Medical City Lewisville (Acute Care) — Pricing

777 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 777 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 777
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 777 procedures

Procedures with negotiated rates only

These 777 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
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $4,736 – $28,390 · median $15,477 13 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $4,736 – $28,390 · median $15,477 13 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,736 – $28,390 · median $15,477 13 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,736 – $15,526 · median $8,463 13 plans
603 CELLULITIS WITHOUT MCC $4,736 – $15,526 · median $8,463 13 plans
683 RENAL FAILURE WITH CC $4,736 – $15,526 · median $8,463 13 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $4,736 – $28,390 · median $15,477 13 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $4,736 – $15,526 · median $8,463 13 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $1,750 – $13,636 · median $10,269 13 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $4,736 – $28,390 · median $15,477 13 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $4,736 – $15,526 · median $8,463 13 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $2,900 – $17,468 · median $11,290 12 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $2,900 – $17,468 · median $11,290 12 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $2,900 – $17,468 · median $11,290 12 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $2,900 – $17,468 · median $11,290 12 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $2,900 – $17,468 · median $11,290 12 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $2,900 – $17,468 · median $11,290 12 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $1,750 – $13,636 · median $10,351 12 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $1,750 – $13,636 · median $10,351 12 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $1,750 – $13,636 · median $10,351 12 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $1,750 – $13,636 · median $10,351 12 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $1,750 – $13,636 · median $10,351 12 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $1,750 – $13,636 · median $10,351 12 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $8,858 – $114,617 · median $58,638 10 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $44,980 – $511,657 · median $101,332 10 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $44,980 – $277,850 · median $96,366 10 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $44,980 – $277,850 · median $84,352 10 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $44,980 – $274,829 · median $84,352 10 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $44,980 – $248,946 · median $86,300 10 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $44,980 – $248,946 · median $84,352 10 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $44,980 – $235,968 · median $84,352 10 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $44,980 – $127,421 · median $77,513 10 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $32,682 – $122,208 · median $77,513 10 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $44,980 – $165,936 · median $90,174 10 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $44,980 – $164,132 · median $82,182 10 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $44,980 – $140,074 · median $77,513 10 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $44,980 – $140,074 · median $74,905 10 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $44,635 – $91,191 · median $67,879 10 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $43,264 – $91,191 · median $67,879 10 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $8,858 – $106,333 · median $29,206 10 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $14,340 – $35,567 · median $24,523 10 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $14,340 – $34,112 · median $23,881 10 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $16,948 – $34,360 · median $29,362 10 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $16,948 – $34,360 · median $25,331 10 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $16,948 – $37,136 · median $31,783 10 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $16,948 – $34,360 · median $27,694 10 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $13,532 – $34,360 · median $26,916 10 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $44,980 – $380,664 · median $84,352 10 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $44,980 – $285,825 · median $84,352 10 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $14,340 – $212,273 · median $28,133 10 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $14,340 – $100,752 · median $29,436 10 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $44,980 – $296,633 · median $84,352 10 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $25,574 – $140,793 · median $74,905 10 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $24,528 – $141,459 · median $74,905 10 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $9,773 – $23,288 · median $17,208 10 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,006 – $19,813 · median $16,275 10 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $8,858 – $61,538 · median $24,712 10 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $8,858 – $61,538 · median $24,712 10 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $8,858 – $44,815 · median $18,695 10 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $8,858 – $33,618 · median $18,695 10 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $8,858 – $30,114 · median $18,695 10 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $19,508 – $39,552 · median $31,355 9 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $19,508 – $39,552 · median $31,355 9 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $19,508 – $39,552 · median $31,355 9 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $8,858 – $56,773 · median $12,764 5 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $8,858 – $43,176 · median $12,764 5 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $8,858 – $27,881 · median $12,764 5 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $84,813 – $197,090 · median $141,039 5 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $58,158 – $202,143 · median $144,655 5 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $37,147 – $202,143 · median $144,655 5 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $60,025 – $201,145 · median $143,941 5 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $39,998 – $194,624 · median $139,275 5 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $35,430 – $78,695 · median $56,315 5 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $32,180 – $78,695 · median $56,315 5 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $25,964 – $79,068 · median $56,582 5 plans
028 SPINAL PROCEDURES WITH MCC $25,094 – $63,964 · median $46,055 5 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $24,534 – $35,317 · median $32,391 5 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $21,123 – $34,270 · median $24,524 5 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $23,311 – $49,237 · median $44,090 5 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $22,470 – $58,141 · median $34,907 5 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $16,787 – $49,237 · median $35,235 5 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $29,577 – $41,332 · median $40,031 5 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $21,686 – $30,304 · median $25,727 5 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $14,480 – $30,692 · median $21,964 5 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $13,354 – $34,940 · median $23,728 5 plans
