Medical City Alliance — Pricing

775 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 775 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 775
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 775 procedures

Procedures with negotiated rates only

These 775 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 $5,290 – $14,282 · median $10,280 19 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $7,405 – $17,468 · median $12,187 18 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,405 – $17,468 · median $12,187 18 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $7,405 – $17,468 · median $12,187 18 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $7,405 – $17,468 · median $12,187 18 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,405 – $17,468 · median $12,187 18 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $7,405 – $17,468 · median $12,187 18 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $5,290 – $14,282 · median $10,357 18 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $5,290 – $14,282 · median $10,357 18 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $5,290 – $14,282 · median $10,357 18 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $5,290 – $14,282 · median $10,357 18 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,290 – $14,282 · median $10,357 18 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,290 – $14,282 · median $10,357 18 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $5,441 – $31,873 · median $20,908 12 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $5,441 – $29,469 · median $13,580 12 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $5,441 – $29,469 · median $18,759 11 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $10,500 – $31,873 · median $22,742 11 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $5,441 – $30,837 · median $20,908 10 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $10,500 – $123,769 · median $75,983 9 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $55,453 – $567,817 · median $95,513 9 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $55,453 – $308,347 · median $95,513 9 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $55,453 – $308,347 · median $81,187 9 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $55,453 – $304,994 · median $81,187 9 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $55,453 – $276,270 · median $87,394 9 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $55,453 – $276,270 · median $81,187 9 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $55,453 – $261,868 · median $81,187 9 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $55,453 – $149,725 · median $81,187 9 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $35,848 – $135,621 · median $81,187 9 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $55,453 – $184,149 · median $95,513 9 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $55,453 – $182,148 · median $81,187 9 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $55,453 – $155,449 · median $81,187 9 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $55,453 – $155,449 · median $81,187 9 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $46,093 – $95,513 · median $73,189 9 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $46,093 – $95,513 · median $73,189 9 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $20,573 – $118,004 · median $30,590 9 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $17,679 – $39,471 · median $25,834 9 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $17,010 – $37,856 · median $24,776 9 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $20,894 – $36,686 · median $30,590 9 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $18,922 – $35,989 · median $28,629 9 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $20,894 – $41,212 · median $30,590 9 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $20,444 – $35,989 · median $28,629 9 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $14,436 – $35,989 · median $28,629 9 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $55,453 – $422,445 · median $81,187 9 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $54,187 – $317,198 · median $81,187 9 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $17,679 – $70,492 · median $30,452 9 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $17,679 – $50,876 · median $30,452 9 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $55,453 – $329,192 · median $81,187 9 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $55,453 – $156,247 · median $81,187 9 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $52,568 – $156,985 · median $81,187 9 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $12,049 – $25,400 · median $17,640 9 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $9,395 – $20,752 · median $16,508 9 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $17,679 – $68,292 · median $30,452 9 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $17,679 – $68,292 · median $25,883 9 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $10,500 – $49,254 · median $24,226 9 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $10,500 – $35,865 · median $24,226 9 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $10,500 – $36,541 · median $24,226 9 plans
209 COMPLEX AORTIC ARCH PROCEDURES $75,983 – $276,270 · median $111,547 8 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $24,226 – $64,946 · median $29,011 8 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $24,226 – $68,292 · median $31,011 8 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $24,226 – $64,734 · median $28,966 8 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $19,500 – $41,427 · median $29,477 8 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $19,500 – $41,427 · median $29,477 8 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $19,500 – $41,427 · median $29,477 8 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,800 – $38,000 · median $30,712 8 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $3,080 – $74,000 · median $59,807 8 plans
791 PREMATURITY WITH MAJOR PROBLEMS $3,080 – $38,000 · median $30,712 8 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $2,800 – $12,500 · median $11,574 8 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $3,080 – $12,500 · median $11,574 8 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,800 – $5,225 · median $4,050 8 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $53,511 – $190,885 · median $182,295 7 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $42,179 – $190,885 · median $182,295 7 plans
652 KIDNEY TRANSPLANT $36,758 – $190,885 · median $182,295 7 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $5,441 – $15,771 · median $8,315 5 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,441 – $15,771 · median $8,315 5 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,441 – $15,771 · median $8,315 5 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,441 – $8,315 · median $7,818 5 plans
603 CELLULITIS WITHOUT MCC $5,441 – $8,315 · median $7,818 5 plans
683 RENAL FAILURE WITH CC $5,441 – $8,315 · median $7,818 5 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $5,441 – $15,771 · median $8,315 5 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,441 – $8,315 · median $7,818 5 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $2,613 – $10,929 · median $6,075 5 plans
881 DEPRESSIVE NEUROSES $2,613 – $10,709 · median $6,075 5 plans
882 NEUROSES EXCEPT DEPRESSIVE $2,613 – $12,222 · median $6,075 5 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $2,613 – $22,380 · median $6,075 5 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $2,613 – $18,313 · median $6,075 5 plans
885 PSYCHOSES $2,613 – $15,898 · median $6,075 5 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $2,613 – $23,621 · median $6,075 5 plans
