,096 21 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,582 – $12,491 · median $7,947 21 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $4,582 – $39,661 · median $8,096 21 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $4,582 – $20,632 · median $8,096 21 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $4,582 – $15,956 · median $8,096 21 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $4,582 – $106,349 · median $8,096 21 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $4,582 – $39,258 · median $8,096 21 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $4,582 – $21,788 · median $8,096 21 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $4,582 – $79,179 · median $8,096 21 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $4,582 – $39,272 · median $8,096 21 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $4,582 – $22,713 · median $8,096 21 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $4,582 – $77,190 · median $8,096 21 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $4,582 – $40,755 · median $8,096 21 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $4,582 – $28,851 · median $8,096 21 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $4,582 – $55,469 · median $8,096 21 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $4,582 – $27,810 · median $8,096 21 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $4,582 – $17,760 · median $8,096 21 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,582 – $12,975 · median $7,947 21 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,570 – $11,861 · median $7,433 21 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $4,582 – $98,475 · median $8,096 21 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $4,582 – $39,318 · median $8,096 21 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $4,582 – $21,058 · median $8,096 21 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $4,582 – $83,659 · median $8,096 21 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $4,582 – $34,339 · median $8,096 21 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,582 – $22,919 · median $8,096 21 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $4,582 – $54,966 · median $8,096 21 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $4,582 – $27,675 · median $8,096 21 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $4,582 – $18,756 · median $8,096 21 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $4,582 – $32,724 · median $8,096 21 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $4,582 – $20,353 · median $8,096 21 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $4,582 – $15,212 · median $7,947 21 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $4,582 – $42,985 · median $8,096 21 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $4,582 – $21,327 · median $8,096 21 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,582 – $13,358 · median $7,947 21 plans
849 RADIOTHERAPY $4,582 – $47,336 · median $8,096 21 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $4,582 – $87,928 · median $8,096 21 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $4,582 – $35,848 · median $8,096 21 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $4,582 – $29,931 · median $8,096 21 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $4,582 – $77,887 · median $8,096 21 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $4,582 – $37,563 · median $8,096 21 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $4,582 – $22,572 · median $8,096 21 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $4,582 – $32,397 · median $8,096 21 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $4,582 – $17,685 · median $8,096 21 plans
864 FEVER AND INFLAMMATORY CONDITIONS $4,582 – $15,527 · median $7,947 21 plans
865 VIRAL ILLNESS WITH MCC $4,582 – $28,843 · median $8,096 21 plans
866 VIRAL ILLNESS WITHOUT MCC $4,582 – $16,141 · median $8,096 21 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $4,582 – $36,799 · median $8,096 21 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $4,582 – $19,092 · median $8,096 21 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,582 – $12,148 · median $7,885 21 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $4,582 – $122,499 · median $8,096 21 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $4,582 – $34,870 · median $8,096 21 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $4,582 – $18,114 · median $8,096 21 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $4,582 – $76,117 · median $8,096 21 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $4,582 – $33,148 · median $8,096 21 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $4,582 – $21,836 · median $8,096 21 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $4,582 – $57,270 · median $8,096 21 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $4,582 – $27,854 · median $8,096 21 plans
906 HAND PROCEDURES FOR INJURIES $4,582 – $33,094 · median $8,096 21 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $4,582 – $65,419 · median $8,096 21 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $4,582 – $35,248 · median $8,096 21 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $4,582 – $23,855 · median $8,096 21 plans
913 TRAUMATIC INJURY WITH MCC $4,582 – $26,285 · median $8,096 21 plans
914 TRAUMATIC INJURY WITHOUT MCC $4,582 – $15,965 · median $8,096 21 plans
915 ALLERGIC REACTIONS WITH MCC $4,582 – $31,201 · median $8,096 21 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,582 – $11,861 · median $7,521 21 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $4,582 – $28,069 · median $8,096 21 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,582 – $15,142 · median $7,947 21 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $4,582 – $32,093 · median $8,096 21 plans