038 EXTRACRANIAL PROCEDURES WITH CC $15,821 – $29,866 · median $21,373 5 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $11,917 – $25,205 · median $18,038 5 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $39,687 – $118,458 · median $84,769 5 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $23,765 – $113,109 · median $80,942 5 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $18,492 – $113,109 · median $80,942 5 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $4,736 – $21,174 · median $6,829 5 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $4,736 – $9,694 · median $6,829 5 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $4,736 – $15,774 · median $6,829 5 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $4,736 – $11,478 · median $6,829 5 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $4,736 – $26,347 · median $6,829 5 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $4,736 – $14,044 · median $6,829 5 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $4,736 – $19,420 · median $6,829 5 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $4,736 – $12,874 · median $6,829 5 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $4,736 – $9,390 · median $6,829 5 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $4,736 – $28,443 · median $6,829 5 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $4,736 – $18,738 · median $6,829 5 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $4,736 – $14,780 · median $6,829 5 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $4,736 – $20,929 · median $6,829 5 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $4,736 – $10,701 · median $6,829 5 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,736 – $7,242 · median $6,829 5 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $4,736 – $15,318 · median $6,829 5 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $4,736 – $9,276 · median $6,829 5 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $4,736 – $8,420 · median $6,829 5 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $4,736 – $18,295 · median $6,829 5 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $4,736 – $11,088 · median $6,829 5 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $4,736 – $7,893 · median $6,829 5 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $4,736 – $16,262 · median $6,829 5 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $4,736 – $10,968 · median $6,829 5 plans
075 VIRAL MENINGITIS WITH CC/MCC $4,736 – $18,123 · median $6,829 5 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $4,736 – $9,648 · median $6,829 5 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $4,736 – $16,269 · median $6,829 5 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $4,736 – $10,499 · median $6,829 5 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,736 – $7,226 · median $6,829 5 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $4,736 – $20,916 · median $6,829 5 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $4,736 – $9,520 · median $6,829 5 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $18,339 – $30,788 · median $24,412 5 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $14,208 – $19,854 · median $14,941 5 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $9,252 – $12,929 · median $10,157 5 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $19,576 – $31,074 · median $23,842 5 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $10,046 – $17,392 · median $13,801 5 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $8,995 – $12,570 · median $10,046 5 plans
088 CONCUSSION WITH MCC $4,736 – $14,842 · median $6,829 5 plans
089 CONCUSSION WITH CC $4,736 – $11,281 · median $6,829 5 plans
090 CONCUSSION WITHOUT CC/MCC $4,736 – $9,019 · median $6,829 5 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $4,736 – $19,180 · median $6,829 5 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $4,736 – $11,141 · median $6,829 5 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,736 – $8,305 · median $6,829 5 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $4,736 – $38,388 · median $6,829 5 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $4,736 – $25,221 · median $6,829 5 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,736 – $25,221 · median $6,829 5 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $4,736 – $37,719 · median $6,829 5 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $4,736 – $22,823 · median $6,829 5 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $4,736 – $14,659 · median $6,829 5 plans
100 SEIZURES WITH MCC $4,736 – $20,888 · median $6,829 5 plans
101 SEIZURES WITHOUT MCC $4,736 – $9,697 · median $6,829 5 plans
102 HEADACHES WITH MCC $4,736 – $12,199 · median $6,829 5 plans
103 HEADACHES WITHOUT MCC $4,736 – $8,946 · median $6,829 5 plans
113 ORBITAL PROCEDURES WITH CC/MCC $8,858 – $23,744 · median $12,764 5 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $8,858 – $13,286 · median $12,438 5 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $8,858 – $16,108 · median $12,764 5 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $8,858 – $17,556 · median $12,764 5 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,858 – $13,286 · median $11,349 5 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $4,736 – $12,238 · median $6,829 5 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,736 – $7,226 · median $6,829 5 plans
123 NEUROLOGICAL EYE DISORDERS $4,736 – $8,451 · median $6,829 5 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $4,736 – $13,719 · median $6,829 5 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,736 – $8,688 · median $6,829 5 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $8,858 – $25,367 · median $12,764 5 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,858 – $13,286 · median $10,293 5 plans
137 MOUTH PROCEDURES WITH CC/MCC $8,858 – $14,715 · median $12,764 5 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $8,560 – $13,286 · median $9,070 5 plans
139 SALIVARY GLAND PROCEDURES $8,858 – $14,446 · median $12,764 5 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $8,858 – $44,498 · median $12,764 5 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $8,858 – $22,604 · median $12,764 5 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $8,858 – $16,544 · median $12,764 5 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $8,858 – $34,740 · median $12,764 5 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $8,858 – $18,483 · median $12,764 5 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,858 – $13,286 · median $12,465 5 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $4,736 – $24,136 · median $6,829 5 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $4,736 – $13,097 · median $6,829 5 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $4,736 – $8,425 · median $6,829 5 plans
149 DYSEQUILIBRIUM $4,736 – $7,865 · median $6,829 5 plans
150 EPISTAXIS WITH MCC $4,736 – $14,542 · median $6,829 5 plans
151 EPISTAXIS WITHOUT MCC $4,736 – $7,976 · median $6,829 5 plans
152 OTITIS MEDIA AND URI WITH MCC $4,736 – $11,939 · median $6,829 5 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $4,736 – $7,489 · median $6,829 5 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $4,736 – $17,111 · median $6,829 5 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,736 – $9,823 · median $6,829 5 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,736 – $7,226 · median $6,829 5 plans
157 DENTAL AND ORAL DISEASES WITH MCC $4,736 – $17,229 · median $6,829 5 plans
158 DENTAL AND ORAL DISEASES WITH CC $4,736 – $9,896 · median $6,829 5 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,736 – $7,226 · median $6,829 5 plans
163 MAJOR CHEST PROCEDURES WITH MCC $8,858 – $48,495 · median $12,764 5 plans
164 MAJOR CHEST PROCEDURES WITH CC $8,858 – $26,482 · median $12,764 5 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $8,858 – $19,612 · median $12,764 5 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $8,858 – $40,520 · median $12,764 5 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $8,858 – $19,225 · median $12,764 5 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,858 – $14,245 · median $12,764 5 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $8,858 – $32,286 · median $12,764 5 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $4,736 – $14,827 · median $6,829 5 plans
176 PULMONARY EMBOLISM WITHOUT MCC $4,736 – $8,570 · median $6,829 5 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $4,736 – $17,009 · median $6,829 5 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $4,736 – $10,439 · median $6,829 5 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $4,736 – $8,099 · median $6,829 5 plans