887 OTHER MENTAL DISORDER DIAGNOSES $2,613 – $12,189 · median $6,075 5 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,613 – $8,315 · median $6,075 5 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $2,613 – $16,112 · median $6,075 5 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $2,613 – $19,863 · median $6,075 5 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $2,613 – $10,048 · median $6,075 5 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $10,500 – $62,079 · median $13,383 4 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $10,500 – $47,987 · median $13,383 4 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $10,500 – $32,801 · median $13,383 4 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $89,563 – $218,723 · median $121,776 4 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $60,254 – $224,331 · median $123,611 4 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $36,165 – $224,331 · median $129,322 4 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $65,222 – $223,223 · median $124,280 4 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $44,525 – $215,986 · median $119,947 4 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $37,797 – $87,332 · median $54,455 4 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $35,389 – $87,332 · median $50,098 4 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $28,716 – $87,747 · median $47,705 4 plans
028 SPINAL PROCEDURES WITH MCC $35,407 – $86,584 · median $54,003 4 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $24,902 – $48,007 · median $35,003 4 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $22,534 – $38,032 · median $24,939 4 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $35,764 – $54,641 · median $45,144 4 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $24,255 – $54,133 · median $30,150 4 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $18,927 – $54,641 · median $35,384 4 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $30,021 – $45,868 · median $43,381 4 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $22,011 – $36,268 · median $27,327 4 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $16,992 – $36,064 · median $22,203 4 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $14,246 – $40,800 · median $27,856 4 plans
038 EXTRACRANIAL PROCEDURES WITH CC $16,878 – $33,144 · median $20,081 4 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $12,713 – $27,971 · median $15,844 4 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $43,948 – $131,460 · median $76,423 4 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $25,026 – $125,524 · median $69,910 4 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $19,665 – $125,524 · median $67,870 4 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $5,441 – $20,616 · median $7,195 4 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $5,441 – $11,145 · median $7,195 4 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $5,441 – $17,379 · median $7,195 4 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $5,441 – $11,605 · median $7,195 4 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $5,441 – $26,442 · median $7,195 4 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $5,441 – $14,747 · median $7,195 4 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $5,441 – $19,458 · median $7,195 4 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,441 – $14,124 · median $7,195 4 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $5,441 – $10,469 · median $7,195 4 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $5,441 – $31,381 · median $7,195 4 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $5,441 – $20,000 · median $7,195 4 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $5,441 – $15,978 · median $7,195 4 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $5,441 – $22,889 · median $7,195 4 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $5,441 – $11,499 · median $7,195 4 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,441 – $8,315 · median $6,932 4 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $5,441 – $16,717 · median $7,195 4 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,441 – $9,839 · median $7,195 4 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,441 – $9,092 · median $7,195 4 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $5,441 – $18,949 · median $7,195 4 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $5,441 – $11,678 · median $7,195 4 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,441 – $8,607 · median $7,195 4 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $5,441 – $18,260 · median $7,195 4 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,441 – $11,733 · median $7,195 4 plans
075 VIRAL MENINGITIS WITH CC/MCC $5,441 – $21,825 · median $7,195 4 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,441 – $9,392 · median $7,195 4 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $5,441 – $20,601 · median $7,195 4 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,441 – $10,194 · median $7,195 4 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $19,564 – $43,061 · median $26,539 4 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $15,887 – $43,061 · median $16,903 4 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $10,835 – $43,061 · median $11,564 4 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $20,884 – $42,099 · median $26,872 4 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $11,789 – $34,782 · median $16,269 4 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $10,411 – $33,494 · median $11,484 4 plans
088 CONCUSSION WITH MCC $5,441 – $15,386 · median $7,195 4 plans
089 CONCUSSION WITH CC $5,441 – $12,504 · median $7,195 4 plans
090 CONCUSSION WITHOUT CC/MCC $5,441 – $9,370 · median $7,195 4 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $5,441 – $19,989 · median $7,195 4 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $5,441 – $11,644 · median $7,195 4 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,441 – $9,063 · median $7,195 4 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $5,441 – $40,058 · median $7,195 4 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $5,441 – $29,356 · median $7,195 4 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,441 – $29,356 · median $7,195 4 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $5,441 – $41,110 · median $7,195 4 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $5,441 – $26,121 · median $7,195 4 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $5,441 – $15,507 · median $7,195 4 plans
100 SEIZURES WITH MCC $5,441 – $22,045 · median $7,195 4 plans
101 SEIZURES WITHOUT MCC $5,441 – $10,273 · median $7,195 4 plans
102 HEADACHES WITH MCC $5,441 – $12,758 · median $7,195 4 plans
103 HEADACHES WITHOUT MCC $5,441 – $9,519 · median $7,195 4 plans
113 ORBITAL PROCEDURES WITH CC/MCC $10,500 – $26,760 · median $13,383 4 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $10,500 – $15,400 · median $13,383 4 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $10,500 – $17,470 · median $13,383 4 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $10,500 – $20,580 · median $13,383 4 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $10,500 – $14,644 · median $12,235 4 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $5,441 – $13,241 · median $7,195 4 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,441 – $8,944 · median $7,195 4 plans
123 NEUROLOGICAL EYE DISORDERS $5,441 – $9,090 · median $7,195 4 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $5,441 – $15,060 · median $7,195 4 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,441 – $8,739 · median $7,195 4 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $10,500 – $24,699 · median $13,383 4 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $10,500 – $14,644 · median $11,839 4 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,500 – $16,996 · median $13,383 4 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $10,087 – $14,644 · median $11,311 4 plans
139 SALIVARY GLAND PROCEDURES $10,500 – $14,644 · median $13,093 4 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $10,500 – $48,548 · median $13,383 4 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $10,500 – $24,825 · median $13,383 4 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $10,500 – $18,170 · median $13,383 4 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $10,500 – $42,644 · median $13,383 4 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $10,500 – $19,724 · median $13,383 4 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $10,500 – $14,644 · median $12,903 4 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $5,441 – $24,100 · median $7,195 4 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $5,441 – $14,472 · median $7,195 4 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,441 – $9,073 · median $7,195 4 plans