920 COMPLICATIONS OF TREATMENT WITH CC $4,582 – $18,182 · median $8,096 21 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,582 – $12,273 · median $7,947 21 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $4,582 – $30,689 · median $8,096 21 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $4,582 – $17,789 · median $8,096 21 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $4,582 – $56,551 · median $8,096 21 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $4,582 – $38,106 · median $8,096 21 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $4,582 – $32,643 · median $8,096 21 plans
947 SIGNS AND SYMPTOMS WITH MCC $4,582 – $22,013 · median $8,096 21 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,582 – $14,088 · median $7,947 21 plans
949 AFTERCARE WITH CC/MCC $4,582 – $18,223 · median $8,096 21 plans
950 AFTERCARE WITHOUT CC/MCC $4,582 – $11,861 · median $7,433 21 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,582 – $11,861 · median $7,433 21 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $4,582 – $48,091 · median $8,096 21 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $4,582 – $26,400 · median $8,096 21 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $4,582 – $16,812 · median $8,096 21 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $4,582 – $120,875 · median $8,096 21 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $4,582 – $42,289 · median $8,096 21 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $4,582 – $51,295 · median $8,096 21 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $4,582 – $23,978 · median $8,096 21 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $4,582 – $14,867 · median $7,947 21 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $4,582 – $24,906 · median $8,096 21 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $4,582 – $83,374 · median $8,096 21 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $4,582 – $43,724 · median $8,096 21 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,582 – $28,760 · median $8,096 21 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $4,582 – $59,389 · median $8,096 21 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $4,582 – $29,847 · median $8,096 21 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,582 – $19,000 · median $8,096 21 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $4,582 – $17,303 · median $8,176 20 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $4,582 – $25,916 · median $8,176 20 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $4,582 – $18,875 · median $8,176 20 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $4,582 – $42,106 · median $8,176 20 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $4,582 – $23,976 · median $8,176 20 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $4,582 – $123,746 · median $8,335 20 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $4,582 – $109,225 · median $8,176 20 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $4,582 – $84,113 · median $8,176 20 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $4,582 – $78,450 · median $8,176 20 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $4,582 – $56,292 · median $8,176 20 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $4,582 – $50,560 · median $8,176 20 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $4,582 – $32,070 · median $8,176 20 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $4,582 – $72,814 · median $8,176 20 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $4,582 – $52,212 · median $8,176 20 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $4,582 – $46,508 · median $8,176 20 plans
533 FRACTURES OF FEMUR WITH MCC $4,582 – $28,693 · median $8,176 20 plans
534 FRACTURES OF FEMUR WITHOUT MCC $4,582 – $14,246 · median $8,022 20 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $4,582 – $22,806 · median $8,176 20 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $4,582 – $13,844 · median $8,022 20 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $4,582 – $17,008 · median $8,176 20 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,582 – $12,472 · median $8,021 20 plans
539 OSTEOMYELITIS WITH MCC $4,582 – $34,902 · median $8,176 20 plans
540 OSTEOMYELITIS WITH CC $4,582 – $22,833 · median $8,176 20 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $4,582 – $15,089 · median $8,022 20 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $4,582 – $32,075 · median $8,176 20 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $4,582 – $19,183 · median $8,176 20 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $4,582 – $13,499 · median $8,022 20 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $4,582 – $43,850 · median $8,176 20 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $4,582 – $21,093 · median $8,176 20 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,582 – $14,306 · median $8,022 20 plans
548 SEPTIC ARTHRITIS WITH MCC $4,582 – $34,293 · median $8,176 20 plans
549 SEPTIC ARTHRITIS WITH CC $4,582 – $21,215 · median $8,176 20 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $4,582 – $16,195 · median $8,159 20 plans