180 RESPIRATORY NEOPLASMS WITH MCC $4,736 – $18,389 · median $6,829 5 plans
181 RESPIRATORY NEOPLASMS WITH CC $4,736 – $11,682 · median $6,829 5 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $4,736 – $8,812 · median $6,829 5 plans
183 MAJOR CHEST TRAUMA WITH MCC $4,736 – $16,701 · median $6,829 5 plans
184 MAJOR CHEST TRAUMA WITH CC $4,736 – $11,238 · median $6,829 5 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,736 – $8,182 · median $6,829 5 plans
186 PLEURAL EFFUSION WITH MCC $4,736 – $16,625 · median $6,829 5 plans
187 PLEURAL EFFUSION WITH CC $4,736 – $10,563 · median $6,829 5 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,736 – $7,724 · median $6,829 5 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $4,736 – $13,021 · median $6,829 5 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $4,736 – $11,819 · median $6,829 5 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $4,736 – $9,039 · median $6,829 5 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,736 – $7,226 · median $6,810 5 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $4,736 – $19,826 · median $6,829 5 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $4,736 – $10,416 · median $6,829 5 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,736 – $7,370 · median $6,829 5 plans
199 PNEUMOTHORAX WITH MCC $4,736 – $18,573 · median $6,829 5 plans
200 PNEUMOTHORAX WITH CC $4,736 – $11,652 · median $6,829 5 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $4,736 – $7,226 · median $6,829 5 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $4,736 – $10,172 · median $6,829 5 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,736 – $7,326 · median $6,829 5 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $4,736 – $8,532 · median $6,829 5 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $4,736 – $19,862 · median $6,829 5 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,736 – $9,531 · median $6,829 5 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $4,736 – $68,053 · median $6,829 5 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $4,736 – $28,242 · median $6,829 5 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $8,858 – $52,994 · median $12,764 5 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $8,858 – $30,640 · median $12,764 5 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $8,858 – $15,886 · median $12,764 5 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $35,691 – $112,184 · median $76,093 5 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $23,703 – $112,184 · median $80,280 5 plans
245 AICD GENERATOR PROCEDURES $8,858 – $112,184 · median $59,362 5 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $25,574 – $36,093 · median $33,764 5 plans
253 OTHER VASCULAR PROCEDURES WITH CC $17,885 – $34,276 · median $26,862 5 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $14,232 – $34,276 · median $24,528 5 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $8,858 – $27,529 · median $12,764 5 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $8,858 – $17,820 · median $12,764 5 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,858 – $13,286 · median $9,385 5 plans
263 VEIN LIGATION AND STRIPPING $25,444 – $81,490 · median $43,728 5 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $9,266 – $272,406 · median $19,217 5 plans
265 AICD LEAD PROCEDURES $37,531 – $204,538 · median $107,587 5 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $70,152 – $265,363 · median $143,159 5 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $43,776 – $164,950 · median $95,017 5 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $54,007 – $200,053 · median $96,199 5 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $36,242 – $132,777 · median $63,847 5 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $26,326 – $95,098 · median $45,729 5 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $23,296 – $52,641 · median $33,764 5 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $23,159 – $34,276 · median $32,384 5 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $15,653 – $32,554 · median $23,296 5 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $9,699 – $32,554 · median $23,296 5 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $7,630 – $32,554 · median $23,296 5 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $15,653 – $32,554 · median $22,081 5 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $7,796 – $32,554 · median $17,226 5 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,906 – $30,856 · median $16,329 5 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $10,631 – $28,739 · median $27,242 5 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,804 – $17,783 · median $16,800 5 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $10,301 – $14,857 · median $13,151 5 plans
291 HEART FAILURE AND SHOCK WITH MCC $7,849 – $16,495 · median $13,730 5 plans
292 HEART FAILURE AND SHOCK WITH CC $8,401 – $15,822 · median $9,063 5 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,777 – $97,188 · median $14,948 5 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $4,736 – $12,920 · median $6,829 5 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,736 – $8,310 · median $6,829 5 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $4,736 – $17,238 · median $6,829 5 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,736 – $7,412 · median $6,829 5 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,647 – $7,226 · median $5,166 5 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $6,877 – $17,750 · median $16,770 5 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $6,877 – $17,750 · median $12,702 5 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,877 – $17,067 · median $12,214 5 plans
302 ATHEROSCLEROSIS WITH MCC $4,736 – $12,239 · median $6,829 5 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,736 – $7,226 · median $6,829 5 plans
304 HYPERTENSION WITH MCC $4,736 – $12,361 · median $6,829 5 plans
305 HYPERTENSION WITHOUT MCC $4,736 – $7,899 · median $6,829 5 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $4,736 – $15,756 · median $6,829 5 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $4,736 – $9,747 · median $6,829 5 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $4,736 – $12,690 · median $6,829 5 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,736 – $7,779 · median $6,829 5 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,736 – $7,226 · median $5,887 5 plans
311 ANGINA PECTORIS $4,736 – $7,350 · median $6,829 5 plans
312 SYNCOPE AND COLLAPSE $4,736 – $9,168 · median $6,829 5 plans
313 CHEST PAIN $4,703 – $55,643 · median $11,093 5 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $4,736 – $22,658 · median $6,829 5 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $4,736 – $10,125 · median $6,829 5 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,736 – $7,226 · median $6,829 5 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $50,024 – $264,653 · median $86,678 5 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $44,037 – $135,813 · median $71,261 5 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $24,354 – $77,756 · median $44,037 5 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $8,858 – $53,438 · median $12,764 5 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $8,858 – $25,548 · median $12,764 5 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $8,858 – $16,766 · median $12,764 5 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $8,858 – $48,314 · median $12,764 5 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $8,858 – $24,871 · median $12,764 5 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,858 – $17,372 · median $12,764 5 plans
332 RECTAL RESECTION WITH MCC $8,858 – $36,496 · median $12,764 5 plans
333 RECTAL RESECTION WITH CC $8,858 – $22,360 · median $12,764 5 plans