149 DYSEQUILIBRIUM $5,441 – $8,555 · median $7,195 4 plans
150 EPISTAXIS WITH MCC $5,441 – $15,155 · median $7,195 4 plans
151 EPISTAXIS WITHOUT MCC $5,441 – $8,354 · median $7,195 4 plans
152 OTITIS MEDIA AND URI WITH MCC $5,441 – $13,456 · median $7,195 4 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,441 – $8,402 · median $7,195 4 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $5,441 – $17,796 · median $7,195 4 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,441 – $10,432 · median $7,195 4 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,441 – $8,315 · median $6,971 4 plans
157 DENTAL AND ORAL DISEASES WITH MCC $5,441 – $19,541 · median $7,195 4 plans
158 DENTAL AND ORAL DISEASES WITH CC $5,441 – $10,355 · median $7,195 4 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,441 – $8,315 · median $7,070 4 plans
163 MAJOR CHEST PROCEDURES WITH MCC $10,500 – $51,012 · median $13,383 4 plans
164 MAJOR CHEST PROCEDURES WITH CC $10,500 – $28,728 · median $13,383 4 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $10,500 – $21,787 · median $13,383 4 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $10,500 – $42,543 · median $13,383 4 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $10,500 – $20,526 · median $13,383 4 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,500 – $15,552 · median $13,383 4 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $10,500 – $33,877 · median $13,383 4 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $5,441 – $15,634 · median $7,195 4 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,441 – $9,163 · median $7,195 4 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $5,441 – $11,109 · median $7,195 4 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,441 – $8,593 · median $7,195 4 plans
180 RESPIRATORY NEOPLASMS WITH MCC $5,441 – $20,101 · median $7,195 4 plans
181 RESPIRATORY NEOPLASMS WITH CC $5,441 – $12,190 · median $7,195 4 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,441 – $8,580 · median $7,195 4 plans
183 MAJOR CHEST TRAUMA WITH MCC $5,441 – $17,413 · median $7,195 4 plans
184 MAJOR CHEST TRAUMA WITH CC $5,441 – $12,112 · median $7,195 4 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,441 – $8,952 · median $7,195 4 plans
186 PLEURAL EFFUSION WITH MCC $5,441 – $17,739 · median $7,195 4 plans
187 PLEURAL EFFUSION WITH CC $5,441 – $11,258 · median $7,195 4 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,441 – $8,315 · median $7,119 4 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $5,441 – $14,061 · median $7,195 4 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $5,441 – $12,608 · median $7,195 4 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,441 – $9,595 · median $7,195 4 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,441 – $8,315 · median $6,691 4 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $5,441 – $21,480 · median $7,195 4 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $5,441 – $10,803 · median $7,195 4 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,441 – $8,315 · median $7,113 4 plans
199 PNEUMOTHORAX WITH MCC $5,441 – $20,079 · median $7,195 4 plans
200 PNEUMOTHORAX WITH CC $5,441 – $12,512 · median $7,195 4 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,441 – $8,315 · median $7,107 4 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,441 – $11,054 · median $7,195 4 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,441 – $8,315 · median $6,850 4 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,441 – $9,190 · median $7,195 4 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $5,441 – $20,840 · median $7,195 4 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,441 – $10,712 · median $7,195 4 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $5,441 – $73,240 · median $7,195 4 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $5,441 – $31,286 · median $7,195 4 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $64,956 – $240,843 · median $134,873 4 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $10,500 – $56,019 · median $13,383 4 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $10,500 – $32,444 · median $13,383 4 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $10,500 – $15,757 · median $13,383 4 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $36,340 – $124,497 · median $67,262 4 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $24,254 – $124,497 · median $67,481 4 plans
245 AICD GENERATOR PROCEDURES $51,929 – $124,497 · median $72,406 4 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $25,958 – $39,704 · median $35,027 4 plans
253 OTHER VASCULAR PROCEDURES WITH CC $24,041 – $38,038 · median $27,220 4 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $18,371 – $38,038 · median $22,588 4 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $10,500 – $30,702 · median $13,383 4 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $10,500 – $19,326 · median $13,383 4 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $10,500 – $14,644 · median $12,276 4 plans
263 VEIN LIGATION AND STRIPPING $27,144 – $51,364 · median $34,209 4 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $10,923 – $41,400 · median $26,011 4 plans
265 AICD LEAD PROCEDURES $41,182 – $126,373 · median $73,020 4 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $78,284 – $294,489 · median $171,271 4 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $48,068 – $183,055 · median $99,464 4 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $60,055 – $222,011 · median $123,966 4 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $40,478 – $147,350 · median $82,277 4 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $29,058 – $105,536 · median $58,929 4 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $25,958 – $68,900 · median $48,698 4 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $24,896 – $44,700 · median $37,221 4 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $16,699 – $36,127 · median $20,951 4 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $10,461 – $36,127 · median $20,172 4 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $8,230 – $36,127 · median $20,240 4 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $22,545 – $36,127 · median $26,924 4 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $7,879 – $36,127 · median $21,011 4 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $6,817 – $34,242 · median $19,916 4 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $20,430 – $31,214 · median $29,932 4 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $13,000 – $19,428 · median $18,709 4 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $10,582 – $15,912 · median $14,015 4 plans
291 HEART FAILURE AND SHOCK WITH MCC $10,383 – $18,359 · median $13,806 4 plans
292 HEART FAILURE AND SHOCK WITH CC $9,663 – $17,942 · median $14,307 4 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $6,442 – $17,942 · median $10,721 4 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $5,441 – $17,778 · median $7,195 4 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,441 – $8,315 · median $6,646 4 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $5,180 – $8,315 · median $5,758 4 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $8,803 – $19,011 · median $15,792 4 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $9,243 – $19,011 · median $12,575 4 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $7,336 – $18,278 · median $10,596 4 plans
302 ATHEROSCLEROSIS WITH MCC $5,441 – $13,620 · median $7,195 4 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,441 – $8,315 · median $6,869 4 plans
304 HYPERTENSION WITH MCC $5,441 – $13,545 · median $7,195 4 plans
305 HYPERTENSION WITHOUT MCC $5,441 – $8,595 · median $7,195 4 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $5,441 – $17,936 · median $7,195 4 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,441 – $10,394 · median $7,195 4 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $5,441 – $13,704 · median $7,195 4 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,441 – $8,374 · median $7,195 4 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,441 – $8,315 · median $6,259 4 plans