551 MEDICAL BACK PROBLEMS WITH MCC $4,582 – $29,933 · median $8,176 20 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $4,582 – $16,995 · median $8,176 20 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $4,582 – $23,770 · median $8,176 20 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,582 – $14,454 · median $8,022 20 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,582 – $24,606 · median $8,176 20 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $4,582 – $14,500 · median $8,022 20 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $4,582 – $27,381 · median $8,176 20 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,582 – $15,449 · median $8,022 20 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,582 – $32,547 · median $8,176 20 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $4,582 – $19,911 · median $8,176 20 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,582 – $13,722 · median $8,022 20 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $4,582 – $26,746 · median $8,176 20 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $4,582 – $15,752 · median $8,046 20 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $4,582 – $27,471 · median $8,176 20 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $4,582 – $17,577 · median $8,176 20 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $4,582 – $13,200 · median $8,022 20 plans
570 SKIN DEBRIDEMENT WITH MCC $4,582 – $51,396 · median $8,176 20 plans
571 SKIN DEBRIDEMENT WITH CC $4,582 – $29,757 · median $8,176 20 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $4,582 – $37,881 · median $8,255 19 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $4,582 – $32,919 · median $8,255 19 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $4,582 – $11,861 · median $7,947 19 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $4,582 – $11,861 · median $7,947 19 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,582 – $11,861 · median $7,947 19 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $4,582 – $11,861 · median $7,947 19 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $4,582 – $11,861 · median $7,947 19 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,582 – $11,861 · median $7,947 19 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $4,582 – $11,861 · median $7,947 19 plans
999 UNGROUPABLE $4,582 – $11,861 · median $7,947 19 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,582 – $13,029 · median $7,765 18 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $4,582 – $182,036 17 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $4,582 – $61,148 · median $8,255 17 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $4,582 – $99,703 · median $8,255 17 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $5,854 – $77,669 · median $8,573 17 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $5,854 – $42,790 · median $8,573 17 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $5,854 – $120,560 · median $10,675 17 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $5,854 – $73,141 · median $8,573 17 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $5,854 – $88,941 · median $8,573 17 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $5,854 – $60,788 · median $8,573 17 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $5,854 – $42,906 · median $8,573 17 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $5,854 – $68,540 · median $8,573 17 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $5,854 – $56,999 · median $8,573 17 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $4,582 – $76,717 · median $8,873 16 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $4,582 – $39,151 · median $8,873 16 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $5,854 – $24,947 · median $8,873 16 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $5,854 – $17,516 · median $8,733 16 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $5,854 – $14,267 · median $8,414 16 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $5,854 – $17,732 · median $8,788 16 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,854 – $13,133 · median $8,549 16 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,842 – $11,861 · median $8,176 16 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $4,582 – $65,630 · median $7,765 16 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $4,582 – $16,790 · median $7,765 16 plans
881 DEPRESSIVE NEUROSES $4,582 – $15,944 · median $7,764 16 plans
882 NEUROSES EXCEPT DEPRESSIVE $4,582 – $16,520 · median $7,765 16 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $4,582 – $32,985 · median $7,765 16 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $4,582 – $30,900 · median $7,765 16 plans
885 PSYCHOSES $4,582 – $24,032 · median $7,765 16 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $4,582 – $29,578 · median $7,765 16 plans
887 OTHER MENTAL DISORDER DIAGNOSES $4,582 – $22,787 · median $7,765 16 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,582 – $10,104 · median $7,131 16 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $4,582 – $28,296 · median $7,765 16 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $4,582 – $31,273 · median $7,765 16 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $4,582 – $15,048 · median $7,536 16 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $4,582 – $463,597 16 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $4,582 – $121,704 · median $7,765 16 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $4,582 – $56,554 · median $7,765 16 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $4,582 – $53,327 · median $7,765 16 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $4,582 – $36,803 · median $7,765 16 plans