334 RECTAL RESECTION WITHOUT CC/MCC $8,858 – $17,450 · median $12,764 5 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $8,858 – $38,131 · median $12,764 5 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $8,858 – $22,227 · median $12,764 5 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $8,858 – $16,151 · median $12,764 5 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $8,858 – $28,350 · median $12,764 5 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $8,858 – $15,669 · median $12,764 5 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,858 – $13,286 · median $12,764 5 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $8,858 – $24,901 · median $12,764 5 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $8,858 – $13,286 · median $12,764 5 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $8,858 – $13,286 · median $9,269 5 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $8,858 – $25,461 · median $12,764 5 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $8,858 – $15,832 · median $12,764 5 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,858 – $13,286 · median $11,601 5 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $8,858 – $30,859 · median $12,764 5 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $8,858 – $17,899 · median $12,764 5 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $8,858 – $14,027 · median $12,764 5 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $8,858 – $44,881 · median $12,764 5 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $8,858 – $23,694 · median $12,764 5 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,858 – $14,257 · median $12,764 5 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $4,736 – $17,571 · median $6,829 5 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $4,736 – $10,707 · median $6,829 5 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,736 – $7,343 · median $6,829 5 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $4,736 – $18,396 · median $6,829 5 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $4,736 – $10,830 · median $6,829 5 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,736 – $7,632 · median $6,829 5 plans
374 DIGESTIVE MALIGNANCY WITH MCC $4,736 – $22,217 · median $6,829 5 plans
375 DIGESTIVE MALIGNANCY WITH CC $4,736 – $12,928 · median $6,829 5 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $4,736 – $9,290 · median $6,829 5 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $4,736 – $19,130 · median $6,829 5 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $4,736 – $10,374 · median $6,829 5 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,736 – $7,226 · median $6,698 5 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $4,736 – $20,247 · median $6,829 5 plans
381 COMPLICATED PEPTIC ULCER WITH CC $4,736 – $11,460 · median $6,829 5 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,736 – $7,884 · median $6,829 5 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $4,736 – $13,302 · median $6,829 5 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $4,736 – $9,150 · median $6,829 5 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $4,736 – $17,095 · median $6,829 5 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $4,736 – $10,442 · median $6,829 5 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,736 – $7,226 · median $6,829 5 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $4,736 – $15,467 · median $6,829 5 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,736 – $8,435 · median $6,829 5 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,736 – $7,226 · median $5,757 5 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $4,736 – $13,520 · median $6,829 5 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $4,736 – $17,423 · median $6,829 5 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $4,736 – $9,904 · median $6,829 5 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,736 – $7,226 · median $6,696 5 plans
397 APPENDIX PROCEDURES WITH MCC $8,858 – $26,069 · median $12,764 5 plans
398 APPENDIX PROCEDURES WITH CC $8,858 – $15,923 · median $12,764 5 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,858 – $13,286 · median $11,828 5 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $41,343 – $150,065 · median $107,388 5 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $8,858 – $57,118 · median $12,764 5 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $8,858 – $29,548 · median $12,764 5 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $8,858 – $22,471 · median $12,764 5 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $8,858 – $36,839 · median $12,764 5 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $8,858 – $22,057 · median $12,764 5 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $8,858 – $16,320 · median $12,764 5 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $8,858 – $28,792 · median $12,764 5 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $8,858 – $22,428 · median $12,764 5 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $8,858 – $17,492 · median $12,764 5 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $8,858 – $36,865 · median $12,764 5 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $8,858 – $20,813 · median $12,764 5 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $8,858 – $14,417 · median $12,764 5 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $8,858 – $25,006 · median $12,764 5 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $8,858 – $17,451 · median $12,764 5 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $8,858 – $13,864 · median $12,764 5 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $8,858 – $37,134 · median $12,764 5 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $8,858 – $17,230 · median $12,764 5 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $8,858 – $15,460 · median $12,764 5 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $8,858 – $42,794 · median $12,764 5 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $8,858 – $24,023 · median $12,764 5 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $8,858 – $16,264 · median $12,764 5 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $110,287 – $401,819 · median $287,544 5 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $74,693 – $272,448 · median $194,965 5 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $57,926 – $211,128 · median $151,085 5 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $87,753 – $319,932 · median $228,945 5 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $57,556 – $209,839 · median $150,162 5 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $4,736 – $20,614 · median $6,829 5 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $4,736 – $11,255 · median $6,829 5 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,736 – $7,328 · median $6,829 5 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $4,736 – $19,197 · median $6,829 5 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $4,736 – $11,865 · median $6,829 5 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $4,736 – $8,261 · median $6,829 5 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $4,736 – $17,507 · median $6,829 5 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $4,736 – $9,051 · median $6,829 5 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,736 – $7,226 · median $6,472 5 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $4,736 – $19,890 · median $6,829 5 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $4,736 – $10,166 · median $6,829 5 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $4,736 – $7,393 · median $6,829 5 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $4,736 – $17,724 · median $6,829 5 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $4,736 – $11,410 · median $6,829 5 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,736 – $8,388 · median $6,829 5 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL $70,542 – $257,181 · median $184,040 5 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $42,963 – $156,636 · median $112,090 5 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY $54,185 – $197,549 · median $141,367 5 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $32,469 – $118,374 · median $84,709 5 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $89,107 – $200,056 · median $143,161 5 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $60,386 – $200,056 · median $143,161 5 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $45,431 – $198,179 · median $141,819 5 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $64,570 – $103,252 · median $73,887 5 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $30,131 – $98,974 · median $70,826 5 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $25,179 – $56,826 · median $33,243 5 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $14,498 – $31,025 · median $24,684 5 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $16,793 – $24,989 · median $18,265 5 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $53,602 – $102,543 · median $79,975 5 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $36,037 – $85,121 · median $60,913 5 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $27,601 – $85,973 · median $61,523 5 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $25,984 – $51,250 · median $36,675 5 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $19,839 – $49,772 · median $35,617 5 plans