311 ANGINA PECTORIS $5,441 – $8,315 · median $7,032 4 plans
312 SYNCOPE AND COLLAPSE $5,441 – $9,921 · median $7,195 4 plans
313 CHEST PAIN $5,017 – $12,575 · median $8,598 4 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $5,441 – $23,734 · median $7,195 4 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $5,441 – $10,964 · median $7,195 4 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,441 – $8,315 · median $6,919 4 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $53,366 – $101,813 · median $71,371 4 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $50,797 – $150,720 · median $87,334 4 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $27,377 – $86,291 · median $50,001 4 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $10,500 – $56,767 · median $13,383 4 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $10,500 – $27,820 · median $13,383 4 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $10,500 – $18,237 · median $13,383 4 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $10,500 – $52,317 · median $13,383 4 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,500 – $27,285 · median $13,383 4 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $10,500 – $19,155 · median $13,383 4 plans
332 RECTAL RESECTION WITH MCC $10,500 – $41,211 · median $13,383 4 plans
333 RECTAL RESECTION WITH CC $10,500 – $26,659 · median $13,383 4 plans
334 RECTAL RESECTION WITHOUT CC/MCC $10,500 – $18,643 · median $13,383 4 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $10,500 – $40,644 · median $13,383 4 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $10,500 – $24,001 · median $13,383 4 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $10,500 – $17,471 · median $13,383 4 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $10,500 – $29,397 · median $13,383 4 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,500 – $17,127 · median $13,383 4 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $10,500 – $14,644 · median $12,811 4 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $10,500 – $26,129 · median $13,383 4 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $10,500 – $14,897 · median $13,383 4 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $9,909 – $14,644 · median $11,311 4 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $10,500 – $28,363 · median $13,383 4 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,500 – $17,352 · median $13,383 4 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $10,500 – $14,644 · median $12,706 4 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $10,500 – $33,031 · median $13,383 4 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $10,500 – $19,149 · median $13,383 4 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,500 – $15,309 · median $13,383 4 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $10,500 – $49,999 · median $13,383 4 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $10,500 – $26,469 · median $13,383 4 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,500 – $15,911 · median $13,383 4 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $5,441 – $18,119 · median $7,195 4 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,441 – $11,384 · median $7,195 4 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,441 – $8,315 · median $7,026 4 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $5,441 – $20,181 · median $7,195 4 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,441 – $11,621 · median $7,195 4 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,441 – $8,315 · median $7,177 4 plans
374 DIGESTIVE MALIGNANCY WITH MCC $5,441 – $24,343 · median $7,195 4 plans
375 DIGESTIVE MALIGNANCY WITH CC $5,441 – $13,768 · median $7,195 4 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $5,441 – $10,520 · median $7,195 4 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $5,441 – $20,806 · median $7,195 4 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $5,441 – $11,162 · median $7,195 4 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,441 – $8,315 · median $6,625 4 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $5,441 – $22,334 · median $7,195 4 plans
381 COMPLICATED PEPTIC ULCER WITH CC $5,441 – $12,332 · median $7,195 4 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,441 – $9,112 · median $7,195 4 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $5,441 – $15,715 · median $7,195 4 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,441 – $9,729 · median $7,195 4 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $5,441 – $18,010 · median $7,195 4 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $5,441 – $11,112 · median $7,195 4 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,441 – $8,315 · median $6,915 4 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $5,441 – $16,809 · median $7,195 4 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,441 – $8,990 · median $7,195 4 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,441 – $8,315 · median $6,133 4 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $5,441 – $14,436 · median $7,195 4 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $5,441 – $18,203 · median $7,195 4 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $5,441 – $10,650 · median $7,195 4 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,441 – $8,315 · median $6,731 4 plans
397 APPENDIX PROCEDURES WITH MCC $10,500 – $27,259 · median $13,383 4 plans
398 APPENDIX PROCEDURES WITH CC $10,500 – $17,228 · median $13,383 4 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $10,500 – $14,644 · median $12,575 4 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $60,607 – $162,660 · median $92,522 4 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $10,500 – $62,265 · median $13,383 4 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $10,500 – $33,010 · median $13,383 4 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $10,500 – $25,263 · median $13,383 4 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $10,500 – $40,584 · median $13,383 4 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $10,500 – $24,782 · median $13,383 4 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $10,500 – $18,071 · median $13,383 4 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $10,500 – $37,598 · median $13,383 4 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $10,500 – $23,931 · median $13,383 4 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $10,500 – $18,900 · median $13,383 4 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $10,500 – $40,550 · median $13,383 4 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $10,500 – $23,523 · median $13,383 4 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,500 – $15,517 · median $13,383 4 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $10,500 – $27,162 · median $13,383 4 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $10,500 – $19,254 · median $13,383 4 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $10,500 – $15,546 · median $13,383 4 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $10,500 – $38,780 · median $13,383 4 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $10,500 – $19,776 · median $13,383 4 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,500 – $15,929 · median $13,383 4 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $10,500 – $47,269 · median $13,383 4 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $10,500 – $24,903 · median $13,383 4 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $10,500 – $17,076 · median $13,383 4 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $60,607 – $435,543 · median $248,218 4 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $60,607 – $295,314 · median $167,976 4 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $60,607 – $228,848 · median $130,169 4 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $60,607 – $346,783 · median $192,663 4 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $60,607 – $227,451 · median $126,365 4 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $5,441 – $22,402 · median $7,195 4 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,441 – $12,022 · median $7,195 4 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,441 – $8,315 · median $7,092 4 