935 NON-EXTENSIVE BURNS $4,582 – $35,899 · median $7,765 16 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $5,854 – $41,346 · median $9,172 15 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $5,854 – $27,910 · median $9,172 15 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $5,854 – $21,424 · median $8,573 15 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $7,188 – $51,939 · median $9,924 14 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $7,188 – $34,200 · median $9,924 14 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $5,854 – $11,861 · median $8,176 14 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $5,854 – $11,861 · median $8,176 14 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $5,854 – $11,861 · median $8,176 14 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $5,854 – $11,861 · median $8,176 14 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $7,073 – $109,856 · median $9,924 14 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $7,073 – $85,833 · median $9,924 14 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $7,188 – $52,662 · median $9,924 14 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $7,188 – $37,149 · median $9,924 14 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $4,582 – $32,000 · median $7,311 14 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $4,582 – $105,530 · median $7,311 14 plans
791 PREMATURITY WITH MAJOR PROBLEMS $4,582 – $72,070 · median $7,311 14 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $4,582 – $43,486 · median $7,311 14 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $4,582 – $74,033 · median $7,311 14 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,582 – $26,204 · median $7,311 14 plans
945 REHABILITATION WITH CC/MCC $4,582 – $26,549 · median $7,311 14 plans
946 REHABILITATION WITHOUT CC/MCC $4,582 – $17,811 · median $7,311 14 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $7,188 – $170,697 · median $10,675 13 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $7,188 – $111,953 · median $10,675 13 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $7,188 – $100,194 · median $10,675 13 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $7,188 – $135,625 · median $11,268 13 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $7,188 – $92,242 · median $10,675 13 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $7,188 – $81,760 · median $10,675 13 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $7,188 – $88,621 · median $10,675 13 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $7,188 – $55,923 · median $10,675 13 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $7,188 – $142,730 · median $10,675 13 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $7,188 – $104,624 · median $10,675 13 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $7,188 – $137,179 · median $11,268 13 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $7,188 – $91,421 · median $10,675 13 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $7,188 – $103,428 · median $10,675 13 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $7,188 – $71,077 · median $10,675 13 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $7,188 – $60,768 · median $10,675 13 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $7,188 – $40,058 · median $10,675 13 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $7,188 – $32,177 · median $10,675 13 plans
245 AICD GENERATOR PROCEDURES $7,188 – $79,698 · median $10,675 13 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $7,188 – $58,987 · median $10,675 13 plans
253 OTHER VASCULAR PROCEDURES WITH CC $7,188 – $44,869 · median $10,675 13 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $7,188 – $30,517 · median $10,675 13 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $7,188 – $47,639 · median $10,675 13 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $7,188 – $32,830 · median $10,675 13 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $7,188 – $58,308 · median $10,675 13 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $7,188 – $33,097 · median $10,675 13 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $7,188 – $28,938 · median $10,675 13 plans
265 AICD LEAD PROCEDURES $7,188 – $62,158 · median $10,675 13 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $7,188 – $27,903 · median $10,675 13 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,188 – $16,058 · median $9,172 13 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $6,412 – $12,630 · median $8,944 13 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $7,188 – $37,913 · median $10,675 13 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,188 – $19,023 · median $9,658 13 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $7,188 – $155,854 · median $10,675 13 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $7,188 – $107,573 · median $10,675 13 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $7,188 – $81,003 · median $10,675 13 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $7,188 – $148,256 · median $10,675 13 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $7,188 – $106,852 · median $10,675 13 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $7,188 – $79,691 · median $10,675 13 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $7,188 – $116,649 · median $11,861 13 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $7,188 – $64,335 · median $10,675 13 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $7,188 – $119,924 · median $11,861 13 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $7,188 – $50,061 · median $10,675 13 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $7,188 – $99,613 · median $10,675 13 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $7,188 – $52,789 · median $10,675 13 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,188 – $32,904 · median $10,675 13 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $7,188 – $91,222 · median $10,675 13 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $7,188 – $61,317 · median $10,675 13 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $7,188 – $46,953 · median $10,675 13 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $7,188 – $58,565 · median $10,675 13 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $7,188 – $33,095 · median $10,675 13 plans