471 CERVICAL SPINAL FUSION WITH MCC $41,849 – $65,436 · median $51,105 5 plans
472 CERVICAL SPINAL FUSION WITH CC $29,792 – $66,090 · median $47,294 5 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $24,908 – $66,090 · median $47,294 5 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $8,858 – $47,185 · median $12,764 5 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $8,858 – $22,697 · median $12,764 5 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $8,858 – $13,286 · median $12,237 5 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,858 – $36,183 · median $12,764 5 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,858 – $24,605 · median $12,764 5 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $8,858 – $18,684 · median $12,764 5 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $20,786 – $44,645 · median $31,949 5 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $21,491 – $45,283 · median $32,405 5 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $16,692 – $45,069 · median $32,251 5 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $8,858 – $26,811 · median $12,764 5 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $9,494 – $33,919 · median $18,950 5 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $15,065 – $25,124 · median $22,314 5 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,749 – $20,057 · median $16,626 5 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,445 – $20,679 · median $19,022 5 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,556 – $25,539 · median $18,276 5 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $11,168 – $37,364 · median $22,233 5 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $12,744 – $27,930 · median $25,263 5 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $14,071 – $23,632 · median $19,839 5 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $27,587 – $50,191 · median $37,041 5 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $8,213 – $20,759 · median $16,044 5 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $11,762 – $16,436 · median $15,529 5 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $8,858 – $26,565 · median $12,764 5 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $8,858 – $13,286 · median $12,214 5 plans
500 SOFT TISSUE PROCEDURES WITH MCC $8,858 – $33,339 · median $12,764 5 plans
501 SOFT TISSUE PROCEDURES WITH CC $8,858 – $18,781 · median $12,764 5 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $8,858 – $14,700 · median $12,764 5 plans
503 FOOT PROCEDURES WITH MCC $19,801 – $27,846 · median $26,798 5 plans
504 FOOT PROCEDURES WITH CC $13,520 – $18,894 · median $18,299 5 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $13,520 – $18,894 · median $17,850 5 plans
506 MAJOR THUMB OR JOINT PROCEDURES $8,858 – $15,772 · median $12,764 5 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $15,562 – $21,748 · median $20,547 5 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $13,150 – $18,375 · median $16,535 5 plans
509 ARTHROSCOPY $8,858 – $18,482 · median $12,764 5 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $20,554 – $30,072 · median $27,818 5 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $12,871 – $20,638 · median $17,646 5 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $12,871 – $18,678 · median $16,916 5 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $8,858 – $15,841 · median $12,764 5 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,858 – $13,286 · median $10,728 5 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $23,734 – $49,666 · median $35,541 5 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $21,166 – $49,666 · median $35,541 5 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $15,705 – $50,163 · median $35,896 5 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $18,165 – $37,709 · median $23,983 5 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $16,558 – $23,138 · median $20,746 5 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,915 – $18,519 · median $15,079 5 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $30,667 – $49,279 · median $35,264 5 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $22,182 – $49,279 · median $35,264 5 plans
533 FRACTURES OF FEMUR WITH MCC $4,736 – $16,044 · median $6,829 5 plans
534 FRACTURES OF FEMUR WITHOUT MCC $4,736 – $8,564 · median $6,829 5 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $4,736 – $13,993 · median $6,829 5 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $4,736 – $8,532 · median $6,829 5 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $4,736 – $9,669 · median $6,829 5 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,736 – $7,226 · median $6,829 5 plans
539 OSTEOMYELITIS WITH MCC $4,736 – $21,283 · median $6,829 5 plans
540 OSTEOMYELITIS WITH CC $4,736 – $13,620 · median $6,829 5 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $4,736 – $9,205 · median $6,829 5 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $4,736 – $19,622 · median $6,829 5 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $4,736 – $11,162 · median $6,829 5 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $4,736 – $7,951 · median $6,829 5 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $4,736 – $26,586 · median $6,829 5 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $4,736 – $12,181 · median $6,829 5 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,736 – $7,852 · median $6,829 5 plans
548 SEPTIC ARTHRITIS WITH MCC $4,736 – $21,197 · median $6,829 5 plans
549 SEPTIC ARTHRITIS WITH CC $4,736 – $12,679 · median $6,829 5 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $4,736 – $9,071 · median $6,829 5 plans
551 MEDICAL BACK PROBLEMS WITH MCC $12,505 – $24,722 · median $17,954 5 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,852 – $13,728 · median $10,141 5 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $4,736 – $13,745 · median $6,829 5 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,736 – $8,782 · median $6,829 5 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,736 – $14,168 · median $6,829 5 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $4,736 – $8,591 · median $6,829 5 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $4,736 – $16,306 · median $6,829 5 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,736 – $9,089 · median $6,829 5 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,736 – $19,530 · median $6,829 5 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $4,736 – $11,982 · median $6,829 5 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,736 – $8,603 · median $6,829 5 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $4,736 – $15,401 · median $6,829 5 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $4,736 – $9,404 · median $6,829 5 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $4,736 – $16,511 · median $6,829 5 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $4,736 – $10,728 · median $6,829 5 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $4,736 – $7,870 · median $6,829 5 plans
570 SKIN DEBRIDEMENT WITH MCC $8,858 – $31,675 · median $12,764 5 plans