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $5,441 – $20,905 · median $7,195 4 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,441 – $12,874 · median $7,195 4 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,441 – $9,712 · median $7,195 4 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $5,441 – $18,555 · median $7,195 4 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,441 – $9,575 · median $7,195 4 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,441 – $8,315 · median $6,574 4 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $5,441 – $20,427 · median $7,195 4 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $5,441 – $10,987 · median $7,195 4 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $5,441 – $8,315 · median $7,019 4 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $5,441 – $19,018 · median $7,195 4 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,441 – $12,456 · median $7,195 4 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,441 – $9,416 · median $7,195 4 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL $36,089 – $278,766 · median $154,875 4 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $36,089 – $169,783 · median $96,573 4 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY $36,089 – $214,130 · median $118,964 4 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $36,089 – $128,309 · median $74,680 4 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $60,607 – $222,014 · median $132,015 4 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $60,607 – $222,014 · median $125,812 4 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $60,607 – $219,931 · median $125,131 4 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $62,863 – $114,585 · median $72,549 4 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $30,276 – $109,838 · median $62,198 4 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $25,557 – $76,564 · median $49,819 4 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $17,786 – $35,600 · median $27,214 4 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $18,150 – $31,266 · median $22,613 4 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $59,248 – $113,798 · median $79,899 4 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $40,140 – $94,464 · median $55,283 4 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $31,278 – $95,410 · median $52,566 4 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $27,720 – $59,106 · median $35,874 4 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $21,955 – $55,235 · median $30,549 4 plans
471 CERVICAL SPINAL FUSION WITH MCC $28,952 – $72,618 · median $48,096 4 plans
472 CERVICAL SPINAL FUSION WITH CC $28,952 – $73,344 · median $39,893 4 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $28,952 – $73,344 · median $41,323 4 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $10,500 – $48,862 · median $13,383 4 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $10,500 – $25,902 · median $13,383 4 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $10,500 – $14,644 · median $12,777 4 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,500 – $39,320 · median $13,383 4 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,500 – $27,991 · median $13,383 4 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,500 – $21,158 · median $13,383 4 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $25,280 – $49,545 · median $32,788 4 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $22,927 – $50,253 · median $28,365 4 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $18,564 – $50,016 · median $27,776 4 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $10,500 – $31,550 · median $13,383 4 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $14,000 – $42,000 · median $27,818 4 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $18,249 – $29,522 · median $21,061 4 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,467 – $23,100 · median $15,913 4 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $13,276 – $28,620 · median $17,067 4 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,711 – $28,342 · median $16,682 4 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $14,535 – $42,500 · median $29,442 4 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $15,226 – $30,996 · median $24,576 4 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $17,165 – $27,769 · median $20,275 4 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $29,430 – $55,700 · median $38,862 4 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $8,762 – $22,400 · median $17,266 4 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $13,753 – $17,603 · median $15,348 4 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $10,500 – $34,337 · median $13,383 4 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $10,500 – $22,932 · median $13,383 4 plans
500 SOFT TISSUE PROCEDURES WITH MCC $10,500 – $36,022 · median $13,383 4 plans
501 SOFT TISSUE PROCEDURES WITH CC $10,500 – $19,897 · median $13,383 4 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,500 – $15,319 · median $13,383 4 plans
503 FOOT PROCEDURES WITH MCC $21,000 – $32,600 · median $30,178 4 plans
504 FOOT PROCEDURES WITH CC $14,000 – $21,275 · median $20,361 4 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $14,000 – $21,200 · median $18,734 4 plans
506 MAJOR THUMB OR JOINT PROCEDURES $10,500 – $15,357 · median $13,383 4 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $15,795 – $25,082 · median $21,515 4 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $14,000 – $19,680 · median $17,438 4 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $20,862 – $34,400 · median $32,028 4 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $14,000 – $23,800 · median $20,484 4 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $14,000 – $21,541 · median $16,767 4 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $10,500 – $17,919 · median $13,383 4 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $10,500 – $14,644 · median $11,878 4 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $25,319 – $55,118 · median $36,174 4 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $23,653 – $55,118 · median $30,697 4 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $17,491 – $55,669 · median $30,877 4 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $18,437 – $53,857 · median $33,697 4 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $16,806 – $25,677 · median $21,543 4 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $11,644 – $21,358 · median $15,227 4 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $32,669 – $54,688 · median $35,760 4 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $24,104 – $54,688 · median $30,763 4 plans
533 FRACTURES OF FEMUR WITH MCC $5,441 – $17,844 · median $7,195 4 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,441 – $9,175 · median $7,195 4 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $5,441 – $14,592 · median $7,195 4 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,441 – $9,192 · median $7,195 4 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $5,441 – $10,862 · median $7,195 4 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,441 – $8,315 · median $7,137 4 plans
539 OSTEOMYELITIS WITH MCC $5,441 – $22,419 · median $7,195 4 plans
540 OSTEOMYELITIS WITH CC $5,441 – $14,754 · median $7,195 4 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,441 – $8,962 · median $7,195 4 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $5,441 – $20,106 · median $7,195 4 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $5,441 – $11,701 · median $7,195 4 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $5,441 – $8,589 · median $7,195 4 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $5,441 – $28,247 · median $7,195 4 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $5,441 – $13,128 · median $7,195 4 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,441 – $9,518 · median $7,195 4 plans
548 SEPTIC ARTHRITIS WITH MCC $5,441 – $21,978 · median $7,195 4 plans
549 SEPTIC ARTHRITIS WITH CC $5,441 – $13,740 · median $7,195 4 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,441 – $9,949 · median $7,195 4 plans