471 CERVICAL SPINAL FUSION WITH MCC $7,188 – $86,515 · median $10,675 13 plans
472 CERVICAL SPINAL FUSION WITH CC $7,188 – $51,980 · median $10,675 13 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $7,188 – $43,277 · median $10,675 13 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $7,188 – $75,678 · median $10,675 13 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $7,188 – $37,721 · median $10,675 13 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,188 – $20,699 · median $10,509 13 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $7,188 – $59,254 · median $10,675 13 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,188 – $41,925 · median $10,675 13 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $7,188 – $32,784 · median $10,675 13 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $7,188 – $51,865 · median $10,675 13 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $7,188 – $36,493 · median $10,675 13 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $7,188 – $27,937 · median $10,675 13 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $7,188 – $43,692 · median $10,675 13 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $7,188 – $57,935 · median $10,675 13 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $7,188 – $35,322 · median $10,675 13 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $7,188 – $27,172 · median $10,675 13 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $7,188 – $37,051 · median $10,675 13 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $7,188 – $21,769 · median $10,675 13 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $7,188 – $60,891 · median $10,675 13 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $7,188 – $42,241 · median $10,675 13 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $7,188 – $32,875 · median $10,675 13 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $7,188 – $62,986 · median $10,675 13 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $7,188 – $34,956 · median $10,675 13 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $7,188 – $25,105 · median $10,675 13 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $7,188 – $45,922 · median $10,675 13 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $7,188 – $22,685 · median $10,675 13 plans
500 SOFT TISSUE PROCEDURES WITH MCC $7,188 – $57,034 · median $10,675 13 plans
501 SOFT TISSUE PROCEDURES WITH CC $7,188 – $30,527 · median $10,675 13 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $7,188 – $24,319 · median $10,675 13 plans
503 FOOT PROCEDURES WITH MCC $7,188 – $47,169 · median $10,675 13 plans
504 FOOT PROCEDURES WITH CC $7,188 – $30,376 · median $10,675 13 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $7,188 – $30,000 · median $10,675 13 plans
506 MAJOR THUMB OR JOINT PROCEDURES $7,188 – $25,724 · median $10,675 13 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $7,188 – $37,492 · median $10,675 13 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $7,188 – $25,221 · median $10,675 13 plans
509 ARTHROSCOPY $7,188 – $23,325 · median $10,675 13 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $7,188 – $47,850 · median $10,675 13 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $7,188 – $35,067 · median $10,675 13 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $7,188 – $28,384 · median $10,675 13 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $7,188 – $28,510 · median $10,675 13 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,188 – $18,318 · median $9,300 13 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $7,188 – $55,604 · median $10,675 13 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $7,188 – $35,894 · median $10,675 13 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $7,188 – $26,284 · median $10,675 13 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $7,188 – $64,228 · median $10,675 13 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $7,188 – $34,624 · median $10,675 13 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $7,188 – $25,177 · median $10,675 13 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $7,188 – $45,527 · median $10,675 13 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $7,188 – $28,531 · median $10,675 13 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $7,188 – $26,686 · median $10,675 13 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $7,188 – $107,114 · median $10,675 13 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $7,188 – $68,210 · median $10,675 13 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $7,188 – $127,205 · median $11,268 13 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $7,188 – $71,140 · median $10,675 13 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,188 – $44,540 · median $10,675 13 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $7,073 – $11,861 · median $8,592 12 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $7,073 – $11,861 · median $8,592 12 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $7,073 – $11,861 · median $8,592 12 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $7,073 – $11,861 · median $8,592 12 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $7,073 – $11,861 · median $8,592 12 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $7,073 – $11,861 · median $8,592 12 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $4,582 – $66,855 · median $7,765 12 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $4,582 – $51,409 · median $7,765 12 plans
795 NORMAL NEWBORN $2,998 – $8,573 · median $6,239 12 plans
652 KIDNEY TRANSPLANT $5,601 – $44,660 · median $7,253 8 plans
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