571 SKIN DEBRIDEMENT WITH CC $8,858 – $17,622 · median $12,764 5 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,858 – $13,286 · median $12,020 5 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $8,858 – $64,792 · median $12,764 5 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $8,858 – $36,456 · median $12,764 5 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $8,858 – $21,007 · median $12,764 5 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $8,858 – $56,765 · median $12,764 5 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $8,858 – $28,016 · median $12,764 5 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $8,858 – $17,785 · median $12,764 5 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $8,858 – $34,292 · median $12,764 5 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $8,858 – $18,654 · median $12,764 5 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $8,858 – $15,142 · median $12,764 5 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $8,858 – $18,425 · median $12,764 5 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $8,858 – $17,282 · median $12,764 5 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $8,858 – $21,542 · median $12,764 5 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $8,858 – $20,886 · median $12,764 5 plans
592 SKIN ULCERS WITH MCC $4,736 – $21,635 · median $6,829 5 plans
593 SKIN ULCERS WITH CC $4,736 – $12,864 · median $6,829 5 plans
594 SKIN ULCERS WITHOUT CC/MCC $4,736 – $8,929 · median $6,829 5 plans
595 MAJOR SKIN DISORDERS WITH MCC $4,736 – $22,254 · median $6,829 5 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $4,736 – $11,374 · median $6,829 5 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $4,736 – $18,482 · median $6,829 5 plans
598 MALIGNANT BREAST DISORDERS WITH CC $4,736 – $11,352 · median $6,829 5 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,736 – $8,995 · median $6,829 5 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $4,736 – $10,072 · median $6,829 5 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,736 – $7,226 · median $6,308 5 plans
602 CELLULITIS WITH MCC $4,736 – $15,461 · median $6,829 5 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,065 – $20,648 · median $15,633 5 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,560 – $12,241 · median $9,719 5 plans
606 MINOR SKIN DISORDERS WITH MCC $4,736 – $16,941 · median $6,829 5 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $4,736 – $9,094 · median $6,829 5 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $8,858 – $23,978 · median $12,764 5 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $8,858 – $15,077 · median $12,764 5 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $8,858 – $40,666 · median $12,764 5 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $8,858 – $20,331 · median $12,764 5 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $8,858 – $13,286 · median $12,764 5 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $8,858 – $39,394 · median $12,764 5 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $8,858 – $20,139 · median $12,764 5 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $8,858 – $13,286 · median $10,555 5 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $8,858 – $30,166 · median $12,764 5 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $8,858 – $15,880 · median $12,764 5 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $8,858 – $13,329 · median $12,764 5 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $8,858 – $41,523 · median $12,764 5 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $8,858 – $23,676 · median $12,764 5 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $8,858 – $14,743 · median $12,764 5 plans
637 DIABETES WITH MCC $4,736 – $15,323 · median $6,829 5 plans
638 DIABETES WITH CC $4,736 – $9,651 · median $6,829 5 plans
639 DIABETES WITHOUT CC/MCC $4,736 – $7,226 · median $6,593 5 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $4,736 – $13,974 · median $6,829 5 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $4,736 – $8,223 · median $6,829 5 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $4,736 – $13,059 · median $6,829 5 plans
643 ENDOCRINE DISORDERS WITH MCC $4,736 – $17,438 · median $6,829 5 plans
644 ENDOCRINE DISORDERS WITH CC $4,736 – $10,874 · median $6,829 5 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $4,736 – $8,197 · median $6,829 5 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $8,858 – $58,652 · median $12,764 5 plans
654 MAJOR BLADDER PROCEDURES WITH CC $8,858 – $29,692 · median $12,764 5 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $8,858 – $21,856 · median $12,764 5 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $8,858 – $34,278 · median $12,764 5 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $8,858 – $19,234 · median $12,764 5 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $15,434 – $21,568 · median $16,294 5 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $24,003 – $50,580 · median $36,195 5 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $13,065 – $27,531 · median $19,701 5 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $9,023 – $19,775 · median $14,151 5 plans
662 MINOR BLADDER PROCEDURES WITH MCC $8,858 – $32,822 · median $12,764 5 plans
663 MINOR BLADDER PROCEDURES WITH CC $8,858 – $16,070 · median $12,764 5 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,858 – $13,286 · median $11,362 5 plans
665 PROSTATECTOMY WITH MCC $8,858 – $36,126 · median $12,764 5 plans
666 PROSTATECTOMY WITH CC $8,858 – $17,332 · median $12,764 5 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,858 – $13,286 · median $10,813 5 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $8,858 – $30,683 · median $12,764 5 plans
669 TRANSURETHRAL PROCEDURES WITH CC $8,858 – $16,283 · median $12,764 5 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $8,858 – $13,286 · median $10,055 5 plans
671 URETHRAL PROCEDURES WITH CC/MCC $8,858 – $18,136 · median $12,764 5 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,858 – $13,286 · median $11,514 5 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $8,858 – $44,087 · median $12,764 5 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $8,858 – $24,288 · median $12,764 5 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $8,858 – $16,469 · median $12,764 5 plans
682 RENAL FAILURE WITH MCC $4,736 – $15,804 · median $6,829 5 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,736 – $7,226 · median $6,392 5 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $4,736 – $19,840 · median $6,829 5 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $4,736 – $11,075 · median $6,829 5 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,736 – $7,620 · median $6,829 5 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $4,736 – $11,866 · median $6,829 5 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,736 – $7,278 · median $6,829 5 plans
697 URETHRAL STRICTURE $4,736 – $10,541 · median $6,829 5 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $4,736 – $17,686 · median $6,829 5 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $4,736 – $10,730 · median $6,829 5 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,736 – $7,303 · median $6,829 5 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $16,198 – $26,778 · median $20,418 5 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $15,598 – $24,046 · median $18,397 5 plans
709 PENIS PROCEDURES WITH CC/MCC $8,858 – $23,643 · median $12,764 5 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $8,858 – $15,797 · median $12,764 5 plans