551 MEDICAL BACK PROBLEMS WITH MCC $14,674 – $35,103 · median $20,246 4 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $8,390 – $18,720 · median $11,596 4 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,441 – $14,754 · median $7,195 4 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,441 – $9,448 · median $7,195 4 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,441 – $15,045 · median $7,195 4 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,441 – $9,454 · median $7,195 4 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $5,441 – $16,924 · median $7,195 4 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $5,441 – $10,166 · median $7,195 4 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,441 – $21,226 · median $7,195 4 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,441 – $12,817 · median $7,195 4 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,441 – $9,150 · median $7,195 4 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $5,441 – $16,217 · median $7,195 4 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $5,441 – $10,193 · median $7,195 4 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $5,441 – $17,569 · median $7,195 4 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,441 – $11,091 · median $7,195 4 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,441 – $8,529 · median $7,195 4 plans
570 SKIN DEBRIDEMENT WITH MCC $10,500 – $33,476 · median $13,383 4 plans
571 SKIN DEBRIDEMENT WITH CC $10,500 – $19,230 · median $13,383 4 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $10,500 – $14,644 · median $12,584 4 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $10,500 – $74,568 · median $13,383 4 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $10,500 – $39,511 · median $13,383 4 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $10,500 – $20,453 · median $13,383 4 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $10,500 – $55,785 · median $13,383 4 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $10,500 – $30,170 · median $13,383 4 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $10,500 – $18,284 · median $13,383 4 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $10,500 – $36,861 · median $13,383 4 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $10,500 – $19,668 · median $13,383 4 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $10,500 – $16,425 · median $13,383 4 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $10,500 – $21,929 · median $13,383 4 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $10,500 – $19,627 · median $13,383 4 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $10,500 – $24,365 · median $13,383 4 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $10,500 – $21,957 · median $13,383 4 plans
592 SKIN ULCERS WITH MCC $5,441 – $22,028 · median $7,195 4 plans
593 SKIN ULCERS WITH CC $5,441 – $13,502 · median $7,195 4 plans
594 SKIN ULCERS WITHOUT CC/MCC $5,441 – $9,866 · median $7,195 4 plans
595 MAJOR SKIN DISORDERS WITH MCC $5,441 – $24,138 · median $7,195 4 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $5,441 – $12,321 · median $7,195 4 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $5,441 – $18,975 · median $7,195 4 plans
598 MALIGNANT BREAST DISORDERS WITH CC $5,441 – $12,876 · median $7,195 4 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,441 – $8,757 · median $7,195 4 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $5,441 – $11,855 · median $7,195 4 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,441 – $8,315 · median $6,481 4 plans
602 CELLULITIS WITH MCC $5,441 – $16,177 · median $7,195 4 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $12,620 – $27,459 · median $18,062 4 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $9,905 – $18,000 · median $11,338 4 plans
606 MINOR SKIN DISORDERS WITH MCC $5,441 – $17,223 · median $7,195 4 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,441 – $10,317 · median $7,195 4 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $10,500 – $24,947 · median $13,383 4 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,500 – $15,927 · median $13,383 4 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $10,500 – $39,694 · median $13,383 4 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $10,500 – $21,288 · median $13,383 4 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $10,500 – $16,143 · median $13,383 4 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $10,500 – $40,511 · median $13,383 4 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $10,500 – $20,418 · median $13,383 4 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $10,500 – $14,644 · median $13,185 4 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $10,500 – $34,375 · median $13,383 4 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $10,500 – $17,066 · median $13,383 4 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $10,500 – $15,119 · median $13,383 4 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $10,500 – $42,418 · median $13,383 4 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $10,500 – $24,799 · median $13,383 4 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,500 – $16,612 · median $13,383 4 plans
637 DIABETES WITH MCC $5,441 – $16,353 · median $7,195 4 plans
638 DIABETES WITH CC $5,441 – $10,201 · median $7,195 4 plans
639 DIABETES WITHOUT CC/MCC $5,441 – $8,315 · median $6,573 4 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $5,441 – $15,202 · median $7,195 4 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $5,441 – $8,857 · median $7,195 4 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $5,441 – $16,186 · median $7,195 4 plans
643 ENDOCRINE DISORDERS WITH MCC $5,441 – $18,736 · median $7,195 4 plans
644 ENDOCRINE DISORDERS WITH CC $5,441 – $11,667 · median $7,195 4 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,441 – $8,745 · median $7,195 4 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $10,500 – $59,145 · median $13,383 4 plans
654 MAJOR BLADDER PROCEDURES WITH CC $10,500 – $31,862 · median $13,383 4 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $10,500 – $24,091 · median $13,383 4 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $10,500 – $36,238 · median $13,383 4 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $10,500 – $20,829 · median $13,383 4 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $15,666 – $28,159 · median $17,522 4 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $25,606 – $56,132 · median $32,829 4 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $13,938 – $30,553 · median $17,520 4 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $9,626 – $21,945 · median $12,892 4 plans
662 MINOR BLADDER PROCEDURES WITH MCC $10,500 – $34,846 · median $13,383 4 plans
663 MINOR BLADDER PROCEDURES WITH CC $10,500 – $17,303 · median $13,383 4 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $10,500 – $14,644 · median $12,018 4 plans
665 PROSTATECTOMY WITH MCC $10,500 – $35,526 · median $13,383 4 plans
666 PROSTATECTOMY WITH CC $10,500 – $19,911 · median $13,383 4 plans
667 PROSTATECTOMY WITHOUT CC/MCC $10,500 – $14,644 · median $12,356 4 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $10,500 – $33,235 · median $13,383 4 plans
669 TRANSURETHRAL PROCEDURES WITH CC $10,500 – $17,665 · median $13,383 4 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $10,500 – $14,644 · median $11,622 4 plans
671 URETHRAL PROCEDURES WITH CC/MCC $10,500 – $20,431 · median $13,383 4 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $10,500 – $14,644 · median $12,204 4 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $10,500 – $47,823 · median $13,383 4 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $10,500 – $26,618 · median $13,383 4 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $10,500 – $18,682 · median $13,383 4 plans
682 RENAL FAILURE WITH MCC $5,441 – $16,857 · median $7,195 4 plans
684 RENAL FAILURE WITHOUT CC/MCC $5,441 – $8,315 · median $6,454 4 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $5,441 – $20,530 · median $7,195 4 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,441 – $11,926 · median $7,195 4 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,441 – $8,995 · median $7,195 4 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,441 – $13,019 · median $7,195 4 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,441 – $8,315 · median $6,959 4 plans