711 TESTES PROCEDURES WITH CC/MCC $8,858 – $20,103 · median $12,764 5 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,858 – $13,286 · median $11,254 5 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $8,858 – $15,214 · median $12,764 5 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,858 – $13,286 · median $9,886 5 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $8,858 – $23,761 · median $12,764 5 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $8,858 – $14,933 · median $12,764 5 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $8,858 – $19,523 · median $12,764 5 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $8,858 – $13,286 · median $12,764 5 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $4,736 – $18,190 · median $6,829 5 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $4,736 – $11,815 · median $6,829 5 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,736 – $7,666 · median $6,829 5 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $4,736 – $13,290 · median $6,829 5 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,736 – $7,832 · median $6,829 5 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $4,736 – $15,460 · median $6,829 5 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,736 – $8,598 · median $6,829 5 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $4,736 – $11,583 · median $6,829 5 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,736 – $7,226 · median $6,386 5 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $8,858 – $22,125 · median $12,764 5 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $8,858 – $13,286 · median $12,764 5 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $8,858 – $41,428 · median $12,764 5 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $8,858 – $21,026 · median $12,764 5 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $8,858 – $15,960 · median $12,764 5 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $35,190 – $49,176 · median $41,885 5 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $15,453 – $22,643 · median $19,131 5 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $9,773 – $17,014 · median $14,452 5 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $10,001 – $22,179 · median $19,219 5 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,185 – $19,095 · median $13,665 5 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $8,858 – $20,559 · median $12,764 5 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,858 – $13,286 · median $10,783 5 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $8,858 – $17,619 · median $12,764 5 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $8,858 – $13,286 · median $10,050 5 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $10,342 – $19,628 · median $14,333 5 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $8,858 – $27,235 · median $12,764 5 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,858 – $13,568 · median $12,764 5 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $4,736 – $19,036 · median $6,829 5 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,736 – $11,680 · median $6,829 5 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,736 – $10,047 · median $6,829 5 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $4,736 – $14,891 · median $6,829 5 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,736 – $10,725 · median $6,829 5 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,736 – $7,226 · median $6,733 5 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $4,736 – $10,369 · median $6,829 5 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,736 – $7,226 · median $6,670 5 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $8,858 – $14,620 · median $12,764 5 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $8,858 – $13,286 · median $11,321 5 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,736 – $7,506 · median $6,829 5 plans
779 ABORTION WITHOUT D&C $4,736 – $9,835 · median $6,829 5 plans
799 SPLENIC PROCEDURES WITH MCC $8,858 – $50,027 · median $12,764 5 plans
800 SPLENIC PROCEDURES WITH CC $8,858 – $30,657 · median $12,764 5 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $8,858 – $17,274 · median $12,764 5 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $8,858 – $37,717 · median $12,764 5 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $8,858 – $18,728 · median $12,764 5 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,858 – $13,286 · median $11,632 5 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $4,736 – $24,100 · median $6,829 5 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $4,736 – $13,032 · median $6,829 5 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $4,736 – $10,014 · median $6,829 5 plans
811 RED BLOOD CELL DISORDERS WITH MCC $4,736 – $14,802 · median $6,829 5 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,736 – $9,711 · median $6,829 5 plans
813 COAGULATION DISORDERS $4,736 – $16,287 · median $6,829 5 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $4,736 – $21,994 · median $6,829 5 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $4,736 – $10,691 · median $6,829 5 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,736 – $7,226 · median $6,829 5 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $8,858 – $61,258 · median $12,764 5 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $8,858 – $23,487 · median $12,764 5 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,858 – $13,286 · median $12,033 5 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $8,858 – $49,235 · median $12,764 5 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $8,858 – $23,141 · median $12,764 5 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $8,858 – $13,286 · median $12,764 5 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $8,858 – $50,245 · median $12,764 5 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $8,858 – $24,829 · median $12,764 5 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $8,858 – $16,865 · median $12,764 5 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $8,858 – $32,446 · median $12,764 5 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $8,858 – $15,387 · median $12,764 5 plans
834 ACUTE LEUKEMIA WITH MCC $4,736 – $58,154 · median $6,829 5 plans
835 ACUTE LEUKEMIA WITH CC $4,736 – $22,473 · median $6,829 5 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $4,736 – $13,370 · median $6,829 5 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $4,736 – $52,682 · median $6,829 5 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $4,736 – $21,340 · median $6,829 5 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,736 – $14,418 · median $6,829 5 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $4,736 – $33,559 · median $6,829 5 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $4,736 – $16,497 · median $6,829 5 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $4,736 – $11,067 · median $6,829 5 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $4,736 – $19,919 · median $6,829 5 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $4,736 – $12,575 · median $6,829 5 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $4,736 – $8,804 · median $6,829 5 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $4,736 – $26,869 · median $6,829 5 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $4,736 – $13,369 · median $6,829 5 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,736 – $8,616 · median $6,829 5 plans
849 RADIOTHERAPY $4,736 – $28,103 · median $6,829 5 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $8,858 – $96,921 · median $12,764 5 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $8,858 – $52,626 · median $12,764 5 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $8,858 – $21,025 · median $12,764 5 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,858 – $17,104 · median $12,764 5 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $8,858 – $47,468 · median $12,764 5 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $8,858 – $22,926 · median $12,764 5 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $8,858 – $13,557 · median $12,764 5 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $4,736 – $19,346 · median $6,829 5 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $4,736 – $10,521 · median $6,829 5 plans
864 FEVER AND INFLAMMATORY CONDITIONS $4,736 – $9,448 · median $6,829 5 plans
865 VIRAL ILLNESS WITH MCC $4,736 – $15,529 · median $6,829 5 plans
866 VIRAL ILLNESS WITHOUT MCC $4,736 – $9,309 · median $6,829 5 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $4,736 – $22,561 · median $6,829 5 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $4,736 – $11,048 · median $6,829 5 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,736 – $7,571 · median $6,829 5 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $4,736 – $73,196 · median $6,829 5 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $8,858 – $41,345 · median $12,764 5 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $4,736 – $10,086 · median $6,829 5 plans
881 DEPRESSIVE NEUROSES $4,736 – $9,618 · median $6,829 5 plans
882 NEUROSES EXCEPT DEPRESSIVE $4,736 – $10,121 · median $6,829 5 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $4,736 – $19,533 · median $6,829 5 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $4,736 – $17,573 · median $6,829 5 plans
885 PSYCHOSES $4,736 – $14,831 · median $6,829 5 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $4,736 – $18,902 · median $6,829 5 plans
887 OTHER MENTAL DISORDER DIAGNOSES $4,736 – $12,514 · median $6,829 5 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,736 – $7,226 · median $6,567 5 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $4,736 – $15,235 · median $6,829 5 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $4,736 – $18,738 · median $6,829 5 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $4,736 – $9,283 · median $6,829 5 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $8,858 – $46,615 · median $12,764 5 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $8,858 – $19,964 · median $12,764 5 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,858 – $13,286 · median $12,764 5 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $8,858 – $40,624 · median $12,764 5 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $8,858 – $17,341 · median $12,764 5 plans
906 HAND PROCEDURES FOR INJURIES $8,858 – $22,963 · median $12,764 5 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $8,858 – $41,914 · median $12,764 5 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $8,858 – $21,223 · median $12,764 5 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $8,858 – $13,344 · median $12,764 5 plans
913 TRAUMATIC INJURY WITH MCC $4,736 – $17,027 · median $6,829 5 plans
914 TRAUMATIC INJURY WITHOUT MCC $4,736 – $9,641 · median $6,829 5 plans
915 ALLERGIC REACTIONS WITH MCC $4,736 – $18,285 · median $6,829 5 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,736 – $7,226 · median $6,829 5 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $4,736 – $17,252 · median $6,829 5 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,736 – $9,306 · median $6,829 5 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $4,736 – $19,186 · median $6,829 5 plans
920 COMPLICATIONS OF TREATMENT WITH CC $4,736 – $10,688 · median $6,829 5 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,736 – $7,235 · median $6,829 5 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $4,736 – $17,774 · median $6,829 5 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $4,736 – $10,730 · median $6,829 5 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $8,858 – $33,395 · median $12,764 5 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $8,858 – $22,215 · median $12,764 5 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $8,858 – $20,562 · median $12,764 5 plans
947 SIGNS AND SYMPTOMS WITH MCC $4,736 – $13,532 · median $6,829 5 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,736 – $8,360 · median $6,829 5 plans
949 AFTERCARE WITH CC/MCC $4,736 – $11,352 · median $6,829 5 plans
950 AFTERCARE WITHOUT CC/MCC $4,736 – $7,226 · median $6,167 5 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,736 – $7,226 · median $5,965 5 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $71,843 – $163,534 · median $117,026 5 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $40,217 – $79,287 · median $74,403 5 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $71,553 – $99,988 · median $78,533 5 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $42,128 – $58,869 · median $55,618 5 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $23,709 – $35,585 · median $31,302 5 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $14,624 – $40,137 · median $28,722 5 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $14,693 – $21,685 · median $15,785 5 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,645 – $14,069 · median $10,068 5 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $8,858 – $66,540 · median $12,764 5 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $8,858 – $27,917 · median $12,764 5 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $4,736 – $31,419 · median $6,829 5 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $4,736 – $14,955 · median $6,829 5 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $4,736 – $10,553 · median $6,829 5 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $4,736 – $15,171 · median $6,829 5 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $8,858 – $50,025 · median $12,764 5 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $8,858 – $25,763 · median $12,764 5 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,858 – $17,552 · median $12,764 5 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $8,858 – $36,859 · median $12,764 5 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $8,858 – $18,056 · median $12,764 5 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,858 – $13,286 · median $12,157 5 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $262,801 – $500,081 · median $415,166 4 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $262,801 – $500,081 · median $415,166 4 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH $159,754 – $280,303 · median $232,707 4 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC — 4 plans
693 URINARY STONES WITH MCC $10,862 – $15,180 · median $14,522 4 plans
694 URINARY STONES WITHOUT MCC $6,958 – $12,607 · median $10,466 4 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT — 4 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $8,858 – $13,286 · median $10,917 4 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $8,858 – $13,286 · median $10,917 4 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $4,736 – $7,226 · median $5,998 4 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $4,736 – $7,226 · median $5,998 4 plans
935 NON-EXTENSIVE BURNS $4,736 – $7,226 · median $5,998 4 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $112,045 – $112,045 · median $112,045 1 plans
006 LIVER TRANSPLANT WITHOUT MCC $51,020 – $51,020 · median $51,020 1 plans
007 LUNG TRANSPLANT $137,500 – $137,500 · median $137,500 1 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $57,248 – $57,248 · median $57,248 1 plans
010 PANCREAS TRANSPLANT $83,888 – $83,888 · median $83,888 1 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $137,848 – $137,848 · median $137,848 1 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $63,506 – $63,506 · median $63,506 1 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $63,506 – $63,506 · median $63,506 1 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $396,787 – $396,787 · median $396,787 1 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $83,405 – $83,405 · median $83,405 1 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK $91,183 – $91,183 · median $91,183 1 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH $87,453 – $87,453 · median $87,453 1 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4 $25,452 – $25,452 · median $25,452 1 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $24,410 – $24,410 · median $24,410 1 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $48,475 – $48,475 · median $48,475 1 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $36,534 – $36,534 · median $36,534 1 plans
652 KIDNEY TRANSPLANT $32,315 – $32,315 · median $32,315 1 plans
765 CESAREAN SECTION W CC/MCC $7,867 – $7,867 · median $7,867 1 plans
766 CESAREAN SECTION W/O CC/MCC $7,867 – $7,867 · median $7,867 1 plans
767 VAGINAL DELIVERY W STERILIZATION &/OR D&C $5,323 – $5,323 · median $5,323 1 plans
774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES $5,323 – $5,323 · median $5,323 1 plans
775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES $5,323 – $5,323 · median $5,323 1 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY — 1 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE — 1 plans
791 PREMATURITY WITH MAJOR PROBLEMS — 1 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS — 1 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS — 1 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,448 – $2,448 · median $2,448 1 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $26,674 – $26,674 · median $26,674 1 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $13,552 – $13,552 · median $13,552 1 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,591 – $8,591 · median $8,591 1 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $12,110 – $12,110 · median $12,110 1 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $7,863 – $7,863 · median $7,863 1 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $5,469 – $5,469 · median $5,469 1 plans
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