697 URETHRAL STRICTURE $5,441 – $12,268 · median $7,195 4 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $5,441 – $11,553 · median $7,195 4 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,441 – $8,315 · median $6,964 4 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $17,280 – $30,882 · median $21,108 4 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $17,462 – $26,685 · median $18,546 4 plans
709 PENIS PROCEDURES WITH CC/MCC $10,500 – $26,487 · median $13,383 4 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,500 – $15,948 · median $13,383 4 plans
711 TESTES PROCEDURES WITH CC/MCC $10,500 – $23,718 · median $13,383 4 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $10,500 – $14,644 · median $12,319 4 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,500 – $17,112 · median $13,383 4 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $10,500 – $14,644 · median $12,078 4 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $10,500 – $25,465 · median $13,383 4 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,500 – $16,743 · median $13,383 4 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $10,500 – $21,518 · median $13,383 4 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $10,500 – $15,287 · median $13,383 4 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $5,441 – $20,598 · median $7,195 4 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $5,441 – $13,006 · median $7,195 4 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,441 – $8,315 · median $6,769 4 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $5,441 – $13,319 · median $7,195 4 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,441 – $8,315 · median $7,146 4 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $5,441 – $16,878 · median $7,195 4 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,441 – $9,233 · median $7,195 4 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $5,441 – $12,050 · median $7,195 4 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,441 – $8,315 · median $6,862 4 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $10,500 – $24,244 · median $13,383 4 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $10,500 – $15,314 · median $13,383 4 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $10,500 – $40,685 · median $13,383 4 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $10,500 – $23,454 · median $13,383 4 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,500 – $16,714 · median $13,383 4 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $35,718 – $54,573 · median $42,573 4 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $16,447 – $26,114 · median $18,541 4 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $13,000 – $22,511 · median $14,893 4 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $12,003 – $24,685 · median $18,496 4 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $10,681 – $21,253 · median $14,061 4 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $10,500 – $23,323 · median $13,383 4 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $10,500 – $14,644 · median $12,534 4 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $10,500 – $19,772 · median $13,383 4 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $9,785 – $14,644 · median $11,311 4 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $12,026 – $21,021 · median $14,895 4 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $10,500 – $29,224 · median $13,383 4 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,500 – $16,798 · median $13,383 4 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,441 – $20,962 · median $7,195 4 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,441 – $12,381 · median $7,195 4 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,441 – $10,932 · median $7,195 4 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,441 – $16,298 · median $7,195 4 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,441 – $11,143 · median $7,195 4 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,441 – $8,315 · median $6,814 4 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $5,441 – $11,467 · median $7,195 4 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,441 – $8,315 · median $6,284 4 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $10,500 – $19,233 · median $13,383 4 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $10,500 – $14,644 · median $11,767 4 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,441 – $8,315 · median $6,763 4 plans
779 ABORTION WITHOUT D&C $5,441 – $9,576 · median $7,195 4 plans
799 SPLENIC PROCEDURES WITH MCC $10,500 – $51,548 · median $13,383 4 plans
800 SPLENIC PROCEDURES WITH CC $10,500 – $31,977 · median $13,383 4 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $10,500 – $21,727 · median $13,383 4 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $10,500 – $45,347 · median $13,383 4 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $10,500 – $21,158 · median $13,383 4 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $10,500 – $15,434 · median $13,383 4 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $5,441 – $25,130 · median $7,195 4 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $5,441 – $14,408 · median $7,195 4 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $5,441 – $11,912 · median $7,195 4 plans
811 RED BLOOD CELL DISORDERS WITH MCC $5,441 – $15,984 · median $7,195 4 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,441 – $10,451 · median $7,195 4 plans
813 COAGULATION DISORDERS $5,441 – $17,361 · median $7,195 4 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $5,441 – $24,206 · median $7,195 4 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $5,441 – $11,541 · median $7,195 4 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,441 – $8,315 · median $6,634 4 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $10,500 – $66,753 · median $13,383 4 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $10,500 – $25,480 · median $13,383 4 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $10,500 – $14,644 · median $12,912 4 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $10,500 – $52,184 · median $13,383 4 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $10,500 – $25,787 · median $13,383 4 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $10,500 – $15,359 · median $13,383 4 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $10,500 – $53,243 · median $13,383 4 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $10,500 – $26,306 · median $13,383 4 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $10,500 – $19,393 · median $13,383 4 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $10,500 – $35,967 · median $13,383 4 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $10,500 – $17,130 · median $13,383 4 plans
834 ACUTE LEUKEMIA WITH MCC $5,441 – $62,486 · median $7,195 4 plans
835 ACUTE LEUKEMIA WITH CC $5,441 – $23,741 · median $7,195 4 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $5,441 – $13,880 · median $7,195 4 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $5,441 – $54,683 · median $7,195 4 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $5,441 – $23,759 · median $7,195 4 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,441 – $16,434 · median $7,195 4 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $5,441 – $36,820 · median $7,195 4 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $5,441 – $18,569 · median $7,195 4 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $5,441 – $11,500 · median $7,195 4 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $5,441 – $22,705 · median $7,195 4 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $5,441 – $13,856 · median $7,195 4 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $5,441 – $9,693 · median $7,195 4 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $5,441 – $29,508 · median $7,195 4 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $5,441 – $14,890 · median $7,195 4 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,441 – $9,668 · median $7,195 4 plans
849 RADIOTHERAPY $5,441 – $30,840 · median $7,195 4 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $10,500 – $98,562 · median $13,383 4 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $10,500 – $56,211 · median $13,383 4 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,500 – $17,041 · median $13,383 4 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $10,500 – $51,773 · median $13,383 4 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $10,500 – $24,375 · median $13,383 4 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $10,500 – $15,854 · median $13,383 4 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $5,441 – $20,757 · median $7,195 4 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $5,441 – $11,358 · median $7,195 4 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,441 – $10,104 · median $7,195 4 plans
865 VIRAL ILLNESS WITH MCC $5,441 – $17,054 · median $7,195 4 plans
866 VIRAL ILLNESS WITHOUT MCC $5,441 – $9,898 · median $7,195 4 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $5,441 – $23,825 · median $7,195 4 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $5,441 – $11,736 · median $7,195 4 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,441 – $8,315 · median $7,190 4 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $5,441 – $78,670 · median $7,195 4 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $10,500 – $43,990 · median $13,383 4 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $10,500 – $47,766 · median $13,383 4 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $10,500 – $21,791 · median $13,383 4 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $10,500 – $14,644 · median $12,717 4 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $10,500 – $41,807 · median $13,383 4 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $10,500 – $16,884 · median $13,383 4 plans
906 HAND PROCEDURES FOR INJURIES $10,500 – $22,358 · median $13,383 4 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $10,500 – $43,699 · median $13,383 4 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $10,500 – $22,709 · median $13,383 4 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $10,500 – $14,941 · median $13,383 4 plans
913 TRAUMATIC INJURY WITH MCC $5,441 – $18,605 · median $7,195 4 plans
914 TRAUMATIC INJURY WITHOUT MCC $5,441 – $10,079 · median $7,195 4 plans
915 ALLERGIC REACTIONS WITH MCC $5,441 – $19,140 · median $7,195 4 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,441 – $8,315 · median $6,829 4 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $5,441 – $17,852 · median $7,195 4 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,441 – $9,756 · median $7,195 4 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $5,441 – $20,838 · median $7,195 4 plans
920 COMPLICATIONS OF TREATMENT WITH CC $5,441 – $11,408 · median $7,195 4 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,441 – $8,315 · median $6,955 4 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $5,441 – $19,912 · median $7,195 4 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $5,441 – $11,583 · median $7,195 4 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $10,500 – $41,300 · median $13,383 4 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $10,500 – $26,599 · median $13,383 4 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $10,500 – $23,079 · median $13,383 4 plans
947 SIGNS AND SYMPTOMS WITH MCC $5,441 – $14,448 · median $7,195 4 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,441 – $9,111 · median $7,195 4 plans
949 AFTERCARE WITH CC/MCC $5,441 – $13,541 · median $7,195 4 plans
950 AFTERCARE WITHOUT CC/MCC $5,441 – $8,315 · median $6,610 4 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,441 – $8,315 · median $6,202 4 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $76,613 – $163,640 · median $108,298 4 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $42,830 – $90,146 · median $68,482 4 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $77,672 – $197,706 · median $82,708 4 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $46,015 – $92,596 · median $54,798 4 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $32,427 – $64,694 · median $35,736 4 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $30,177 – $58,817 · median $31,403 4 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $15,674 – $33,687 · median $18,548 4 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $9,222 – $33,530 · median $12,352 4 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $10,500 – $69,673 · median $13,383 4 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $10,500 – $30,019 · median $13,383 4 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $5,441 – $32,848 · median $7,195 4 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $5,441 – $14,740 · median $7,195 4 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $5,441 – $10,275 · median $7,195 4 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $5,441 – $14,770 · median $7,195 4 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $10,500 – $53,402 · median $13,383 4 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $10,500 – $27,983 · median $13,383 4 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,500 – $19,509 · median $13,383 4 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $10,500 – $39,022 · median $13,383 4 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $10,500 – $18,707 · median $13,383 4 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,500 – $14,644 · median $12,885 4 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $298,579 – $554,970 · median $363,230 3 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $280,356 – $554,970 · median $363,230 3 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH $204,363 – $350,000 · median $206,553 3 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC $201,649 – $210,684 · median $206,553 3 plans
693 URINARY STONES WITH MCC $14,000 – $16,846 · median $15,684 3 plans
694 URINARY STONES WITHOUT MCC $7,423 – $14,000 · median $13,990 3 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT — 3 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $10,500 – $14,644 · median $12,121 3 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $10,500 – $14,644 · median $12,121 3 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $5,441 – $8,315 · median $6,075 3 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $5,441 – $8,315 · median $6,075 3 plans
935 NON-EXTENSIVE BURNS $5,441 – $8,315 · median $6,075 3 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $117,354 – $117,354 · median $117,354 1 plans
006 LIVER TRANSPLANT WITHOUT MCC $52,778 – $52,778 · median $52,778 1 plans
007 LUNG TRANSPLANT $147,399 – $147,399 · median $147,399 1 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $63,792 – $63,792 · median $63,792 1 plans
010 PANCREAS TRANSPLANT $81,674 – $81,674 · median $81,674 1 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $136,788 – $136,788 · median $136,788 1 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $67,492 – $67,492 · median $67,492 1 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $61,830 – $61,830 · median $61,830 1 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $491,507 – $491,507 · median $491,507 1 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $81,206 – $81,206 · median $81,206 1 plans
765 CESAREAN SECTION W CC/MCC $8,182 – $8,182 · median $8,182 1 plans
766 CESAREAN SECTION W/O CC/MCC $8,182 – $8,182 · median $8,182 1 plans
767 VAGINAL DELIVERY W STERILIZATION &/OR D&C $5,536 – $5,536 · median $5,536 1 plans
774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES $5,536 – $5,536 · median $5,536 1 plans
775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES $5,536 – $5,536 · median $5,536 1 plans
795 NORMAL NEWBORN $1,254 – $1,254 · median $1,254 1 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $25,969 – $25,969 · median $25,969 1 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $13,194 – $13,194 · median $13,194 1 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $9,787 – $9,787 · median $9,787 1 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $13,687 – $13,687 · median $13,687 1 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $8,213 – $8,213 · median $8,213 1 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $5,952 – $5,952 · median $5,952 1 plans
945 REHABILITATION WITH CC/MCC — 1 plans
946 REHABILITATION WITHOUT CC/MCC $2,613 – $2,613 · median $2,613 1 plans
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